UHC AHIP MEDICARE BASICS
ASSESSMENT EXAM PAPER
QUESTIONS WITH VERIFIED
ANSWERS
◉ Which statement is true about a member of a Medicare Advantage
(MA) Plan who wants to enroll in a Medicare Supplement Insurance
Plan? Answer: When a consumer enrolls in a Medicare Supplement
Insurance Plan, they are not automatically disenrolled from their MA
Plan.
◉ Being 65 or older, being under 65 years of age with a qualifying
disability or being any age with ESRD or ALS are each eligibility
requirements for which program? Answer: Original Medicare
◉ Which of the following defines a Medicare Advantage (MA) Plan?
(Select 3) Answer: -An MA Plan is part of Medicare and is also called
Part C.
-An MA Plan is a health plan option approved by Medicare and
offered by private insurance companies.
-An MA Plan provides Medicare hospital and medical insurance
(Medicare Part A and Part B) and often includes Medicare
prescription drug coverage (Part D).
, ◉ To be eligible for this plan type, consumers must meet the
following requirements: be entitled to Medicare Part A and enrolled
in Part B, and reside in the plan's service area. Which plan is being
described? Answer: Medicare Advantage
◉ Which of the following is a correct statement about in-network
provider services? Answer: HMO Plans cover only in-network
services. In most cases, members pay the full cost of any out-of-
network services received, with a few important exceptions.
◉ Which of the following is NOT a correct statement about in-
network provider services? Answer: HMO-POS Plans only cover in-
network services.
◉ Which statement is true about Medicare Supplement Open
Enrollment? Answer: It is the six-month period that starts the month
the consumer is 65 or older and is enrolled in Medicare Part B.
◉ Which statement is true about the Medicare Advantage (MA) Out-
of-Pocket Maximum? Answer: All MA plans have an Out-of-Pocket
Maximum to help limit the member's out-of-pocket costs for
Medicare-covered medical services.
◉ Margaret currently has an MAPD Plan. What would happen if you
enrolled her into a stand-alone PDP? Answer: She would be
disenrolled automatically from her MAPD Plan.
ASSESSMENT EXAM PAPER
QUESTIONS WITH VERIFIED
ANSWERS
◉ Which statement is true about a member of a Medicare Advantage
(MA) Plan who wants to enroll in a Medicare Supplement Insurance
Plan? Answer: When a consumer enrolls in a Medicare Supplement
Insurance Plan, they are not automatically disenrolled from their MA
Plan.
◉ Being 65 or older, being under 65 years of age with a qualifying
disability or being any age with ESRD or ALS are each eligibility
requirements for which program? Answer: Original Medicare
◉ Which of the following defines a Medicare Advantage (MA) Plan?
(Select 3) Answer: -An MA Plan is part of Medicare and is also called
Part C.
-An MA Plan is a health plan option approved by Medicare and
offered by private insurance companies.
-An MA Plan provides Medicare hospital and medical insurance
(Medicare Part A and Part B) and often includes Medicare
prescription drug coverage (Part D).
, ◉ To be eligible for this plan type, consumers must meet the
following requirements: be entitled to Medicare Part A and enrolled
in Part B, and reside in the plan's service area. Which plan is being
described? Answer: Medicare Advantage
◉ Which of the following is a correct statement about in-network
provider services? Answer: HMO Plans cover only in-network
services. In most cases, members pay the full cost of any out-of-
network services received, with a few important exceptions.
◉ Which of the following is NOT a correct statement about in-
network provider services? Answer: HMO-POS Plans only cover in-
network services.
◉ Which statement is true about Medicare Supplement Open
Enrollment? Answer: It is the six-month period that starts the month
the consumer is 65 or older and is enrolled in Medicare Part B.
◉ Which statement is true about the Medicare Advantage (MA) Out-
of-Pocket Maximum? Answer: All MA plans have an Out-of-Pocket
Maximum to help limit the member's out-of-pocket costs for
Medicare-covered medical services.
◉ Margaret currently has an MAPD Plan. What would happen if you
enrolled her into a stand-alone PDP? Answer: She would be
disenrolled automatically from her MAPD Plan.
