UHC EVENTS BASICS TEST EXAM
COMPLETE QUESTIONS AND
ANSWERS
◉ Which statement is true about members of a Medicare Advantage
(MA) Plan who want to enroll in a Medicare Supplement Insurance
Plan? Answer: The consumer must be in a valid MA election or
disenrollment period.
◉ Being 65 or older, being under 65 years of age with certain
disabilities for more than 24 months, and 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 2) Answer: MA Plans must provide benefits equivalent to
Original Medicare, and most plans also offer additional benefits.
&
MA Plans provide Medicare hospital and medical insurance and
often include Medicare prescription drug coverage.
◉ Larry wants to enroll in a 2021 Medicare Advantage plan. He has
End Stage Renal Disease (permanent kidney failure). What eligibility
requirements must he meet? (Select the two answers that apply.)
Answer: Reside in the plan's service area
, &
Entitled to Medicare Part A and enrolled in Part B
◉ Member Doug enrolled in a Health Maintenance Organization
(HMO) MA Plan. He saw an out-of-network doctor and received a bill
for the entire cost of the visit. Doug called Medicare to complain and
stated he was never told about these types of costs. What should the
agent have explained better to Doug when he was enrolling in the
plan? (Select 3) Answer: That Doug must receive covered services
from contracted network providers.
&
That exceptions to the provider network requirement are
emergency visits, urgent care and renal dialysis services, which can
be obtained from out-of-network providers.
&
That in most cases, Doug will pay the entire cost of the service if he
sees an out-of-network provider.
◉ Which of the following is not a correct statement about in-
network provider services? Answer:
◉ Which is true about Medicare Supplement Open Enrollment?
Answer: By federal law, Medicare Supplement Open Enrollment is
the first 6 months a consumer is 65 or older and enrolled in
Medicare Part B.
COMPLETE QUESTIONS AND
ANSWERS
◉ Which statement is true about members of a Medicare Advantage
(MA) Plan who want to enroll in a Medicare Supplement Insurance
Plan? Answer: The consumer must be in a valid MA election or
disenrollment period.
◉ Being 65 or older, being under 65 years of age with certain
disabilities for more than 24 months, and 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 2) Answer: MA Plans must provide benefits equivalent to
Original Medicare, and most plans also offer additional benefits.
&
MA Plans provide Medicare hospital and medical insurance and
often include Medicare prescription drug coverage.
◉ Larry wants to enroll in a 2021 Medicare Advantage plan. He has
End Stage Renal Disease (permanent kidney failure). What eligibility
requirements must he meet? (Select the two answers that apply.)
Answer: Reside in the plan's service area
, &
Entitled to Medicare Part A and enrolled in Part B
◉ Member Doug enrolled in a Health Maintenance Organization
(HMO) MA Plan. He saw an out-of-network doctor and received a bill
for the entire cost of the visit. Doug called Medicare to complain and
stated he was never told about these types of costs. What should the
agent have explained better to Doug when he was enrolling in the
plan? (Select 3) Answer: That Doug must receive covered services
from contracted network providers.
&
That exceptions to the provider network requirement are
emergency visits, urgent care and renal dialysis services, which can
be obtained from out-of-network providers.
&
That in most cases, Doug will pay the entire cost of the service if he
sees an out-of-network provider.
◉ Which of the following is not a correct statement about in-
network provider services? Answer:
◉ Which is true about Medicare Supplement Open Enrollment?
Answer: By federal law, Medicare Supplement Open Enrollment is
the first 6 months a consumer is 65 or older and enrolled in
Medicare Part B.
