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Milton is retiring on his 65th birthday. He is eligible for Medicare and already gets
Social Security benefits. How does he enroll in Original Medicare?
- He must enroll in Medicare Parts A and B through his current or former employer.
- His enrollment in Medicare Parts A and B is generally automatic if he meets all
eligibility requirements.
- He can only sign up for Medicare Parts A and/or B at his local Social Security office.
- He can sign up for Medicare Parts A and/or B with any licensed insurance agent.
His enrollment in Medicare Parts A and B is generally automatic if he meets all
eligibility requirements.
,If a consumer currently has a Medicare Advantage plan and wants a Medicare
Supplement Plan , which statement is correct?
- They can have both plans at the same time for extra coverage.
- Enrolling in a Medicare Supplement Plan automatically cancels their MA plan.
- They must disenroll from the MA plan during a valid election period.
- They can only switch during the Annual Election Period (Oct 15-Dec 7).
They must disenroll from the MA plan during a valid election period.
Being 65 or older, or being under 65 with a qualifying disability, or being any
age with End-Stage Renal Disease (ESRD) or Amyotrophic Lateral Sclerosis
(ALS) are eligibility requirements for which program?
- Medicaid
- Low Income Subsidy
- Original Medicare
Original Medicare
,Which of the following statements describe a Medicare Advantage (MA) plan? (select 3)
- MA plans are offered by private insurance companies and approved and contracted by
the federal government.
- MA plans must provide at least the same coverage as Original Medicare and often
include additional benefits like prescription drug coverage (Part D) and more.
- MA plans are part of Medicare and also referred to as Part C.
- MA plans do NOT have to provide at least the same coverage as Original Medicare.
- MA plans are offered by private insurance companies and approved and contracted by
the federal government.
- MA plans must provide at least the same coverage as Original Medicare and often
include additional benefits like prescription drug coverage (Part D) and more.
- MA plans are part of Medicare and also referred to as Part C.
Which of the following are eligibility requirements to enroll in a Medicare Advantage
plan? (Select 3)
- Is enrolled in Medicare Part B
- Does not have any pre-existing conditions such as diabetes or End Stage Renal
Disease (ESRD)
- Lives in the plan's service area
- Is entitled to Medicare Part A
- Is enrolled in Medicare Part B
- Lives in the plan's service area
- Is entitled to Medicare Part A
, Which of the following is a correct statement about network provider services?
- Point-of-Service (POS) plans must cover the same benefits out-of-network
that they cover in-network.
- Preferred Provider Organization (PPO) plans can chose to cover select benefits
out-of-network.
- Health Maintenance Organization (HMO) plans generally 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.
- Health Maintenance Organization (HMO) plans generally 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 type of MA plan is an HMO plan that also covers certain benefits out-of-
network, generally at a higher cost?
- Point-of-Service (POS) plan
- Part D plan Medicare Supplement Plan
- Private Fee-for-Service (PFFS)
- Point-of-Service (POS) plan
Which statement correctly describes the Medicare Supplement Open Enrollment
Period?
- It begins 3 months before the consumer's 65th birthday and ends 3 months after.
- It occurs annually during the Medicare Advantage Open Enrollment Period.
- It lasts 3 months and begins when the consumer enrolls in Medicare Part A and B.
- It lasts 6 months and begins when the consumer is 65 or older and enrolled in
Medicare Part B.
- It lasts 6 months and begins when the consumer is 65 or older and enrolled in
Medicare Part B.