2022 UHC Medicare Basics Test

Milton is retiring on his 65th birthday. He is eligible for Medicare and already receives Social Security benefits. How does he enroll in Original Medicare? His enrollment in Medicare Parts A and B is generally automatic if he meets all eligibility requirements Which statement is true about a member of a Medicare Advantage (MA) Plan who wants to enroll in a Medicare Supplement Insurance Plan? When a consumer enrolls in a Medicare Supplement Insurance Plan, they are not automatically disenrolled from their MA plan. 00:02 01:40 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? Original Medicare Which of the following defines a Medicare Advantage (MA) Plan? (Select 3) 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), An MA Plan is part of Medicare and is also called Part C. Janice wants to enroll in a Medicare Advantage plan. Which of the following is NOT an eligibility requirement? Resides in the plan's service area Which of the following is NOT a correct statement about in-network provider services? HMO-POS Plans only cover in-network services. When is Mary's Medicare Supplement Open Enrollment period if she turns 65 on September 23, 2021, and her Medicare Part B effective date is September 1, 2021? September 2021 through February 2022 What is Medicare Part D? A voluntary program, offered by private insurance companies that are contracted with the federal government, that provides prescription drug coverage for an additional monthly plan premium Which of the following statements is true about eligibility requirements for stand-alone Medicare Prescription Drug Plans? A consumer must be entitled to Medicare Part A and/or enrolled in Medicare Part B Which of the following statements is NOT true about the Coverage Gap? All members reach the Coverage Gap A consumer may have to pay a Late Enrollment Penalty (LEP) if they did NOT enroll in a Medicare Advantage plan with Part D benefits or stand-alone prescription drug plan when they were first eligible for Medicare Parts A and/or B or went without creditable prescription drug coverage for ______________. 63 or more continuous days How does a consumer who qualifies for Low Income Subsidy receive financial assistance for their part of Medicare Part D costs? Through subsidies such as lower or no monthly plan premiums and lower or no copayments 00:01 01:40 Formulary is defined as: A list of medications covered within the benefit plan, based on CMS guidelines and developed in collaboration with physicians and pharmacists.