Answers
In which two parts of Medicare is enrollment generally automatic for eligible consumers who are
receiving social security benefits, unless they choose to delay their coverage? - ANSWER-Parts A and B
Which statement is true about a member of a Medicare Advantage 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 unenrolled from their MA plan
Which of the following consumers are eligible for Medicare if other eligibility requirements are met? -
ANSWER-Consumers age 65 or older, consumers under age 65 with certain disabilities for more than 24
months, and consumers of all ages with ESRD or ALS
Which of the following defines a Medicare Advantage Plan? - ANSWER-MA plans must provide benefits
equivalent to Original Medicare, and most also offer additional benefits
MA plans provide Medicare hospital and medical insurance and often include Medicare prescription drug
coverage
Janice wants to enroll in a Medicare Advantage plan. Which of the following is NOT an eligibility
requirement? - ANSWER-Does not have any pre existing conditions, such as diabetes or ESRD
What must be explained to consumers enrolling in an HMO MA plan? - ANSWER-The exception to the
provider network requirement is emergency visits, urgent care and renal dialysis services, which can be
obtained from out of network providers
They must see contracted network providers in order to receive coverage under the plan
Most benefits are covered out of network but at a higher cost
Which of the following are MA plans that focus on using network providers to maximize the benefits and
reduce out of network expenses? - ANSWER-HMO, POS, PPO
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? - ANSWER-Sept 2021 - Feb 2022