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Exam (elaborations)

Medicare Basics Quiz Questions with Correct Solutions Rated A+

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Which part of Medicare helps with inpatient hospital stays, hospice care, and provides limited home health benefits? - Part A Which statement is true about members of a Medicare Advantage (MA) Plan who want to enroll in a Medicare Supplement Insurance Plan? - thee 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? - Original Medicare A government program, offered only through a private insurance company or other private company approved by Medicare, that provides prescription drug coverage describes which of the following: - Medicare Part D A consumer with Original Medicare might be interested in an MA Plan because: - MA Plans typically provide additional coverage beyond Original Medicare and often have established copayments for some benefits. Which of the following defines a Medicare Advantage (MA) Plan? - MA Plans are health plan options approved by Medicare and offered by private insurance companies. 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) - 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 are MA Plans that focus on using network providers to maximize the benefits and reduce out-of-network expenses? - HMO, POS, PPO Which is true about Medicare Supplement Open Enrollment? - By federal law, Medicare Supplement Open Enrollment is the first 6 months a consumer is 65 or older and enrolled in Medicare Part B.

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Medicare Basics








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Medicare Basics
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Medicare Basics

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Uploaded on
September 8, 2023
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Written in
2023/2024
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