UHC 2024 AHIP - MEDICARE BASICS ASSESSMENT (MEDICARE ADVANTAGE [NON-SNP], PRESCRIPTION DRUG AND MEDICARE SUPPLEMENT PLANS)

UHC 2024 AHIP - MEDICARE BASICS ASSESSMENT (MEDICARE ADVANTAGE [NON-SNP], PRESCRIPTION DRUG AND MEDICARE SUPPLEMENT PLANS) Lisa turned 65 and is now eligible for Medicare. She already receives Social Security benefits. How does she enroll in Original Medicare? - correct answer Her enrollment in Medicare Parts A and B is generally automatic if she 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? - correct answer When a consumer enrolls in a Medicare Supplement Insurance Plan, they are not automatically disenrolled from their MA Plan. Being 65 or older, being under 65 years of age with a qualifying disability or being any age with ESRD or ALS are each eligibility requirements for which program? - correct answer Original Medicare Which of the following defines a Medicare Advantage (MA) Plan? (Select 3) - correct answer -An MA Plan is part of Medicare and is also called Part C. -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). To be eligible for this plan type, consumers must meet the following requirements: be entitled to Medicare Part A and enrolled in Part B, and reside in the plan's service area. Which plan is being described? - correct answer Medicare Advantage Which of the following is a correct statement about in-network provider services? - correct answer HMO Plans 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 of the following is NOT a correct statement about in-network provider services? - correct answer HMO-POS Plans only cover in-network services. Which statement is true about Medicare Supplement Open Enrollment? - correct answer It is the six-month period that starts the month the consumer is 65 or older and is enrolled in Medicare Part B. Which statement is true about the Medicare Advantage (MA) Out-of-Pocket Maximum? - correct answer All MA plans have an Out-of-Pocket Maximum to help limit the member's out-of-pocket costs for Medicare-covered medical services.