UHC Medicare Basics Assessment || Questions and 100% Accurate 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? correct answers Parts A and B Which statement is true about members of a Medicare Advantage (MA) Plan who want to enroll in a Medicare Supplement Insurance Plan? correct answers The consumer must be in a valid MA election or disenrollment period. Provided other eligibility requirements are met, who is eligible for Medicare? correct answers Consumers age 65 or older, consumers under 65 years of age with a qualifying disability and consumers of all ages with ESRD or ALS who are receiving Social Security Disability Insurance (SSDI) for ALS. Which of the following defines a Medicare Advantage (MA) Plan? (Select 3) correct answers -An MA Plan is a health plan option approved by Medicare and offered by private insurance companies. -An MA Plan is part of Medicare and is also called Part C. -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 answers Medicare Advantage Which of the following statements is correct about HMO MA Plans? correct answers Members must receive covered services from contracted network providers with limited exceptions. Which of the following are MA Plans that focus on using network providers to maximize the benefits and reduce out-of-network expenses? correct answers HMO, POS, PPO When does Medicare Supplement Open Enrollment take place? correct answers During the first six months a consumer is 65 or older and enrolled in Medicare Part B. What costs count toward the out-of-pocket maximum for Medicare Advantage (MA) Plans? correct answers The Out-of-Pocket Maximum includes costs the member pays for any Medicare-covered Part A or B services but does not include the cost of any plan premiums. A consumer currently has Original Medicare and is enrolled in a stand-alone Prescription Drug Plan (PDP). What will happen if the consumer enrolls in an MA Plan that has integrated prescription drug coverage? correct answers The consumer will be automatically disenrolled from their stand-alone PDP upon enrollment in the MA Plan that has integrated prescription drug coverage