UHC MEDICARE BASICS ASSESSMENT 2024
Which type of MA Plan is an HMO plan that also covers certain benefits out-of-network,
generally at a higher cost?
-Medicare Supplement Insurance Plan
-Point-of-Service (POS) Plan
-Preferred Provider Organization (PPO)
-Private Fee-for-Service (PFFS) - Answers -Point-of-Service (POS) Plan
Which statement is true about Medicare Supplement Open Enrollment?
-It is the only time a consumer is eligible to purchase a Medicare Supplement Insurance
Plan.
-It is the six-month period that starts the month the consumer is 65 or older and is
enrolled in Medicare Part B.
-It runs annually from October 15 through December 7. - Answers -It is the six-month
period that starts the month the consumer is 65 or older and is enrolled in Medicare Part
B.
Jennifer is enrolling into a Medicare Advantage (MA) plan and wants to know what
counts toward the Out-of-Pocket Maximum. Which of the following is accurate?
-The Out-of-Pocket Maximum will include her costs toward any Medicare-covered Part
A or B services but does not include the cost of any plan premiums.
-All Out-of-Pocket costs she pays toward her health care and prescription drug
expenses would count toward the Out-of-Pocket Maximum.
-Jennifer's costs for prescription drugs and any benefits not covered by Original
Medicare will count toward the Out-of-Pocket Maximum.
-The Out-of-Pocket Maximum includes any costs she pays toward the plan, such as
plan premiums and health care expenses. - Answers -The Out-of-Pocket Maximum will
include her costs toward 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?
-The consumer will be automatically disenrolled from their stand-alone PDP upon
enrollment in the MA Plan that has integrated prescription drug coverage
, -The consumer will no longer be a part of the Medicare program because they will
receive their medical and hospital benefits covered by the MA Plan
-The consumer's MA Plan enrollment application will be denied because they already
have a stand-alone PDP
-The consumer will not have to pay anything in the coverage gap because they have a
stand-alone PDP and integrated Part D benefits in their MA Plan - Answers -The
consumer will be automatically disenrolled from their stand-alone PDP upon enrollment
in the MA Plan that has integrated prescription drug coverage
What is Medicare Part D?
-An involuntary program that requires an additional monthly premium.
-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.
-A program that is automatically available to all eligible consumers at no additional
charge.
-A private health plan option that provides catastrophic hospital coverage for consumers
who are enrolled in both Medicare Part A and Medicare Part B. - Answers -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 consumer is eligible for a stand-alone Medicare Prescription Drug Plan?
-Joseph, who is enrolled in Medicare Part A and Medicare Part B and resides in the
plan's service area.
-Alice, who is enrolled only in Medicare Part A, but does not reside in the plan's service
area.
-Alvin, who is enrolled only in Medicare Part B, but does not reside in the plan's service
area.
-Sharon, who is not enrolled in Medicare Part A or Medicare Part B, and resides in the
plan's service area. - Answers -Joseph, who is enrolled in Medicare Part A and
Medicare Part B and resides in the plan's service area.
Aside from a Medicare Advantage Plan or other health plan that includes prescription
drug coverage, how else could a Medicare-eligible consumer get Part D prescription
drug coverage?
Which type of MA Plan is an HMO plan that also covers certain benefits out-of-network,
generally at a higher cost?
-Medicare Supplement Insurance Plan
-Point-of-Service (POS) Plan
-Preferred Provider Organization (PPO)
-Private Fee-for-Service (PFFS) - Answers -Point-of-Service (POS) Plan
Which statement is true about Medicare Supplement Open Enrollment?
-It is the only time a consumer is eligible to purchase a Medicare Supplement Insurance
Plan.
-It is the six-month period that starts the month the consumer is 65 or older and is
enrolled in Medicare Part B.
-It runs annually from October 15 through December 7. - Answers -It is the six-month
period that starts the month the consumer is 65 or older and is enrolled in Medicare Part
B.
Jennifer is enrolling into a Medicare Advantage (MA) plan and wants to know what
counts toward the Out-of-Pocket Maximum. Which of the following is accurate?
-The Out-of-Pocket Maximum will include her costs toward any Medicare-covered Part
A or B services but does not include the cost of any plan premiums.
-All Out-of-Pocket costs she pays toward her health care and prescription drug
expenses would count toward the Out-of-Pocket Maximum.
-Jennifer's costs for prescription drugs and any benefits not covered by Original
Medicare will count toward the Out-of-Pocket Maximum.
-The Out-of-Pocket Maximum includes any costs she pays toward the plan, such as
plan premiums and health care expenses. - Answers -The Out-of-Pocket Maximum will
include her costs toward 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?
-The consumer will be automatically disenrolled from their stand-alone PDP upon
enrollment in the MA Plan that has integrated prescription drug coverage
, -The consumer will no longer be a part of the Medicare program because they will
receive their medical and hospital benefits covered by the MA Plan
-The consumer's MA Plan enrollment application will be denied because they already
have a stand-alone PDP
-The consumer will not have to pay anything in the coverage gap because they have a
stand-alone PDP and integrated Part D benefits in their MA Plan - Answers -The
consumer will be automatically disenrolled from their stand-alone PDP upon enrollment
in the MA Plan that has integrated prescription drug coverage
What is Medicare Part D?
-An involuntary program that requires an additional monthly premium.
-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.
-A program that is automatically available to all eligible consumers at no additional
charge.
-A private health plan option that provides catastrophic hospital coverage for consumers
who are enrolled in both Medicare Part A and Medicare Part B. - Answers -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 consumer is eligible for a stand-alone Medicare Prescription Drug Plan?
-Joseph, who is enrolled in Medicare Part A and Medicare Part B and resides in the
plan's service area.
-Alice, who is enrolled only in Medicare Part A, but does not reside in the plan's service
area.
-Alvin, who is enrolled only in Medicare Part B, but does not reside in the plan's service
area.
-Sharon, who is not enrolled in Medicare Part A or Medicare Part B, and resides in the
plan's service area. - Answers -Joseph, who is enrolled in Medicare Part A and
Medicare Part B and resides in the plan's service area.
Aside from a Medicare Advantage Plan or other health plan that includes prescription
drug coverage, how else could a Medicare-eligible consumer get Part D prescription
drug coverage?
