Exam Questions and Answers 100% Pass
Which statement is true about a member of a Medicare vantage in a plan who wants to enroll in a
Medicare supplement insurance plan? - ✔✔When a consumer enroll in a Medicare supplement insurance
plan, they are not automatically disenrolled from their in MA plan
Provided other eligibility requirements are met who is eligible for Medicare - ✔✔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 - ✔✔provided
Which of the following best describes eligibility to enroll in an MA plan - ✔✔Entitled to Part A and
enrolled in part B reside in Plains Service area may have pre-existing conditions, such as ESRD
Which of the following statement is correct about HMO MA plans - ✔✔Members must receive covert
services from contracted network providers with limited exceptions
Which of the following are MA plans to focus on using network providers to maximize the benefits and
reduce out of network expenses - ✔✔HMO POS PPO
When is Mary's Medicare supplement open enrollment. If she turns 65 on September 23, 2023 and her
Medicare part B a fact it is September 1, 2023. - ✔✔September 2023 through February 2024
Jennifer is enrolling into a Medicare advantage am a plan he 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
cost toward any Medicare covered part, a or B services, but does not include the cost of any plan
premiums
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, Margaret currently has an MAPD plan what would happen if you enrolled her into a standalone PDP -
✔✔She would be disenrolled automatically from her MAPD
What is Medicare Part D? - ✔✔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 of the following is a fact about Medicare prescription drug plan? - ✔✔To enroll, the consumer
must reside in the plans service area
Aside from a Medicare advantage, plan or other health plan that includes prescription drug coverage
house cut a Medicare - eligible consumer, get part D prescription drug coverage - ✔✔They can enroll in a
standalone Medicare prescription drug plan PDP
Which of the following statements accurately describes a prescription drug stage - ✔✔Starting in 2024,
the catastrophic coverage stage is when the member will pay nothing for covered drugs for the remainder
of the plan year.
Which of these statements is not true about the drug utilization management UM rules? - ✔✔if a
medication has a UM rule the member will not be able to get that medication
Which of the following best describes the late enrollment penalty LEP - ✔✔The amount added to the
member's monthly plan premium if they did not enroll in a Medicare Advantage plan with Part D
benefits or stand-alone prescription drug plan when they were first eligible for Medicare Parts A and/or
B or went without creditable prescription drug coverage for 63 or more continuous days.
How does a consumer who qualifies for low income subsidy receive financial assistance for their part of
Medicare part D cost? - ✔✔Through subsidies, such as lower or no monthly plan, premiums and lower or
no copayments
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Crafted for Academic Insight by KatelynWhitman. All rights reserved © 2025