Medicare Exam Questions and Answers |
Latest Version | 2024/2025 | Correct &
Verified
What is the Initial Enrollment Period for Medicare?
✔✔The Initial Enrollment Period is a 7-month period that begins three months before your 65th
birthday, includes your birth month, and ends three months after.
What happens if you don’t enroll in Medicare Part B when first eligible?
✔✔You may have to pay a late enrollment penalty, which will increase your monthly premiums.
What is the Annual Enrollment Period for Medicare?
✔✔The Annual Enrollment Period runs from October 15 to December 7 each year, allowing
beneficiaries to make changes to their Medicare Advantage or Part D plans.
What is the Special Enrollment Period for Medicare?
✔✔The Special Enrollment Period allows you to enroll in Medicare outside of regular
enrollment periods if you have qualifying circumstances, like losing employer coverage.
1
,How is Medicare funded?
✔✔Medicare is funded through payroll taxes, premiums paid by beneficiaries, and federal
government funding.
What is the difference between Original Medicare and Medicare Advantage?
✔✔Original Medicare is administered by the government and includes Parts A and B, while
Medicare Advantage is offered by private insurers and often includes additional benefits.
What is the purpose of Medicare Part D?
✔✔The purpose of Medicare Part D is to help beneficiaries pay for prescription medications.
What does "creditable prescription drug coverage" mean?
✔✔Creditable prescription drug coverage refers to drug coverage that is at least as good as
Medicare Part D, such as coverage through an employer or union.
What is the penalty for late enrollment in Medicare Part D?
✔✔The penalty for late enrollment in Part D is a permanent increase in premiums based on the
number of months you went without creditable prescription drug coverage.
2
,What does CMS stand for in relation to Medicare?
✔✔CMS stands for the Centers for Medicare & Medicaid Services, the agency that oversees
Medicare.
What is the Medicare Plan Finder?
✔✔The Medicare Plan Finder is an online tool that helps beneficiaries compare Medicare plans
based on coverage, costs, and provider networks.
What services are not covered by Medicare?
✔✔Medicare generally does not cover routine dental care, vision care, hearing aids, or long-term
custodial care.
What is the purpose of the Medicare Star Ratings system?
✔✔The Medicare Star Ratings system evaluates Medicare Advantage and Part D plans based on
quality and performance to help beneficiaries choose plans.
What is the Medicare Savings Program?
✔✔The Medicare Savings Program helps low-income individuals pay for Medicare premiums
and, in some cases, deductibles and coinsurance.
3
, What is the purpose of a Medicare Advance Beneficiary Notice (ABN)?
✔✔An ABN informs beneficiaries that Medicare may not cover a particular service, allowing
them to decide whether to proceed and pay out of pocket.
How can beneficiaries prevent Medicare fraud?
✔✔Beneficiaries can prevent Medicare fraud by protecting their Medicare card, reviewing
statements for errors, and reporting suspicious activity.
What is the purpose of the "Medicare & You" handbook?
✔✔The "Medicare & You" handbook provides comprehensive information about Medicare
coverage, enrollment, and plan options.
What is the role of Social Security in Medicare?
✔✔Social Security handles enrollment in Medicare Parts A and B for most beneficiaries and
collects premiums for these parts.
4
Latest Version | 2024/2025 | Correct &
Verified
What is the Initial Enrollment Period for Medicare?
✔✔The Initial Enrollment Period is a 7-month period that begins three months before your 65th
birthday, includes your birth month, and ends three months after.
What happens if you don’t enroll in Medicare Part B when first eligible?
✔✔You may have to pay a late enrollment penalty, which will increase your monthly premiums.
What is the Annual Enrollment Period for Medicare?
✔✔The Annual Enrollment Period runs from October 15 to December 7 each year, allowing
beneficiaries to make changes to their Medicare Advantage or Part D plans.
What is the Special Enrollment Period for Medicare?
✔✔The Special Enrollment Period allows you to enroll in Medicare outside of regular
enrollment periods if you have qualifying circumstances, like losing employer coverage.
1
,How is Medicare funded?
✔✔Medicare is funded through payroll taxes, premiums paid by beneficiaries, and federal
government funding.
What is the difference between Original Medicare and Medicare Advantage?
✔✔Original Medicare is administered by the government and includes Parts A and B, while
Medicare Advantage is offered by private insurers and often includes additional benefits.
What is the purpose of Medicare Part D?
✔✔The purpose of Medicare Part D is to help beneficiaries pay for prescription medications.
What does "creditable prescription drug coverage" mean?
✔✔Creditable prescription drug coverage refers to drug coverage that is at least as good as
Medicare Part D, such as coverage through an employer or union.
What is the penalty for late enrollment in Medicare Part D?
✔✔The penalty for late enrollment in Part D is a permanent increase in premiums based on the
number of months you went without creditable prescription drug coverage.
2
,What does CMS stand for in relation to Medicare?
✔✔CMS stands for the Centers for Medicare & Medicaid Services, the agency that oversees
Medicare.
What is the Medicare Plan Finder?
✔✔The Medicare Plan Finder is an online tool that helps beneficiaries compare Medicare plans
based on coverage, costs, and provider networks.
What services are not covered by Medicare?
✔✔Medicare generally does not cover routine dental care, vision care, hearing aids, or long-term
custodial care.
What is the purpose of the Medicare Star Ratings system?
✔✔The Medicare Star Ratings system evaluates Medicare Advantage and Part D plans based on
quality and performance to help beneficiaries choose plans.
What is the Medicare Savings Program?
✔✔The Medicare Savings Program helps low-income individuals pay for Medicare premiums
and, in some cases, deductibles and coinsurance.
3
, What is the purpose of a Medicare Advance Beneficiary Notice (ABN)?
✔✔An ABN informs beneficiaries that Medicare may not cover a particular service, allowing
them to decide whether to proceed and pay out of pocket.
How can beneficiaries prevent Medicare fraud?
✔✔Beneficiaries can prevent Medicare fraud by protecting their Medicare card, reviewing
statements for errors, and reporting suspicious activity.
What is the purpose of the "Medicare & You" handbook?
✔✔The "Medicare & You" handbook provides comprehensive information about Medicare
coverage, enrollment, and plan options.
What is the role of Social Security in Medicare?
✔✔Social Security handles enrollment in Medicare Parts A and B for most beneficiaries and
collects premiums for these parts.
4
