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? - 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? - 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? - ANSWER Original Medicare
Which of the following defines a Medicare Advantage (MA) Plan? (Select 3) - 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? - ANSWER Medicare Advantage
, UHC 2024 AHIP - Medicare Basics
Assessment (Medicare Advantage [non-
SNP], Prescription Drug and Medicare
Supplement Plans)
Which of the following is a correct statement about in-network provider services? - 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? - ANSWER HMO-
POS Plans only cover in-network services.
Which statement is true about Medicare Supplement Open Enrollment? - 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? - 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.
Margaret currently has an MAPD Plan. What would happen if you enrolled her into a stand-alone PDP? -
ANSWER She would be disenrolled automatically from her MAPD Plan.
What is Medicare Part D? - ANSWER 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 best describes eligibility to enroll in a stand-alone Prescription Drug Plan? -
ANSWER Entitled to Part A and/or enrolled in Part B and reside in the plan service area.
Aside from a stand-alone Medicare Prescription Drug Plan, how else could a Medicare-eligible consumer
get Part D prescription drug coverage? - ANSWER They could enroll in a Medicare Advantage Plan or
other Medicare health plan that includes prescription drug coverage.
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? - 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? - 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? - ANSWER Original Medicare
Which of the following defines a Medicare Advantage (MA) Plan? (Select 3) - 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? - ANSWER Medicare Advantage
, UHC 2024 AHIP - Medicare Basics
Assessment (Medicare Advantage [non-
SNP], Prescription Drug and Medicare
Supplement Plans)
Which of the following is a correct statement about in-network provider services? - 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? - ANSWER HMO-
POS Plans only cover in-network services.
Which statement is true about Medicare Supplement Open Enrollment? - 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? - 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.
Margaret currently has an MAPD Plan. What would happen if you enrolled her into a stand-alone PDP? -
ANSWER She would be disenrolled automatically from her MAPD Plan.
What is Medicare Part D? - ANSWER 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 best describes eligibility to enroll in a stand-alone Prescription Drug Plan? -
ANSWER Entitled to Part A and/or enrolled in Part B and reside in the plan service area.
Aside from a stand-alone Medicare Prescription Drug Plan, how else could a Medicare-eligible consumer
get Part D prescription drug coverage? - ANSWER They could enroll in a Medicare Advantage Plan or
other Medicare health plan that includes prescription drug coverage.
