UHC 2025 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? ~CORRECT
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?
~CORRECT 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? ~CORRECT ANSWER~✓✓Original Medicare
Which of the following defines a Medicare Advantage (MA) Plan? (Select
3) ~CORRECT 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?
~CORRECT ANSWER~✓✓Medicare Advantage
Which of the following is a correct statement about in-network provider
services? ~CORRECT 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? ~CORRECT ANSWER~✓✓HMO-POS Plans only cover
in-network services.
Which statement is true about Medicare Supplement Open Enrollment?
~CORRECT 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? ~CORRECT ANSWER~✓✓All MA plans have an Out-
(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? ~CORRECT
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?
~CORRECT 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? ~CORRECT ANSWER~✓✓Original Medicare
Which of the following defines a Medicare Advantage (MA) Plan? (Select
3) ~CORRECT 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?
~CORRECT ANSWER~✓✓Medicare Advantage
Which of the following is a correct statement about in-network provider
services? ~CORRECT 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? ~CORRECT ANSWER~✓✓HMO-POS Plans only cover
in-network services.
Which statement is true about Medicare Supplement Open Enrollment?
~CORRECT 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? ~CORRECT ANSWER~✓✓All MA plans have an Out-
