Questions and Answers Graded A+
Joseph has Original Medicare and was a patient in the hospital last week. What
part of Medicare helps cover the costs of his inpatient hospital stay? - Correct
answer-Part A
Which statement is true about members of a Medicare Advantage (MA) Plan who
want to enroll in a Medicare Supplement Insurance Plan? - Correct answer-The
consumer must be in a valid MA election or disenrollment period.
Being 65 or older, being under 65 years of age with certain disabilities for more
than 24 months, and 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 2) -
Correct answer-MA Plans must provide benefits equivalent to Original Medicare,
and most plans also offer additional benefits.
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, MA Plans provide Medicare hospital and medical insurance and often include
Medicare prescription drug coverage.
Larry wants to enroll in a 2021 Medicare Advantage plan. He has End Stage Renal
Disease (permanent kidney failure). What eligibility requirements must he meet?
(Select the two answers that apply.) - Correct answer-Reside in the plan's service
area
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Entitled to Medicare Part A and enrolled in Part B
Member Doug enrolled in a Health Maintenance Organization (HMO) MA Plan.
He saw an out-of-network doctor and received a bill for the entire cost of the visit.
Doug called Medicare to complain and stated he was never told about these types
of costs. What should the agent have explained better to Doug when he was
enrolling in the plan? (Select 3) - Correct answer-That Doug must receive covered
services from contracted network providers.
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That exceptions to the provider network requirement are emergency visits, urgent
care and renal dialysis services, which can be obtained from out-of-network
providers.
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