Medicare Exam Questions and
Answers | Latest Version | 2025/2026 |
Correct & Verified
What is a Medigap policy?
✔✔A plan that helps pay out-of-pocket costs
Who sells Medigap plans?
✔✔Private insurance companies
What is the main purpose of Medigap?
✔✔To cover Medicare cost-sharing
What is the Medicare deductible?
✔✔The amount paid before coverage begins
What is a Medicare copayment?
✔✔A fixed amount paid for a service
What is coinsurance in Medicare?
✔✔A percentage of the cost the beneficiary pays
When can someone first enroll in Medicare?
1
,✔✔Around their 65th birthday
What happens if Medicare enrollment is delayed without creditable coverage?
✔✔A late enrollment penalty may apply
What is creditable coverage?
✔✔Coverage as good as Medicare
What does Medicare Part A usually cost most people?
✔✔Nothing due to payroll taxes
What is the Medicare Part B premium?
✔✔A monthly amount paid for coverage
What is Medicare Advantage required to cover?
✔✔All Part A and Part B services
What is a Medicare network?
✔✔Doctors and hospitals contracted with a plan
What happens if a beneficiary uses out-of-network providers in some plans?
✔✔They may pay more
2
,What is a Medicare formulary?
✔✔A list of covered drugs
Who mainly qualifies for Medicare?
✔✔People aged 65 and older
What part of Medicare covers hospital stays?
✔✔Medicare Part A
What part of Medicare covers doctor visits?
✔✔Medicare Part B
What is Medicare Part C also called?
✔✔Medicare Advantage
What does Medicare Part D provide?
✔✔Prescription drug coverage
Who administers Medicare?
✔✔The federal government
3
, What is a Medicare Advantage plan?
✔✔A private plan that replaces Original Medicare
What does Original Medicare include?
✔✔Part A and Part B
What is the coverage gap in Part D?
✔✔A temporary limit on drug coverage
What is catastrophic coverage in Part D?
✔✔Extra help after high drug costs
What is the Medicare Annual Enrollment Period?
✔✔Time to change plans each year
When does the Annual Enrollment Period occur?
✔✔October to December
What is the Medicare Advantage Open Enrollment Period?
✔✔Time to switch or drop Advantage plans
What is a Special Enrollment Period?
4
Answers | Latest Version | 2025/2026 |
Correct & Verified
What is a Medigap policy?
✔✔A plan that helps pay out-of-pocket costs
Who sells Medigap plans?
✔✔Private insurance companies
What is the main purpose of Medigap?
✔✔To cover Medicare cost-sharing
What is the Medicare deductible?
✔✔The amount paid before coverage begins
What is a Medicare copayment?
✔✔A fixed amount paid for a service
What is coinsurance in Medicare?
✔✔A percentage of the cost the beneficiary pays
When can someone first enroll in Medicare?
1
,✔✔Around their 65th birthday
What happens if Medicare enrollment is delayed without creditable coverage?
✔✔A late enrollment penalty may apply
What is creditable coverage?
✔✔Coverage as good as Medicare
What does Medicare Part A usually cost most people?
✔✔Nothing due to payroll taxes
What is the Medicare Part B premium?
✔✔A monthly amount paid for coverage
What is Medicare Advantage required to cover?
✔✔All Part A and Part B services
What is a Medicare network?
✔✔Doctors and hospitals contracted with a plan
What happens if a beneficiary uses out-of-network providers in some plans?
✔✔They may pay more
2
,What is a Medicare formulary?
✔✔A list of covered drugs
Who mainly qualifies for Medicare?
✔✔People aged 65 and older
What part of Medicare covers hospital stays?
✔✔Medicare Part A
What part of Medicare covers doctor visits?
✔✔Medicare Part B
What is Medicare Part C also called?
✔✔Medicare Advantage
What does Medicare Part D provide?
✔✔Prescription drug coverage
Who administers Medicare?
✔✔The federal government
3
, What is a Medicare Advantage plan?
✔✔A private plan that replaces Original Medicare
What does Original Medicare include?
✔✔Part A and Part B
What is the coverage gap in Part D?
✔✔A temporary limit on drug coverage
What is catastrophic coverage in Part D?
✔✔Extra help after high drug costs
What is the Medicare Annual Enrollment Period?
✔✔Time to change plans each year
When does the Annual Enrollment Period occur?
✔✔October to December
What is the Medicare Advantage Open Enrollment Period?
✔✔Time to switch or drop Advantage plans
What is a Special Enrollment Period?
4
