UHC 2026 MEDICARE BASICS
ASSESSMENT QUESTIONS AND
ANSWERS
Miltongisgretiringgonghisg65thgbirthday.gHegisgeligiblegforgMedicaregandgalreadyg
receivesgSocialgSecuritygbenefits.gHowgdoesghegenrollgingOriginalgMedicare?g-
gans-
HisgenrollmentgingMedicaregPartsgAgandgBgisggenerallygautomaticgifghegmeetsg
allgeligibilitygrequirements
Beingg65gorgolder,gorgbeinggunderg65gwithgagqualifyinggdisability,gorgbeinggany
gagegwithgEnd-
StagegRenalgDiseaseg(ESRD)gorgAmyotrophicgLateralgSclerosisg(ALS)garegeligibil
itygrequirementsgforgwhichgprogram?g-gans-(wrong)gMedicaid
WhichgofgthegfollowinggdefinesgagMedicaregAdvantageg(MA)gPlan?g(Selectg3)g-
gans--AngMAgPlangisgpartgofgMedicaregandgisgalsogcalledgPartgC.-
AngMAgPlangisgaghealthgplangoptiongapprovedgbygMedicaregandgofferedgbygpri
vateginsurancegcompanies.-
AngMAgPlangprovidesgMedicareghospitalgandgmedicalginsuranceg(MedicaregPartg
AgandgPartgB)gandgoftengincludesgMedicaregprescriptiongdruggcoverageg(PartgD)
.
WhichgstatementgisgtruegaboutgagmembergofgagMedicaregAdvantageg(MA)gPlan
gwhogwantsgtogenrollgingagMedicaregSupplementgInsurancegPlan?g-gans-
(wrong)gThegconsumergwillgbegautomaticallygdisenrolledgfromgthegMAgplangwhen
gthegMedicaregSupplementgplangtakesgeffect.
Togbegeligiblegforgthisgplangtype,gconsumersgmust:g1)gbegentitledgtogMedicareg
PartgAgandgenrolledgingPartgBgand,g2)glivegingthegplan'sgservicegarea.gWhichg
plangisgbeinggdescribed?g-gans-MedicaregAdvantage
Whichgofgthegfollowinggisgagcorrectgstatementgaboutgnetworkgprovidergservices?
g-gans-HealthgMaintenancegOrganizationg(HMO)gPlansggenerallygcovergonlygin-
networkgservices.gIngmostgcases,gmembersgpaygthegfullgcostgofganygout-of-
networkgservicesgreceived,gwithgagfewgimportantgexceptions.
WhichgtypegofgMAgPlangisgangHMOgplangthatgalsogcoversgcertaingbenefitsgout-
of-network,ggenerallygatgaghighergcost?g-gans-Point-of-Serviceg(POS)gPlan
ASSESSMENT QUESTIONS AND
ANSWERS
Miltongisgretiringgonghisg65thgbirthday.gHegisgeligiblegforgMedicaregandgalreadyg
receivesgSocialgSecuritygbenefits.gHowgdoesghegenrollgingOriginalgMedicare?g-
gans-
HisgenrollmentgingMedicaregPartsgAgandgBgisggenerallygautomaticgifghegmeetsg
allgeligibilitygrequirements
Beingg65gorgolder,gorgbeinggunderg65gwithgagqualifyinggdisability,gorgbeinggany
gagegwithgEnd-
StagegRenalgDiseaseg(ESRD)gorgAmyotrophicgLateralgSclerosisg(ALS)garegeligibil
itygrequirementsgforgwhichgprogram?g-gans-(wrong)gMedicaid
WhichgofgthegfollowinggdefinesgagMedicaregAdvantageg(MA)gPlan?g(Selectg3)g-
gans--AngMAgPlangisgpartgofgMedicaregandgisgalsogcalledgPartgC.-
AngMAgPlangisgaghealthgplangoptiongapprovedgbygMedicaregandgofferedgbygpri
vateginsurancegcompanies.-
AngMAgPlangprovidesgMedicareghospitalgandgmedicalginsuranceg(MedicaregPartg
AgandgPartgB)gandgoftengincludesgMedicaregprescriptiongdruggcoverageg(PartgD)
.
WhichgstatementgisgtruegaboutgagmembergofgagMedicaregAdvantageg(MA)gPlan
gwhogwantsgtogenrollgingagMedicaregSupplementgInsurancegPlan?g-gans-
(wrong)gThegconsumergwillgbegautomaticallygdisenrolledgfromgthegMAgplangwhen
gthegMedicaregSupplementgplangtakesgeffect.
Togbegeligiblegforgthisgplangtype,gconsumersgmust:g1)gbegentitledgtogMedicareg
PartgAgandgenrolledgingPartgBgand,g2)glivegingthegplan'sgservicegarea.gWhichg
plangisgbeinggdescribed?g-gans-MedicaregAdvantage
Whichgofgthegfollowinggisgagcorrectgstatementgaboutgnetworkgprovidergservices?
g-gans-HealthgMaintenancegOrganizationg(HMO)gPlansggenerallygcovergonlygin-
networkgservices.gIngmostgcases,gmembersgpaygthegfullgcostgofganygout-of-
networkgservicesgreceived,gwithgagfewgimportantgexceptions.
WhichgtypegofgMAgPlangisgangHMOgplangthatgalsogcoversgcertaingbenefitsgout-
of-network,ggenerallygatgaghighergcost?g-gans-Point-of-Serviceg(POS)gPlan
