2026/2027 Medicare Basics
Assessment Questions And Correct
Answers With Rationales,Already
Graded.
This Document Contains:
th
• Uhc
• Medicare basics
• Correct answers
• All questions
• Deep rationales.
, generally at a higher cost? Medicare Supplement Insurance Plan Private Fee-for-Service (PFFS)
Point-of-Service (POS) Plan Preferred Provider Organization (PPO) - CORRECT
ANS Preferred Provider Organization (PPO)
Which statement is true about the MA out-of-pocket maximum? A Medicare Advantage
Prescription Drug Plan (MAPD) member's costs for prescription drugs and any benefits not
covered by Original Medicare count toward the out-of-pocket maximum. All MA plans have an
out-of-pocket maximum to help limit the member's out-of-pocket costs for Medicare-covered
medical services. The out-of-pocket maximum amount is determined by Medicare each year
and is the same for all MA plans. - CORRECT ANS All MA plans have an out-of-pocket
maximum to help limit the member's out-of-pocket costs for Medicare-covered medical
services.
Which consumer is eligible for a standalone Medicare Prescription Drug Plan (PDP)? Sharon,
who is not enrolled in Medicare Part A or Medicare Part B, and lives in the plan's service area.
Joseph, who is enrolled in Medicare Part A and Medicare Part B and lives in the plan's service
area. Alice, who is enrolled only in Medicare Part A, but does not live in the plan's service area.
Alvin, who is enrolled only in Medicare Part B, but does not live in the plan's service area. -
CORRECT ANS Joseph, who is enrolled in Medicare Part A and Medicare Part B and lives
in the plan's service area.
In what order do the 3 prescription drug coverage stages occur? Initial Coverage, Deductible,
Catastrophic Coverage Catastrophic Coverage, Initial Coverage, Deductible Deductible, Initial
Coverage, Catastrophic Coverage Deductible, Catastrophic Coverage, Initial Coverage -
CORRECT ANS Deductible, Initial Coverage, Catastrophic Coverage
Which of the following is true about Medicare Supplement Plans?
They are regulated by the Centers for Medicare & Medicaid Services (CMS). Plan benefit
amounts automatically update when Medicare changes cost sharing amounts, such as
deductibles, coinsurance and copayments. They can only be purchased during the Annual
Election Period (AEP). To see a specialist, insured members must get referrals from a primary
care provider. - CORRECT ANS Plan benefit amounts automatically update when Medicare
changes cost sharing amounts, such as deductibles, coinsurance and copayments.