UHC MEDICARE BASICS EXAM
2025/2026 QUESTIONS AND ANSWERS
100% PASS
Which part of Medicare helps with inpatient hospital stays, hospice care, and provides limited
home health benefits? - ANS Part B
Part D
Part A(Right)
Part C
Which statement is true about a member of a Medicare Advantage (MA) Plan who wants to
enroll in a Medicare Supplement Insurance Plan? - ANS -A consumer can use a Medicare
Supplement Insurance Plan and an MA Plan at the same time.
-When a consumer enrolls in a Medicare Supplement Insurance Plan, he/she is not
automatically disenrolled from his/her MA Plan.
-A member does not need a valid election period to disenroll from an MA plan.
-When a consumer enrolls in a Medicare Supplement Insurance Plan, he/she is automatically
disenrolled from his/her MA Plan.(wrong)
Which of the following consumers would be eligible for Medicare? - ANS -Consumers age 65
or older and consumers under 65 years of age with certain disabilities except for ESRD or ALS
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, -Consumers age 65 or older, consumers under 65 years of age with certain disabilities for more
than 24 months and consumers of all ages with ESRD or ALS(right)
-Only consumers age 65 or older with certain disabilities and consumers of all ages with ESRD or
ALS
-Consumers age 62 or older, consumers under 62 years of age with certain disabilities and
consumers of all ages with ESRD or ALS
Which of the following defines a Medicare Advantage (MA) Plan? (Select 3) - ANS An MA Plan
does not have to provide benefits equivalent to Original Medicare.(wrong)
-An MA Plans is part of Medicare and is also called Part C.(right)
-An MA Plan is a health plan option approved by Medicare and offered by private insurance
companies.(right)
-An MA Plan provides Medicare hospital and medical insurance (Medicare Part A and Part B)
and often include Medicare prescription drug coverage (Part D).(right
Janice wants to enroll in a 2021 Medicare Advantage plan. What eligibility requirements must
she meet? (Select the two answers that apply.) - ANS -Not have End Stage Renal Disease
(permanent kidney failure)
-Reside in the plan's service area(right)
-Entitled to Medicare Part A and enrolled in Part B(right)
-Entitled to Medicare Part A and/or is enrolled in Part B
Which of the following statements is correct about HMO MA Plans? - ANS -Members that use
out-of-network providers for routine office visits must pay a penalty in addition to any
copayment.(wrong)
-Most benefits are covered out-of-network but at a higher cost.
-Members must receive covered services from contracted network providers.
-There are no exceptions to the provider network requirement for obtaining certain services
from out-of-network providers.
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
2025/2026 QUESTIONS AND ANSWERS
100% PASS
Which part of Medicare helps with inpatient hospital stays, hospice care, and provides limited
home health benefits? - ANS Part B
Part D
Part A(Right)
Part C
Which statement is true about a member of a Medicare Advantage (MA) Plan who wants to
enroll in a Medicare Supplement Insurance Plan? - ANS -A consumer can use a Medicare
Supplement Insurance Plan and an MA Plan at the same time.
-When a consumer enrolls in a Medicare Supplement Insurance Plan, he/she is not
automatically disenrolled from his/her MA Plan.
-A member does not need a valid election period to disenroll from an MA plan.
-When a consumer enrolls in a Medicare Supplement Insurance Plan, he/she is automatically
disenrolled from his/her MA Plan.(wrong)
Which of the following consumers would be eligible for Medicare? - ANS -Consumers age 65
or older and consumers under 65 years of age with certain disabilities except for ESRD or ALS
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, -Consumers age 65 or older, consumers under 65 years of age with certain disabilities for more
than 24 months and consumers of all ages with ESRD or ALS(right)
-Only consumers age 65 or older with certain disabilities and consumers of all ages with ESRD or
ALS
-Consumers age 62 or older, consumers under 62 years of age with certain disabilities and
consumers of all ages with ESRD or ALS
Which of the following defines a Medicare Advantage (MA) Plan? (Select 3) - ANS An MA Plan
does not have to provide benefits equivalent to Original Medicare.(wrong)
-An MA Plans is part of Medicare and is also called Part C.(right)
-An MA Plan is a health plan option approved by Medicare and offered by private insurance
companies.(right)
-An MA Plan provides Medicare hospital and medical insurance (Medicare Part A and Part B)
and often include Medicare prescription drug coverage (Part D).(right
Janice wants to enroll in a 2021 Medicare Advantage plan. What eligibility requirements must
she meet? (Select the two answers that apply.) - ANS -Not have End Stage Renal Disease
(permanent kidney failure)
-Reside in the plan's service area(right)
-Entitled to Medicare Part A and enrolled in Part B(right)
-Entitled to Medicare Part A and/or is enrolled in Part B
Which of the following statements is correct about HMO MA Plans? - ANS -Members that use
out-of-network providers for routine office visits must pay a penalty in addition to any
copayment.(wrong)
-Most benefits are covered out-of-network but at a higher cost.
-Members must receive covered services from contracted network providers.
-There are no exceptions to the provider network requirement for obtaining certain services
from out-of-network providers.
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
