UHC MEDICARE BASICS
What must be explained to consumers enrolling in an HMO (Health
Maintenance Organization) MA Plan? (Select 3) NOt sure correct on this
one
Need to study between Answers A&B...
In most cases, they will pay the entire cost of the service if they see an out-
of-network provider.
Most benefits are covered out-of-network but at a higher cost.
They must see contracted network providers in order to receive coverage
under the plan.
The exception to the provider network requirement is emergency visits,
urgent care, and renal dialysis services, which can be obtained from out-of-
network providers.
Which of the following are MA Plans that focus on using network providers
to maximize the benefits and reduce out-of-network expenses?
HMO, POS, PPO
When does Medicare Supplement Open Enrollment take place?
During the first six months a consumer is 65 or older and enrolled in Medicare
Part B.
Which of the following statements is true about a Medicare Supplement
Insurance Plan member who wants to enroll in an MA Plan?
Medicare Supplement Insurance cannot be used in conjunction with an MA
Plan; therefore, after receiving confirmation of enrollment into the MA Plan, the
member must cancel their Medicare Supplement Insurance policy according to
their carrier's rules.
A government program, offered only through a private insurance company
or other private company approved by Medicare, that provides
prescription drug coverage describes which of the following:
Medicare Part D
What must be explained to consumers enrolling in an HMO (Health
Maintenance Organization) MA Plan? (Select 3) NOt sure correct on this
one
Need to study between Answers A&B...
In most cases, they will pay the entire cost of the service if they see an out-
of-network provider.
Most benefits are covered out-of-network but at a higher cost.
They must see contracted network providers in order to receive coverage
under the plan.
The exception to the provider network requirement is emergency visits,
urgent care, and renal dialysis services, which can be obtained from out-of-
network providers.
Which of the following are MA Plans that focus on using network providers
to maximize the benefits and reduce out-of-network expenses?
HMO, POS, PPO
When does Medicare Supplement Open Enrollment take place?
During the first six months a consumer is 65 or older and enrolled in Medicare
Part B.
Which of the following statements is true about a Medicare Supplement
Insurance Plan member who wants to enroll in an MA Plan?
Medicare Supplement Insurance cannot be used in conjunction with an MA
Plan; therefore, after receiving confirmation of enrollment into the MA Plan, the
member must cancel their Medicare Supplement Insurance policy according to
their carrier's rules.
A government program, offered only through a private insurance company
or other private company approved by Medicare, that provides
prescription drug coverage describes which of the following:
Medicare Part D
