UHC Medicare Basics Assessment
With Correct Answers Grade A+
In cwhich ctwo cparts cof cMedicare cis cenrollment cgenerally cautomatic cfor celigible
cconsumers cwho care creceiving cSocial cSecurity cbenefits, cUNLESS cthey cchoose cto
cdelay ctheir ccoverage? c- cCORRECT✅✅Parts cA cand cB
Which cstatement cis ctrue cabout cmembers cof ca cMedicare cAdvantage c(MA) cPlan cwho
cwant cto cenroll cin ca cMedicare cSupplement cInsurance cPlan? c- cCORRECT✅✅The
cconsumer cmust cbe cin ca cvalid cMA celection cor cdisenrollment cperiod.
Provided cother celigibility crequirements care cmet, cwho cis celigible cfor cMedicare? c-
cCORRECT✅✅Consumers cage c65 cor colder, cconsumers cunder c65 cyears cof cage
cwith ca cqualifying cdisability cand cconsumers cof call cages cwith cESRD cor cALS cwho
care creceiving cSocial cSecurity cDisability cInsurance c(SSDI) cfor cALS.
Which cof cthe cfollowing cdefines ca cMedicare cAdvantage c(MA) cPlan? c(Select c3) c-
cCORRECT✅✅-An cMA cPlan cis ca chealth cplan coption capproved cby cMedicare cand
coffered cby cprivate cinsurance ccompanies.
-An cMA cPlan cis cpart cof cMedicare cand cis calso ccalled cPart cC.
-An cMA cPlan cprovides cMedicare chospital cand cmedical cinsurance c(Medicare cPart cA
cand cPart cB) cand coften cincludes cMedicare cprescription cdrug ccoverage c(Part cD).
To cbe celigible cfor cthis cplan ctype, cconsumers cmust cmeet cthe cfollowing
crequirements: cbe centitled cto cMedicare cPart cA cand cenrolled cin cPart cB, cand creside
cin cthe cplan's cservice carea. cWhich cplan cis cbeing cdescribed? c-
cCORRECT✅✅Medicare cAdvantage
Which cof cthe cfollowing cstatements cis ccorrect cabout cHMO cMA cPlans? c-
cCORRECT✅✅Members cmust creceive ccovered cservices cfrom ccontracted cnetwork
cproviders cwith climited cexceptions.
Which cof cthe cfollowing care cMA cPlans cthat cfocus con cusing cnetwork cproviders cto
cmaximize cthe cbenefits cand creduce cout-of-network cexpenses? c-
cCORRECT✅✅HMO, cPOS, cPPO
When cdoes cMedicare cSupplement cOpen cEnrollment ctake cplace? c-
cCORRECT✅✅During cthe cfirst csix cmonths ca cconsumer cis c65 cor colder cand
cenrolled cin cMedicare cPart cB.
What ccosts ccount ctoward cthe cout-of-pocket cmaximum cfor cMedicare cAdvantage
c(MA) cPlans? c- cCORRECT✅✅The cOut-of-Pocket cMaximum cincludes ccosts cthe
, cmember cpays cfor cany cMedicare-covered cPart cA cor cB cservices cbut cdoes cnot
cinclude cthe ccost cof cany cplan cpremiums.
A cconsumer ccurrently chas cOriginal cMedicare cand cis cenrolled cin ca cstand-alone
cPrescription cDrug cPlan c(PDP). cWhat cwill chappen cif cthe cconsumer cenrolls cin can
cMA cPlan cthat chas cintegrated cprescription cdrug ccoverage? c- cCORRECT✅✅The
cconsumer cwill cbe cautomatically cdisenrolled cfrom ctheir cstand-alone cPDP cupon
cenrollment cin cthe cMA cPlan cthat chas cintegrated cprescription cdrug ccoverage
What cis cMedicare cPart cD? c- cCORRECT✅✅A cvoluntary cprogram, coffered cby
cprivate cinsurance ccompanies cthat care ccontracted cwith cthe cfederal cgovernment, cthat
cprovides cprescription cdrug ccoverage cfor can cadditional cmonthly cplan cpremium.
Which cconsumer cis celigible cfor ca cstand-alone cMedicare cPrescription cDrug cPlan? c-
cCORRECT✅✅Joseph, cwho cis cenrolled cin cMedicare cPart cA cand cMedicare cPart cB
cand cresides cin cthe cplan's cservice carea.
A cconsumer cwith conly cPart cA cresiding cin cthe cplan's cservice carea ccan cenroll cin
cwhich cplan ctype cto cget cPart cD ccoverage? c- cCORRECT✅✅A cstand-alone cPart cD
cPlan.
Which cof cthe cfollowing cstatements caccurately cdescribes ca cprescription cdrug cstage?
c- cCORRECT✅✅Starting cin c2024, cthe ccatastrophic ccoverage cstage cis cwhen cthe
cmember cwill cpay cnothing cfor ccovered cdrugs cfor cthe cremainder cof cthe cplan cyear.
Step cTherapy, cPrior cAuthorization, cQuantity cLimit, c7-day climit, cDispensing cLimit cand
cLimited cAccess care call cexamples cof cwhat? c- cCORRECT✅✅Utilization
cManagement cRules
A cconsumer cmay chave cto cpay ca cLate cEnrollment cPenalty c(LEP) cif cthey cdid cNOT
cenroll cin ca cMedicare cAdvantage cplan cwith cPart cD cbenefits cor cstand-alone
cprescription cdrug cplan cwhen cthey cwere cfirst celigible cfor cMedicare cParts cA cand/or
cB cor cwent cwithout ccreditable cprescription cdrug ccoverage cfor c______________. c-
cCORRECT✅✅63 cor cmore ccontinuous cdays
How cdoes ca cconsumer cwho cqualifies cfor cLow cIncome cSubsidy creceive cfinancial
cassistance cfor ctheir cpart cof cMedicare cPart cD ccosts? c- cCORRECT✅✅Through
csubsidies csuch cas clower cor cno cmonthly cplan cpremiums cand clower cor cno
ccopayments.
Which cof cthe cfollowing cis ca ccharacteristic cof ca cdrug ctier? c- cCORRECT✅✅All cof
cthe cdrugs cin cthe ctier chave cthe csame ccopayment cor ccoinsurance.
Which cof cthe cfollowing cis ctrue cabout cMedicare cSupplement cInsurance cunderwriting
ccriteria cin cstates cwhere cunderwriting capplies? c- cCORRECT✅✅Underwriting cis
With Correct Answers Grade A+
In cwhich ctwo cparts cof cMedicare cis cenrollment cgenerally cautomatic cfor celigible
cconsumers cwho care creceiving cSocial cSecurity cbenefits, cUNLESS cthey cchoose cto
cdelay ctheir ccoverage? c- cCORRECT✅✅Parts cA cand cB
Which cstatement cis ctrue cabout cmembers cof ca cMedicare cAdvantage c(MA) cPlan cwho
cwant cto cenroll cin ca cMedicare cSupplement cInsurance cPlan? c- cCORRECT✅✅The
cconsumer cmust cbe cin ca cvalid cMA celection cor cdisenrollment cperiod.
Provided cother celigibility crequirements care cmet, cwho cis celigible cfor cMedicare? c-
cCORRECT✅✅Consumers cage c65 cor colder, cconsumers cunder c65 cyears cof cage
cwith ca cqualifying cdisability cand cconsumers cof call cages cwith cESRD cor cALS cwho
care creceiving cSocial cSecurity cDisability cInsurance c(SSDI) cfor cALS.
Which cof cthe cfollowing cdefines ca cMedicare cAdvantage c(MA) cPlan? c(Select c3) c-
cCORRECT✅✅-An cMA cPlan cis ca chealth cplan coption capproved cby cMedicare cand
coffered cby cprivate cinsurance ccompanies.
-An cMA cPlan cis cpart cof cMedicare cand cis calso ccalled cPart cC.
-An cMA cPlan cprovides cMedicare chospital cand cmedical cinsurance c(Medicare cPart cA
cand cPart cB) cand coften cincludes cMedicare cprescription cdrug ccoverage c(Part cD).
To cbe celigible cfor cthis cplan ctype, cconsumers cmust cmeet cthe cfollowing
crequirements: cbe centitled cto cMedicare cPart cA cand cenrolled cin cPart cB, cand creside
cin cthe cplan's cservice carea. cWhich cplan cis cbeing cdescribed? c-
cCORRECT✅✅Medicare cAdvantage
Which cof cthe cfollowing cstatements cis ccorrect cabout cHMO cMA cPlans? c-
cCORRECT✅✅Members cmust creceive ccovered cservices cfrom ccontracted cnetwork
cproviders cwith climited cexceptions.
Which cof cthe cfollowing care cMA cPlans cthat cfocus con cusing cnetwork cproviders cto
cmaximize cthe cbenefits cand creduce cout-of-network cexpenses? c-
cCORRECT✅✅HMO, cPOS, cPPO
When cdoes cMedicare cSupplement cOpen cEnrollment ctake cplace? c-
cCORRECT✅✅During cthe cfirst csix cmonths ca cconsumer cis c65 cor colder cand
cenrolled cin cMedicare cPart cB.
What ccosts ccount ctoward cthe cout-of-pocket cmaximum cfor cMedicare cAdvantage
c(MA) cPlans? c- cCORRECT✅✅The cOut-of-Pocket cMaximum cincludes ccosts cthe
, cmember cpays cfor cany cMedicare-covered cPart cA cor cB cservices cbut cdoes cnot
cinclude cthe ccost cof cany cplan cpremiums.
A cconsumer ccurrently chas cOriginal cMedicare cand cis cenrolled cin ca cstand-alone
cPrescription cDrug cPlan c(PDP). cWhat cwill chappen cif cthe cconsumer cenrolls cin can
cMA cPlan cthat chas cintegrated cprescription cdrug ccoverage? c- cCORRECT✅✅The
cconsumer cwill cbe cautomatically cdisenrolled cfrom ctheir cstand-alone cPDP cupon
cenrollment cin cthe cMA cPlan cthat chas cintegrated cprescription cdrug ccoverage
What cis cMedicare cPart cD? c- cCORRECT✅✅A cvoluntary cprogram, coffered cby
cprivate cinsurance ccompanies cthat care ccontracted cwith cthe cfederal cgovernment, cthat
cprovides cprescription cdrug ccoverage cfor can cadditional cmonthly cplan cpremium.
Which cconsumer cis celigible cfor ca cstand-alone cMedicare cPrescription cDrug cPlan? c-
cCORRECT✅✅Joseph, cwho cis cenrolled cin cMedicare cPart cA cand cMedicare cPart cB
cand cresides cin cthe cplan's cservice carea.
A cconsumer cwith conly cPart cA cresiding cin cthe cplan's cservice carea ccan cenroll cin
cwhich cplan ctype cto cget cPart cD ccoverage? c- cCORRECT✅✅A cstand-alone cPart cD
cPlan.
Which cof cthe cfollowing cstatements caccurately cdescribes ca cprescription cdrug cstage?
c- cCORRECT✅✅Starting cin c2024, cthe ccatastrophic ccoverage cstage cis cwhen cthe
cmember cwill cpay cnothing cfor ccovered cdrugs cfor cthe cremainder cof cthe cplan cyear.
Step cTherapy, cPrior cAuthorization, cQuantity cLimit, c7-day climit, cDispensing cLimit cand
cLimited cAccess care call cexamples cof cwhat? c- cCORRECT✅✅Utilization
cManagement cRules
A cconsumer cmay chave cto cpay ca cLate cEnrollment cPenalty c(LEP) cif cthey cdid cNOT
cenroll cin ca cMedicare cAdvantage cplan cwith cPart cD cbenefits cor cstand-alone
cprescription cdrug cplan cwhen cthey cwere cfirst celigible cfor cMedicare cParts cA cand/or
cB cor cwent cwithout ccreditable cprescription cdrug ccoverage cfor c______________. c-
cCORRECT✅✅63 cor cmore ccontinuous cdays
How cdoes ca cconsumer cwho cqualifies cfor cLow cIncome cSubsidy creceive cfinancial
cassistance cfor ctheir cpart cof cMedicare cPart cD ccosts? c- cCORRECT✅✅Through
csubsidies csuch cas clower cor cno cmonthly cplan cpremiums cand clower cor cno
ccopayments.
Which cof cthe cfollowing cis ca ccharacteristic cof ca cdrug ctier? c- cCORRECT✅✅All cof
cthe cdrugs cin cthe ctier chave cthe csame ccopayment cor ccoinsurance.
Which cof cthe cfollowing cis ctrue cabout cMedicare cSupplement cInsurance cunderwriting
ccriteria cin cstates cwhere cunderwriting capplies? c- cCORRECT✅✅Underwriting cis
