UHC 2021 Medicare Basics questions and
answers 2025\2026 A+ Grade
Which part of Medicare helps with inpatient hospital stays, hospice care, and provides limited home
health benefits?
- correct answer 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?
- correct answer -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?
- correct answer -Consumers age 65 or older and consumers under 65 years of age with certain
disabilities except for ESRD or ALS
-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)
- correct answer 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.)
- correct answer -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?
- correct answer -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.
Which type of MA Plan is an HMO plan that also covers some benefits out-of-network, generally at a
higher cost?
- correct answer -Private Fee-for-Service (PFFS)
-Medicare Supplement Insurance Plan
-Preferred Provider Organization (PPO)
-Point-of-Service (POS) Plan(right)
When does Medicare Supplement Open Enrollment take place?
- correct answer -During the first three months a consumer is 65 or older and enrolled in Medicare Part
B.
-During the first six months a consumer is 65 or older and enrolled in Medicare Part B.(right)
-Annually from October 15 to December 7.
answers 2025\2026 A+ Grade
Which part of Medicare helps with inpatient hospital stays, hospice care, and provides limited home
health benefits?
- correct answer 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?
- correct answer -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?
- correct answer -Consumers age 65 or older and consumers under 65 years of age with certain
disabilities except for ESRD or ALS
-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)
- correct answer 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.)
- correct answer -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?
- correct answer -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.
Which type of MA Plan is an HMO plan that also covers some benefits out-of-network, generally at a
higher cost?
- correct answer -Private Fee-for-Service (PFFS)
-Medicare Supplement Insurance Plan
-Preferred Provider Organization (PPO)
-Point-of-Service (POS) Plan(right)
When does Medicare Supplement Open Enrollment take place?
- correct answer -During the first three months a consumer is 65 or older and enrolled in Medicare Part
B.
-During the first six months a consumer is 65 or older and enrolled in Medicare Part B.(right)
-Annually from October 15 to December 7.
