MEDICARE BASICS TEST
A consumer may have to pay a Late Enrollment Penalty (LEP) if they
did not enroll in a Medicare Advantage plan with Part D benefits or
stand-alone prescription drug plan when they were first eligible for
Medicare Parts A and/or B or went without creditable prescription
drug coverage for ______________. - ANSWERS-63 continuous
days or more
How does a consumer who qualifies for Low Income Subsidy receive
financial assistance for their part of Medicare Part D costs? -
ANSWERS-Through subsidies such as lower or no monthly plan
premiums and lower or no copayments
Which of the following lists drug tiers from least expensive cost share
to most expensive cost share? - ANSWERS-Preferred Generics,
Generics, Preferred Brand (and some higher-cost generics), Non-
Preferred Drug (and some higher-cost generics), Specialty
When is a Medicare Supplement Insurance consumer subject to
underwriting and screened for eligibility? - ANSWERS-When the
consumer is not in his/her Medicare Supplement Open Enrollment or
does not meet Guaranteed Issue criteria.
Which of the following is NOT true about the Medicare Access and
CHIP Reauthorization Act of 2015 (MACRA) impact to Plans C and
F? - ANSWERS-Consumers already enrolled in Plans C or F are
required to change plans.
, Which of the following is NOT true of Medicare Supplement
Insurance Plans? - ANSWERS-To see a specialist, insured members
must obtain referrals from a primary care physician.
Joseph has Original Medicare and was a patient in the hospital last
week. What part of Medicare helps cover the costs of his inpatient
hospital stay? - ANSWERS-Part A
Which statement is true about members of a Medicare Advantage
(MA) Plan who want to enroll in a Medicare Supplement Insurance
Plan? - ANSWERS-The consumer must be in a valid MA election or
disenrollment period.
Being 65 or older, being under 65 years of age with certain disabilities
for more than 24 months, and being any age with ESRD or ALS are
each eligibility requirements for which program? - ANSWERS-
Original Medicare
Which of the following defines a Medicare Advantage (MA) Plan?
(Select 2) - ANSWERS-MA Plans must provide benefits equivalent to
Original Medicare, and most plans also offer additional benefits.
&
MA Plans provide Medicare hospital and medical insurance and often
include Medicare prescription drug coverage.
Larry wants to enroll in a 2021 Medicare Advantage plan. He has End
Stage Renal Disease (permanent kidney failure). What eligibility
A consumer may have to pay a Late Enrollment Penalty (LEP) if they
did not enroll in a Medicare Advantage plan with Part D benefits or
stand-alone prescription drug plan when they were first eligible for
Medicare Parts A and/or B or went without creditable prescription
drug coverage for ______________. - ANSWERS-63 continuous
days or more
How does a consumer who qualifies for Low Income Subsidy receive
financial assistance for their part of Medicare Part D costs? -
ANSWERS-Through subsidies such as lower or no monthly plan
premiums and lower or no copayments
Which of the following lists drug tiers from least expensive cost share
to most expensive cost share? - ANSWERS-Preferred Generics,
Generics, Preferred Brand (and some higher-cost generics), Non-
Preferred Drug (and some higher-cost generics), Specialty
When is a Medicare Supplement Insurance consumer subject to
underwriting and screened for eligibility? - ANSWERS-When the
consumer is not in his/her Medicare Supplement Open Enrollment or
does not meet Guaranteed Issue criteria.
Which of the following is NOT true about the Medicare Access and
CHIP Reauthorization Act of 2015 (MACRA) impact to Plans C and
F? - ANSWERS-Consumers already enrolled in Plans C or F are
required to change plans.
, Which of the following is NOT true of Medicare Supplement
Insurance Plans? - ANSWERS-To see a specialist, insured members
must obtain referrals from a primary care physician.
Joseph has Original Medicare and was a patient in the hospital last
week. What part of Medicare helps cover the costs of his inpatient
hospital stay? - ANSWERS-Part A
Which statement is true about members of a Medicare Advantage
(MA) Plan who want to enroll in a Medicare Supplement Insurance
Plan? - ANSWERS-The consumer must be in a valid MA election or
disenrollment period.
Being 65 or older, being under 65 years of age with certain disabilities
for more than 24 months, and being any age with ESRD or ALS are
each eligibility requirements for which program? - ANSWERS-
Original Medicare
Which of the following defines a Medicare Advantage (MA) Plan?
(Select 2) - ANSWERS-MA Plans must provide benefits equivalent to
Original Medicare, and most plans also offer additional benefits.
&
MA Plans provide Medicare hospital and medical insurance and often
include Medicare prescription drug coverage.
Larry wants to enroll in a 2021 Medicare Advantage plan. He has End
Stage Renal Disease (permanent kidney failure). What eligibility
