AND CORRECT ANSWERS GRADED A+
● Which statement is true about a member of a Medicare Advantage
(MA) Plan who wants to enroll in a Medicare Supplement Insurance
Plan? 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?
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) 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.) 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?
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.