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Medicare -Comprehensive Q&A For
Certification Success 2026
What is Medicare? - correct-answer -Federal program that provides health
insurance coverage to people ages 65 and older and younger people with
permanent disabilities. The 4 part program covers all those who are eligible
regardless of their health status, medical conditions, or incomes.
Center for Medicare and Medicaid Service - correct-answer -Agency responsible
for administering Medicare and Medicaid (macroorganization)
Fee for Service Medicare - correct-answer -Part A and B
Federally Funded Program - correct-answer -Equal benefits and equal access to all
eligible and enrolled participants throughout the country - everyone gets the
same thing regardless of where they live
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What does Medicare Part C cover? - correct-answer -covers all Medicare-covered
benefits covered under other parts, but as private health plans can vary the
benefit design as long as the core benefit package (excluding the value of
supplemental benefits) is actuarially equivalent to traditional Medicare. May also
include extra benefits, such as dental services, eyeglasses, or hearing exams; AKA
"Medicare Advantage"
Medicare Part C - correct-answer -Managed by private insurers; Medicare
Advantage
Medicare Advantage - correct-answer -Private health plans that receive payments
from Medicare to provide Medicare-covered benefits to enrollees. 3 in 10
beneficiaries are enrolled in these plans. AKA Medicare Part C
What does Medicare Part D cover? - correct-answer -covers an outpatient
prescription drug benefit through private plans. Plans are required to provide a
"standard" benefit or one that is actuarially equivalent, and may offer more
generous benefits.
Medicare Part D - correct-answer -Managed by private insurers
Medicare -Comprehensive Q&A For
Certification Success 2026
What is Medicare? - correct-answer -Federal program that provides health
insurance coverage to people ages 65 and older and younger people with
permanent disabilities. The 4 part program covers all those who are eligible
regardless of their health status, medical conditions, or incomes.
Center for Medicare and Medicaid Service - correct-answer -Agency responsible
for administering Medicare and Medicaid (macroorganization)
Fee for Service Medicare - correct-answer -Part A and B
Federally Funded Program - correct-answer -Equal benefits and equal access to all
eligible and enrolled participants throughout the country - everyone gets the
same thing regardless of where they live
, 2
What does Medicare Part C cover? - correct-answer -covers all Medicare-covered
benefits covered under other parts, but as private health plans can vary the
benefit design as long as the core benefit package (excluding the value of
supplemental benefits) is actuarially equivalent to traditional Medicare. May also
include extra benefits, such as dental services, eyeglasses, or hearing exams; AKA
"Medicare Advantage"
Medicare Part C - correct-answer -Managed by private insurers; Medicare
Advantage
Medicare Advantage - correct-answer -Private health plans that receive payments
from Medicare to provide Medicare-covered benefits to enrollees. 3 in 10
beneficiaries are enrolled in these plans. AKA Medicare Part C
What does Medicare Part D cover? - correct-answer -covers an outpatient
prescription drug benefit through private plans. Plans are required to provide a
"standard" benefit or one that is actuarially equivalent, and may offer more
generous benefits.
Medicare Part D - correct-answer -Managed by private insurers
