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, 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? - correct ans:Part A
- correct ans:The consumer must be in a valid MA election or disenrollment period.
Which of the following consumers would be eligible for Medicare? - correct ans: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
Which of the following defines a Medicare Advantage (MA) Plan? - correct ans:MA Plans are health plan
options approved by Medicare and offered by private insurance companies.
Janice wants to enroll in a 2021 Medicare Advantage plan. What eligibility requirements must she meet?
(Select the two answers that apply.) - correct ans:Not have End Stage Renal Disease (permanent kidney
failure)Reside in the plan's service area
What must be explained to consumers enrolling in an HMO (Health Maintenance Organization) MA
Plan? (Select 3) - correct ans:
Which of the following are MA Plans that focus on using network providers to maximize the benefits and
reduce out-of-network expenses? - correct ans:HMO, POS, PPO
Which is true about Medicare Supplement Open Enrollment? - correct ans:By federal law, Medicare
Supplement Open Enrollment is the first 6 months a consumer is 65 or older and enrolled in Medicare
Part B.
How does the Medicare Advantage Out-of-Pocket (OOP) maximum work? - correct ans:The OOP
maximum is a feature that limits the amount of money a consumer will have to spend on Medicare-
covered health care services each year.
A consumer currently has Original Medicare and is enrolled in a stand-alone Prescription Drug Plan
(PDP). What will happen if the consumer enrolls in an MA Plan that has integrated prescription drug
coverage? - correct ans:The consumer will be automatically disenrolled from their stand-alone PDP upon
enrollment in the MA Plan that has integrated prescription drug coverage