UHC 2021 Medicare Basics Exam – 21 Questions and
Answers Verified Correctly
Which part of Medicare helps with inpatient hospital stays, hospice care, and
provides limited home health benefits? Correct ans - 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 ans - -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 ans - -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 ans - 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 ans - -Not have End Stage Renal Disease (permanent kidney
failure)
-Reside in the plan's service area(right)
This study source was downloaded by 100000815611969 from CourseHero.com on 04-01-2023 00:27:41 GMT -05:00
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, -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 ans - -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 ans - -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
ans - -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.
-During the three months prior to the consumer's 65th birthday, the month of
their birthday, and the three months following the month of their 65th
birthday and enrolled in Medicare Part B.
A consumer with Original Medicare might be interested in an MA Plan
because: Correct ans - -MA Plans eliminate Medicare Part A premiums.
-By joining an MA Plan they will no longer be a part of the Medicare program.
-MA Plans typically provide additional coverage beyond Original Medicare
and often have established copayments for some benefits.(right)
-It has a larger network of providers and skilled nursing facilities.
Which of the following statements is true about a Medicare Supplement
Insurance Plan member who wants to enroll in an MA Plan? Correct ans
- -Medicare Supplement Insurance cannot be used in conjunction with an MA
Plan; therefore, after receiving confirmation of enrollment into the MA Plan,
the member should submit to their Medicare Supplement Insurance carrier a
written request to cancel his/her policy.(right)
-The member must submit a written request to cancel their Medicare
Supplement Insurance Plan the same day they submit their MA Plan
enrollment application.
-When a member enrolls in the MA Plan their current Medicare Supplement
Insurance Plan will automatically cancel.
This study source was downloaded by 100000815611969 from CourseHero.com on 04-01-2023 00:27:41 GMT -05:00
https://www.coursehero.com/file/178326821/UHC-2021-Medicare-Basics-Examdocx/
Answers Verified Correctly
Which part of Medicare helps with inpatient hospital stays, hospice care, and
provides limited home health benefits? Correct ans - 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 ans - -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 ans - -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 ans - 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 ans - -Not have End Stage Renal Disease (permanent kidney
failure)
-Reside in the plan's service area(right)
This study source was downloaded by 100000815611969 from CourseHero.com on 04-01-2023 00:27:41 GMT -05:00
https://www.coursehero.com/file/178326821/UHC-2021-Medicare-Basics-Examdocx/
, -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 ans - -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 ans - -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
ans - -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.
-During the three months prior to the consumer's 65th birthday, the month of
their birthday, and the three months following the month of their 65th
birthday and enrolled in Medicare Part B.
A consumer with Original Medicare might be interested in an MA Plan
because: Correct ans - -MA Plans eliminate Medicare Part A premiums.
-By joining an MA Plan they will no longer be a part of the Medicare program.
-MA Plans typically provide additional coverage beyond Original Medicare
and often have established copayments for some benefits.(right)
-It has a larger network of providers and skilled nursing facilities.
Which of the following statements is true about a Medicare Supplement
Insurance Plan member who wants to enroll in an MA Plan? Correct ans
- -Medicare Supplement Insurance cannot be used in conjunction with an MA
Plan; therefore, after receiving confirmation of enrollment into the MA Plan,
the member should submit to their Medicare Supplement Insurance carrier a
written request to cancel his/her policy.(right)
-The member must submit a written request to cancel their Medicare
Supplement Insurance Plan the same day they submit their MA Plan
enrollment application.
-When a member enrolls in the MA Plan their current Medicare Supplement
Insurance Plan will automatically cancel.
This study source was downloaded by 100000815611969 from CourseHero.com on 04-01-2023 00:27:41 GMT -05:00
https://www.coursehero.com/file/178326821/UHC-2021-Medicare-Basics-Examdocx/
