UHC Medicare Basics Test 2023 Questions and Answers
(Verified Answers)
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?
Part A
Which statement is true about members of a Medicare Advantage (MA) Plan who
want to enroll in a Medicare Supplement Insurance Plan?
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?
Original Medicare
Which of the following defines a Medicare Advantage (MA) Plan? (Select 2)
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 requirements must he meet?
(Select the two answers that apply.)
Reside in the plan's service area
&
Entitled to Medicare Part A and enrolled in Part B
Member Doug enrolled in a Health Maintenance Organization (HMO) MA Plan. He
saw an out-of-network doctor and received a bill for the entire cost of the visit.
Doug called Medicare to complain and stated he was never told about these types
of costs. What should the agent have explained better to Doug when he was
enrolling in the plan? (Select 3)
That Doug must receive covered services from contracted network providers.
&
That exceptions to the provider network requirement are emergency visits, urgent care
and renal dialysis services, which can be obtained from out-of-network providers.
&
That in most cases, Doug will pay the entire cost of the service if he sees an out-of-
network provider.
Which of the following is not a correct statement about in-network provider
services?
Which is true about Medicare Supplement Open Enrollment?
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?
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.
(Verified Answers)
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?
Part A
Which statement is true about members of a Medicare Advantage (MA) Plan who
want to enroll in a Medicare Supplement Insurance Plan?
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?
Original Medicare
Which of the following defines a Medicare Advantage (MA) Plan? (Select 2)
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 requirements must he meet?
(Select the two answers that apply.)
Reside in the plan's service area
&
Entitled to Medicare Part A and enrolled in Part B
Member Doug enrolled in a Health Maintenance Organization (HMO) MA Plan. He
saw an out-of-network doctor and received a bill for the entire cost of the visit.
Doug called Medicare to complain and stated he was never told about these types
of costs. What should the agent have explained better to Doug when he was
enrolling in the plan? (Select 3)
That Doug must receive covered services from contracted network providers.
&
That exceptions to the provider network requirement are emergency visits, urgent care
and renal dialysis services, which can be obtained from out-of-network providers.
&
That in most cases, Doug will pay the entire cost of the service if he sees an out-of-
network provider.
Which of the following is not a correct statement about in-network provider
services?
Which is true about Medicare Supplement Open Enrollment?
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?
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.
