UHC Medicare Basics Exam 2023/ With verified
solutions
1. Milton is retiring on his 65th birthday. He is eligible for Medicare and already
receives Social Security benefits. How does he enroll in Original Medicare?
-He can only sign up for Medicare Parts A and/or B at his local Social Security office.
-He can sign up for Medicare Parts A and/or B with any licensed insurance agent.
-His enrollment in Medicare Parts A and B is generally automatic if he meets all
eligibility requirements
-He must enroll in Medicare Parts A and B through his current or former employer.:
His enrollment in Medicare Parts A and B is generally automatic if he meets all
eligibility requirements
2. Which statement is true about a member of a Medicare Advantage (MA) Plan
who wants to enroll in a Medicare Supplement Insurance Plan?
When a consumer enrolls in a Medicare Supplement Insurance Plan, they are not
automatically disenrolled from their MA Plan.
When a consumer enrolls in a Medicare Supplement Insurance Plan, they are
automatically disenrolled from their MA Plan.
A consumer can use a Medicare Supplement Insurance Plan and an MA Plan at the
same time.
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, they are not
automatically disenrolled from their MA Plan.
3. 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?
Medicaid
Low Income Subsidy
Original Medicare: Original Medicare
4. Which of the following defines a Medicare Advantage (MA) Plan?
MA Plans provide Medicare hospital and medical insurance but never include any
Medicare prescription drug coverage.
MA Plans are health plan options approved by Medicare and offered by private
insurance companies.
MA Plans must only provide benefits equivalent to Original Medicare and are not
allowed to offer additional benefits.
MA Plans are part of Medicare and are also called Part B.: MA Plans are health plan
options approved by Medicare and offered by private insurance companies.
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, UHC Medicare Basics Exam 2023/ With verified
solutions
5. Which of the following is NOT an eligibility requirement for enrollment in a
Medicare Advantage Plan?
Does not have any pre-existing conditions such as diabetes or End Stage Renal
Disease (ESRD)
Is enrolled in Medicare Part B Is
entitled to Medicare Part A
Resides in the plan's service area: Does not have any pre-existing conditions such as
diabetes or End Stage Renal Disease (ESRD)
6. Which of the following statements is correct about HMO MA Plans? 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.
Most benefits are covered out-of-network but at a higher cost. (X)
Members that use out-of-network providers for routine office visits must pay a
penalty in addition to any copayment. (X): ...
7. Which of the following is NOT a correct statement about in-network
provider services?
HMO-POS Plans only cover in-network services.
Network-based MA plans have a provider network the member can use, and some
plans also cover certain services outside the network.
PPO Plans cover in-network and out-of-network services, but out-of-network services
will generally have a high cost share to the member.
HMO Plans cover only in-network services. In most cases, members pay the full cost
of any out-of-network services received, with a few important exceptions.: HMO-
POS Plans only cover in-network services.
8. When does Medicare Supplement Open Enrollment take place? During
the first six months a consumer is 65 or older and enrolled in Medicare Part B.
During the first three months a consumer is 65 or older and enrolled in Medicare Part
B.
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.
Annually from October 15 to December 7.: During the first six months a con- sumer is
65 or older and enrolled in Medicare Part B.
9. Jennifer is enrolling into a Medicare Advantage (MA) plan and wants to know
what counts toward the Out-of-Pocket Maximum. Which of the follow-
2/6
solutions
1. Milton is retiring on his 65th birthday. He is eligible for Medicare and already
receives Social Security benefits. How does he enroll in Original Medicare?
-He can only sign up for Medicare Parts A and/or B at his local Social Security office.
-He can sign up for Medicare Parts A and/or B with any licensed insurance agent.
-His enrollment in Medicare Parts A and B is generally automatic if he meets all
eligibility requirements
-He must enroll in Medicare Parts A and B through his current or former employer.:
His enrollment in Medicare Parts A and B is generally automatic if he meets all
eligibility requirements
2. Which statement is true about a member of a Medicare Advantage (MA) Plan
who wants to enroll in a Medicare Supplement Insurance Plan?
When a consumer enrolls in a Medicare Supplement Insurance Plan, they are not
automatically disenrolled from their MA Plan.
When a consumer enrolls in a Medicare Supplement Insurance Plan, they are
automatically disenrolled from their MA Plan.
A consumer can use a Medicare Supplement Insurance Plan and an MA Plan at the
same time.
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, they are not
automatically disenrolled from their MA Plan.
3. 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?
Medicaid
Low Income Subsidy
Original Medicare: Original Medicare
4. Which of the following defines a Medicare Advantage (MA) Plan?
MA Plans provide Medicare hospital and medical insurance but never include any
Medicare prescription drug coverage.
MA Plans are health plan options approved by Medicare and offered by private
insurance companies.
MA Plans must only provide benefits equivalent to Original Medicare and are not
allowed to offer additional benefits.
MA Plans are part of Medicare and are also called Part B.: MA Plans are health plan
options approved by Medicare and offered by private insurance companies.
1/6
, UHC Medicare Basics Exam 2023/ With verified
solutions
5. Which of the following is NOT an eligibility requirement for enrollment in a
Medicare Advantage Plan?
Does not have any pre-existing conditions such as diabetes or End Stage Renal
Disease (ESRD)
Is enrolled in Medicare Part B Is
entitled to Medicare Part A
Resides in the plan's service area: Does not have any pre-existing conditions such as
diabetes or End Stage Renal Disease (ESRD)
6. Which of the following statements is correct about HMO MA Plans? 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.
Most benefits are covered out-of-network but at a higher cost. (X)
Members that use out-of-network providers for routine office visits must pay a
penalty in addition to any copayment. (X): ...
7. Which of the following is NOT a correct statement about in-network
provider services?
HMO-POS Plans only cover in-network services.
Network-based MA plans have a provider network the member can use, and some
plans also cover certain services outside the network.
PPO Plans cover in-network and out-of-network services, but out-of-network services
will generally have a high cost share to the member.
HMO Plans cover only in-network services. In most cases, members pay the full cost
of any out-of-network services received, with a few important exceptions.: HMO-
POS Plans only cover in-network services.
8. When does Medicare Supplement Open Enrollment take place? During
the first six months a consumer is 65 or older and enrolled in Medicare Part B.
During the first three months a consumer is 65 or older and enrolled in Medicare Part
B.
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.
Annually from October 15 to December 7.: During the first six months a con- sumer is
65 or older and enrolled in Medicare Part B.
9. Jennifer is enrolling into a Medicare Advantage (MA) plan and wants to know
what counts toward the Out-of-Pocket Maximum. Which of the follow-
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