Lisa turned 65 and is now eligible for Medicare. She already received social security benefits. How does
she enroll in original Medicare? -CORRECT ANS-Her enrollment in Medicare parts A and B is generally
automatic if she meets all the eligibility requirements
Which statement is true about members of a Medicare advantage plan who want to enroll in a Medicare
supplement insurance plan? -CORRECT ANS-The consumer must be in a valid MA election or
disenrollment period.
Provided other eligibility requirements are met. Who is eligible for Medicare? -CORRECT ANS-
Consumers, age 65 and older, consumers under 65 years of age with a qualifying disability and
consumers of all ages with ESRD or ALS who are receiving social security disability insurance for ALS
Which of the following defines a Medicare advantage plan? -CORRECT ANS-MA plans are health plan
options approved by Medicare and offered by private insurance companies
Which of the following best describes eligibility to enroll in a MA plan? -CORRECT ANS-Entitled to part A
and emerald in part B reside in plan service area may have pre-existing conditions such as ESRD
Which of the following statements is correct about HMO inmate plans? -CORRECT ANS-Members must
receive covered services from contracted network providers with limited exceptions
Which type of inmate plan is an HMO plan that also covers certain benefits out of network, generally at
a higher cost ? -CORRECT ANS-POS point of service plan
Which statement is true about Medicare supplement open enrollment? -CORRECT ANS-It is the 6-month
period that starts the month. The consumer is 65 or older and is enrolled in Medicare part B.
Jennifer is in rolling into a Medicare advantage plan and wants to know what counts towards the out-of-
pocket maximum. Which of the following is accurate? -CORRECT ANS-Incorrect Answer: All out of pocket
cause she pays towards her health care and prescription drug expenses would count towards the out-of-
pocket maximum.