UHC 2024 AHIP - Medicare Basics
Assessment (Medicare Advantage
[non-SNP], Prescription Drug and
Medicare Supplement Plans)
Lisa turned 65 and is now eligible for Medicare. She already receives Social Security
benefits. How does she enroll in Original Medicare? - correct answer-Her enrollment in
Medicare Parts A and B is generally automatic if she meets all eligibility requirements.
Which statement is true about a member of a Medicare Advantage (MA) Plan who wants to
enroll in a Medicare Supplement Insurance Plan? - correct answer-When a consumer enrolls
in a Medicare Supplement Insurance Plan, they are not automatically disenrolled from their
MA Plan.
Being 65 or older, being under 65 years of age with a qualifying disability or being any age
with ESRD or ALS are each eligibility requirements for which program? - correct
answer-Original Medicare
Which of the following defines a Medicare Advantage (MA) Plan? (Select 3) - correct
answer--An MA Plan is part of Medicare and is also called Part C.
-An MA Plan is a health plan option approved by Medicare and offered by private insurance
companies.
-An MA Plan provides Medicare hospital and medical insurance (Medicare Part A and Part
B) and often includes Medicare prescription drug coverage (Part D).
To be eligible for this plan type, consumers must meet the following requirements: be entitled
to Medicare Part A and enrolled in Part B, and reside in the plan's service area. Which plan
is being described? - correct answer-Medicare Advantage
Which of the following is a correct statement about in-network provider services? - correct
answer-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.
Which of the following is NOT a correct statement about in-network provider services? -
correct answer-HMO-POS Plans only cover in-network services.
Which statement is true about Medicare Supplement Open Enrollment? - correct answer-It is
the six-month period that starts the month the consumer is 65 or older and is enrolled in
Medicare Part B.
Which statement is true about the Medicare Advantage (MA) Out-of-Pocket Maximum? -
correct answer-All MA plans have an Out-of-Pocket Maximum to help limit the member's
out-of-pocket costs for Medicare-covered medical services.
Assessment (Medicare Advantage
[non-SNP], Prescription Drug and
Medicare Supplement Plans)
Lisa turned 65 and is now eligible for Medicare. She already receives Social Security
benefits. How does she enroll in Original Medicare? - correct answer-Her enrollment in
Medicare Parts A and B is generally automatic if she meets all eligibility requirements.
Which statement is true about a member of a Medicare Advantage (MA) Plan who wants to
enroll in a Medicare Supplement Insurance Plan? - correct answer-When a consumer enrolls
in a Medicare Supplement Insurance Plan, they are not automatically disenrolled from their
MA Plan.
Being 65 or older, being under 65 years of age with a qualifying disability or being any age
with ESRD or ALS are each eligibility requirements for which program? - correct
answer-Original Medicare
Which of the following defines a Medicare Advantage (MA) Plan? (Select 3) - correct
answer--An MA Plan is part of Medicare and is also called Part C.
-An MA Plan is a health plan option approved by Medicare and offered by private insurance
companies.
-An MA Plan provides Medicare hospital and medical insurance (Medicare Part A and Part
B) and often includes Medicare prescription drug coverage (Part D).
To be eligible for this plan type, consumers must meet the following requirements: be entitled
to Medicare Part A and enrolled in Part B, and reside in the plan's service area. Which plan
is being described? - correct answer-Medicare Advantage
Which of the following is a correct statement about in-network provider services? - correct
answer-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.
Which of the following is NOT a correct statement about in-network provider services? -
correct answer-HMO-POS Plans only cover in-network services.
Which statement is true about Medicare Supplement Open Enrollment? - correct answer-It is
the six-month period that starts the month the consumer is 65 or older and is enrolled in
Medicare Part B.
Which statement is true about the Medicare Advantage (MA) Out-of-Pocket Maximum? -
correct answer-All MA plans have an Out-of-Pocket Maximum to help limit the member's
out-of-pocket costs for Medicare-covered medical services.
