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Lisa turned 65 and is now eligible for Medicare. She already received social
security benefits. How does she enroll in original Medicare?
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?
The consumer must be in a valid MA election or disenrollment period.
Provided other eligibility requirements are met. Who is eligible for Medicare?
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?
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?
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?
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 ?
POS point of service plan
Which statement is true about Medicare supplement open enrollment?
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?
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.
Margaret currently has an MAPD Plan. What would happen if you enrolled her into
a stand-alone PDP?
She would be disenrolled automatically from her MAPD plan
What is Medicare part d?
A voluntary program offered by private insurance companies that are contracted with
the federal government that provides prescription drug coverage for an additional
monthly plan premium.
Which of the following best describes eligibility to enroll in a standalone
prescription drug plan?
Entitled to part A and/or enrolled in part B and reside in the service plan area.