(MEDICARE ADVANTAGE [NON-SNP], PRESCRIPTION DRUG
AND MEDICARE SUPPLEMENT PLANS) COMPLETE ACCURATE
EXAM QUESTIONS WITH DETAILED & VERIFIED ANSWERS /
2025
Terms in this set (42)
Lisa turned 65 and is now Her enrollment in Medicare Parts A and B is generally automatic if
eligible for Medicare. She she meets all eligibility requirements.
already receives Social
Security benefits. How does
she enroll in Original
Medicare?
Which statement is true When a consumer enrolls in a Medicare Supplement
about a member of a Insurance Plan, they are not automatically disenrolled from
Medicare Advantage (MA) their MA Plan.
Plan who wants to enroll in a
Medicare Supplement
Insurance Plan?
Original Medicare
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?
, Which of the following -An MA Plan is part of Medicare and is also called Part C.
defines a Medicare -An MA Plan is a health plan option approved by Medicare
Advantage (MA) Plan? and offered by private insurance companies.
(Select 3) -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 Medicare Advantage
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?
Which of the following is a HMO Plans cover only in-network services. In most
correct statement about in- cases, members pay the full cost of any out-ofnetwork
network provider services? services received, with a few important exceptions.
Which of the following is HMO-POS Plans only cover in-network services.
NOT a correct statement
about in-network provider
services?
Which statement is true It is the six-month period that starts the month the consumer
about Medicare is 65 or older and is enrolled in Medicare Part B.
Supplement Open
Enrollment?
All MA plans have an Out-of-Pocket Maximum to help limit
Which statement is true the member's out-of-pocket costs for Medicarecovered
about the Medicare medical services.
Advantage (MA) Out-
ofPocket Maximum?