UHC Medicare Basics Assessment
In which two parts of Medicare is enrollment generally automatic for eligible consumers
who are receiving Social Security benefits, UNLESS they choose to delay their
coverage? - AnswerParts A and B
Which statement is true about members of a Medicare Advantage (MA) Plan who want
to enroll in a Medicare Supplement Insurance Plan? - AnswerThe consumer must be in
a valid MA election or disenrollment period.
Provided other eligibility requirements are met, who is eligible for Medicare? -
AnswerConsumers age 65 or 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 (SSDI) for ALS.
Which of the following defines a Medicare Advantage (MA) Plan? (Select 3) - Answer-
An MA Plan is a health plan option approved by Medicare and offered by private
insurance companies.
-An MA Plan is part of Medicare and is also called Part C.
-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? - AnswerMedicare Advantage
Which of the following statements is correct about HMO MA Plans? - AnswerMembers
must receive covered services from contracted network providers with limited
exceptions.
Which of the following are MA Plans that focus on using network providers to maximize
the benefits and reduce out-of-network expenses? - AnswerHMO, POS, PPO
When does Medicare Supplement Open Enrollment take place? - AnswerDuring the first
six months a consumer is 65 or older and enrolled in Medicare Part B.
What costs count toward the out-of-pocket maximum for Medicare Advantage (MA)
Plans? - AnswerThe Out-of-Pocket Maximum includes costs the member pays for any
Medicare-covered Part A or B services but does not include the cost of any plan
premiums.
A consumer currently has Original Medicare and is enrolled in a stand-alone
Prescription Drug Plan (PDP). What will happen if the consumer enrolls in an MA Plan
that has integrated prescription drug coverage? - AnswerThe consumer will be
In which two parts of Medicare is enrollment generally automatic for eligible consumers
who are receiving Social Security benefits, UNLESS they choose to delay their
coverage? - AnswerParts A and B
Which statement is true about members of a Medicare Advantage (MA) Plan who want
to enroll in a Medicare Supplement Insurance Plan? - AnswerThe consumer must be in
a valid MA election or disenrollment period.
Provided other eligibility requirements are met, who is eligible for Medicare? -
AnswerConsumers age 65 or 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 (SSDI) for ALS.
Which of the following defines a Medicare Advantage (MA) Plan? (Select 3) - Answer-
An MA Plan is a health plan option approved by Medicare and offered by private
insurance companies.
-An MA Plan is part of Medicare and is also called Part C.
-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? - AnswerMedicare Advantage
Which of the following statements is correct about HMO MA Plans? - AnswerMembers
must receive covered services from contracted network providers with limited
exceptions.
Which of the following are MA Plans that focus on using network providers to maximize
the benefits and reduce out-of-network expenses? - AnswerHMO, POS, PPO
When does Medicare Supplement Open Enrollment take place? - AnswerDuring the first
six months a consumer is 65 or older and enrolled in Medicare Part B.
What costs count toward the out-of-pocket maximum for Medicare Advantage (MA)
Plans? - AnswerThe Out-of-Pocket Maximum includes costs the member pays for any
Medicare-covered Part A or B services but does not include the cost of any plan
premiums.
A consumer currently has Original Medicare and is enrolled in a stand-alone
Prescription Drug Plan (PDP). What will happen if the consumer enrolls in an MA Plan
that has integrated prescription drug coverage? - AnswerThe consumer will be
