UHC 2024 AHIP -
Medicare Basics
Assessment (Medicare
Advantage [non-SNP],
Prescription Drug and
Medicare Supplement
Plans) questions and
answers 2025/2026
USER
[COMPANY NAME]
, Lisa turned 65 and is now eligible for Medicare. She already receives Social Security benefits. How does
she enroll in Original Medicare? - ✔✔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? - ✔✔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? - ✔✔answer Original Medicare
Which of the following defines a Medicare Advantage (MA) Plan? (Select 3) - ✔✔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? - ✔✔answer Medicare Advantage
Which of the following is a correct statement about in-network provider services? - ✔✔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? - ✔✔answer
HMO-POS Plans only cover in-network services.
Which statement is true about Medicare Supplement Open Enrollment? - ✔✔answer It is the six-month
period that starts the month the consumer is 65 or older and is enrolled in Medicare Part B.