UHC 2024 AHIP - Medicare Basics Assessment
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.
Margaret currently has an MAPD Plan. What would happen if you enrolled her into a stand-alone PDP? -
(correct Answer) - She would be disenrolled automatically from her MAPD Plan.
What is Medicare Part D? - (correct Answer) - 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 stand-alone Prescription Drug Plan? -
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.
Margaret currently has an MAPD Plan. What would happen if you enrolled her into a stand-alone PDP? -
(correct Answer) - She would be disenrolled automatically from her MAPD Plan.
What is Medicare Part D? - (correct Answer) - 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 stand-alone Prescription Drug Plan? -
