UHC Medicare Basics Exam / With verified solutions
Question :Which of the following defines a Medicare
Advantage (MA) Plan? (Select 3) -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).
Correct 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).
Question :Which of the following are true about the Medicare
Access and CHIP Reauthorization Act of 2015 (MACRA) Plans and the impact to Plans C and F? (Select 2)
-Consumers eligible for Medicare Part A before January 1, 2020, can enroll in Plan C or F even after 2020 and can keep their plans as long as they choose.-Consumers eligible for Medicare Part A on or after January 1, 2020, will not be able to purchase Medicare Supplement Insurance Plans C or F.
Correct answer:-Consumers eligible for Medicare Part A
before January 1, 2020, can enroll in Plan C or F even after 2020 and can keep their plans as long as they choose.-Consumers eligible for Medicare Part A on or after January 1, 2020, will not be able to purchase Medicare Supplement Insurance Plans C or F.
Question :Which of the following are eligibility requirements
for enrollment in a Medicare Advantage Plan? (Select 3) -Is entitled to Medicare Part A -Is enrolled in Medicare Part B -Resides in the plan's service area
Correct answer:-Is entitled to Medicare Part A
-Is enrolled in Medicare Part B -Resides in the plan's service area
Question :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?
Correct answer:Parts A and B
Question :Which statement is true about members of a
Medicare Advantage (MA) Plan who want to enroll in a Medicare Supplement Insurance Plan?
Correct answer:The consumer must be in a valid MA election
or disenrollment period.
Question :Provided other eligibility requirements are met,
who is eligible for Medicare?
Correct answer:Consumers 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.
Question :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
Question :Which of the following statements is correct about
HMO MA Plans?
Correct answer:Members must receive covered services from
contracted network providers with limited exceptions.
Question :Which of the following are MA Plans that focus on
using network providers to maximize the benefits and reduce out-of-network expenses?
Correct answer:HMO, POS, PPO
Question :When does Medicare Supplement Open Enrollment
take place?
Correct answer:During the first six months a consumer is 65
or older and enrolled in Medicare Part B.