UHC Medicare Basics Test Latest Graded A+
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 :Which of the following defines a Medicare
Advantage (MA) Plan? (Select 3)
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 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 :Which of the following is a characteristic of a drug
tier?
Correct answer: All of the drugs in the tier have the same
copayment or coinsurance.
Question :Which of the following is true about Medicare
Supplement Insurance underwriting criteria in states where underwriting applies?
Correct answer: Underwriting is required if the consumer is
not in their Medicare Supplement Open Enrollment period or does not meet Guaranteed Issue criteria.
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)
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 statement is true of Medicare Supplement
Insurance Plans?
Correct answer: Insured members have the freedom to choose
any doctor who accepts Medicare patients.
Question :Select the option that accurately represents
Medicare Advantage (MA) Plan network characteristics (non- emergency care).
Correct answer: Members in a PPO plan can use out-of-
network benefits but generally at a higher cost.
Question :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.
Question :Which is true about Medicare Supplement Open
Enrollment?
Correct answer: It is the six-month that starts the month the
consumer is 65 or older and is enrolled in Medicare Part B.
Question :When is a Medicare Supplement Insurance
consumer subject to underwriting and screened for eligibility?