UHC MEDICARE BASICS EXAM LATEST 2024-2025 WITH ACTUAL
QUESTIONS AND CORRECT VERIFIED ANSWERS ALREADY GRADED A+ 100%
GUARANTEED PASS!
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? - ANSWER-Parts 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? - ANSWER-The
consumer must be in a valid MA election or disenrollment period.
Provided other eligibility requirements are met, who is eligible for Medicare? -
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.
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? - ANSWER-Medicare
Advantage
Which of the following statements is correct about HMO MA Plans? - ANSWER-
Members 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? - ANSWER-HMO,
POS, PPO
When does Medicare Supplement Open Enrollment take place? - ANSWER-
During 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? - ANSWER-The 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? - ANSWER-The
consumer will be automatically disenrolled from their stand-alone PDP upon
enrollment in the MA Plan that has integrated prescription drug coverage
What is Medicare Part D? - 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.
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