Question:- Which of the following consumers would be eligible for Medicare?
Answer:- Consumers age 65 or older, consumers under 65 years of age with certain disabilities for more than 24 months and consumers of all ages with ESRD or ALS
Question:- Which of the following defines a Medicare Advantage (MA) Plan?
Answer:- MA Plans are health plan options approved by Medicare and offered by private insurance companies.
Question:- 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
Question:- Which is true about Medicare Supplement Open Enrollment?
Answer:- By federal law, Medicare Supplement Open Enrollment is the first 6 months a consumer is 65 or older and enrolled in Medicare Part B.
Question:- How does the Medicare Advantage Out-of-Pocket (OOP) maximum work?
Answer:- The OOP maximum is a feature that limits the amount of money a consumer will have to spend on Medicare-covered health care services each year.
Question:- 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
Question:- Which of the following statements is not true about the Coverage Gap?
Answer:- All members reach the Coverage Gap
Question:- Through which means is financial assistance offered to a consumer who qualifies for Low Income Subsidy for their part of Medicare Part D costs?
Answer:- Through subsidies such as lower or no monthly plan premiums and lower or no copayments
Question:- In states where Medicare Supplement Insurance underwriting criteria can apply
Answer:- Consumers may be underwritten to determine their acceptance and, if applicable, their rate.
Question:- Which of the following is NOT true of Medicare Supplement Insurance Plans?
Answer:- Plan benefit amounts automatically update when Medicare changes cost sharing amounts, such as deductibles, coinsurance and copayments. NOT
Question:- Which definition best describes Medicare Part A? a. The part of Medicare that is a voluntary program offered by private insurance companies that provides prescription drug coverage for an additional monthly premium. b. The part of Medicare that offers combined medical and prescription drug coverage. c. The part of Medicare that helps with the cost of inpatient hospital stays. It also helps with hospice care and some skilled care for the homebound. d. The part of Medicare that helps with the cost of medically necessary doctor visits and other medical services, including outpatient care at hospitals and clinics, laboratory tests, some diagnostic screenings.
Answer:- The part of Medicare that helps with the cost of inpatient hospital stays. It also helps with hospice care and some skilled care for the homebound.