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UHC MEDICARE BASICS TEST
EXAM WITH 100% CORRECT
ANSWERS
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?
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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 :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).
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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
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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.
Question :What costs count toward the out-of-pocket
maximum for Medicare Advantage (MA) Plans?
Correct 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.
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?