Which part of Medicare helps with inpatient hospital stays, hospice care, and provides limited home health benefits? Correct ans - Part B
Part A(Right) Part C
Which statement is true about a member of a Medicare Advantage (MA) Plan who wants to enroll in a Medicare Supplement Insurance Plan? Correct ans - -A consumer can use a Medicare Supplement Insurance Plan and an MA Plan at the same time.
-When a consumer enrolls in a Medicare Supplement Insurance Plan, he/sihe s not automatically disenrolled from his/her MA Plan.
-A member does not need a valid election period to disenroll from an MA plan.
-When a consumer enrolls in a Medicare Supplement Insurance Plan, he/she is automatically disenrolled from his/her MA Plan.(wrong)
Which of the following consumers would be eligible for Medicare? Correct ans - - Consumers age 65 or older and consumers under 65 years of age with certain disabilities except for ESRD or ALS
-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
-Only consumers age 65 or older with certain disabilities and consumers of all ages with ESRD or ALS
-Consumers age 62 or older, consumers under 62 years of age with certain disabilities and consumers of all ages with ESRD or ALS
Which of the following defines a Medicare Advantage (MA) Plan? (Select 3) Correct ans - An MA Plan does not have to provide benefits equivalent to Original Medicare.(wrong)
-An MA Plans is part of Medicare and is also called Part C.(right)
-An MA Plan is a health plan option approved by Medicare and offered by private insurance companies.(right)
-An MA Plan provides Medicare hospital and medical insurance (Medicare Part A and Part B) and often include Medicare prescription drug coverage (Part D).
Janice wants to enroll in a 2021 Medicare Advantage plan. What eligibility requirements must she meet? (Select the two answers that apply.) Correct ans - -Not have End Stage Renal Disease (permanent kidney failure)
-Reside in the plan's service area(right)
-Entitled to Medicare Part A and enrolled in Part B(right) -Entitled to Medicare Part A and/or is enrolled in Part B
Which of the following statements is correct about HMO MA Plans? Correct ans - - Members that use out-of-network providers for routine office visits must pay a penalty in
addition to any copayment.(wrong) -Most benefits are covered out-of-network but at a higher cost.
-Members must receive covered services from contracted network providers. -There are no exceptions to the provider network requirement for obtaining certain services from out-of- network providers.
Which type of MA Plan is an HMO plan that also covers some benefits out-ofnetwork, generally at a higher cost? Correct ans - -Private Fee-forService (PFFS)
-Medicare Supplement Insurance Plan
-Preferred Provider Organization (PPO)
-Point-of-Service (POS) Plan(right)
When does Medicare Supplement Open Enrollment take place? Correct ans - -During the first three months a consumer is 65 or older
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