UHC MEDICARE BASICS TEST EXAM (100 REAL
EXAM QUESTIONS AND CORRECT ANSWERS )
LATEST 2022-2023| AGRADE
Which part of Medicare helps with inpatient hospital stays, hospice care, and
provides limited home health benefits?
Part B
Part D
Part A(Right)
Part C
Which of the following consumers would be eligible for Medicare?
-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
ALS(right)
-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)
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).(right
Janice wants to enroll in a 2021 Medicare Advantage plan. What eligibility
requirements must she meet? (Select the two answers that apply.)
-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 type of MA Plan is an HMO plan that also covers some benefits out-ofnetwork, generally at a higher cost?
-Private Fee-for-Service (PFFS)
-Medicare Supplement Insurance Plan
-Preferred Provider Organization (PPO)
-Point-of-Service (POS) Plan(right)
When does Medicare Supplement Open Enrollment take place?
-During the first three months a consumer is 65 or older and enrolled in Medicare
Part B.
-During the first six months a consumer is 65 or older and enrolled in Medicare
Part B.(right)
-Annually from October 15 to December 7.
-During the three months prior to the consumer’s 65th birthday, the month of their
birthday, and the three months following the month of their 65th birthday and
enrolled in Medicare Part B.
A consumer with Original Medicare might be interested in an MA Plan because: –
-MA Plans eliminate Medicare Part A premiums.
-By joining an MA Plan they will no longer be a part of the Medicare program.
-MA Plans typically provide additional coverage beyond Original Medicare and
often have established copayments for some benefits.(right)
-It has a larger network of providers and skilled nursing facilities.
Which of the following statements is true about a Medicare Supplement Insurance
Plan member who wants to enroll in an MA Plan?
-Medicare Supplement Insurance cannot be used in conjunction with an MA Plan;
therefore, after receiving confirmation of enrollment into the MA Plan, the member
should submit to their Medicare Supplement Insurance carrier a written request to
cancel his/her policy.(right)
-The member must submit a written request to cancel their Medicare Supplement
Insurance Plan the same day they submit their MA Plan enrollment application.
-When a member enrolls in the MA Plan their current Medicare Supplement
Insurance Plan will automatically cancel.
-The member should not cancel their Medicare Supplement Insurance Plan because
Medicare Supplement Insurance can be used in conjunction with an MA Plan.
Which of the following best defines Medicare Part D?
-It is a government program, offered only through a private insurance company or
other private company approved by Medicare, which provides medical coverage.
-It is a government program, offered only through a private insurance company or
other private company approved by Medicare, which provides prescription drug
coverage.(right)
-It is a government program, offered only through a private insurance company or
other private company approved by Medicare, which provides hospitalization
coverage.
-It is a government program, offered only through a private insurance company or
other private company approved by Medicare, which provides medical and
hospitalization coverage.
Aside from a stand-alone Medicare Prescription Drug Plan, how else could a
Medicare-eligible consumer get Part D prescription drug coverage?
-They could sign up for a pharmacy savings card through their local pharmacy.
-There is no other way a Medicare consumer could get Part D prescription drug
coverage.
-They could enroll in a Medicare Advantage Plan or other Medicare health plan
that includes prescription drug coverage.(right)
-They could enroll in a Medicare Supplement Insurance Plan.
Which of the following statements is not true about the Coverage Gap?
For 2021, the coverage gap begins when the member has incurred $4,130 in
medication spending for the year
-The use of lower cost generic medications may prevent the member from reaching
the coverage gap
-All members reach the Coverage Gap(right)
-Some plans offer additional coverage through the coverage gap, usually at a
higher monthly plan premium