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MEDICARE BASICS TEST
ACTUAL EXAM WITH CORRECT
SOLUTIONS.
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
Which statement is true about a member of a Medicare Advantage Plan who wants to enroll in a Medicare Supplement Insurance Plan? - correct answer- When a consumer enrolls in a Medicare Supplement Insurance Plan, they are not automatically unenrolled from their MA plan
Which of the following consumers are eligible for Medicare if other eligibility requirements are met? - correct answer- Consumers age 65 or older, consumers under age 65 with certain disabilities for more than 24 months, and consumers of all ages with ESRD or ALS
Which of the following defines a Medicare Advantage Plan? - correct answer- MA plans must provide benefits equivalent to Original Medicare, and most also offer additional benefits 1 / 2
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MA plans provide Medicare hospital and medical insurance and often include Medicare prescription drug coverage
Janice wants to enroll in a Medicare Advantage plan. Which of the following is NOT an eligibility requirement? - correct answer- Does not have any pre existing conditions, such as diabetes or ESRD
What must be explained to consumers enrolling in an HMO MA plan? - correct answer- The exception to the provider network requirement is emergency visits, urgent care and renal dialysis services, which can be obtained from out of network providers They must see contracted network providers in order to receive coverage under the plan Most benefits are covered out of network but at a higher cost
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
When is Mary's Medicare Supplement Open Enrollment period if she turns 65 on September 23, , and her Medicare Part B effective date is September 1, ? - correct answer- Sept
- Feb
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