UHC Medicare Basics Test 2021/2022
Already Passed
Joseph has Original Medicare and was a patient in the hospital last week. What part of Medicare
helps cover the costs of his inpatient hospital stay? ✔✔Part A
Which s
...
UHC Medicare Basics Test 2021/2022
Already Passed
Joseph has Original Medicare and was a patient in the hospital last week. What part of Medicare
helps cover the costs of his inpatient hospital stay? ✔✔Part A
Which statement is true about members of a Medicare Advantage (MA) Plan who want to enroll
in a Medicare Supplement Insurance Plan? ✔✔The consumer must be in a valid MA election or
disenrollment period.
Being 65 or older, being under 65 years of age with certain disabilities for more than 24 months,
and being any age with ESRD or ALS are each eligibility requirements for which program?
✔✔Original Medicare
Which of the following defines a Medicare Advantage (MA) Plan? (Select 2) ✔✔MA Plans must
provide benefits equivalent to Original Medicare, and most plans also offer additional benefits.
&
MA Plans provide Medicare hospital and medical insurance and often include Medicare
prescription drug coverage.
Larry wants to enroll in a 2021 Medicare Advantage plan. He has End Stage Renal Disease
(permanent kidney failure). What eligibility requirements must he meet? (Select the two answers
that apply.) ✔✔Reside in the plan's service area
&
Entitled to Medicare Part A and enrolled in Part B
Member Doug enrolled in a Health Maintenance Organization (HMO) MA Plan. He saw an outof-network doctor and received a bill for the entire cost of the visit. Doug called Medicare to
complain and stated he was never told about these types of costs. What should the agent haveexplained better to Doug when he was enrolling in the plan? (Select 3) ✔✔That Doug must receive
covered services from contracted network providers.
&
That exceptions to the provider network requirement are emergency visits, urgent care and renal
dialysis services, which can be obtained from out-of-network providers.
&
That in most cases, Doug will pay the entire cost of the service if he sees an out-of-network
provider.
Which of the following is not a correct statement about in-network provider services? ✔✔
Which is true about Medicare Supplement Open Enrollment? ✔✔By federal law, Medicare
Supplement Open Enrollment is the first 6 months a consumer is 65 or older and enrolled in
Medicare Part B.
How does the Medicare Advantage Out-of-Pocket (OOP) maximum work? ✔✔The OOP
maximum is a feature that limits the amount of money a consumer will have to spend on Medicarecovered health care services each year.
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? ✔✔The consumer will be automatically disenrolled from their standalone PDP upon enrollment in the MA Plan that has integrated prescription
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