d. Parts A and B - ✔✔ In which two parts of Medicare is enrollment generally automatic for eligible consumers who are receiving Social Security
... [Show More] benefits, UNLESS they choose to delay their coverage?
a. Parts B and D
b. Parts C and D
c. Parts A and D
d. Parts A and B
c. When a consumer enrolls in a Medicare Supplement Insurance Plan, they are not automatically disenrolled from their MA Plan. - ✔✔ Which statement is true about a member of a Medicare Advantage (MA) Plan who wants to enroll in a Medicare Supplement Insurance Plan?
a. An MA Plan and a Medicare Supplement Insurance Plan work together.
b. The consumer will be automatically disenrolled from the MA plan when the Medicare Supplement plan takes effect. (WRONG)
c. When a consumer enrolls in a Medicare Supplement Insurance Plan, they are not automatically disenrolled from their MA plan.
d. The member who is leaving the MA Plan does not need a valid election period to disenroll from the MA Plan.
NA - ✔✔ Which of the following consumers are eligible for Medicare if other eligibility requirements are met?
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 (WRONG)
Consumers age 65 or older and consumers under 65 years of age with certain disabilities except for 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
Only consumers age 65 or older with certain disabilities and consumers of all ages with ESRD or ALS
a. An MA Plan is a health plan option approved by Medicare and offered by private insurance companies.
c. An MA Plan is part of Medicare and is also called Part C.
d. An MA Plan provides Medicare hospital and medical insurance (Medicare Part A and Part B) and often includes Medicare prescription drug coverage (Part D). - ✔✔ Which of the following defines a Medicare Advantage (MA) Plan? (Select 3)
a. An MA Plan is a health plan option approved by Medicare and offered by private insurance companies.
b. An MA Plan does not have to provide benefits equivalent to Original Medicare.
c. An MA Plan is part of Medicare and is also called Part C.
d. An MA Plan provides Medicare hospital and medical insurance (Medicare Part A and Part B) and often includes Medicare prescription drug coverage (Part D).
d. Medicare Advantage - ✔✔ To be eligible for this plan type, consumers must meet the following requirements:- Entitled to Medicare Part A and enrolled in Part B- Reside in the plan's service area. Which plan is being described?
a. Medicaid
b. Prescription Drug
c. Original Medicare
d. Medicare Advantage
NA - ✔✔ What must be explained to consumers enrolling in an HMO (Health Maintenance Organization) MA Plan? (Select 3)
a. 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. (WRONG)
b. Most benefits are covered out-of-network but at a higher cost.
c. They must see contracted network providers in order to receive coverage under the plan. (WRONG)
d. In most cases, they will pay the entire cost of the service if they see an out-of-network provider. (WRONG)
c. HMO, POS, PPO - ✔✔ Which of the following are MA Plans that focus on using network providers to maximize the benefits and reduce out-of-network expenses?
a. HMO, PFFS, POS
b. HMO, PFFS, PPO
c. HMO, POS, PPO
d. PFFS, POS, PPO
a. During the first six months a consumer is 65 or older and enrolled in Medicare Part B. - ✔✔ When does Medicare Supplement Open Enrollment take place?
a. During the first six months a consumer is 65 or older and enrolled in Medicare Part B.
b. During the first three months a consumer is 65 or older and enrolled in Medicare Part B.
c. 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.
d. Annually from October 15 to December 7. [Show Less]