UHC 2024 AHIP Medicare Basics Assessment (Medicare
Review key facts about Medicare in this UHC 2024 AHIP assessment. Learn about automatic enrollment, MA vs. Supplement plans, and eligibility based on age, disability, or illness. Understand how Medicare Advantage (Part C) works with private insurers.
Mason Bennett
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UHC 2024 AHIP - Medicare Basics
Assessment (Medicare Advantage
[non-SNP], Prescription Drug and
Medicare Supplement Plans) Q & A
Lisa turned 65 and is now eligible for Medicare. She already receives Social Security
benefits. How does she enroll in Original Medicare? Answer- Her enrollment in
Medicare Parts A and B is generally automatic if she meets all eligibility
requirements.
Which statement is true about a member of a Medicare Advantage (MA) Plan who
wants to enroll in a Medicare Supplement Insurance Plan? Answer- When a
consumer enrolls in a Medicare Supplement Insurance Plan, they are not
automatically disenrolled from their MA Plan.
Being 65 or older, being under 65 years of age with a qualifying disability or being
any age with ESRD or ALS are each eligibility requirements for which program?
Answer- Original Medicare
Which of the following defines a Medicare Advantage (MA) Plan? (Select 3) Answer-
-An MA Plan is part of Medicare and is also called Part C.
-An MA Plan is a health plan option approved by Medicare and offered by private
insurance companies.
-An MA Plan provides Medicare hospital and medical insurance (Medicare Part A
and Part B) and often includes Medicare prescription drug coverage (Part D).
To be eligible for this plan type, consumers must meet the following requirements: be
entitled to Medicare Part A and enrolled in Part B, and reside in the plans service
area. Which plan is being described? Answer- Medicare Advantage
Which of the following is a correct statement about in-network provider services?
Answer- HMO Plans cover only in-network services. In most cases, members pay
the full cost of any out- of-network services received, with a few important exceptions.
Which of the following is NOT a correct statement about in-network provider
services? Answer- HMO-POS Plans only cover in-network services.
Assessment (Medicare Advantage
[non-SNP], Prescription Drug and
Medicare Supplement Plans) Q & A
Lisa turned 65 and is now eligible for Medicare. She already receives Social Security
benefits. How does she enroll in Original Medicare? Answer- Her enrollment in
Medicare Parts A and B is generally automatic if she meets all eligibility
requirements.
Which statement is true about a member of a Medicare Advantage (MA) Plan who
wants to enroll in a Medicare Supplement Insurance Plan? Answer- When a
consumer enrolls in a Medicare Supplement Insurance Plan, they are not
automatically disenrolled from their MA Plan.
Being 65 or older, being under 65 years of age with a qualifying disability or being
any age with ESRD or ALS are each eligibility requirements for which program?
Answer- Original Medicare
Which of the following defines a Medicare Advantage (MA) Plan? (Select 3) Answer-
-An MA Plan is part of Medicare and is also called Part C.
-An MA Plan is a health plan option approved by Medicare and offered by private
insurance companies.
-An MA Plan provides Medicare hospital and medical insurance (Medicare Part A
and Part B) and often includes Medicare prescription drug coverage (Part D).
To be eligible for this plan type, consumers must meet the following requirements: be
entitled to Medicare Part A and enrolled in Part B, and reside in the plans service
area. Which plan is being described? Answer- Medicare Advantage
Which of the following is a correct statement about in-network provider services?
Answer- HMO Plans cover only in-network services. In most cases, members pay
the full cost of any out- of-network services received, with a few important exceptions.
Which of the following is NOT a correct statement about in-network provider
services? Answer- HMO-POS Plans only cover in-network services.
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Subject
Medicine