A medical ­­­­­­­­­­­__________ is defined as “when you believe that your health is in serious danger.” b. Emergency

If a beneficiary is enrolled in a MA-only HMO and they also sign up for a PDP plan, they will be automatically dropped from their MA plan. Select one: True

The Medicare Advantage (MA) Program, sometimes called “Part C”, combines coverage for Parts A & B benefits and is administered by private health plans. Select one: True

For a beneficiary who enrolled in a MA-only plan during the Annual Election Period, they will not be able to enroll in a plan that offers prescription drug coverage until the following Annual Election Period; unless the beneficiary chooses to use their one-time election during the Open Enrollment Period or qualifies for a Special Election Period. … Read more

If the member obtains preventive care and screening tests from out-of-network providers, neither Medicare nor the HMO plan will be responsible for the costs.  The member will be responsible for the costs in this case. Select one: True

Which of the following statements regarding eligibility criteria for Medicare Advantage HMO plans is true?d. All of the above statements are true.

The beneficiary must continue to pay the Medicare Part B premium in order to be eligible for the HMO plan. Select one: True