Roger wants to know what counts toward the Out-of-Pocket Maximum on the Medicare Advantage Plan he is considering. Which statement is accurate? The Out-of-Pocket Maximum includes costs the member pays for any Medicare-covered Part A or B services.

Which of the following is NOT a correct statement about in-network provider services? HMO-POS Plans only cover in-network services.

Member Doug enrolled in a Health Maintenance Organization (HMO) MA Plan. He saw an out-of-network provider 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 have explained better to Doug when he was … Read more

Which of the following is NOT an eligibility requirement for enrollment in a Medicare Advantage Plan? Does not have any pre-existing conditions such as diabetes or End Stage Renal Disease (ESRD)

Which of the following defines a Medicare Advantage (MA) Plan? MA Plans are health plan options approved by Medicare and offered by private insurance companies.

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

Which statement is true about a member of a Medicare Advantage (MA) Plan who wants to enroll in a Medicare Supplement Insurance Plan? When a consumer enrolls in a Medicare Supplement Insurance Plan, they are not automatically disenrolled from their MA Plan.