Jeremy Lai in 福利

UHC – consumers are eligible for Medicare if other eligibility requirements are met

Which of the following consumers are eligible for Medicare if other eligibility requirements are met?

Which of the following defines a Medicare Advantage (MA) Plan? (Select 3)

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).

An MA Plan does not have to provide benefits equivalent to Original Medicare.

An MA Plan is part of Medicare and is also called Part C.

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 consumers would be eligible for Medicare?

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 of the following defines a Medicare Advantage (MA) Plan?

MA Plans are health plan options approved by Medicare and offered by private insurance companies.

Janice wants to enroll in a 2021 Medicare Advantage plan. What eligibility requirements must she meet? (Select the two answers that apply.)

Not have End Stage Renal Disease (permanent kidney failure)Reside in the plan’s service area

What must be explained to consumers enrolling in an HMO (Health Maintenance Organization) MA Plan? (Select 3)

…

Which of the following are MA Plans that focus on using network providers to maximize the benefits and reduce out-of-network expenses?

HMO, POS, PPO

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 Medicare-covered 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 stand-alone PDP upon enrollment in the MA Plan that has integrated prescription drug coverage

A government program, offered only through a private insurance company or other private company approved by Medicare, that provides prescription drug coverage describes which of the following:

Medicare Parts A and B

Which of the following statements is true about eligibility requirements for Medicare Prescription Drug Plans?

A consumer must be entitled to Medicare Part A and/or enrolled in Medicare Part B

Next Read: Step Therapy, Prior Authorization, Quantity Limit, 7-day limit, Dispensing Limit and Limited Access are all examples of what »

Which of the following consumers are eligible for Medicare if other eligibility requirements are met?

Which of the following defines a Medicare Advantage (MA) Plan? (Select 3)

Which of the following is NOT an eligibility requirement for enrollment in a Medicare Advantage Plan?

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