Jennifer is enrolling into a Medicare Advantage (MA) plan and wants to know what counts toward the Out-of-Pocket Maximum. Which of the following is accurate?
All Out-of-Pocket costs she pays toward her health care and prescription drug expenses would count toward the Out-of-Pocket Maximum.
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.
(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.
Which of the following defines a Medicare Advantage (MA) Plan?
(Select 3)
(Select 3)
a. An MA Plan is part of Medicare and is also called Part C.
c. 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. An MA Plan is a health Plan option approved by Medicare and offered by private insurance companies.
c. 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. An MA Plan is a health Plan option approved by Medicare and offered by private insurance companies.
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)
Does not have any pre-existing conditions such as diabetes or End Stage Renal Disease (ESRD)
When is Mary’s Medicare Supplement Open Enrollment period if she
turns 65 on September 23, 2021, and her Medicare Part B effective
date is September 1, 2021?
September 2021 through February 2022
turns 65 on September 23, 2021, and her Medicare Part B effective
date is September 1, 2021?
September 2021 through February 2022
Which of the following statements is correct about HMO MA Plans?
d Members must receive covered services from contracted network providers.
d Members must receive covered services from contracted network providers.
Which of the following statements is NOT true about the Coverage
Gap?
All members reach the Coverage Gap
Gap?
All members reach the Coverage Gap
Which of these statements is NOT true about the drug utilization
management (UM) rules?
If a medication has a UM rule, the member will not be able to get that medication.
management (UM) rules?
If a medication has a UM rule, the member will not be able to get that medication.
What is the amount added to the member’s monthly plan premium if
they did NOT enroll in a Medicare Advantage plan with Part D
benefits or stand-alone prescription drug plan when they were first
eligible for Medicare Parts A and/or B or went without creditable
prescription drug coverage for 63 or more continuous days?
Late Enrollment Penalty (LEP)
they did NOT enroll in a Medicare Advantage plan with Part D
benefits or stand-alone prescription drug plan when they were first
eligible for Medicare Parts A and/or B or went without creditable
prescription drug coverage for 63 or more continuous days?
Late Enrollment Penalty (LEP)