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Lesson 4a: Medicare Advantage Plans Exam Questions and Answers 100% Pass $11.49
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Lesson 4a: Medicare Advantage Plans Exam Questions and Answers 100% Pass
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Lesson 4a: Medicare Advantage Plans Exam Questions and Answers 100% Pass What is Part C/Medicare Advantage? - Medicare Part A + Part B + Part D (a few added perks) = Part C or Medicare Advantage Added perks may include: prescriptions, dental, vision, and gym memberships (MAPD) Medicare Advanta...

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  • December 23, 2024
  • 7
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

  • lesson 4a medicare advantage plans exam questions

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  • Medicare certifications
  • Medicare certifications

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KatelynWhitman

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Lesson 4a: Medicare Advantage Plans Exam
Questions and Answers 100% Pass


What is Part C/Medicare Advantage? - ✔✔Medicare Part A + Part B + Part D (a few added perks) = Part

C or Medicare Advantage


Added perks may include: prescriptions, dental, vision, and gym memberships


(MAPD) Medicare Advantage Prescription Drug Plan - ✔✔Medicare Advantage plan that includes

prescription coverage


(MA) Medicare Advantage Plan - ✔✔Medical only Medicare Advantage plan


How do you qualify for an MA/MAPD plan? - ✔✔Must be eligible for Medicare


Must continue to pay Part B premium


Must pay your MA/MAPD plan premium (if applicable)


CANNOT have End Stage Renal Disease (ESRD)


How does an MA/MAPD plan work? - ✔✔Medicare Advantage plan benefits replace Original Medicare

benefits


Advantage plan become primary insurance


Client still pays Part B premium


Client never loses Medicare


Medicare-covered health care is provided by a private health plan


Medicare Advantage plans are NOT supplemental coverage


Created by Katelyn Whitman © 2025, All Rights Reserved. 100% PASS GUARANTEE

, 2|Page


In-network coverage is usually cheaper than out-of-network coverage


The MA/MAPD insurance card replaces the Original Medicare Card


Plans vary throughout the United States


Plans are available by county


There is NO underwriting for MA/MAPDs


You can join these plans with pre-existing conditions except End Stage Renal Disease (ESRD)


You CANNOT be enrolled in an MA/MAPD and a stand alone PDP at the same time


The only time you can have an MA and stand-alone PDP is if the MA is a PFFS private-fee-for-service

without drug coverage


What does the Advantage plan have that Medicare doesn't? - ✔✔The co-pays (set $ amount), deductibles,

and coinsurance (set % of cost) under an MA/MAPD plan are typically lower


Limits your maximum out-of-pocket (Original Medicare has no cap)


Might have extra benefits (dental, vision, gym, etc.)


MAPDs have prescription drug coverage built in to the plan versus having to purchase it separately


What types of Medicare Advantage plans are there? - ✔✔HMO (in-network), PPO (in/out-of-network),

HMO-POS, and SNP (D-SNP and C-SNP)


All plans are network based (except some PFFS plans)


These plans function as MA or MAPDs


(HMO) Health Maintenance Organization - ✔✔In-network benefits only, beneficiary only has access to

certain providers




Created by Katelyn Whitman © 2025, All Rights Reserved. 100% PASS GUARANTEE

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