Medicare Parts C and D General Compliance Questions and Answers | Latest Version | 2024/2025 | Correct & Verified
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Medicare Parts C and D General Compliance
Institution
Medicare Parts C And D General Compliance
Medicare Parts C and D General
Compliance Questions and Answers |
Latest Version | 2024/2025 | Correct &
Verified
What is the main focus of Medicare Part C?
To provide Medicare Advantage plans as an alternative to Original Medicare
What is Medicare Part D designed for?
To provide pre...
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Medicare Parts C and D General
Compliance Questions and Answers |
Latest Version | 2024/2025 | Correct &
Verified
What is the main focus of Medicare Part C?
✔✔To provide Medicare Advantage plans as an alternative to Original Medicare
What is Medicare Part D designed for?
✔✔To provide prescription drug coverage for Medicare beneficiaries
Who administers Medicare Advantage (Part C) plans?
✔✔Private insurance companies approved by Medicare
How are Medicare Part D premiums determined?
✔✔Based on the plan selected and the beneficiary’s income
What is the role of the Annual Election Period for Medicare?
✔✔It allows beneficiaries to enroll in or switch Medicare Advantage and Part D plans
1
, What does the coverage gap in Medicare Part D refer to?
✔✔A temporary limit on what the drug plan covers for prescription drugs
What must Part D sponsors do to ensure compliance with CMS requirements?
✔✔Implement effective compliance programs to prevent, detect, and correct non-compliance
What is required of Medicare Advantage plans regarding provider networks?
✔✔They must maintain adequate provider networks to meet enrollees' needs
How does Medicare Part C differ from Original Medicare?
✔✔Part C combines Parts A and B and may include additional benefits like vision or dental
coverage
What is the Initial Enrollment Period for Medicare?
✔✔The seven-month window around a beneficiary’s 65th birthday to enroll in Medicare
How do Medicare Part D plans control costs?
2
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