Exam (elaborations)
UHC MEDICARE BASICS ASSESSMENT 2024
- Course
- Institution
UHC MEDICARE BASICS ASSESSMENT 2024
[Show more]
Content preview
UHC MEDICARE BASICS ASSESSMENT 2024Which type of MA Plan is an HMO plan that also covers certain benefits out-of-network,
generally at a higher cost?
-Medicare Supplement Insurance Plan
-Point-of-Service (POS) Plan
-Preferred Provider Organization (PPO)
-Private Fee-for-Service (PFFS) - Answers -Point-of-Service (POS) Plan
Which statement is true about Medicare Supplement Open Enrollment?
-It is the only time a consumer is eligible to purchase a Medicare Supplement Insurance
Plan.
-It is the six-month period that starts the month the consumer is 65 or older and is
enrolled in Medicare Part B.
-It runs annually from October 15 through December 7. - Answers -It is the six-month
period that starts the month the consumer is 65 or older and is enrolled in Medicare Part
B.
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?
-The Out-of-Pocket Maximum will include her costs toward any Medicare-covered Part
A or B services but does not include the cost of any plan premiums.
-All Out-of-Pocket costs she pays toward her health care and prescription drug
expenses would count toward the Out-of-Pocket Maximum.
-Jennifer's costs for prescription drugs and any benefits not covered by Original
Medicare will count toward the Out-of-Pocket Maximum.
-The Out-of-Pocket Maximum includes any costs she pays toward the plan, such as
plan premiums and health care expenses. - Answers -The Out-of-Pocket Maximum will
include her costs toward any Medicare-covered Part A or B services but does not
include the cost of any plan premiums.
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
, -The consumer will no longer be a part of the Medicare program because they will
receive their medical and hospital benefits covered by the MA Plan
-The consumer's MA Plan enrollment application will be denied because they already
have a stand-alone PDP
-The consumer will not have to pay anything in the coverage gap because they have a
stand-alone PDP and integrated Part D benefits in their MA Plan - Answers -The
consumer will be automatically disenrolled from their stand-alone PDP upon enrollment
in the MA Plan that has integrated prescription drug coverage
What is Medicare Part D?
-An involuntary program that requires an additional monthly premium.
-A voluntary program, offered by private insurance companies that are contracted with
the federal government, that provides prescription drug coverage for an additional
monthly plan premium.
-A program that is automatically available to all eligible consumers at no additional
charge.
-A private health plan option that provides catastrophic hospital coverage for consumers
who are enrolled in both Medicare Part A and Medicare Part B. - Answers -A voluntary
program, offered by private insurance companies that are contracted with the federal
government, that provides prescription drug coverage for an additional monthly plan
premium.
Which consumer is eligible for a stand-alone Medicare Prescription Drug Plan?
-Joseph, who is enrolled in Medicare Part A and Medicare Part B and resides in the
plan's service area.
-Alice, who is enrolled only in Medicare Part A, but does not reside in the plan's service
area.
-Alvin, who is enrolled only in Medicare Part B, but does not reside in the plan's service
area.
-Sharon, who is not enrolled in Medicare Part A or Medicare Part B, and resides in the
plan's service area. - Answers -Joseph, who is enrolled in Medicare Part A and
Medicare Part B and resides in the plan's service area.
Aside from a Medicare Advantage Plan or other health plan that includes prescription
drug coverage, how else could a Medicare-eligible consumer get Part D prescription
drug coverage?
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller GEEKA. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
67096 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now