2024 Medicare basics assessment/MA
(non-SNP)
Which statement is true about a member of a Medicare vantage in a plan who
wants to enroll in a Medicare supplement insurance plan? - ANS When a
consumer enroll in a Medicare supplement insurance plan, they are not
automatically disenrolled from their in MA plan
Provided other eligibility requirements are met who is eligible for Medicare - ANS
Consumers age 65 or older, consumers under 65 years of age with a qualifying
disability and consumers of all ages with ESRD or ALS who are receiving Social
Security Disability Insurance (SSDI) for ALS.
Which of the following defines a Medicare advantage, MA plan - ANS provided
Which of the following best describes eligibility to enroll in an MA plan - ANS
Entitled to Part A and enrolled in part B reside in Plains Service area may have
pre-existing conditions, such as ESRD
Which of the following statement is correct about HMO MA plans - ANS Members
must receive covert services from contracted network providers with limited
exceptions
Which of the following are MA plans to focus on using network providers to
maximize the benefits and reduce out of network expenses - ANS HMO POS PPO
When is Mary's Medicare supplement open enrollment? If she turns 65 on
September 23, 2023 and her Medicare part B a fact it is September 1, 2023. - ANS
September 2023 through February 2024
Jennifer is enrolling into a Medicare advantage ma plan he wants to know what
counts toward the out-of-pocket maximum which of the following is accurate -
ANS The out-of-pocket maximum will include her cost toward any Medicare
covered part, a or B services, but does not include the cost of any plan premiums
, Margaret currently has an MAPD plan what would happen if you enrolled her into
a standalone PDP - ANS She would be disenrolled automatically from her MAPD
What is Medicare Part D? - ANS 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 of the following is a fact about the Medicare prescription drug plan? - ANS
To enroll, the consumer must reside in the plans service area
Aside from a Medicare advantage, plan or other health plan that includes
prescription drug coverage house cut a Medicare - eligible consumer, get part D
prescription drug coverage - ANS They can enroll in a standalone Medicare
prescription drug plan PDP
Which of the following statements accurately describes a prescription drug stage
- ANS Starting in 2024, the catastrophic coverage stage is when the member will
pay nothing for covered drugs for the remainder of the plan year.
Which of these statements is not true about the drug utilization management UM
rules? - ANS if a medication has a UM rule the member will not be able to get that
medication
Which of the following best describes the late enrollment penalty LEP - ANS 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.
How does a consumer who qualifies for a low income subsidy receive financial
assistance for their part of Medicare part D cost? - ANS Through subsidies, such
as lower or no monthly plan, premiums and lower or no copayments
Which of the following is a characteristic of a drug tier - ANS All the drugs in the
tier the same copayments or coinsurance
In states for Medicare supplement insurance underwriting criteria can apply all of
the following underwriting criteria apply except - ANS Most consumers who are
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