Medicare Basics: Understanding Part A, Part B, and Medicare Advantage Plans, Exams of Nursing

Download Medicare Basics: Understanding Part A, Part B, and Medicare Advantage Plans and more Exams Nursing in PDF only on Docsity! UHC Medicare Basics Test 2024-25 (21 Questions with Answers). Joseph has Original Medicare and was a patient in the hospital last week. What part of Medicare helps cover the costs of his inpatient hospital stay? Correct ans - Part A Which statement is true about members of a Medicare Advantage (MA) Plan who want to enroll in a Medicare Supplement Insurance Plan? Correct ans - The consumer must be in a valid MA election or disenrollment period. Being 65 or older, being under 65 years of age with certain disabilities for more than 24 months, and being any age with ESRD or ALS are each eligibility requirements for which program? Correct ans - Original Medicare Which of the following defines a Medicare Advantage (MA) Plan? (Select 2) Correct ans - MA Plans must provide benefits equivalent to Original Medicare, and most plans also offer additional benefits. & MA Plans provide Medicare hospital and medical insurance and often include Medicare prescription drug coverage. Larry wants to enroll in a 2021 Medicare Advantage plan. He has End Stage Renal Disease (permanent kidney failure). What eligibility requirements must he meet? (Select the two answers that apply.) Correct ans - Reside in the plan's service area & Entitled to Medicare Part A and enrolled in Part B Member Doug enrolled in a Health Maintenance Organization (HMO) MA Plan. He saw an out-of-network doctor and received a bill for the entire cost of the visit. Doug called Medicare to complain and stated he was never told about these types of costs. What should the agent have explained better to Doug when he was enrolling in the plan? (Select 3) Correct ans - That Doug must receive covered services from contracted network providers. & That exceptions to the provider network requirement are emergency visits, urgent care and renal dialysis services, which can be obtained from out-of- network providers. & That in most cases, Doug will pay the entire cost of the service if he sees an out-of-network provider. Which of the following is not a correct statement about in-network provider services? Correct ans -