#1
Which of the following is true about Medicare Advantage plans?
They are administered by private insurance companies.
They are part of the original Medicare program.
They only cover hospital stays.
They are free for all Medicare beneficiaries.
#2
What is the initial enrollment period for Medicare Part D?
6 months after turning 65.
3 months before turning 65.
During open enrollment period.
7 months after turning 65.
#3
Which of the following is NOT a part of Medicare Part D coverage?
Generic drugs
Brand-name drugs
Over-the-counter medications
Specialty drugs
#4
When does the Annual Election Period (AEP) for Medicare Advantage and Part D plans typically occur?
January 1st to March 31st
April 1st to June 30th
October 15th to December 7th
July 1st to September 30th
#5
What is the 'star rating' system used for in Medicare Advantage plans?
To determine eligibility
To measure plan quality and performance
To calculate premiums
To provide discounts on medications
#6
Which of the following is NOT a factor to consider when choosing a Medicare Advantage plan?
Prescription drug coverage.
Doctor and hospital choice.
Travel benefits.
Income level.
#7
What is the late enrollment penalty for Medicare Part D?
10% of the premium.
5% of the premium.
1% of the premium.
1% of the national average premium.
#8
What is the difference between Medicare Advantage and Original Medicare?
Medicare Advantage covers prescription drugs, while Original Medicare does not.
Original Medicare covers dental and vision, while Medicare Advantage does not.
Medicare Advantage plans are administered by private insurance companies, while Original Medicare is administered by the government.
There is no difference between Medicare Advantage and Original Medicare.
#9
What is the maximum out-of-pocket limit for Medicare Advantage plans in 2024?
$5,000
$6,700
$10,000
There is no out-of-pocket limit.
#10
What is the role of the Centers for Medicare & Medicaid Services (CMS) in Medicare Advantage and Part D plans?
Setting premiums for plans
Enrolling beneficiaries directly
Regulating and overseeing the plans
Providing medical services
#11
In what circumstance can one enroll in a Special Enrollment Period for Medicare Advantage?
Changing primary care physicians.
Moving to a new state.
Losing employer-sponsored health coverage.
Being dissatisfied with current coverage.
#12
What is the primary purpose of Medicare Part D plans?
To cover hospital stays
To provide dental and vision coverage
To offer prescription drug coverage
To cover preventive services
#13
What is the 'initial coverage limit' in Medicare Part D?
The amount of money beneficiaries must pay out of pocket before coverage begins
The maximum amount a plan will pay for covered medications
The total amount of prescription drug costs covered by the plan before entering the coverage gap
The period during which beneficiaries can switch plans
#14
What is the purpose of the Special Needs Plan (SNP) in Medicare Advantage?
To provide coverage for beneficiaries with chronic illnesses
To offer supplemental benefits to low-income beneficiaries
To tailor coverage to beneficiaries with specific health needs
To provide coverage for beneficiaries living in rural areas
#15
Which of the following is NOT a requirement for Medicare Advantage plans?
Covering all services provided by Original Medicare
Including prescription drug coverage
Offering out-of-pocket maximum limits
Providing coverage for emergency care worldwide