#1
What is a Medicare Advantage plan?
A plan that provides extra benefits beyond original Medicare
ExplanationOffers additional benefits beyond basic Medicare coverage
#2
What is a Special Needs Plan (SNP) in Medicare?
A plan for individuals with chronic illnesses or specific disabilities
ExplanationTailored plan for individuals with chronic illnesses or disabilities
#3
Which federal agency oversees Medicare Advantage plans?
Centers for Medicare & Medicaid Services (CMS)
ExplanationCMS oversees MA plans
#4
Which of the following is typically not covered by Medicare Advantage plans?
Routine dental care
ExplanationRoutine dental care is usually not covered
#5
What is the primary goal of Medicare Advantage plans?
To reduce healthcare costs for beneficiaries
ExplanationGoal is to lower healthcare costs for beneficiaries
#6
What is the main advantage of enrolling in a Medicare Advantage plan?
Access to a wider network of healthcare providers
ExplanationAccess to broader network of healthcare providers
#7
What is the primary difference between Medicare Advantage and Original Medicare?
Medicare Advantage provides additional benefits, while Original Medicare does not
ExplanationMA provides extra benefits; Original Medicare does not
#8
Which of the following is NOT a common type of Medicare Special Needs Plan?
Dental SNP
ExplanationDental SNP is not a common type of SNP
#9
What is the role of the Medicare Advantage Open Enrollment Period?
To allow beneficiaries to make changes to their Medicare Advantage coverage
ExplanationAllows changes to Medicare Advantage coverage
#10
What is the purpose of a Special Needs Plan for dual-eligible individuals?
To coordinate benefits between Medicare and Medicaid
ExplanationCoordinates benefits between Medicare and Medicaid
#11
What is a key feature of a Chronic Condition Special Needs Plan (SNP)?
It focuses on individuals with specific chronic illnesses
ExplanationTargets individuals with specific chronic conditions
#12
Which of the following is a characteristic of a Dual Eligible Special Needs Plan (D-SNP)?
It provides coverage for individuals who are eligible for both Medicare and Medicaid
ExplanationProvides coverage for those eligible for both Medicare and Medicaid
#13
In Medicare Advantage, what does the term 'out-of-pocket maximum' refer to?
The most you have to pay for covered services in a plan year
ExplanationMaximum amount payable for covered services