#1
Which of the following is a requirement for enrolling in Medicare Advantage?
Being a U.S. citizen or legal resident
ExplanationCitizenship or legal residency is necessary for enrollment.
#2
How often can individuals enroll in or switch Medicare Advantage plans?
Once every year during the Open Enrollment Period
ExplanationYearly enrollment or switching is allowed during the Open Enrollment Period.
#3
During which period can individuals enroll in Medicare Advantage for the first time?
Initial Enrollment Period
ExplanationThe Initial Enrollment Period allows first-time enrollment in Medicare Advantage.
#4
Which of the following statements about Medicare Advantage plans is FALSE?
They cover all the same benefits as Original Medicare.
ExplanationMedicare Advantage plans may offer additional benefits not covered by Original Medicare.
#5
Which federal program is Medicare Advantage part of?
Medicare
ExplanationMedicare Advantage is a part of the Medicare program.
#6
Which of the following is NOT a type of Medicare Advantage plan?
Medicare Part D Plan
ExplanationMedicare Part D is separate from Medicare Advantage plans.
#7
What is the purpose of the Special Enrollment Period (SEP) for Medicare Advantage?
To allow enrollment for individuals who missed the initial enrollment period
ExplanationSEP facilitates enrollment for those who missed the initial period.
#8
Which government agency administers the Medicare Advantage program?
Centers for Medicare & Medicaid Services (CMS)
ExplanationCMS oversees the Medicare Advantage program.
#9
What is the Maximum Out-of-Pocket (MOOP) limit for Medicare Advantage plans in 2022?
$7,550
ExplanationThe MOOP limit for Medicare Advantage plans in 2022 is $7,550.
#10
What is the 'star rating' system used for in Medicare Advantage?
To evaluate the quality and performance of plans
ExplanationStar ratings assess plan quality and performance.
#11
Which of the following statements about Medicare Advantage is TRUE?
It may offer extra benefits beyond Original Medicare, like dental and vision coverage.
ExplanationMedicare Advantage can include additional benefits not in Original Medicare.
#12
Which of the following individuals is generally not eligible for Medicare Advantage?
A 70-year-old U.S. citizen with ESRD
ExplanationThose with End-Stage Renal Disease (ESRD) may face eligibility restrictions.
#13
Which of the following services might be covered by Medicare Advantage plans but not by Original Medicare?
Prescription drugs
ExplanationPrescription drug coverage is often included in Medicare Advantage.
#14
Which of the following factors may affect the availability of Medicare Advantage plans in a certain area?
The population density
ExplanationPopulation density can influence the availability of Medicare Advantage plans.
#15
Which of the following individuals is generally NOT eligible for Medicare Advantage?
An individual with end-stage renal disease (ESRD)
ExplanationIndividuals with ESRD may not be eligible for Medicare Advantage.