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Medicare Advantage (MA) Enrollment and Coverage Considerations Quiz

#1

In which year did the Medicare Advantage (MA) program begin?

2003
Explanation

Started in 2003.

#2

Which of the following healthcare services is typically covered by Medicare Advantage plans?

Emergency room visits
Explanation

Emergency room visits are usually covered.

#3

Which part of Medicare covers hospital stays under Medicare Advantage plans?

Part C
Explanation

Hospital stays covered under Part C.

#4

What is the primary difference between Original Medicare and Medicare Advantage?

Participation in managed care plans
Explanation

Difference lies in managed care participation.

#5

Which government agency oversees the Medicare Advantage program?

Centers for Medicare & Medicaid Services (CMS)
Explanation

Overseen by CMS.

#6

What is the maximum out-of-pocket limit for Medicare Advantage plans in 2024?

$7,550
Explanation

Max out-of-pocket limit is $7,550.

#7

What is the purpose of the Star Ratings system for Medicare Advantage plans?

To assess plan quality and performance
Explanation

Evaluates plan quality and performance.

#8

What is the key feature of a Health Maintenance Organization (HMO) plan within Medicare Advantage?

Primary care physician referral requirement
Explanation

Requires primary care physician referrals.

#9

Which of the following is not typically covered by Medicare Advantage plans?

Fitness club memberships
Explanation

Fitness club memberships not covered.

#10

What is the Annual Enrollment Period (AEP) for Medicare Advantage plans?

October 15 - December 7
Explanation

Runs from October 15 to December 7.

#11

Which of the following is a key feature of Medicare Advantage Special Needs Plans (SNPs)?

Targeted to individuals with specific health conditions or characteristics
Explanation

Tailored for specific health needs.

#12

During which period can individuals switch from one Medicare Advantage plan to another?

Special Enrollment Period (SEP)
Explanation

Switching period is SEP.

#13

Which federal program is designed to help low-income individuals with their Medicare costs, including Medicare Advantage premiums?

Medicaid
Explanation

Medicaid assists with Medicare costs.

#14

What is the grace period for individuals to disenroll from a Medicare Advantage plan after the Annual Enrollment Period (AEP)?

30 days
Explanation

30-day disenrollment grace period.

#15

What is the primary advantage of a Preferred Provider Organization (PPO) plan within Medicare Advantage?

Out-of-network coverage
Explanation

Provides out-of-network coverage.

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