#1
Which of the following is a key characteristic of Medicare Advantage Plans?
They are administered by private insurance companies approved by Medicare.
ExplanationPrivately administered by Medicare-approved insurers.
#2
What is the main purpose of Medicare Advantage Plans?
To offer an alternative to Original Medicare, providing all Part A and Part B benefits through a private insurer.
ExplanationProvides Part A and Part B benefits through private insurers.
#3
Which of the following is NOT a requirement for Medicare Advantage Plans?
Coverage for long-term care services.
ExplanationLong-term care coverage is not required.
#4
What is the annual election period for Medicare Advantage Plans?
October 15 - December 7
ExplanationAnnual enrollment period: October 15 - December 7.
#5
What is the maximum out-of-pocket limit for Medicare Advantage Plans in 2024?
$6,700
ExplanationMaximum out-of-pocket limit: $6,700.
#6
Which of the following statements regarding compliance in sales practices for Medicare Advantage Plans is true?
Sales agents must follow strict guidelines outlined by the Centers for Medicare & Medicaid Services (CMS).
ExplanationAgents must adhere to CMS guidelines for sales practices.
#7
What is the penalty for non-compliance with sales practices regulations for Medicare Advantage Plans?
Sanctions against the insurance company and sales agents.
ExplanationSanctions against insurers and agents for non-compliance.
#8
Which of the following individuals is NOT eligible for a Medicare Advantage Plan?
An individual with end-stage renal disease (ESRD) requiring dialysis.
ExplanationNot eligible: ESRD patients needing dialysis.
#9
What is the purpose of a Special Enrollment Period (SEP) for Medicare Advantage Plans?
To allow beneficiaries to enroll or make changes to their Medicare Advantage coverage outside of the initial enrollment periods.
ExplanationAllows enrollment or changes outside initial periods.
#10
In which month does the Annual Notice of Change (ANOC) typically arrive for Medicare Advantage Plan enrollees?
September
ExplanationANOC typically arrives in September.
#11
Which organization oversees compliance with sales practices regulations for Medicare Advantage Plans?
Centers for Medicare & Medicaid Services (CMS)
ExplanationCMS oversees compliance with sales practices.
#12
Which of the following is NOT a type of Medicare Advantage Plan?
Medigap Supplement Plan
ExplanationMedigap Supplement Plans are not part of Medicare Advantage.
#13
Which of the following statements regarding out-of-network coverage in Medicare Advantage Plans is true?
Coverage for out-of-network services varies depending on the specific plan.
ExplanationOut-of-network coverage varies by plan.
#14
Which of the following is NOT a factor to consider when comparing Medicare Advantage Plans?
Enrollment period
ExplanationEnrollment period is not a comparative factor.
#15
Which of the following is a factor that can affect the cost of a Medicare Advantage Plan?
Income level
ExplanationCosts can vary based on income level.