#1
What is Medicare Advantage?
A type of Medicare plan offered by private insurance companies that provides both Part A and Part B coverage
ExplanationPrivately offered plan combining Part A and Part B coverage.
#2
What does Part D of Medicare cover?
Prescription drugs
ExplanationCoverage for prescription medications.
#3
What is the initial enrollment period for Medicare?
6 months after turning 65
Explanation6-month period starting at age 65.
#4
Which Medicare Part covers hospital stays?
Part A
ExplanationPart A covers hospital stays.
#5
Which organization is responsible for administering the Medicare program?
Centers for Medicare & Medicaid Services (CMS)
ExplanationCMS administers the Medicare program.
#6
Which of the following is NOT a factor in determining eligibility for Medicare?
Marital status
ExplanationMarital status does not affect Medicare eligibility.
#7
Which of the following is a characteristic of Medicare Advantage plans?
They typically have lower out-of-pocket costs than Original Medicare
ExplanationUsually lower out-of-pocket costs compared to Original Medicare.
#8
What is the 'donut hole' in Medicare Part D coverage?
A gap in coverage where beneficiaries pay higher out-of-pocket costs for prescription drugs
ExplanationCoverage gap with higher out-of-pocket costs for drugs.
#9
What is the Medicare Advantage Open Enrollment Period?
A period during which Medicare beneficiaries can switch between Original Medicare and Medicare Advantage plans
ExplanationTimeframe to switch between Original Medicare and Medicare Advantage.
#10
Which of the following is NOT a type of Medicare Advantage plan?
Medigap Plan
ExplanationMedigap plans are not Medicare Advantage plans.
#11
Which of the following is TRUE about Medicare Part D plans?
They vary in coverage and formulary depending on the specific plan chosen
ExplanationCoverage and formulary vary by specific plan.
#12
What does Medicare Advantage Plan's out-of-pocket maximum limit?
Varies by plan
ExplanationOut-of-pocket limit varies depending on the plan.
#13
Which federal agency oversees the Medicare program?
Department of Health and Human Services (HHS)
ExplanationMedicare overseen by HHS.
#14
What is the income-related monthly adjustment amount (IRMAA) in Medicare?
A premium surcharge for higher-income Medicare beneficiaries
ExplanationPremium surcharge for higher-income beneficiaries.
#15
What is the purpose of a Medicare Special Needs Plan (SNP)?
To serve individuals with specific health conditions or characteristics
ExplanationServes those with specific health conditions.
#16
What is the penalty for not enrolling in Medicare Part D when first eligible?
10% increase in premium for every month delayed
Explanation10% premium increase for delayed enrollment.
#17
Which of the following is NOT a factor in determining Medicare Part D premiums?
Health status
ExplanationHealth status is not a factor in Part D premiums.