#1
Which of the following is a key feature of Medicare Advantage plans?
Coverage for prescription drugs
Hospitalization coverage only
Long-term care coverage
Coverage for dental and vision services
#2
Which government agency administers Medicare Advantage and Special Needs Plans?
Social Security Administration
Department of Health and Human Services
Centers for Medicare & Medicaid Services (CMS)
Food and Drug Administration (FDA)
#3
Which of the following is TRUE about out-of-pocket costs in Medicare Advantage plans?
They are standardized across all plans
They may vary depending on the plan and services received
They are always higher than in Original Medicare
They are covered entirely by Medicare
#4
Which of the following is a benefit of enrolling in a Medicare Advantage plan?
Unlimited coverage for all healthcare services
Access to additional benefits like gym memberships and transportation services
Higher premiums compared to Original Medicare
No coverage for prescription drugs
#5
Which government program funds Medicare Advantage plans?
Medicaid
Social Security
Department of Veterans Affairs
Centers for Medicare & Medicaid Services
#6
Which of the following is a common reason why someone might choose a Medicare Advantage plan over Original Medicare?
Higher premiums
Limited provider network
Additional benefits like dental and vision coverage
Guaranteed acceptance regardless of health status
#7
What is the main difference between Original Medicare and Medicare Advantage plans?
Original Medicare covers more services
Medicare Advantage plans offer additional benefits
There is no difference
Original Medicare is only available to certain individuals
#8
Who is eligible to enroll in a Medicare Special Needs Plan (SNP)?
Anyone eligible for Medicare
Only those with specific health conditions
Only those who are dual-eligible for Medicare and Medicaid
Only those who are age 65 or older
#9
What is the role of a network in a Medicare Advantage plan?
To limit access to healthcare providers
To provide access to a wide range of providers at reduced costs
To offer coverage for only emergency services
To exclude coverage for prescription drugs
#10
How often can individuals switch Medicare Advantage plans?
Once a year during the Annual Enrollment Period
Only if they move to a different state
Every three months
Only if they experience a qualifying life event
#11
What is the purpose of the Star Rating system for Medicare Advantage plans?
To determine eligibility for enrollment
To provide ratings based on customer service
To assess the quality and performance of plans
To set premium prices
#12
During which enrollment period can individuals switch from Original Medicare to a Medicare Advantage plan?
Annual Enrollment Period
Open Enrollment Period
Special Enrollment Period
Initial Enrollment Period
#13
What is the maximum out-of-pocket limit for Medicare Advantage plans in 2024?
$3,400
$5,000
$7,550
There is no maximum limit
#14
What is the purpose of a Dual Eligible Special Needs Plan (D-SNP)?
To provide coverage for individuals with specific chronic illnesses
To offer extra benefits beyond what Original Medicare covers
To provide coverage for those who are eligible for both Medicare and Medicaid
To offer coverage exclusively for vision and dental services
#15
Which of the following is NOT a common type of Medicare Special Needs Plan?
Chronic Condition SNP
Institutional SNP
Dental SNP
Dual Eligible SNP
#16
What is the primary goal of a Chronic Condition Special Needs Plan (C-SNP)?
To provide coverage exclusively for preventive care services
To offer specialized care for individuals with specific health conditions
To limit coverage to hospitalization and emergency services
To provide coverage for individuals with dual eligibility for Medicare and Medicaid
#17
What is the purpose of a Medicare Advantage Special Needs Plan for those with End-Stage Renal Disease (ESRD)?
To offer coverage exclusively for dental and vision services
To provide specialized care for individuals with ESRD
To limit coverage to emergency services only
To exclude coverage for prescription drugs
#18
What happens if someone enrolls in both a Medicare Advantage plan and a Medicare Supplement Insurance (Medigap) policy?
They receive additional benefits from both plans
They must choose one plan to keep and cancel the other
They lose coverage for prescription drugs
They cannot enroll in both simultaneously
#19
Which of the following is NOT a requirement for enrollment in a Medicare Advantage plan?
Being a U.S. citizen or legal resident
Having end-stage renal disease (ESRD)
Living within the plan's service area
Being enrolled in both Medicare Part A and Part B
#20
Which of the following is NOT a type of Medicare Special Needs Plan (SNP)?
Chronic Condition SNP
Institutional SNP
Medigap SNP
Dual Eligible SNP