#1
Which of the following is true about Medicare Advantage Plans?
They are managed by the federal government.
They provide only hospital insurance (Part A).
They are offered by private insurance companies approved by Medicare.
They cover 100% of all medical expenses.
#2
What is the Annual Enrollment Period (AEP) for Medicare Advantage Plans?
October 15 to December 7
January 1 to March 31
July 1 to September 30
May 1 to June 30
#3
What is the purpose of the Medicare Advantage Disenrollment Period?
To allow individuals to switch from Original Medicare to a Medicare Advantage Plan.
To provide an opportunity for individuals to enroll in a Medicare Supplement Plan.
To allow individuals to switch from a Medicare Advantage Plan to Original Medicare.
To allow individuals to switch between different Medicare Advantage Plans.
#4
What is the purpose of the Special Enrollment Period (SEP) for Medicare Advantage Plans?
To allow individuals to enroll in Medicare Advantage Plans after the Annual Enrollment Period has ended.
To provide an opportunity for individuals to switch from Medicare Advantage Plans to Original Medicare.
To allow individuals to change their Medicare Advantage Plan coverage options.
To offer additional benefits to individuals enrolled in Medicare Advantage Plans.
#5
What is the primary goal of Medicare Advantage Plans?
To provide coverage for all medical expenses with no out-of-pocket costs.
To offer additional benefits not covered by Original Medicare, such as dental and vision.
To reduce healthcare costs for both individuals and the Medicare program.
To limit access to healthcare services for Medicare beneficiaries.
#6
What is the main difference between Original Medicare and Medicare Advantage Plans?
Original Medicare covers prescription drugs, while Medicare Advantage Plans do not.
Medicare Advantage Plans usually have lower out-of-pocket costs than Original Medicare.
Original Medicare offers more flexibility in choosing healthcare providers.
Medicare Advantage Plans are only available to individuals over 75 years old.
#7
Which of the following services is typically covered by Medicare Advantage Plans?
Cosmetic surgery
Routine dental care
Long-term care in a nursing home
Emergency care when traveling outside the U.S.
#8
Which of the following is a potential disadvantage of Medicare Advantage Plans?
Limited choice of healthcare providers
Lower out-of-pocket costs compared to Original Medicare
Coverage for prescription drugs included in all plans
Access to coverage worldwide
#9
What is the purpose of the Medicare Advantage Special Needs Plans (SNPs)?
To provide coverage only for individuals aged 65 and older
To offer specialized care for individuals with certain chronic conditions
To cover only emergency care services
To exclude coverage for prescription drugs
#10
Which of the following is NOT typically covered by Medicare Advantage Plans?
Prescription drugs
Routine eye exams
Hearing aids
Skilled nursing facility care
#11
What is a Health Maintenance Organization (HMO) in the context of Medicare Advantage Plans?
A type of Medicare Advantage Plan that contracts with medical providers to deliver care to members.
A supplemental insurance plan that covers services not included in Original Medicare.
A federal program that provides prescription drug coverage to Medicare beneficiaries.
A government-run healthcare system for individuals aged 65 and older.
#12
What is a common feature of Medicare Advantage Plans?
They have no network restrictions.
They do not require monthly premiums.
They include coverage for extra benefits like vision and dental.
They are not available to individuals with pre-existing conditions.
#13
How does the Medicare Advantage Plan's network affect coverage?
It limits coverage to in-network providers, except in emergencies or urgent care situations.
It expands coverage to all healthcare providers globally.
It removes all coverage limitations, including those related to pre-existing conditions.
It provides coverage only for prescription drugs.
#14
What does the term 'out-of-pocket maximum' refer to in Medicare Advantage Plans?
The maximum amount the insured person can be charged for covered services in a year
The amount the insured person pays for healthcare services before insurance begins to pay
The total amount the insured person must pay for healthcare services annually
The maximum number of times the insured person can visit a doctor in a year
#15
What happens if an individual enrolls in both Medicare Advantage and a separate prescription drug plan (Part D)?
They receive duplicate coverage for prescription drugs.
They are automatically disqualified from Medicare coverage.
They are required to pay double premiums.
They must choose between one or the other during the Annual Enrollment Period.
#16
In Medicare Advantage Plans, what is the role of the Medicare Star Rating system?
To determine eligibility for enrollment in the plan.
To provide financial incentives to insurance companies based on plan performance.
To evaluate the quality and performance of Medicare Advantage Plans.
To set premium rates for Medicare Advantage Plans.
#17
Which federal agency oversees Medicare Advantage Plans?
Centers for Medicare & Medicaid Services (CMS)
Food and Drug Administration (FDA)
Social Security Administration (SSA)
Department of Health and Human Services (HHS)