#1
Which of the following is true about Medicare Advantage Plans?
They are offered by private insurance companies approved by Medicare.
ExplanationMedicare Advantage Plans are provided by approved private insurers.
#2
What is the Annual Enrollment Period (AEP) for Medicare Advantage Plans?
October 15 to December 7
ExplanationAEP for Medicare Advantage Plans runs from October 15th to December 7th.
#3
What is the purpose of the Medicare Advantage Disenrollment Period?
To allow individuals to switch from a Medicare Advantage Plan to Original Medicare.
ExplanationThe Disenrollment Period allows switching from Medicare Advantage to Original Medicare.
#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.
ExplanationSEP permits enrollment in Medicare Advantage Plans after AEP.
#5
What is the primary goal of Medicare Advantage Plans?
To reduce healthcare costs for both individuals and the Medicare program.
ExplanationThe main goal is to lower healthcare costs for individuals and Medicare.
#6
What is the main difference between Original Medicare and Medicare Advantage Plans?
Medicare Advantage Plans usually have lower out-of-pocket costs than Original Medicare.
ExplanationMedicare Advantage Plans often have lower costs compared to Original Medicare.
#7
Which of the following services is typically covered by Medicare Advantage Plans?
Emergency care when traveling outside the U.S.
ExplanationMedicare Advantage Plans typically cover emergency care abroad.
#8
Which of the following is a potential disadvantage of Medicare Advantage Plans?
Limited choice of healthcare providers
ExplanationMedicare Advantage Plans may offer a limited choice of providers.
#9
What is the purpose of the Medicare Advantage Special Needs Plans (SNPs)?
To offer specialized care for individuals with certain chronic conditions
ExplanationSNPs provide specialized care for those with specific chronic conditions.
#10
Which of the following is NOT typically covered by Medicare Advantage Plans?
Skilled nursing facility care
ExplanationMedicare Advantage Plans typically don't cover 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.
ExplanationHMOs in Medicare Advantage Plans contract with providers for member care.
#12
What is a common feature of Medicare Advantage Plans?
They include coverage for extra benefits like vision and dental.
ExplanationExtra benefits such as vision and dental coverage are common in Medicare Advantage Plans.
#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.
ExplanationCoverage in Medicare Advantage Plans is typically limited to in-network providers, except in emergencies.
#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
ExplanationThe out-of-pocket maximum is the highest yearly cost for covered services.
#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.
ExplanationEnrolling in both can result in duplicate coverage for prescription drugs.
#16
In Medicare Advantage Plans, what is the role of the Medicare Star Rating system?
To evaluate the quality and performance of Medicare Advantage Plans.
ExplanationThe Star Rating system assesses the quality and performance of Medicare Advantage Plans.
#17
Which federal agency oversees Medicare Advantage Plans?
Centers for Medicare & Medicaid Services (CMS)
ExplanationMedicare Advantage Plans are overseen by the CMS.