#1
1. What is a Medigap plan designed to do?
Fill in the gaps of Original Medicare coverage
ExplanationSupplemental insurance to cover expenses not covered by Original Medicare.
#2
2. Which government program provides health coverage for low-income seniors?
Medicaid
ExplanationGovernment assistance program for health coverage targeted at low-income individuals, including seniors.
#3
13. When is the initial enrollment period for Medicare?
Age 65
ExplanationThe designated period around an individual's 65th birthday to enroll in Medicare.
#4
14. Which part of Medicare covers inpatient hospital stays?
Part A
ExplanationPart of Medicare focusing on coverage for inpatient hospital stays.
#5
3. What is the main purpose of a Medicare Advantage plan?
Combine hospital and medical coverage into one plan
ExplanationConsolidates hospital and medical coverage into a single plan, often offered by private insurers.
#6
4. In Medicare, what does Part D primarily cover?
Prescription drugs
ExplanationSpecifically addresses coverage for prescription medications within the Medicare program.
#7
6. What is the enrollment period for Medicare Advantage Plans?
October 15 - December 7
ExplanationSpecific period during which individuals can enroll in or make changes to Medicare Advantage Plans.
#8
7. Which Medicare plan covers skilled nursing facility care after the first 20 days?
Medicare Part A
ExplanationPart of Medicare providing coverage for skilled nursing facility care after an initial period.
#9
8. What is the purpose of the Annual Enrollment Period (AEP) for Medicare Advantage and Medicare prescription drug coverage?
To switch plans or make changes to coverage
ExplanationDesignated time for beneficiaries to make changes or switch plans for the upcoming year.
#10
5. Which of the following is not a factor that can affect Medicare supplement insurance premiums?
Income level
ExplanationUnlike some factors, income level typically does not impact premiums for Medicare supplement insurance.
#11
9. Which of the following is true about Medicare Supplement Insurance (Medigap) plans?
They help pay for out-of-pocket costs of Original Medicare
ExplanationDesigned to assist in covering costs that Original Medicare does not.
#12
10. What is the 'doughnut hole' in Medicare Part D coverage?
The coverage gap where the beneficiary pays more for prescription drugs
ExplanationA gap in prescription drug coverage where beneficiaries incur higher costs.
#13
11. What is the primary function of a Long-Term Care Insurance policy?
Providing financial protection for extended care needs
ExplanationInsurance designed to offer financial support for extended care requirements.
#14
12. Which of the following statements is correct regarding Medicare Part C (Medicare Advantage) plans?
They are offered by private insurance companies approved by Medicare
ExplanationPrivate insurance plans approved by Medicare, offering an alternative to Original Medicare.