Medicare Introduction Practice Test

These questions are part of the practice quiz. Start practicing

• What is the difference between inpatient and outpatient care in terms of Medicare coverage?
• When is the Part B deductible paid?
• Which Medicare Advantage plan type is noted as being offered mainly in very rural areas?
• Which of the following is a potential feature of a Special Needs Plan?
• Which program is not regulated by CMS according to the source?
• Which program’s name includes PDP?
• Which of the following is NOT a qualifier for Special Needs Plans?
• Who offers Medicare?
• What triggers Part A coverage under the benefit period?
• Which statement is true about the service area of Special Needs Plans?
• What is true of Alliance Telesales Agents?
• What does 'coordination of benefits' involve in Medicare?
• What happens if an agent is not ready to sell and attempts a sale?
• What does Medicare Part B primarily cover?
• Which statement about PDP costs is true?
• What does creditable prescription drug coverage mean for Part D enrollment?
• Which statement best describes why someone would consider a Medicare Supplement plan?
• What does 'outpatient' mean in the context of Part B?
• What triggers a Special Enrollment Period for Part D?
• Which geographic scope is commonly associated with Special Needs Plans’ service area?
• Which term describes CMS's role?
• Which option represents MA/PDP sales assistance in the dialing options?
• Are rehabilitative services in a skilled nursing facility (SNF) covered, and under which part?
• Medicare Advantage plans often include additional benefits such as dental, vision, or hearing coverage.
• Which of the following is a con of Medicare Part B?
• Where can you find official plan information and plan comparison tools?
• Does Original Medicare require a yearly out-of-pocket maximum?
• Which statement accurately describes eligibility for premium-free Medicare Part A?
• Which statement is a pro of Medicare Part B?
• Which statement describes readiness to sell for an agent?
• What is Medicare.gov, and what can you do there?
• Do Medicare Supplement plans include prescription drug coverage by default?
• What is sales enablement?
• Which statement best describes the typical process to enroll in Medicare for the first time?
• In Medicare terminology, what does coinsurance mean?
• What can trigger a Special Enrollment Period (SEP) for Medicare Part B?
• Which statement best describes PDP eligibility requirements?
• For a beneficiary enrolled in a Medicare Advantage plan, what does the plan network imply?
• Who offers Medicare Advantage plans?
• Which is a reason to choose a PDP?
• How are Part B premiums typically paid?
• What should you not be looking up in MARX?
• Which statement is true about Medicare Part A?
• In Original Medicare, how are costs typically shared between the government and the beneficiary?
• How does employer or union group coverage affect Part B enrollment timing?
• During the Part D coverage gap, what describes the beneficiary's costs?
• Which group is employees of UHC?
• Which plan design provides Parts A, B, and D in one integrated plan?
• Which statement about Part A and Part B premiums is true?
• In the context of the material, what does PCL stand for?
• What is a possible penalty if someone delays enrolling in Part B?
• Which Part B preventive services are generally provided at no cost to the beneficiary?
• What is the correct order of the four steps for sales agents?
• Can you see any doctor who accepts Medicare with a Medicare Supplement plan?
• How many Medicare beneficiaries does the company serve?
• What does dual eligibility mean in Medicare?
• How do Part A and Part B together define Original Medicare?
• Which statement best describes Medicare Supplement Plans?
• Which describes EDC Agents?
• How are hospital stays billed under Medicare?
• Which statement is a con of Medicare Part A?
• Higher star ratings matter because...
• Which statement correctly describes aging into Medicare eligibility?
• If you sign up during the General Enrollment Period, when does Part B coverage begin?
• Which scenario qualifies for Medicare before age 65 due to disability?
• When does coinsurance apply in Medicare?
• What are the two types of PDP plans?
• Do Medicare Advantage plans always include prescription drug coverage?
• How does Part D relate to prescription drug needs for someone with chronic conditions?
• Which statement best describes Medigap in relation to Original Medicare?
• What happens at catastrophic coverage in Part D?
• In a Private Fee-For-Service (PFFS) plan, who are deemed providers?
• A Special Election Period (SEP) is created after a life event. Which of the following is an example of such an event?
• What is a contract?
• What does tele sales refer to?
• Medicare Part C is commonly known as what?
• What is the purpose of CMS star ratings?
• How do Medicare Supplement plans typically address Part B coinsurance?
• Which statement is true about Part B enrollment?
• Which type of plan almost always includes a drug coverage plan?
• Which services are typically covered under Part B but not under Part A?
• Which statement about Medicare Advantage plan premiums is true?
• What is the purpose of the Explanation of Benefits (EOB) or Medicare Summary Notice (MSN)?
• In Medicare Part D, what is a formulary and what do drug tiers determine?
• Which are the four types of Medicare Advantage plans?
• What is Medicare Part D commonly referred to as?
• How does an MA-PD plan differ from a standalone Part D plan?
• What is Plan G?
• Medicare Supplement plans typically have which premium characteristic?
• Which statement about certifications is accurate?
• What is a 'benefit period' in Part A, and how is it determined?
• Which of the following is NOT listed as a type of Special Needs Plan?
• Do Medicare Advantage plans have an out-of-pocket maximum for covered services?
• Which Medicare part covers hospital visits?
• Which services are included in Medicare Part B?
• Which program is provided by the federal government?
• Which enrollment period allows switching MA plans or Part D plans, including MA Open Enrollment?
• Which option is not a recognized Medicare eligibility pathway?
• Why must agents complete certifications for all products they have members enrolled in?
• In a Private Fee-For-Service (PFFS) plan, which statement is true?
• In the set of dialing options, which option corresponds to Member Services?
• What does a Medicare Supplement (MedSupp) plan primarily do?
• What does SEP stand for?
• What does 'inpatient' mean in the context of Part A?
• Which statement best describes what comes with most Medicare Advantage plans?
• How are Part D late enrollment penalties handled if you switch plans or enroll on time?
• What is the Medicare contact phone number listed?
• Which statement is true about ICA Agents?
• What is the typical service area for a Special Needs Plan?
• Under an HMO plan, which statement is true?
• Which of the following most accurately describes who would likely qualify for Special Needs Plans?
• What are the eligibility requirements for enrolling in a PDP?
• Which attribute may be present in a Special Needs Plan regarding drug coverage?
• What is Medicare Part D?
• What is the Initial Enrollment Period (IEP) in Medicare typically associated with?
• What does Medicare Part A primarily cover?
• Which option best describes how to verify upcoming year formulary changes for your plan?
• Which statement describes a disadvantage of PDP plans?
• Which condition qualifies for Medicare eligibility before 65 besides disability?
• Which dialing option should be selected for Commission inquiries?
• Which insurer is the only provider carrying the AARP brand for Medicare products?
• What best describes the role of Medigap plans in relation to Original Medicare cost-sharing?
• Which condition makes someone eligible for Part A of Medicare?
• SNF rehabilitative services coverage requires?
• How long is the Initial Enrollment Period for Part A and Part B?
• If you lose credible prescription drug coverage, you may qualify for which Medicare Part D enrollment event?
• What is the Patriot Plan?
• Which of the following statements about home health services is true?
• What is the Part A deductible?
• What does the Medicare Savings Program (MSP) provide?
• Which of the following statements is true about eligibility for Medicare Advantage?
• Which agency or process is typically used to enroll in Medicare for the first time?
• Which of the following is true of standalone Part D plans with Original Medicare?
• What statement best describes the relationship between Original Medicare and Medigap?
• Which statement correctly describes the Part D donut hole?
• What is the difference between a copayment and coinsurance?
• Which statement about higher star ratings effect on plans is true?
• Medicare Supplement plans are also known as what?
• Which statement about Part A and Part B is true about their US-wide consistency?
• What are the primary sources of payment for Medicare Part B?
• Can you have a Medigap policy if you are enrolled in a Medicare Advantage plan?
• What percentage of our members are enrolled in a 4-star plan or higher?
• In Minnesota, what is the minimum age for AARP Medicare Supplement eligibility?
• How is the Part B late enrollment penalty calculated and Applied?
• What are the three roles of CMS?
• Which statement about Part B enrollment is true for individuals receiving Social Security benefits?
• In which enrollment periods can a person switch MA plans or Part D plans?
• Which program is regulated jointly by CMS and the state governments?
• How does a Medigap plan interact with Original Medicare?
• During SEP, what may be assessed if not enrolled when eligible?
• What is the purpose of the Annual Notice of Change issued by MA and Part D plans?
• Dual eligibility typically results in additional assistance with which costs?
• Which is a valid Medicare eligibility pathway by age?
• To enroll in Medicare plans, you generally need which parts?
• The Initial Enrollment Period spans which months around your birthday?
• Which statement about Part B is true regarding coverage outside the US?
• Which statement is true about formulary coverage in PDPs?
• Does Medicare usually cover medical care outside the United States?
• Which statement best describes premium-free Part A eligibility in relation to disability or ESRD?
• Which statement best describes Special Needs Plans regarding Part D?
• What is the relationship between dual-eligibles and Medicaid qualification for Medicare costs?
• Why might someone choose a Medicare Advantage plan instead of Original Medicare with a Medigap policy?
• When is the General Enrollment Period (GEP) and when does coverage start if you sign up then?
• How is Medicare commonly described?
• Approximately how many active agents are selling UHC Medicare products?
• Which statement accurately describes POS plans?
• Which statement accurately describes ISR Agents?
• Who offers Prescription Drug Plans (PDPs)?
• How can someone qualify for Medicaid to help with Medicare costs?
• Which feature is commonly associated with Medicare Advantage plans compared to Original Medicare with Medigap?
• Which describes IMO Agents?
• Which statement accurately describes Medicare Part C?
• Which costs does MSP help pay for eligible individuals?
• What can cause the PDP formulary to change?
• Which of the following is commonly required to be eligible for an AARP Medicare Supplement?
• Which statement is true about PPO plans?
• What does HIPAA stand for?