Medicare Advantage (Part C) Flashcards
6 cards from real AHIP practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Medicare Advantage (Part C) flashcards as text
Medicare Advantage plans are required to provide an Annual Notice of Change (ANOC) to enrollees by:
Answer: September 30
Plans must mail the ANOC to enrollees by September 30, before the Annual Enrollment Period begins on October 15.
Which of the following extra benefits may Medicare Advantage plans offer that Original Medicare does NOT cover?
Answer: Routine dental, vision, and hearing benefits
MA plans may offer supplemental benefits such as routine dental, vision, hearing, and fitness programs not covered by Original Medicare.
A Medicare Medical Savings Account (MSA) plan combines:
Answer: A high-deductible MA plan with a CMS-funded savings account
MSA plans pair a high-deductible Medicare Advantage plan with a savings account that CMS deposits money into for healthcare expenses.
When a Medicare Advantage plan exits a service area or terminates, enrollees receive a:
Answer: Special Enrollment Period to choose a new plan
Beneficiaries whose MA plan exits a service area or terminates receive an SEP to enroll in another MA plan or return to Original Medicare.
What is 'prior authorization' in the context of Medicare Advantage?
Answer: A plan's requirement to approve certain services before they are provided
Prior authorization is a utilization management tool where the MA plan must approve specific services before they are rendered.
Which federal agency regulates Medicare Advantage plans at the federal level?
Answer: Centers for Medicare & Medicaid Services (CMS)
CMS (Centers for Medicare & Medicaid Services) is the federal agency responsible for overseeing and regulating Medicare Advantage plans.