AHIP Medicare Advantage (Part C) 3

Question 1

Medicare Advantage plans are required to provide an Annual Notice of Change (ANOC) to enrollees by:

Accepted Answer

September 30

Answer

December 31

Answer

October 1

Answer

November 15

Question 2

Which of the following extra benefits may Medicare Advantage plans offer that Original Medicare does NOT cover?

Accepted Answer

Routine dental, vision, and hearing benefits

Answer

Emergency room visits

Answer

Inpatient hospital care

Answer

Hospice care

Question 3

A Medicare Medical Savings Account (MSA) plan combines:

Accepted Answer

A high-deductible MA plan with a CMS-funded savings account

Answer

A Part D drug plan with a Medigap policy

Answer

An HMO with a health reimbursement arrangement

Answer

A PPO with an employer health savings account

Question 4

When a Medicare Advantage plan exits a service area or terminates, enrollees receive a:

Accepted Answer

Special Enrollment Period to choose a new plan

Answer

Permanent loss of Medicare coverage

Answer

Automatic enrollment in Original Medicare with no other options

Answer

Mandatory enrollment in the plan's replacement product

Question 5

What is 'prior authorization' in the context of Medicare Advantage?

Accepted Answer

A plan's requirement to approve certain services before they are provided

Answer

A CMS approval needed before a plan can be sold

Answer

A beneficiary's right to override a denial

Answer

A mandatory second-opinion process

Question 6

Which federal agency regulates Medicare Advantage plans at the federal level?

Accepted Answer

Centers for Medicare & Medicaid Services (CMS)

Answer

Department of Labor (DOL)

Answer

State Insurance Departments

Answer

Office of Personnel Management (OPM)