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

Plans must mail the ANOC to enrollees by September 30, before the Annual Enrollment Period begins on October 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

MA plans may offer supplemental benefits such as routine dental, vision, hearing, and fitness programs not covered by Original Medicare.

Question 3

A Medicare Medical Savings Account (MSA) plan combines:

Accepted Answer

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

Answer

MSA plans pair a high-deductible Medicare Advantage plan with a savings account that CMS deposits money into for healthcare expenses.

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

Beneficiaries whose MA plan exits a service area or terminates receive an SEP to enroll in another MA plan or return to Original Medicare.

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

Prior authorization is a utilization management tool where the MA plan must approve specific services before they are rendered.

AHIP - America's Health Insurance Plans Practice Test