AHIP Medicare Supplement (Medigap) Plans 3

Question 1

What is a Medicare SELECT plan?

Accepted Answer

A type of Medigap policy that requires use of specific network providers to receive full benefits

Answer

A type of Medicare Advantage plan with enhanced supplemental benefits

Answer

A Medigap plan available exclusively to low-income Medicare beneficiaries

Answer

A federally managed plan with premiums standardized across all states

Question 2

What is the 'free-look' period for a newly purchased Medigap policy?

Accepted Answer

30 days from the date of policy delivery, with a full premium refund

Answer

7 days from the date of policy delivery

Answer

60 days from the effective date, with a partial refund

Answer

There is no free-look period mandated for Medigap policies

Question 3

Which Medigap plans include coverage for foreign travel emergency care?

Accepted Answer

Plans C, D, F, G, M, and N cover foreign travel emergency care up to plan limits

Answer

Only Medigap Plan F covers foreign travel emergencies

Answer

All 10 standardized Medigap plans include foreign travel emergency coverage

Answer

No standardized Medigap plan includes foreign travel emergency coverage

Question 4

If a Medicare beneficiary has a Medigap policy and receives Medicare-covered services, in what order do the payers pay?

Accepted Answer

Medicare pays first as the primary payer, then the Medigap insurer pays the remaining covered costs

Answer

The Medigap insurer pays first, then Medicare pays the remaining balance

Answer

The beneficiary pays all costs out-of-pocket first, then receives reimbursement from Medigap

Answer

Medicare and the Medigap insurer each pay 50% of costs simultaneously

Question 5

A beneficiary wants to leave their Medicare Advantage plan and enroll in Original Medicare plus a Medigap plan outside of a guaranteed issue period. What should they know?

Accepted Answer

They may face medical underwriting, and insurers may deny coverage or charge higher premiums

Answer

They retain guaranteed issue rights any time they leave a Medicare Advantage plan

Answer

Medicare Advantage and Medigap can be maintained simultaneously to maximize coverage

Answer

They must wait until they turn 70 before they can apply for a Medigap plan

Question 6

Medigap Plans K and L have an annual out-of-pocket limit. Once a beneficiary reaches this limit, what benefit applies for the rest of the calendar year?

Accepted Answer

The plan pays 100% of covered Medicare costs for the remainder of the calendar year

Answer

Coverage automatically converts to the more comprehensive Plan G benefits

Answer

Monthly premiums are waived for the remainder of the calendar year

Answer

The beneficiary must purchase a supplemental rider to obtain additional coverage

Question 7

Which of the following statements about a beneficiary who is eligible for both Medigap and Medicaid is CORRECT?

Accepted Answer

A Medigap policy is typically unnecessary when Medicaid is available, as Medicaid covers most Medicare cost-sharing

Answer

Beneficiaries cannot legally hold both Medigap and Medicaid coverage at the same time

Answer

Medigap is required by law for all Medicaid recipients to supplement their benefits

Answer

Medigap replaces Medicaid eligibility once a beneficiary enrolls in the plan