CMS Medicare Specialist Benefits & Drug Coverage 2

Question 1

Which Medicare plan type combines Part A, Part B, and usually Part D coverage into a single plan?

Accepted Answer

Medicare Part C (Medicare Advantage)

Answer

Medicare Advantage (Part C) plans are offered by private insurers and bundle hospital, medical, and usually drug coverage.

Question 2

A Medicare Advantage plan that requires referrals to see specialists and uses a primary care gatekeeper is called a:

Accepted Answer

HMO

Answer

HMO plans typically require beneficiaries to select a primary care physician and obtain referrals for specialist visits.

Question 3

What is a Special Needs Plan (SNP) designed to do?

Accepted Answer

Tailor benefits to specific groups such as dual-eligibles or those with chronic conditions

Answer

SNPs are a type of Medicare Advantage plan designed to serve beneficiaries with specific needs, such as dual-eligible individuals or those with severe chronic conditions.

Question 4

Which document must Medicare Advantage plans provide annually that summarizes plan costs, benefits, and rules?

Accepted Answer

Annual Notice of Change (ANOC)

Answer

Plans must send an Annual Notice of Change (ANOC) by September 30 each year so beneficiaries can review changes before the Annual Enrollment Period.

Question 5

What is the Medicare Annual Enrollment Period (AEP) for Medicare Advantage and Part D plans?

Accepted Answer

October 15 to December 7

Answer

The AEP runs October 15 through December 7 each year, during which beneficiaries can join, switch, or drop Medicare Advantage or Part D plans.

(CMS) Certified Medicare Specialist Practice Test

(CMS) Certified Medicare Specialist Practice Test

CMS Medicare Specialist Benefits & Drug Coverage 2