4 - Medicare Part C Flashcards
Medicare specifically would not approve of ____________ if the individual had Medicare Part A and B as their coverage. Since it would not be approved, the Medicare Advantage (MA) Plan cannot cover it either.
-elective cosmetic surgery
K enrolled in a Medicare Advantage (MA) Plan and has been enrolled for two (2) years. So far K has not used any benefits from his plan. With this in mind which of the following statements is true?
-The Medicare Advantage Plan will keep 100% of the amounts paid by Medicare
Medicare Part C eliminates the need for a Medicare Supplement plan. By law, enrollees cannot be sold a ___________.
-Medicare Supplement Plan
_______ is NOT required to be provided by a Medicare Advantage (MA) Plan
-Prescription Drug Coverage
A Medicare Advantage (Medicare Part C) program MUST provide all of the following benefits:
- Doctors Services
- Surgeon Services
- Hospital Benefits
What services will a MA plan not cover?
-Hospice Care
An enrollee in a Medicare Advantage (MA) Plan can switch plans each year during which of the following “Open Enrollment” periods?
-October 15th through December 7th
_____ is the one medical condition that will prevent a Medicare Beneficiary from enrolling in a Medicare Advantage Plan.
-End Stage Renal Disease
S has been in a Medicare Advantage (MA) Plan since becoming eligible for Medicare and is very satisfied with the services. Unfortunately S learns that his Medicare Advantage (MA) Plan is being discontinued. He is informed that there is not another Medicare Advantage (MA) Plan in his town. What can Sammy do?
-S can go to Original Medicare without a penalty or waiting period
Types of Medicare Advantage Plans:
- HMO
- PPO
