Which statement is true about a member of a Medicare Advantage plan who wants to enroll?
Asked by: Diamond Considine | Last update: January 27, 2026Score: 4.4/5 (26 votes)
Which statement is true about members of Medicare Advantage plan who want to enroll in Medicare Supplement Insurance Plan?
Which statement is true about members of a Medicare Advantage (MA) Plan who want to enroll in a Medicare Supplement Insurance Plan? Answer- The consumer must be in a valid MA election or disenrollment period.
What is true about a Medicare Advantage plan?
Medicare Advantage plans come with a firm limit on how much you pay for covered medical care every year. That means once you've hit your limit for the year, you don't pay any additional costs on covered medical services. Original Medicare doesn't include this limit.
Which of the following best describes the requirements to enroll in a Medicare Advantage plan?
Medicare Advantage (MA) plans are available to most people with Medicare. To be eligible to join an MA plan, you must be entitled to Medicare Part A (Hospital) and enrolled in Medicare Part B (Medical Insurance). You must also live in the plan's geographic service area.
Which of the following best describes a Medicare Advantage plan?
Medicare Advantage is a Medicare-approved plan from a private company that offers an alternative to Original Medicare for your health and drug coverage. These "bundled" plans include Part A, Part B, and usually Part D.
Medicare Advantage Plans Explained: Switching Rules
What is the biggest disadvantage of the Medicare Advantage plan?
Medicare Advantage Plan Pros And Cons
One disadvantage is that some Medicare Advantage plans may offer fewer options when it comes to doctors and hospitals, as they may have smaller plan networks than Original Medicare.
What is the two midnight rule for Medicare Advantage?
The two-midnight presumption directs medical reviewers to select Original Fee-for-Service Medicare Part A claims for review under a presumption that hospital stays that span two midnights after an inpatient admission are reasonable and necessary Part A payment.
Which of the following is an eligibility requirement for Medicare Advantage plans?
If you want to enroll, you must: Be eligible for Medicare. Be enrolled in both Medicare Part A and Part B (you can check this by referring to your red, white, and blue Medicare card) Live within the plan's service area (which is based on the county you live in–not the state)
Which of the following must you ensure a consumer who is making a plan change understands?
I must make sure the consumer understands the benefits, costs, and limitations of the new plan.
Can consumers gene who enrolled in a Medicare Advantage plan?
Medicare allows beneficiaries to change their MA plans during the Annual Enrollment Period (AEP) from October 15 to December 7, or during the Medicare Advantage Open Enrollment Period (OEP) from January 1 to March 31 each year. Since Gene's request falls within the OEP, he is eligible to switch MA plans.
Why would anyone want a Medicare Advantage plan?
Medicare Advantage plans provide a financial safety net due to a set annual out-of-pocket limit. If your costs reach the limit, then your plan covers 100 percent of your Medicare-covered health care costs for the rest of the year.
Does everyone have to pay $170 a month for Medicare?
Most people pay no premiums for Part A. For Medicare Part B in 2025, most beneficiaries will pay $185 per month. Certain factors may require you to pay more or less than the standard Medicare Part B premium in 2025.
What is a Medicare Advantage plan quizlet?
Medicare Advantage - is a plan in which Medicare-covered services are both financed and delivered, combining the payment for and delivery of health services into one program. MA plans must provide all o f the benefits of Part A & B. They may offer additional benefits and may include coverage provided by Part D.
What are the requirements for a Medicare Advantage plan?
You need both Medicare Part A (Hospital Insurance) and Part B (Medical Insurance) to join a Medicare Advantage Plan. You need either Part A or Part B to join a Medicare drug plan. For information about signing up for Medicare Part A and Part B, visit Medicare.gov/basics/get-started-with-medicare.
Can Medicare Advantage patients be self-pay?
The Social Security Act states that participating providers must bill Medicare for covered services. The only time a participating-provider can accept "self-payments" is for a non-covered service. For Non-participating providers, the patient can pay and be charged up to 115% of the Medicare Fee Schedule.
Which of the following must an agent obtain from the consumer?
Final answer: Agents must obtain the Scope of Appointment from the consumer at least 48 hours before a marketing appointment. This document outlines the topics of discussion and ensures the consumer understands the appointment's purpose. Obtaining consent helps maintain transparency and trust in the marketing process.
Which of the following is true about United Healthcare Medicare plans carrying the AARP name?
Which of the following is TRUE about UnitedHealthcare Medicare plans carrying the AARP name? -AARP does not endorse any UnitedHealthcare MA and PDP plans but does endorse the AARP Medicare Supplement Insurance Plans.
Who is a consumer under consumer duty?
1.14 In this Guidance, we generally use 'consumer' when talking about the wider group of those who use financial services and 'customer' when talking about an individual firm's customers or potential customers.
What is excluded from a Medicare Advantage Plan?
In summary, some of the most notable exclusions from Medicare Advantage Plans include: Routine dental care, eye exams, eyewear. Non-emergency transportation. Routine foot care.
Which of the following best describes eligibility to enroll in a Medicare Advantage MA plan?
Eligibility to enroll in a Medicare Advantage (MA) Plan requires being entitled to Part A and enrolled in Part B, residing in the plan's service area, and having no pre-existing conditions like ESRD.
Which of the following is not a type of Medicare Advantage Plan?
Final answer: Among the options presented, Social Security Disability Income (SSDI) is NOT a type of Medicare Advantage plan. It is a different program providing benefits to disabled or blind individuals. HMO, PPO, and PFFS are all types of Medicare Advantage plans.
What are the new medicare advantage rules for 2024?
In 2024, the out-of-pocket limit for Medicare Advantage plans may not exceed $8,850 for in-network services and $13,300 for in-network and out-of-network services combined. These out-of-pocket limits apply to Part A and B services only, and do not apply to Part D spending.
What is the Medicare 8 minute rule?
The Basics of the 8-Minute Rule
This rule also applies to other insurances that follow Medicare billing guidelines. Essentially, a therapist must provide direct, one-on-one therapy for at least eight minutes to receive reimbursement for one unit of a time-based treatment code.
What is the 72 hour rule for Medicare Advantage plans?
The Centers for Medicare & Medicaid Services 72 hour rule states that any outpatient diagnostics or services performed 72 hours or less prior to an inpatient hospital stay must be billed as a part of the inpatient hospital stay and cannot be billed seperately, this is to ensure that the Medicare program runs smoothly ...