Jennifer is enrolling into a Medicare Advantage (MA) plan and wants to know what counts toward the Out-of-Pocket Maximum. Which of the following is accurate? A. All Out-of-Pocket costs she pays toward her health care and prescription drug expenses would count toward the Out-of-Pocket Maximum. B. Jennifer's costs for prescription drugs and any benefits not covered by Original Medicare will count toward the Out-of-Pocket Maximum. C. The Out-of-Pocket Maximum includes any costs she pays toward the plan, such as plan premiums and health care expenses. D. The Out-of-Pocket Maximum will include her costs toward any Medicare-covered Part A or B services. ✔✔a Which statement is true about a member of a Medicare Advantage (MA) Plan who wants to enroll in a Medicare Supplement Insurance Plan? a. When a consumer enrolls in a Medicare Supplement Insurance Plan, they are not automatically disenrolled from their MA plan. b. The consumer will be automatically disenrolled from the MA plan when the Medicare Supplement plan takes effect. c. The member who is leaving the MA Plan does not need a valid election period to disenroll from the MA Plan. d. An MA Plan and a Medicare Supplement Insurance Plan work together. ✔✔a Being 65 or older, being under 65 years of age with certain disabilities for more than 24 months, and being any age with ESRD or ALS are each eligibility requirements for which program? a. Medicaid b. Low Income Subsidy c. Original Medicare ✔✔c Which of the following defines a Medicare Advantage (MA) Plan? (Select 3) a. An MA Plan is part of Medicare and is also called Part C. b. An MA Plan does not have to provide benefits equivalent to Original Medicare. c. An MA Plan provides Medicare hospital and medical insurance (Medicare Part A and Part B) and often includes Medicare prescription drug coverage (Part D). d. An MA Plan is a health Plan option approved by Medicare and offered by private insurance companies. ✔✔a, c, d Which of the following is NOT an eligibility requirement for enrollment in a Medicare Advantage Plan? a. Does not have any pre-existing conditions such as diabetes or End Stage Renal Disease (ESRD) b. IS enrolled in Medicare part B c. Is entitled to Medicare Part A d. Resides in the plan's service area ✔✔a When is Mary's Medicare Supplement Open Enrollment period if she turns 65 on September 23, 2021, and her Medicare Part B effective date is September 1, 2021? a. The month of September 2021 b. October 15, 2021, through December 7, 2021 c. June 2021 through December 2021
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