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Medicare Supplement and Other Topics 2020

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Question 1 of 12

1. Question
Which of the following statements is NOT true about Medicare Supplement plans?
- They are also called Medigap.
- They help pay for medical expenses that are not covered by Original Medicare (Part A and Part B), such as co-payments, deductibles, and coinsurance.
- These plans are sold by private insurance companies.
- These plans are sold by the federal government.
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Question 2 of 12

2. Question
A Medicare Supplement (Medigap) policy is
- guaranteed renewable.
- cancelable.
- non-renewable.
- non-reinstateable.
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Question 3 of 12

3. Question
The best time to buy a Medigap policy is during a person’s
- general enrollment period.
- special enrollment period.
- initial enrollment period.
- open enrollment period.
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Question 4 of 12

4. Question
Which of the following statements about Medigap policies is FALSE?
- The coverage provided varies greatly between Medigap policies with the same letter sold by different insurance companies.
- Medigap policies must be clearly identified as "Medicare Supplement Insurance."
- Insurance companies can sell only a "standardized" Medigap policy identified in most states by letters A through N.
- Each standardized Medigap policy must offer the same basic benefits, no matter which insurance company sells it.
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Question 5 of 12

5. Question
All Medigap plans cover at least part of the costs known as the basic benefits. Which of the following is NOT considered basic benefits?
- Coinsurance on hospital costs, up to an additional 365 days after Medicare Part A hospital benefits have run out
- Medicare Part A hospice coinsurance or copayment, and Medicare Part B coinsurance or copayment
- Part A deductible and Part B deductible
- The first three pints of blood received as a hospital inpatients
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Question 6 of 12

6. Question
What are the 10 Medigap standardized plans?
- A, B, C, D, K, L, M, N, O, P
- B, D, F, G, H, I, J, K, L, M
- C, D, F, G, H, J, K, L, M, N
- A, B, C, D, F, G, K, L, M, N
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Question 7 of 12

7. Question
Of the following, which is the best description of Medicare Select?
- Federally subsidized health insurance for low income families
- Another name for Original Medicare
- A type of Medicare Advantage coverage plan
- A type of Medicare Supplement (Medigap) coverage plan
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Question 8 of 12

8. Question
If a person is covered by both Medicare and group health insurance, which insurance pays first is determined by the number of employees employed by the person’s employer. If the person works for an employer that has 20 or more employees,
- Medicare pays first, and the group health plan pays second.
- the group health plan pays first, and Medicare pays second.
- Medicare pays 100% of all medical expenses.
- the group health plan pays 100% of all medical expenses.
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Question 9 of 12

9. Question
If a person is covered by both Medicare and group health insurance, which insurance pays first is determined by the number of employees employed by the person’s employer. If the person works for an employer that has less than 20 employees,
- the group health plan pays 100% of all medical expenses.
- Medicare pays 100% of all medical expenses.
- Medicare pays first, and the group health plan pays second.
- the group health plan pays first, and Medicare pays second.
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Question 10 of 12

10. Question
Which of the following statements is FALSE about Medicaid?
- Medicaid is federal health insurance for people age 65 and over; people with disabilities; and people that have debilitating diseases.
- Medicaid is a joint federal and state program that helps pay medical costs for certain people and families who have limited income and resources and meet other requirements.
- Medicaid can provide Medicare enrollees that have limited income and resources with help paying for their premiums and out-of-pocket medical expenses.
- Medicaid covers additional services beyond those provided under Medicare, including: Skilled nursing facility; Prescription drugs; Eyeglasses; and Hearing aids.
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Question 11 of 12

11. Question
People that are covered by both Medicare and Medicaid are considered to be “dually eligible.” Expenses for services covered by both
- are paid 50% by Medicaid and 50% by Medicare.
- are paid 100% by Medicaid.
- are first paid by Medicaid with Medicare paying the difference up to the state's payment limit.
- are first paid by Medicare with Medicaid paying the difference up to the state's payment limit.
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Question 12 of 12

12. Question
Which of the following statements is FALSE about enrolling in a Medigap policy?
- The best time to buy a Medigap policy is during a person’s Medigap initial enrollment period.
- During the open enrollment period, an individual cannot be denied coverage if he or she is unhealthy (the insurance company cannot use medical underwriting to deny coverage).
- During the open enrollment period, an individual cannot be charged more if he or she is unhealthy (the insurance company cannot use medical underwriting to determine the premium).
- Outside the open enrollment period, it is possible (in some situations) for an insurer to use medical underwriting to deny an application for a Medigap policy or to charge additional premiums.
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