2015 - Adp - Medigap - Mv/Training

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  • 1/10 Questions

    Which state is exempt from the national, standardized Medigap benefits?

    • Minnesota
    • Massachusetts
    • Wisconsin
    • All of the above
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2015 - Adp - Medigap - Mv/Training - Quiz
About This Quiz

The 2015 ADP Medigap MV\/Training quiz assesses knowledge on Medigap plans, covering essentials like deductibles, coinsurances, and enrollment criteria. It highlights considerations like rate increases and additional coverage options, crucial for professionals in healthcare management and insurance.

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  • 2. 

    Medigap plans are also know as Medicare Supplement plans...

    • True

    • False

    Correct Answer
    A. True
    Explanation
    Medigap plans are indeed also known as Medicare Supplement plans. These plans are designed to help cover the gaps in coverage that original Medicare does not pay for, such as deductibles, copayments, and coinsurance. Medigap plans are offered by private insurance companies and can provide additional financial protection and peace of mind for individuals with Medicare.

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  • 3. 

    Medigap plans are regulated by...

    • Insurance Companies

    • The State Department of Insurance

    • CMS

    Correct Answer
    A. The State Department of Insurance
    Explanation
    Medigap plans are regulated by the State Department of Insurance. This department is responsible for overseeing and regulating insurance activities within the state, including Medigap plans. They ensure that the plans comply with state laws and regulations, protect consumers from fraudulent practices, and provide a fair and competitive marketplace for consumers to choose from. The State Department of Insurance plays a crucial role in ensuring that Medigap plans meet the necessary standards and provide the coverage and benefits as promised to Medicare beneficiaries.

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  • 4. 

    A Medigap plan will cover an additional 365 days of hospitalization not covered by Medicare and may cover foreign travel emergencies, based on plan selected.

    • True

    • False

    Correct Answer
    A. True
    Explanation
    A Medigap plan is designed to provide additional coverage for costs that are not covered by Medicare. One of the benefits of a Medigap plan is that it can cover an additional 365 days of hospitalization, which is beyond what Medicare covers. Additionally, depending on the specific plan selected, a Medigap plan may also provide coverage for foreign travel emergencies. Therefore, the statement that a Medigap plan will cover an additional 365 days of hospitalization not covered by Medicare and may cover foreign travel emergencies is true.

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  • 5. 

    For a Medigap plan to pay, Medicare doesn’t have to pay first.

    • True

    • False

    Correct Answer
    A. False
    Explanation
    This statement is false because in order for a Medigap plan to pay, Medicare must first pay its share of the covered services. Medigap plans are designed to fill in the "gaps" in coverage left by Medicare, so they typically only pay after Medicare has paid its portion. Therefore, Medicare must pay first for a Medigap plan to pay.

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  • 6. 

    A Medigap plan...

    • Helps pay the deductibles and coinsurances of Original Medicare

    • Takes the place of Original Medicare

    • Requires you to use a specific provider network

    Correct Answer
    A. Helps pay the deductibles and coinsurances of Original Medicare
    Explanation
    A Medigap plan helps pay the deductibles and coinsurances of Original Medicare. This means that it provides additional coverage to fill the gaps in Medicare coverage. Medigap plans are designed to help beneficiaries pay for out-of-pocket costs that are not covered by Original Medicare, such as deductibles and coinsurances. Unlike Medicare Advantage plans, Medigap plans do not replace Original Medicare. Instead, they work alongside it to provide additional financial protection and coverage. Medigap plans also do not require the use of a specific provider network, allowing beneficiaries the freedom to choose their healthcare providers.

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  • 7. 

    Medigap plans DO NOT cover...

    • Deductibles and coinsurance of Original Medicare

    • Long-term care

    • Emergencies outside of the country

    • Doctors outside of a network

    Correct Answer
    A. Long-term care
    Explanation
    Medigap plans are supplemental insurance policies that help cover the costs that Original Medicare does not cover. However, they do not cover long-term care expenses. Long-term care refers to the assistance needed for individuals who have difficulty performing daily activities such as bathing, eating, or dressing due to illness, disability, or aging. These services are typically provided in nursing homes, assisted living facilities, or at home, and Medigap plans do not provide coverage for these types of care.

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  • 8. 

    A person may enroll in a guaranteed issue Medigap plan...

    • Within 6 months of turning 65 and enrolling in Part A and B

    • After losing group health coverage

    • All of the above

    • None of the above

    Correct Answer
    A. All of the above
    Explanation
    A person may enroll in a guaranteed issue Medigap plan within 6 months of turning 65 and enrolling in Part A and B. They can also enroll in this plan after losing group health coverage. In both cases, the person is eligible to enroll in a guaranteed issue Medigap plan without any medical underwriting or being denied coverage due to pre-existing conditions. Therefore, the correct answer is "All of the above."

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  • 9. 

    Being new to which of the following would make a customer GI for a Medigap plan?

    • Medicare Part B

    • Medicare Part D

    • OneExchange

    • None of the above

    Correct Answer
    A. Medicare Part B
    Explanation
    Being new to Medicare Part B would make a customer eligible to enroll in a Medigap plan. Medigap plans, also known as Medicare Supplement plans, are designed to fill the gaps in coverage that Original Medicare (Part A and Part B) does not cover. Medicare Part B covers outpatient services such as doctor visits, preventive care, and medical supplies. Therefore, if a customer is new to Medicare Part B, they may consider enrolling in a Medigap plan to help cover the out-of-pocket costs associated with Part B services.

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  • 10. 

    An important consideration to share with the customer for a Medigap is...

    • Plans vary by state

    • Plan A offers the richest benefits

    • Rates will increase

    • All of the above

    Correct Answer
    A. Rates will increase
    Explanation
    Rates will increase is an important consideration to share with the customer for a Medigap. This is because Medigap plans are subject to rate increases over time. It is important for the customer to be aware of this potential increase in order to plan and budget accordingly. Additionally, understanding that rates will increase can help the customer make an informed decision when choosing a Medigap plan that best fits their needs and budget.

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  • Current Version
  • Mar 20, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • Jul 31, 2014
    Quiz Created by
    Bthorup
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