Chapter 18 Flashcards
Many people under the age of 65 qualify for a Medicare Part A insurance plan with no monthly premium. Which of the following patients under the age of 65 would not qualify?
A government employee who has held their position for 6 years
Which department manages the hospital insurance and supplementary medical insurance trust funds?
US Department of Treasury
Which is not covered under Medicare Part A?
Healthcare services received outside the United States and its territories
After Medicare patients pay their deductible, what percentage of the approved charges is the patient responsible for?
20%
True or False
Through voluntary enrollment in Medicare Part D, prescription drug coverage is available for Medicare beneficiaries.
True
In 2010, What was the number of Americans enrolled in Medicare and how much were Medicare expenditures?
46 million Americans, 400 billion dollars
Which of the following describes Medicare Part A?
Known as “Hospital Insurance” that pays for care of patients in hospitals, nursing facilities, and home health care programs
All of the following are of the three broad groups who may be eligible for Medicaid, EXCEPT..?
A. Optionally Medically Needy
B. Mandated Categorically Needy
C. Optionally Categorically Needy
D. Medically Needy
A. Optionally Medically Needy
Which of the following is FALSE regarding the financial aspects of Medicaid?
A. Medicaid is entirely optional in the sense that the federal government does not require any state to have a Medicaid program.
B. The total amount of money that the federal government spends on Medicaid has no set limit.
C. State programs make payments directly to participating healthcare providers for services delivered to Medicaid patients.
D. Medicaid provides healthcare services for all poor Americans.
D. Medicaid provides healthcare services for all poor Americans.
Under what service is a sharing cost NOT required?
A. Nursing home medications
B. Outpatient prescriptions
C. Emergency care
D. Yearly physical
C. Emergency care
True or false
The number of beneficiaries has decreased in Medicaid from 1972 to 2010.
False
Which Act eliminated the need for states to request a waiver to implement Medicaid managed care programs?
A. The Waiver Dismissal Act of 1995
B. The Balanced Budget Act of 1997
C. The Medicaid Act of 1992
D. States still need to request a waiver to implement Medicaid managed care programs
B. The Balanced Budget Act of 1997
