CH8 Flashcards
(22 cards)
Which of the following statements is NOT true concerning Medicaid?
A- It is a state program.
B- It is funded by state and federal taxes.
C- It is intended to provide medical assistance for certain categories of people who are needy.
D- It consists of 3 parts: Part A: hospitalization, Part B: doctor’s services, Part C: disability income
D- It consists of 3 parts: Part A: hospitalization, Part B: doctor’s services, Part C: disability income
An individual did not enroll in Medicare Part B when first becoming eligible. Which of the following would allow the individual another opportunity to enroll?
A- General enrollment period
B- Initial enrollment period
C- Any time
D- Special enrollmentperiod
A- General enrollment period
In order for an insured under Medicare Part A to receive benefits for care in a skilled nursing facility, which of the following conditions must be met?
A- The insured must have first been hospitalized for 3 consecutive days.
B- There is no benefit provided under Medicare Part A for skilled nursing care.
C- The insured must have a Medicare supplement insurance policy.
D- The insured must cover dailycopayments.
A- The insured must have first been hospitalized for 3 consecutive days.
Which of the following statements is CORRECT concerning the relationship between Medicare and HMOs?
A- HMOs do not pay for services covered by Medicare.
B- HMOs may pay for services not covered by Medicare.
C- Medicare Advantage is Medicare provided by an approved HMO only.
D- All HMOs and PPOs charge premiums beyond what is paidbyMedicare.
B- HMOs may pay for services not covered by Medicare.
Which of the following is NOT covered under Plan A in Medigap insurance?
A- The 20% Part B coinsurance amounts for Medicare approved services
B- The first three pints of blood each year
C- Approved hospital costs for 365 additional days after Medicare benefits end
D- The Medicare Part A deductible
D- The Medicare Part A deductible
When does the initial enrollment period for Medicare Part B begin?
A- 3 months before the insured’s 65th birthday
B- On the date of the insured’s 65th birthday
C- January 1st of each year
D- After the insured’s previous group planisterminated
A- 3 months before the insured’s 65th birthday
All of the following are covered by Part A of Medicare EXCEPT
A- In-patient hospital services.
B- Home health services.
C- Physician’s and surgeon’s services.
D- post-hospitalnursingcare.
C- Physician’s and surgeon’s services.
Doug decided to retire at age 62. When he applied for Social Security Retirement Benefits, he discovered
A- Medicare coverage varies from state to state.
B- Medicare Part A was provided without charge, but Part B required a premium.
C- Medicare Part A and Part B were provided automatically without charge.
D- Medicare coverage was not available until the month of his 65th birthday
D- Medicare coverage was not available until the month of his 65th birthday
Medicare Part A will pay for up to how many days of inpatient psychiatric hospital care?
A- 100 days
B- 90 days
C- 60days
D- 190 days
D- 190 days
In which of the following situations would Social Security Disability benefits NOT cease?
A- The individual reaches age 65
B- The individual’s son gets a part-time job to help support the family
C- The individual has undergone therapy and is no longer disabled
D- Theindividualdies
B- The individual’s son gets a part-time job to help support the family
In reference to the standard Medicare Supplement benefits plans, what does the term standard mean?
A- Coverage options and conditions comply with the law, but will vary from provider to provider.
B- All plans must include basic benefits A-N.
C- Coverage options and conditions are developed for average individuals.
D- All providers will have the same coverage options and conditions for each plan.
D- All providers will have the same coverage options and conditions for each plan.
Which of the following is NOT an enrollment period for Medicare Part A applicants?
A- Initial enrollment
B- Special enrollment
C- Automatic enrollment
D- Generalenrollment
C- Automatic enrollment
How long does the initial enrollment period for Medicare Part B last?
A- 90 days
B- 1 year
C- 6months
D- 7 months
D- 7 months
Which of the following statements concerning Medicare Part B is correct?
A- It pays on a first dollar basis.
B- It pays 100% of Medicare’s standards for reasonable charges.
C- It is provided automatically to anyone who qualifies for Part A.
D- It pays for physician services, diagnostic tests, and physical therapy
D- It pays for physician services, diagnostic tests, and physical therapy
For how many days of skilled nursing facility care will Medicare pay benefits?
A- 60
B- 90
C- 100
D- 30
C- 100
All of the following statements concerning Medicaid are correct EXCEPT
A- Persons, at least 65 years of age, who are blind or disabled and financially unable to pay, may qualify for Medicaid Nursing Home Benefits.
B- Individual states design and administer the Medicaid program under broad guidelines established by the federal government.
C- Individuals claiming benefits must prove they do not have the ability or means to pay for their own medical care.
D- Medicaid is a state funded program that provides health care to persons over age 65, only
D- Medicaid is a state funded program that provides health care to persons over age 65, only
When is the General Enrollment period for Medicare Part B?
A- 3 months after the individual first becomes eligible
B- October 15 through December 15 of each year
C- January 1 through March 31 each year
D- 3 months before the month in which the individual turns age 65 until 3 months after
C- January 1 through March 31 each year
Which of the following statements is NOT correct regarding Medicare?
A- Medicare Advantage must be provided through HMOs.
B- Medicare Advantage may include prescription drug coverage at no cost
C- Medicare Part A provides hospital care
D- Medicare Part B provides physicianservices.
A- Medicare Advantage must be provided through HMOs.
How long is an open enrollment period for Medicare supplement policies?
A- 6 months
B- 30 days
C- 1year
D- 90days
A- 6 months
If a person is disabled at age 27 and meets the Social Security’s definition of total disability, how many work credits must the person have earned to receive benefits?
A- 20 credits
B- 12 credits
C- 6 credits
D- 40credits
B- 12 credits
Which type of care is NOT covered by Medicare?
A- Hospice
B- Respite
C- Hospital
D- Long term care
D- Long term care
Which of the following is correct about Medicare?
A- The program provides complete medical care at no cost.
B- Part B is available to the insured at no cost.
C- The program is divided into four parts (A-D).
D- It is a federal program for welfarerecipients.
C- The program is divided into four parts (A-D).
