Chapter 4 / Social Insurance

Question 1

What medical part will cover lab services and diagnostic tests?

Answer 1

Part B

Question 2

Who qualifies for Medicare coverage?

Answer 2

People age 65 or older, or anyone who has been entitled to social security disability income benefits for 2 years, or who has a chronic kidney disease.

Question 3

Medicare part A will pay for what type of services?

Answer 3

Impatient hospital care, skilled nursing care, home health care or hospice care

Question 4

What is another name for Medicare advantage plans?

Answer 4

Part C

Question 5

who qualifies for Medicaid?

Answer 5

Persons with insufficient income

Question 6

How is part B Medicare funded

Answer 6

By mouthy premiums and from the general revenues of the federal government

Question 7

What is another name for Medicare supplement plans?

Answer 7

Medigap

Question 8

At what age do individuals qualify for Medicare?

Answer 8

Age 65

Question 9

What is the purpose of Medicare supplement plans?

Answer 9

To fill in the gaps in Medicare coverage

Question 10

What part of Medicare is known as medical insurance?

Answer 10

Part B

Question 11

When is an initial enrollment period for medicate part A?

Answer 11

When a individual first becomes eligible for Medicare, starting 3 months before turning 65 and ending 3 months after the 65th birthday

Question 12

What part of Medicare is known as hospital insurance?

Answer 12

Part A

Question 13

An insured with Medicare part D had reached the initial benefit limit and must now pay a portion of prescription drug costs. What is the term for this gap coverage?

Answer 13

The donut hole

Question 14

In which Medicare supplemental policies are the core benefits found?

Answer 14

All parts (A-N)

Question 15

What Medicare part provides a prescription drug benefit?

Answer 15

Part D

Question 16

How many pints of blood will be paid for by Medicare supplement core benefits?

Answer 16

First 3 pints

Question 17

Who is eligible for part B Medicare?

Answer 17

Part B is optional, and is offered to everyone who enrolls in part A

Question 18

What is another name for old age, survivors, and disability insurance benefits?

Answer 18

social security

Question 19

What benefits are provided by Medicare part C?

Answer 19

Extended benefits for a free through private insurance programs such as HMOs or PPOs

Question 20

What benefit is based on a primary insurance amount (PIA)

Answer 20

Social security disability benefit

Question 21

How many part does Medicare have?

Answer 21

Four (A-D)

Question 22

What is the required free-look period for Medicare supplement policies?

Answer 22

30 days

Question 23

What Medicare part helps pay for impatient hospital care, impatient care in a skilled nursing facility, home health and hospice care?

Answer 23

Part A

Question 24

If an individual is covered by Medicare, and is also covered by his employers health plan, which plan would he considered primary?

Answer 24

The employer plan

Question 25

How does someone qualify for social security disability income benefits?

Answer 25

The insured must have the proper insured status (such as fully insured) meet the definition of disability, and satisfy the waiting period

Question 26

Who issues medigap policies?

Answer 26

Private insurers