Chapter 7 Part 2

Question 1

Monthly part a premiums are required when beneficiary is not _________ and therefore are entitled to rec social security retirement premium=free Medicare part a and survivor benefits

Physically impaired
In skilled nursing care
In inpatient
Fully insured

Answer 1

Fully insured

Question 2

If beneficiary has paid Medicare taxes for fewer than ____ quarters, standard part a premium is _____

Answer 2

30 quarters
506 usd

Question 3

If Medicare taxes have been paid for 30-39 quarters standard part a premium is

Answer 3

278

Question 4

Not covered by Medicare

Hospice
Require
Hospital
Long term care

Answer 4

Long term care

Question 5

How many days of skilled nursing facility care will Medicare pay benefits

30
60
90
100

Answer 5

100

Question 6

This many days of non use of inpatient hospital benefit starts a new benefit period and a new deductible

90
80
70
60

Answer 6

60

Question 7

Hospital ins helps pay in participating hospital in any benefit period subject to a deductible how many days
90
80
70

Answer 7

90

Question 8

Hospital ins helps pay in participating hospital in any benefit period subject to a deductible for 90 days with the first how many days covered and at what percentage of approved charges after deductible is met

Answer 8

60 days
100%

Question 9

Has copayment that is twice that of days 61 through 90 and are non renewable with inpatient hospital care hospital ins

Hospital reserve days
Ins reserve days
Lifetime reserve days

Answer 9

Lifetime reserve days

Question 10

Medicare part a services dod not include which of the following

Hospice care
Outpatient hospital treatment
Post hospital skilled nursing facility care

Answer 10

Outpatient hospital treatment

Question 11

Following statements about Medicare part b are correct except

Financed by tax revenues
Compulsory program
Covers services and supplies not covered by part a
Financed by monthly premium

Answer 11

Compulsory program

Question 12

Part b =

Answer 12

Elective

Question 13

Following injury policyowner covered under Medicare a and b was treated by physician on outpatient basis. How much of her docs bill will she be required to pay out of pocket

A per office visit deductible
80% of covered charges above deductible
20% of covered charged above deductible

Answer 13

20% of ccovered charges above deductible

Question 14

Concerning Medicare part b which statement is NOT correct

Known as medical insurance
Offers limited prescription drug coverage
Provides partial coverage for medical expenses not fully covered by part a
Fully funded by social security taxes FICA

Answer 14

Fully funded by social security taxes FICA

Question 15

Funded by monthly premiums and from general revenues of the federal govt

Part a
Part b
Executive ins

Answer 15

Part b

Question 16

Which is correct concerning Medicare part b

Pays for physician services diagnostic tests and physical therapy

Provided automatically to anyone who qualifies for part c

Pays on first dollar basis

Answer 16

Pays for physician services diagnostic tests and physical therapy

Question 17

For those who have purchased the coverage part b pays what percentage of out patient medical costs after deductible has been met

50
60
70
80

Answer 17

80%

Question 18

Medicare pays all covered services during first 20 days in skilled nursing facility. Days what through what require daily copayment

Answer 18

21-100

Question 19

Medicare will pay for home heath services as long as these services are recommended by insured’s doctor and insured is eligible; however, these services are provided on a

Part time basis with a limit on number of hours per day and days per week
Full time basis
Limited basis pending exclusion clause

Answer 19

Part time basis with limits on the number of hours per day and days per week

Question 20

Services not fully covered by Medicare will get coverage from

Allstate
Geico
Medicaid

Answer 20

Medicaid

Question 21

Which is not covered under part b of Medicare policy

Home health care
Lab services
Physician expenses
Routine dental care

Answer 21

Routine dental care

Question 22

Which is incorrect re Medicare part b coverage

Coverage provided free of charge when individual turns 65

Under part b are responsible for an annual deductible
Part b will pay 80% of covered expenses subject to Medicare’s standards for reasonable charges

Answer 22

Part be coverage is provided free of charge when individual turns age 65

Question 23

In addition to a welcome to Medicare preventive visit available during first 12 months, Medicare part be covers annual

Wellness visit
Lawn care
Grocery fees

Answer 23

Wellness visit

Question 24

Which statement is CORRECT re relationship between Medicare and HMO

HMO may pay fr services not covered by Medicare
HMO do not pay for services covered by Medicare
Medicare advantage is Medicare provided by an approved HMO only

Answer 24

HMO may pay for services not covered y Medicare

Question 25

Which is correct re relationship between Medicare and HMOs HMOs may pay for services not covered by Medicare HMOs do not pay for services covered by Medicare Medicare option 2 is Medicare provided by an approved HMO only

Answer 25

HMOs may pay for services not covered by Medicare

Question 26

Advantages for Medicare recipient may be that there are no claims forms required almost any medical problem is covered for a set fee so health care costs can be budgeted with this HMO or ppo Medicare advantage Medicaid

Answer 26

HMO or ppo

Question 27

Almost any medical problem is covered for a set fee so health care costs can be budgeted and this may pay services not usually covered by Medicare or Medicare supplement policies such as prescriptions eye exams hearing aids or dental care

Answer 27

HMO or ppo