Medicare

Question 1

What part of medicare covers ambulance services?

Answer 1

Part B

Question 2

What part of medicare covers blood transfusions?

Answer 2

Part A

Question 3

What part of medicare covers hospice?

Answer 3

Part A

Question 4

What part of medicare covers DME?

Answer 4

Part B

Question 5

What part of medicare covers flu and pneumonia shots?

Answer 5

Part B

Question 6

What part of medicare covers Home Health?

Answer 6

Part A

Question 7

What part of medicare covers SNF?

Answer 7

Part A

Question 8

What part of medicare covers inpatient care?

Answer 8

Part A

Question 9

What part of medicare covers physician services?

Answer 9

Part B

Question 10

What part of medicare covers observation stays?

Answer 10

Part B

Question 11

Do you pay premiums for part A or B?

Answer 11

Part B only

Question 12

What things are NOT covered under A, B and D?

Answer 12

-Homemaking services
-Driving safety evals
-Dental care
-Foot care
-Hearing aids
-Eyeglasses
-Orthopedic shoes
-Cosmetic surgery
-Care in foreign countries

Question 13

What do medigap policies cover?

Answer 13

coinsurance costs and potentially deductibles

Question 14

What do medigap policies not cover?

Answer 14

long term care, dental care, eyeglasses, hearing aids, private duty nursing

Question 15

What is the only reason a person with Part A and B can be denied enrollment in a MA plan?

Answer 15

ESRD

Question 16

What federal plan pays for LTC?

Answer 16

Medicaid

Question 17

How many days of IPR are fully covered by Medicare Part A?

Answer 17

60

Question 18

How many days of SNF are fully covered by Medicare Part A?

Answer 18

20

Question 19

What are the rules for qualifying for home health?

Answer 19

-Homebound
-Skilled need
-F2F within 90 days with physician
-Physician certifies need and POC q60 days

Question 20

What are the time maximums for home health?

Answer 20

No more than 7 days a week or 8 hours a day

Question 21

How do you qualify for inpatinet rehabilitation?

Answer 21

3 midnights in qualifying hospital stay with expectation of discharge to the community

Question 22

What part of medicare covers outpatient PT/OT?

Answer 22

Part B

Question 23

Who must perform the first visit for nursing home patinets requiring skilled level of care?

Answer 23

Physicians (otherwise NPs)

Question 24

How often must nursing home patients be seen in F2F medical visits?

Answer 24

Every 30 days for first 90 days then at least every 60 days thereafter (advanced practice providers can be substituted for every other physician visit)

Question 25

What can NPs not do in regard to home visits?

Answer 25

certify home care services

Question 26

What is the lower age limit for PACE participants?

Answer 26

55