question

True/False: Medicare Part A is a compulsory hospitalization insurance that provides specified in-hospital and related benefits.

answer

True

question

True/False: Medicare Part B is a voluntary program designed to provide supplementary medical insurance.

answer

True

question

Which part of Medicare covers Physician services, Medical Services and supplies?

answer

Part B

question

How is Medicare Part B financed?

answer

By montly premiums from those who participate and and by tax revenues.

question

True/False: Inpatient hospital services are covered under Part B

answer

False

question

Which part of Medicare covers Posthospital skilled nursing care, in an accredited care facility?

answer

Part A

question

Which part of Medicare covers post hospital home health services, including nursing care, therapy and part time home health aids

answer

Part A

question

Which part of Medicare covers Pysicians and surgeons services

answer

Part B

question

Which part of Medicare covers Hospice benefits for the care of terminally ill patients

answer

Part A

question

Which part of Medicare covers x-rays diagnostic lab tests and ambulance services

answer

Part B

question

Which part of Medicare covers medical supplies and medical equipment rental

answer

Part B

question

Which part of Medicare covers inpatient psychiatric care on a limited basis

answer

Part A

question

Which part of Medicare covers physical and ocupational therapy

answer

Part B

question

Which part of Medicare covers semiprivate room and board and nursing services

answer

Part A

question

Under Medicare how long is a patients lifetime reserve for hospital coverage?

answer

60 days

question

How long does a patient have to be hospitalized inorder to use lifetime reserve benefits?

answer

Longer than 90 days in a benefit period

question

True/False: The lifetime reserve is a one time benefit that does not renew with a new benefit period

answer

True

question

True/False: If a patient is hospitalized and taps into the reserve days, they are required to pay a higher copayment.

answer

True ($534)

question

When does Medicare Part A become available?

answer

When an individual turns 65 AND is automatically provided when they apply for SSI benefits.

question

True/False: No medicare benefits are provided for treatment in a skilled nursing facility beyond 100 days.

answer

True

question

For Medicare Part A how many consecutive days must a patient be hospitalized before the cost of care in a skilled nursing facility can be covered?

answer

3 days

question

True/False: Medicare Part A has a monthly premium

answer

False

question

True/False: Medicare Part B has a premium AND a yearly deductible.

answer

True

question

What year was Medicare established?

answer

1965

question

True/False: The State regulates Medicare

answer

False

question

True/False: The Federal Government regulates Medicade

answer

False

question

True/False: Medicare Advantage specialty plans provide more focused health care for people with specific conditions

answer

True

question

Which part of medicade is known as the Medicare Advantage?

answer

Part C

question

List 4 options (plans) that are available under Part C

answer

1. Managed Care Plans 2. Preferred provider organizations 3. Private fee-for-service 4. Specialty Plans

question

True/False: Medicare advantage options replace the need for long term care insurance.

answer

False Page 311

question

What does a person need in order to be eligible for Medicare Advantage?

answer

Must be enrolled in both Medicare Part A and B.

question

What is the goal of Medicaid?

answer

To offer medical assistance to those whose income and resources are insufficient to meet the costs of necessary medical care.

question

True/False: Medicaid provides for custodial care or assisted care in a nursing home

answer

True

question

What are the 4 qualifications for Medicaid?

answer

1) Be at least 65, blind or disabled 2) Be a U.S. Citizen or permanent Resident Alien 3) Need the type of care that is provided only in a nursing home. 4) Meet certain asset and income tests.

question

Deficit Reduction Act of 2005

answer

The look-back period has been extended to 5 years the home equity exemption has been limited to $750,000.

question

Under Medicaid Reform, what is a Health Opportunity Account (HOA)?

answer

They give Medicaid beneficiaries a personal account that pays for health care services.

question

Direct Service Model

answer

States give beneficiaries health spending accounts to buy a defined set of health care services.

question

Insurance Model

answer

Medicaid beneficiaries receive a fixed budget to buy a health insurance product of their choice.

question

Florida Healthy Kids Corporation

answer

Established in 1990 Uninsured children can obtain affordable health care coverage.

question

For how many days of skilled nursing facility care will Medicare pay benefits?

answer

100 Days

question

True/False: Medicare Part B is a compulsory program.

answer

False

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