Understanding Health Insurance

Health & Kinesiology

Quiz 14 :
Medicare

Quiz 14 :
Medicare

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Which program pays for inpatient hospital critical care access, skilled nursing facility stays, hospice care, and some home health care?
Free
Multiple Choice
Answer:

Answer:

A

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Which program pays for physician services, outpatient hospital care, and durable medical equipment?
Free
Multiple Choice
Answer:

Answer:

B

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Which program includes managed care and private fee-for-service plans that provide contracted care to Medicare patients?
Free
Multiple Choice
Answer:

Answer:

C

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Which program added prescription medication coverage to the original Medicare plan, some Medicare cost plans, some Medicare private fee-for-service plans, and Medicare medical Savings Account Plans?
Multiple Choice
Answer:
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Which insurance claim is submitted to receive reimbursement under Medicare Part A?
Multiple Choice
Answer:
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Which insurance claim is submitted to receive reimbursement under Medicare Part B?
Multiple Choice
Answer:
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Which insurance claim is submitted to receive reimbursement under Medicare Part C?
Multiple Choice
Answer:
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Medicare beneficiaries can also obtain supplemental insurance to help cover costs not reimbursed by the original Medicare plan. This type of coverage is called __________.
Multiple Choice
Answer:
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An initial enrollment period (IEP) that provides an opportunity for the individual to enroll in Medicare Part A and/or Part B is for a period of __________ months.
Multiple Choice
Answer:
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Individuals who wait until they turn 65 to apply for Medicare will cause a delay in the start of Part B coverage, because they will have to wait until the next __________ enrollment period, which is held January 1 through March 31 of each year, with Part B coverage starting on July 1 of that year.
Multiple Choice
Answer:
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Mary Smith is working full time and enrolled in Medicare Part A at age 65. She decided not to enroll in Medicare Part B at that time because her employer group health insurance coverage reimburses for physician and other outpatient encounters. Mary is eligible to enroll in Medicare Part B anytime during a(n) __________ enrollment period, which is a set time when individuals can sign up for Medicare Part B if they did not enroll when they applied for Medicare Part A.
Multiple Choice
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Which program helps individuals whose assets are not low enough to qualify them for Medicaid by requiring states to pay their Medicare Part A and B premiums, deductibles, and coinsurance amounts?
Multiple Choice
Answer:
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Which program helps low-income individuals by requiring states to pay their Medicare Part B premiums?
Multiple Choice
Answer:
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Which program helps individuals who received Social Security and Medicare because of disability, but who lost their Social Security benefits and free Medicare Part A because they returned to work and their earnings exceed the limit allowed, by requiring states to pay their Medicare Part A premiums?
Multiple Choice
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A Medicare benefit period begins with the first day of hospitalization and ends when the patient has been out of the hospital for __________ consecutive days.
Multiple Choice
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Medicare lifetime reserve days, which total __________ days, are used once during a patient's lifetime and are usually reserved for use during the patient's final, terminal hospital stay.
Multiple Choice
Answer:
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Which is an autonomous, centrally administered program of coordinated inpatient and outpatient palliative (relief of symptoms) services for terminally ill patients and their families?
Multiple Choice
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Which is the term for short-term care provided by another caregiver, so the usual caregiver can rest?
Multiple Choice
Answer:
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Private fee-for-service (PFFS) plans are offered by private insurance companies in some regions of the country, and Medicare pays a pre-established amount of money each month to the insurance company, which decides how much it will pay for services. Such plans reimburse providers on a fee-for-service basis and are authorized to charge enrollees up to __________ percent of the plan's payment schedule.
Multiple Choice
Answer:
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Medicare special needs plans cover all Medicare __________ health care services for individuals who can benefit the most from special care for chronic illnesses, care management of multiple diseases, and focused care management.
Multiple Choice
Answer:
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