Medicare Certification Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

Medicare Certification Questions and Answers | Latest Version | 2025/2026 | Correct & Verified What is home health care under Medicare? Medical care provided at home What is hospice care in Medicare? Care for terminally ill patients What does Medicare not usually cover? Routine dental care What is durable medical equipment? Medical equipment for home use What does Medicare cover for DME? Medically necessary equipment What is a Medicare provider? A healthcare professional or facility that accepts Medicare What is Medicare fraud? 2 False billing or misrepresentation Why is Medicare compliance important? To prevent fraud and abuse What is the Medicare trust fund? Funds used to pay Medicare benefits What is the Medicare card used for? To show eligibility Who is eligible for Medicare based on age? People aged 65 and older What government agency administers Medicare? The Centers for Medicare and Medicaid Services What is Medicare Part A mainly used for? Hospital and inpatient care What does Medicare Part B cover? Outpatient and medical services 3 What type of coverage is Medicare Part D? Prescription drug coverage What is Medicare Advantage also called? Medicare Part C Who provides Medicare Advantage plans? Private insurance companies approved by Medicare What is the purpose of Medicare enrollment periods? To allow people to sign up or change plans What is the Initial Enrollment Period? The first time a person can enroll in Medicare When does Medicare coverage usually begin? The first day of the month after enrollment What happens if someone delays Part B without other coverage? They may pay a late penalty 4 What is a Medigap plan? Supplemental insurance to help cover Medicare costs What costs does Medigap help pay? Deductibles, copayments, and coinsurance Can Medigap be used with Medicare Advantage? No What is Medicare coinsurance? The portion of costs the patient pays What is a Medicare deductible? The amount paid before Medicare starts paying What is preventive care in Medicare? Services to prevent or detect illness early What type of services does Part B usually include? Doctor visits and screenings What is the purpose of Medicare Summary Notice? 5 To show what Medicare paid for services What is a Medicare claim? A request for payment for medical services Who usually files Medicare claims? Healthcare providers What is assignment in Medicare?