PUBH 6012 FINAL PAPER QUESTIONS AND
CORRECT ANSWERS FULL REVIEW
RESOURCE
●● Another medicare eligibility criteria
Answer: must be US citizen or permanent legal resident
●● medicare enrollment (december 2018)
Answer: 60,418,955
●● Part A covers:
Answer: hospital/inpatient services
●● part B covers:
Answer: physician/outpatient services
●● part C covers:
Answer: managed care plans
●● part D covers:
Answer: prescription drug plans
,●● Part A details:
Answer: - mandatory enrollment
- no premiums
- benefits: inpatient hospital care, SNF post-acture care, hospice
- Long-term care NOT covered
- financed by: 2.9% payroll tax (1.45% by employers and employees)
2.35% for higher income via 2013 ACA
- deductibes for each day in patient stay
- cost sharing: after 60 days in hospital, SNF after 20 days
●● Part B details
Answer: - voluntary (95% enrolled)
- covers: physician services, outpatient services, durable medical
equipment, drugs given by physicians, specified preventive services,
home health visit
- financed by: general federal tax revenue (73% part B costs), monthly
premium ($134/month in 2018), 10% penalty for each year eligible but
not enrolled, higher premiums for higher incomes
- annual deductible ($183 in 2018)
- cost sharing
, ●● Beneficiary costs
Answer: $134 part b premium
$183 part b annual deductible
sometimes $422/month for part A if not enough quarters worked
$232 part a standard premium
part A hospital:
- $1340 deductible/benefit period
- $0 days 1-60 in hospital
- $335 days 61-90
- $670 91+ days
●● Medigap overview:
Answer: 10 plans, strictly regulated, over 50% choose plan F, C and F
cover part A and B deductibles
●● medigap prices
Answer: vary greatly between states
●● part C details
Answer: - aka medicare advantage
- voluntary (25% enrolled)
- comprehensive coverage including prescriptions
CORRECT ANSWERS FULL REVIEW
RESOURCE
●● Another medicare eligibility criteria
Answer: must be US citizen or permanent legal resident
●● medicare enrollment (december 2018)
Answer: 60,418,955
●● Part A covers:
Answer: hospital/inpatient services
●● part B covers:
Answer: physician/outpatient services
●● part C covers:
Answer: managed care plans
●● part D covers:
Answer: prescription drug plans
,●● Part A details:
Answer: - mandatory enrollment
- no premiums
- benefits: inpatient hospital care, SNF post-acture care, hospice
- Long-term care NOT covered
- financed by: 2.9% payroll tax (1.45% by employers and employees)
2.35% for higher income via 2013 ACA
- deductibes for each day in patient stay
- cost sharing: after 60 days in hospital, SNF after 20 days
●● Part B details
Answer: - voluntary (95% enrolled)
- covers: physician services, outpatient services, durable medical
equipment, drugs given by physicians, specified preventive services,
home health visit
- financed by: general federal tax revenue (73% part B costs), monthly
premium ($134/month in 2018), 10% penalty for each year eligible but
not enrolled, higher premiums for higher incomes
- annual deductible ($183 in 2018)
- cost sharing
, ●● Beneficiary costs
Answer: $134 part b premium
$183 part b annual deductible
sometimes $422/month for part A if not enough quarters worked
$232 part a standard premium
part A hospital:
- $1340 deductible/benefit period
- $0 days 1-60 in hospital
- $335 days 61-90
- $670 91+ days
●● Medigap overview:
Answer: 10 plans, strictly regulated, over 50% choose plan F, C and F
cover part A and B deductibles
●● medigap prices
Answer: vary greatly between states
●● part C details
Answer: - aka medicare advantage
- voluntary (25% enrolled)
- comprehensive coverage including prescriptions
