Medicare basics Questions with 100% Correct answers 2022

Which of the following types of care is excluded by both Part A and Part B of Medicare a. most routine physical exams b. emergency room services c. ambulance services d. occupational therapy. - ANSWER-Most routine physical exams." Other than the initial "Welcome to Medicare" physical exam, most routine physical exams are not covered by Medicare Part A or Part B. The correct answer is A. Danita was discharged from the hospital on September 1. If she is not readmitted to the hospital in the meantime, when will her Part A benefit period covering this inpatient stay end? A. September 30 b. October 1 c. October 15 d. October 31 - ANSWER-A benefit period ends 60 days after the patient is discharged from the hospital if he or she is not readmitted sooner. The answer is D What is the usual coinsurance percentage that Medicare beneficiaries must pay for services covered under Part B of Medicare? a. 0 percent b. 20 percent c. 50 percent d. 80 percent - ANSWER-There are exceptions, but in general, Medicare beneficiaries are required to pay 20 percent of the cost of covered services received from health-care providers under Medicare Part B. Ted turns age 65 in June. When does his initial enrollment period for Medicare begin? a. February 1 b. March 1 c. June 1 d. July 1 - ANSWER-An individual's initial enrollment period for Medicare is the seven month period that begins on the first day of the third month prior to the month in which the individual turns age 65. March is the third month prior to June, when Ted turns age 65. The answer is B. There are three main reasons why an individual may be eligible for Medicare. They are. - ANSWER-Ageing in at the age of 65, Being on disability for 24 months, End stage renal disease. There are five main things that Medicare part A cover. What are they? - ANSWER-Inpatient hospitalization, skilled nursing facility care, In home care, hospice services, and blood. Under part A in-patient hospitalization care, Medicare will generally cover procedures and treatments that are considered what? - ANSWER-Medically necessary A Medicare Part A in-patient benefit period starts on the day that a patient enters the hospital and ends when? - ANSWER-60 days after the patient is discharged. If a patient is re-admitted to the hospital for any reason, even for the same issue, more then 60 days after the most recent discharge, what happens? - ANSWER-That beneficiary must pay an new part A deductible. They are in a new benefit period. The current in-patient hospital deductible is. - ANSWER-In 2019, this amount is $1364 If an in-patient hospital stay lasts more than 60 days, on day 61 the individual must begin paying a co-insurance of . - ANSWER-$341 in 2019 After a 90 day hospital stay, the patient will begin to use what is called their. - ANSWER-60 Day lifetime reserve. If a patient uses one of their lifetime reserve days, the co-insurance on those days is how much? - ANSWER-$682 in 2019 If a patient has used all of their lifetime reserve days, during the remainder of the hospital stay, Medicare will pay. - ANSWER-Nothing. The lifetime limit on in-patient hospital stays for mental health concerns is. - ANSWER190 Days There are two conditions that must be met before Medicare will cover care in a skilled nursing facility. They are. - ANSWER-It must be immediately preceded by a hospital stay of at least three days, A physician must certify that such care is necessary. For a skilled nursing facility, an in-patient benefit period starts on the day that a patient enters the hospital and ends when? - ANSWER-60 days after the patient is discharged.. If a patient is re-admitted to the skilled nursing facility for any reason, even for the same issue, more then 60 days after the most recent discharge, that individual is responsible for what? - ANSWER-Paying an new part A deductible. They are in a new benefit period. Custodial care, or assisting a patient with activities of daily living, will only be paid for by Medicare if it is given. - ANSWER-Within a skilled nursing facility. Custodial care outside of a skilled nursing facility can only be paid for by. - ANSWERPrivate long term care insurance The Medicare deductible for skilled nursing facility care is. - ANSWER-$0. Since a patient can only be admitted to a skilled nursing facility after a minimum of three days in the hospital, the patient will have already paid the part A deductible. Medicare will cover all of the cost for a stay in a skilled nursing facility for the first. - ANSWER-20 Days There is a co-insurance cost for a skilled nursing facility stay for what span of days? - ANSWER-Days 21 through 100 The co-insurance, for a stay in a skilled nursing facility, when applicable, is. - ANSWER- $170.50 per day in 2019 The patient is responsible for all costs in a skilled nursing facility after how long? - ANSWER-100 Days Medicare will cover home health care under what four conditions? - ANSWER-If the care is medically necessary, ordered by a physician, provided by a Medicare-certified agency, and if the patient is home-bound, meaning that leaving home would require a great deal of effort. Medicare will NOT cover home health care unless it includes. - ANSWER-Skilled care that falls into one of four categories. Name four examples of skilled care that qualify a patient to receive home health care coverage. - ANSWER-Skilled nursing care Physical therapy Speech or language pathology Occupational therapy