Medicare, Medicaide, LTC NC Insurance Combined Exam Questions with Correct Answers 2024/2025

Medicare, Medicaide, LTC NC Insurance Combined Exam Questions with Correct Answers 2024/2025 Federal Program - Correct Answer Medicare is a federal health insurance program. Part of the Social Security program, Medicare is run by the Centers for Medicare & Medicaid Services of the Department of Health and Human Services. Private firms contract with the federal government to handle the paperwork, review claims, and disburse claim payments. Medicare Part A - Correct Answer Designed primarily to provide hospital insurance and to pay for certain other types of institutional care. Medicare Part B - Correct Answer Designed primarily to provide medical insurance for physician visits and other out-patient care. Medicare Part C - Correct Answer Provides expanded coverage through managed care plans such as Health Maintenance Organizations (HMOs) and Preferred Provider Organizations (PPOs). Medicare Part D - Correct Answer Provides coverage for prescription drugs. What is the "original medicare"? - Correct Answer Parts A and B because those two parts were enacted together in the original amendment to Social Security that created the Medicare program in 1965. Parts C and D were added later (in 1997 and 2003, respectively) to keep the Medicare program up to date with changes in the health care delivery system. If someone has Original Medicare, in which part or parts of Medicare is he or she enrolled? A Parts A, B, and C B Parts A, B, C, and D C Part C D Parts A and B - Correct Answer D Parts A and B *Parts A and B are referred to as Original Medicare because they were enacted together when the So-cial Security law was originally amended to create Medicare. Parts C and D were added later. Qualified Medicare Beneficiary (QMB) - Correct Answer Program is for persons whose monthly income is no more than the Federal Poverty Level (FPL) plus $20. Some states disregard more than an additional $20 of monthly income. In addition to helping pay the Part B premium, the QMB program may also help pay a beneficiary's Part A premium (if any) and Medicare cost-sharing amounts such as deductibles, coinsurance, and copayments.