Long Term Care || Questions and 100% Accurate Answers.

Medicare correct answers - federal health insurance program, administered by the Centers for Medicare & Medicaid Services (CMS), for people age 65 and older and for certain disabled individuals. Medicare is a Social Security program that covers medical expenses for qualified individuals. Like Social Security, Medicare is funded primarily by payroll taxes. - Health care providers bill Medicare directly for services rendered to Medicare patients, so patients do not submit claim forms. Medicare benefits are paid directly to the health care provider. In this way Medicare functions like a preferred provider organization (PPO). Medicare Coverage Overview correct answers - Parts A and B, called "Original Medicare," together provide complete medical coverage. They require deductibles and coinsurance, just like a reimbursement insurance policy. - Parts C and D are recent additions to Medicare. They offer a managed care plan option (Part C) and a prescription drug program (Part D). Part A correct answers - hospital insurance - covers inpatient hospital care, skilled nursing home care, post-hospital home health care, and hospice care. Part B correct answers - medical insurance - covers PHYSICIAN'S services, outpatient hospital care, physical therapy, ambulance trips, medical equipment, and some preventive services. Part B supplements Part A coverage. Part C correct answers - Medicare Advantage - is a managed care plan alternative to Original Medicare. Provided through commercial insurance companies, this comprehensive plan combines the coverage of Parts A and B and delivers it like a PPO. Part D correct answers - adds prescription drug coverage to Medicare Parts A and B. It is provided through Medicare-approved commercial insurers. Medicare Eligibility correct answers available to U.S. citizens and certain permanent residents who meet at least one of the following: - are at least 65 years old - have received Social Security disability checks for at least two years - have end-stage renal disease (ESRD, a kidney disease requiring a transplant or dialysis) - have amyotrophic lateral sclerosis (ALS, or Lou Gehrig's disease) Permanent legal residents must live in the United States for at least five years to qualify for Medicare. Part A Eligibility correct answers - Most people who are fully insured (with at least 40 quarters of coverage, or work credits) under Social Security are automatically enrolled in Part A. They pay no premium for Part A coverage. Coverage begins the first day of the month in which they turn 65 years old. - Those who are not automatically enrolled can enroll during the seven-month period that begins three months before they turn age 65, includes the month of their birthday, and ends three months after their birthday. Persons who are not fully insured (with at least 40 quarters of coverage, or work credits) under Social Security pay a premium for Medicare Part A coverage: