PUBH 6012 Exam 3 ACTUAL QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
What is Medicare? - ANSWER✔✔-Medicare is a health insurance program for adults
over age 65 and individuals with certain terminal conditions and disabilities.
When was Medicare enacted? and under which President? - ANSWER✔✔-Medicare
was enacted in 1965 under President Lyndon B. Johnson.
Under what title of the Social Security Act was Medicare Created? - ANSWER✔✔-
Medicare was created under Title XVIII of the Social Security Act.
What agency administers Medicaid? - ANSWER✔✔-The Centers for Medicare and
Medicaid Services administers Medicare.
What are the 3 main pathways to Medicare eligibility? - ANSWER✔✔-Eligibility
pathways include age (65+), disability, and certain terminal illnesses (ESRD or ALS).
How many years or quarters of earning are required for age based Medicare eligibility?
- ANSWER✔✔-10 years or 40 quarters of earning are required.
,What must individuals with disabilities qualify for in order to receive Medicare? -
ANSWER✔✔-Individuals with disabilities must qualify for Social Security Disability
Income (SSDI) and have received benefits for at least 24 months.
What conditions grant immediate Medicare eligibility without a waiting period? -
ANSWER✔✔-End-stage renal disease (ESRD) and ALS (Lou Gehrig's disease).
What are the Four Parts of Medicare? - ANSWER✔✔-Part A (hospitals), Part B
(physicians), Part C (managed care), and Part D (prescription drugs).
What does Medicare Part A cover? - ANSWER✔✔-Inpatient hospital care
hospice care
skilled nursing facility (SNF) care
How is Medicare Part A primarily funded? - ANSWER✔✔-Part A is funded mainly
through a mandatory 2.9% payroll tax.
Who pays the Medicare Part A payroll tax, and at what rate? - ANSWER✔✔-Employers
pay 1.45%, and employees pay 1.45% (or 2.35% for high earners).
What services does Medicare Part B cover? - ANSWER✔✔-Physician services
Outpatient services
home health visits
preventive services.
, Is enrollment in Medicare part B mandatory? - ANSWER✔✔-No, enrollment in Part B is
voluntary.
How is Medicare part B primarily funded? - ANSWER✔✔-Part B is funded by general
federal tax revenue and monthly premiums.
What penalty applies if a person delays enrollment in Part B? - ANSWER✔✔-A 10%
penalty is added for each year of delay.
What is the difference between Medicare Part A and B vs C? - ANSWER✔✔-Parts A
and B are traditional Medicare; Part C (Medicare Advantage) is a managed care plan.
How does Medicare Part C work? - ANSWER✔✔-Medicare pays private insurers a set
amount to cover beneficiaries under managed care plans.
What are the additional benefits that are provided via Medicare Part C plans? -
ANSWER✔✔-Additional benefits may include dental, hearing, and vision coverage.
What is the Maximum Out-of-Pocket Limit for Medicare Advantage Plans in 2022? -
ANSWER✔✔-$4,972 in-network and $9,245 out-of-network.
What is Medicare Part D? - ANSWER✔✔-Part D is the prescription drug benefit under
Medicare.
When was Medicare Part D established and under what act? - ANSWER✔✔-Part D was
established by the Medicare Modernization Act of 2003, effective in 2006.
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
What is Medicare? - ANSWER✔✔-Medicare is a health insurance program for adults
over age 65 and individuals with certain terminal conditions and disabilities.
When was Medicare enacted? and under which President? - ANSWER✔✔-Medicare
was enacted in 1965 under President Lyndon B. Johnson.
Under what title of the Social Security Act was Medicare Created? - ANSWER✔✔-
Medicare was created under Title XVIII of the Social Security Act.
What agency administers Medicaid? - ANSWER✔✔-The Centers for Medicare and
Medicaid Services administers Medicare.
What are the 3 main pathways to Medicare eligibility? - ANSWER✔✔-Eligibility
pathways include age (65+), disability, and certain terminal illnesses (ESRD or ALS).
How many years or quarters of earning are required for age based Medicare eligibility?
- ANSWER✔✔-10 years or 40 quarters of earning are required.
,What must individuals with disabilities qualify for in order to receive Medicare? -
ANSWER✔✔-Individuals with disabilities must qualify for Social Security Disability
Income (SSDI) and have received benefits for at least 24 months.
What conditions grant immediate Medicare eligibility without a waiting period? -
ANSWER✔✔-End-stage renal disease (ESRD) and ALS (Lou Gehrig's disease).
What are the Four Parts of Medicare? - ANSWER✔✔-Part A (hospitals), Part B
(physicians), Part C (managed care), and Part D (prescription drugs).
What does Medicare Part A cover? - ANSWER✔✔-Inpatient hospital care
hospice care
skilled nursing facility (SNF) care
How is Medicare Part A primarily funded? - ANSWER✔✔-Part A is funded mainly
through a mandatory 2.9% payroll tax.
Who pays the Medicare Part A payroll tax, and at what rate? - ANSWER✔✔-Employers
pay 1.45%, and employees pay 1.45% (or 2.35% for high earners).
What services does Medicare Part B cover? - ANSWER✔✔-Physician services
Outpatient services
home health visits
preventive services.
, Is enrollment in Medicare part B mandatory? - ANSWER✔✔-No, enrollment in Part B is
voluntary.
How is Medicare part B primarily funded? - ANSWER✔✔-Part B is funded by general
federal tax revenue and monthly premiums.
What penalty applies if a person delays enrollment in Part B? - ANSWER✔✔-A 10%
penalty is added for each year of delay.
What is the difference between Medicare Part A and B vs C? - ANSWER✔✔-Parts A
and B are traditional Medicare; Part C (Medicare Advantage) is a managed care plan.
How does Medicare Part C work? - ANSWER✔✔-Medicare pays private insurers a set
amount to cover beneficiaries under managed care plans.
What are the additional benefits that are provided via Medicare Part C plans? -
ANSWER✔✔-Additional benefits may include dental, hearing, and vision coverage.
What is the Maximum Out-of-Pocket Limit for Medicare Advantage Plans in 2022? -
ANSWER✔✔-$4,972 in-network and $9,245 out-of-network.
What is Medicare Part D? - ANSWER✔✔-Part D is the prescription drug benefit under
Medicare.
When was Medicare Part D established and under what act? - ANSWER✔✔-Part D was
established by the Medicare Modernization Act of 2003, effective in 2006.
