PUBH 6012 Exam 3 TEST | QUESTIONS AND
CORRECT ANSWERS | GRADED A+ | VERIFIED
ANSWERS | JUST RELEASED (LATEST TEST)
Medicare - ANSWER✔✔-Medicare is a health insurance program for adults over age 65
and individuals with certain terminal conditions and disabilities.
Medicare Enactment Year - ANSWER✔✔-Medicare was enacted in 1965 under
President Lyndon B. Johnson.
Social Security Act Title for Medicare - ANSWER✔✔-Medicare was created under Title
XVIII of the Social Security Act.
Agency Administering Medicare - ANSWER✔✔-The Centers for Medicare and
Medicaid Services administers Medicare.
Medicare Eligibility Pathways - ANSWER✔✔-Eligibility pathways include age (65+),
disability, and certain terminal illnesses (ESRD or ALS).
Years Required for Age-Based Medicare Eligibility - ANSWER✔✔-10 years or 40
quarters of earning are required.
,Disability Qualification for Medicare - ANSWER✔✔-Individuals with disabilities must
qualify for Social Security Disability Income (SSDI) and have received benefits for at
least 24 months.
Immediate Medicare Eligibility Conditions - ANSWER✔✔-End-stage renal disease
(ESRD) and ALS (Lou Gehrig's disease).
Four Parts of Medicare - ANSWER✔✔-Part A (hospitals), Part B (physicians), Part C
(managed care), and Part D (prescription drugs).
Medicare Part A Coverage - ANSWER✔✔-Part A covers inpatient hospital care, hospice
care, and skilled nursing facility (SNF) care.
Funding for Medicare Part A - ANSWER✔✔-Part A is funded mainly through a
mandatory 2.9% payroll tax.
Medicare Part A Payroll Tax Rate - ANSWER✔✔-Employers pay 1.45%, and employees
pay 1.45% (or 2.35% for high earners).
Medicare Part B Coverage - ANSWER✔✔-Part B covers physician services, outpatient
services, home health visits, and preventive services.
Enrollment in Medicare Part B - ANSWER✔✔-No, enrollment in Part B is voluntary.
Funding for Medicare Part B - ANSWER✔✔-Part B is funded by general federal tax
revenue and monthly premiums.
, Penalty for Delayed Enrollment in Part B - ANSWER✔✔-A 10% penalty is added for
each year of delay.
Difference Between Medicare Parts A/B and Part C - ANSWER✔✔-Parts A and B are
traditional Medicare; Part C (Medicare Advantage) is a managed care plan.
Medicare Part C Functionality - ANSWER✔✔-Medicare pays private insurers a set
amount to cover beneficiaries under managed care plans.
Additional Benefits of Medicare Advantage Plans - ANSWER✔✔-Additional benefits
may include dental, hearing, and vision coverage.
Maximum Out-of-Pocket Limit for Medicare Advantage Plans in 2022 - ANSWER✔✔-
$4,972 in-network and $9,245 out-of-network.
Medicare Part D Definition - ANSWER✔✔-Part D is the prescription drug benefit under
Medicare.
Establishment Year of Medicare Part D - ANSWER✔✔-Part D was established by the
Medicare Modernization Act of 2003, effective in 2006.
Medicare Beneficiaries with Prescription Drug Coverage in 2022 - ANSWER✔✔-77% of
Medicare beneficiaries were enrolled in Part D.
Doughnut Hole in Medicare Part D - ANSWER✔✔-The 'doughnut hole' refers to a gap
in Part D coverage that affects out-of-pocket costs.
CORRECT ANSWERS | GRADED A+ | VERIFIED
ANSWERS | JUST RELEASED (LATEST TEST)
Medicare - ANSWER✔✔-Medicare is a health insurance program for adults over age 65
and individuals with certain terminal conditions and disabilities.
Medicare Enactment Year - ANSWER✔✔-Medicare was enacted in 1965 under
President Lyndon B. Johnson.
Social Security Act Title for Medicare - ANSWER✔✔-Medicare was created under Title
XVIII of the Social Security Act.
Agency Administering Medicare - ANSWER✔✔-The Centers for Medicare and
Medicaid Services administers Medicare.
Medicare Eligibility Pathways - ANSWER✔✔-Eligibility pathways include age (65+),
disability, and certain terminal illnesses (ESRD or ALS).
Years Required for Age-Based Medicare Eligibility - ANSWER✔✔-10 years or 40
quarters of earning are required.
,Disability Qualification for Medicare - ANSWER✔✔-Individuals with disabilities must
qualify for Social Security Disability Income (SSDI) and have received benefits for at
least 24 months.
Immediate Medicare Eligibility Conditions - ANSWER✔✔-End-stage renal disease
(ESRD) and ALS (Lou Gehrig's disease).
Four Parts of Medicare - ANSWER✔✔-Part A (hospitals), Part B (physicians), Part C
(managed care), and Part D (prescription drugs).
Medicare Part A Coverage - ANSWER✔✔-Part A covers inpatient hospital care, hospice
care, and skilled nursing facility (SNF) care.
Funding for Medicare Part A - ANSWER✔✔-Part A is funded mainly through a
mandatory 2.9% payroll tax.
Medicare Part A Payroll Tax Rate - ANSWER✔✔-Employers pay 1.45%, and employees
pay 1.45% (or 2.35% for high earners).
Medicare Part B Coverage - ANSWER✔✔-Part B covers physician services, outpatient
services, home health visits, and preventive services.
Enrollment in Medicare Part B - ANSWER✔✔-No, enrollment in Part B is voluntary.
Funding for Medicare Part B - ANSWER✔✔-Part B is funded by general federal tax
revenue and monthly premiums.
, Penalty for Delayed Enrollment in Part B - ANSWER✔✔-A 10% penalty is added for
each year of delay.
Difference Between Medicare Parts A/B and Part C - ANSWER✔✔-Parts A and B are
traditional Medicare; Part C (Medicare Advantage) is a managed care plan.
Medicare Part C Functionality - ANSWER✔✔-Medicare pays private insurers a set
amount to cover beneficiaries under managed care plans.
Additional Benefits of Medicare Advantage Plans - ANSWER✔✔-Additional benefits
may include dental, hearing, and vision coverage.
Maximum Out-of-Pocket Limit for Medicare Advantage Plans in 2022 - ANSWER✔✔-
$4,972 in-network and $9,245 out-of-network.
Medicare Part D Definition - ANSWER✔✔-Part D is the prescription drug benefit under
Medicare.
Establishment Year of Medicare Part D - ANSWER✔✔-Part D was established by the
Medicare Modernization Act of 2003, effective in 2006.
Medicare Beneficiaries with Prescription Drug Coverage in 2022 - ANSWER✔✔-77% of
Medicare beneficiaries were enrolled in Part D.
Doughnut Hole in Medicare Part D - ANSWER✔✔-The 'doughnut hole' refers to a gap
in Part D coverage that affects out-of-pocket costs.
