HPA210 Chap 22 PSU UPDATED
ACTUAL Exam Questions and CORRECT
Answers
Social Security - CORRECT ANSWER - Created in 1935 and expanded subsequently
•Cash benefits paid based upon eligibility
•Eligibility established through years of work in covered jobs (40 quarters)
•Funded by Federal Insurance Contribution Act (FICA) taxes paid by currently working people
•Funds flow into and out of the Old Age and Survivors Insurance (OASI) trust fund
-44.1 million received OASI benefits in 2011
Disability - CORRECT ANSWER - Created in 1956 to provide cash benefits to disabled
people
•Eligibility determined by application to CMS
•Funded by FICA taxes paid by currently working people
•Funds flow into and out of the Disability Insurance (DI) trust fund
-11 million received DI benefits in 2011
Medicare - CORRECT ANSWER - Created in 1965 and expanded most recently in 2003
•Has four parts:
-Part A—inpatient services
•Funded through Hospital Insurance (HI) trust fund
-Part B—physician/ambulatory services
•Funded through Supplementary Medical Insurance (SMI) trust fund
-Part C—managed care (Medicare Advantage)
•Funded through HI and SMI trust funds
-Part D—prescription drug
Funded through SMI trust fund
, Medicare Part A - CORRECT ANSWER - •Eligibility is determined just like Social
Security
-10 years of work in covered job
-One may purchase Part A coverage
•$441 per month in 2013
•~1 percent of beneficiaries buy Part A
•Coverage begins at age 65
•Funded by FICA taxes paid by current workers
•Funds flow into and out of the HI trust fund
-48.3 million beneficiaries have Part A coverage (2011)
Coverage Under Medicare Part A - CORRECT ANSWER - Per Spell of Illness:
-Up to 90 days on inpatient hospital care
•$1,340 deductible per spell of illness (in 2018)
•$0 copay for days 1-60
•$335 copay for days 61-90*
-Up to 100 days of skilled nursing facility care following a hospitalization of 3 days or more
•$0 copay for days 1-20
•$167.50 copay for days 21-100**
•Lifetime reserve of 60 additional inpatient hospital days
•$670 copay for each day***
•Up to 100 home health visits following a hospitalization of 3 days or more
•Lifetime limit of 100 days of inpatient psychiatric care
•Hospice care
•Blood
*,**,*** Copay set by law at 25%, 12.5% and 50% , respectively, of the spell of illness
deductible
ACTUAL Exam Questions and CORRECT
Answers
Social Security - CORRECT ANSWER - Created in 1935 and expanded subsequently
•Cash benefits paid based upon eligibility
•Eligibility established through years of work in covered jobs (40 quarters)
•Funded by Federal Insurance Contribution Act (FICA) taxes paid by currently working people
•Funds flow into and out of the Old Age and Survivors Insurance (OASI) trust fund
-44.1 million received OASI benefits in 2011
Disability - CORRECT ANSWER - Created in 1956 to provide cash benefits to disabled
people
•Eligibility determined by application to CMS
•Funded by FICA taxes paid by currently working people
•Funds flow into and out of the Disability Insurance (DI) trust fund
-11 million received DI benefits in 2011
Medicare - CORRECT ANSWER - Created in 1965 and expanded most recently in 2003
•Has four parts:
-Part A—inpatient services
•Funded through Hospital Insurance (HI) trust fund
-Part B—physician/ambulatory services
•Funded through Supplementary Medical Insurance (SMI) trust fund
-Part C—managed care (Medicare Advantage)
•Funded through HI and SMI trust funds
-Part D—prescription drug
Funded through SMI trust fund
, Medicare Part A - CORRECT ANSWER - •Eligibility is determined just like Social
Security
-10 years of work in covered job
-One may purchase Part A coverage
•$441 per month in 2013
•~1 percent of beneficiaries buy Part A
•Coverage begins at age 65
•Funded by FICA taxes paid by current workers
•Funds flow into and out of the HI trust fund
-48.3 million beneficiaries have Part A coverage (2011)
Coverage Under Medicare Part A - CORRECT ANSWER - Per Spell of Illness:
-Up to 90 days on inpatient hospital care
•$1,340 deductible per spell of illness (in 2018)
•$0 copay for days 1-60
•$335 copay for days 61-90*
-Up to 100 days of skilled nursing facility care following a hospitalization of 3 days or more
•$0 copay for days 1-20
•$167.50 copay for days 21-100**
•Lifetime reserve of 60 additional inpatient hospital days
•$670 copay for each day***
•Up to 100 home health visits following a hospitalization of 3 days or more
•Lifetime limit of 100 days of inpatient psychiatric care
•Hospice care
•Blood
*,**,*** Copay set by law at 25%, 12.5% and 50% , respectively, of the spell of illness
deductible
