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MEDICARE SUPPLEMENT_LTC NC QUESTIONS WITH COMPLETE ANSWERS

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MEDICARE SUPPLEMENT_LTC NC QUESTIONS WITH COMPLETE ANSWERS

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Medicare Advantage is


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A combination of part a and part B coverage plus additional benefits not
covered by original Medicare such as hearing or vision care




This also pays for Medicare part A

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Taxes paid on Social Security benefits




Beneficiaries who have Medicare advantage are not allowed to


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Purchase standalone plans even if their Medicare advantage plan does not
include prescription drug benefits




Most part B beneficiaries pay


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The standard part B premium which may be adjusted each year for inflation




Exclusions under Medicare part A include


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, - Long-term or custodial care
- homemaker services
- private nursing
- cosmetic surgery unless medically necessary
- experimental or alternative medicines or procedures
- Routine dental care or dentures
- Eye exams related to prescribing eyeglasses
- hearing aids and exams for fitting them




For Medicare part B, beneficiaries are generally responsible for paying


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20% on part B coverage services while Medicare pays the other 80% of the
Medicare approved charge




Core functions of the QIO program are:


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-Improving quality of care for beneficiaries
-protecting the integrity of the Medicare trust fine by ensuring Medicare
pays only for services and goods that are reasonable and necessary
-addressing individual complaints such as: beneficiary complaints,
provider-based notice appeals, violations of the EMTALA




Skilled Nursing Facility (SNF)


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