Medicare Certification Exam 2026–2027
Exam 250 Questions and Verified Correct
Answers
Medicare part A is what? - CORRECT ANSWER Hospital insurance
What does part A cover? - CORRECT ANSWER Part A covers hospital
stays, including Mental hospitals, skilled Nursing Facility care, if
such care is indicated after at least three days in the hospital,
hospice care, (end of life hospital, but home hospice is included),
some home health care (Extension of hospital care in a cheaper
form), blood, religious non-medical care, because some people will
not go into the hospital for religious reasons.
What is included in part A inpatient care? - CORRECT ANSWER A
semi-private room, general nursing, meals, treatment drugs, other
hospital services and supplies
What is a benefit period? - CORRECT ANSWER The time period
which is triggered the first day a beneficiary enters the hospital and
becomes responsible for the part A deductible, is measured
starting the day of discharge and ends when they have not
received hospital care, or Medicarecovered skilled care in a skilled
nursing facility for 60 days in a row from the date of discharge..
,Can an individual get part A if they have not worked 40 quarters in
the United States? - CORRECT ANSWER Yes, those who have
worked at least 30 qauarters can get Part A at a reduced out of
pocket premium, which was $226/month in 2016. Those who have
worked less then 30 quarters can get part A at full premium, which
in 2016 was $411 per month.
Is there a late enrollment fee for Medicare part A? - CORRECT
ANSWER Yes, if a beneficiary is eligible for part A and does not take
it, then if they elect to take part A coverage any time in the future,
they may be assesed a late enrollment penalty of 10% per year for
every full 12 month period that the beneficiary did not have part A
coverage.
What are the fees for a hospital stay under Part A coverage in 2016
- CORRECT ANSWER Days 1-60 are covered by the deductible of
$1288, Days 61-90 are covered at $322 per day, Days 91-150 are
lifetime reserve days and are $644 per day.
What happens after all hospital inpatient lifetime reserve days
have been used? - CORRECT ANSWER After all lifetime reserve days
have been used, all days of a hospital stay after day 90 which are in
the same benefit period are not covered.
What are the fees under part A for a stay in a mental health facility
- CORRECT ANSWER In 2016, Days 1-60 are covered by the
,deductible of $1288, Days 61-90 are covered at $322 per day, Days
91-190 are lifetime reserve days and are $644 per day.
What are the fees under part A for a stay in a skilled nursing
facility? - CORRECT ANSWER The patient must stay 3 days in-
hospital, and be certified by a physician to be admitted to a SNF,
which means that in 2016 the patient will owe the Part A
deductible of $1288 for days 1-20. There are no other charges for
days 1-20. Days 21-100 are covered at $161 per day. All days after
100 in the same benefit period are not covered.
What is Medicare part B? - CORRECT ANSWER Part B is called
Medical insurance, and covers providers that are oriented towards
out-patient care.
As a general rule, all services and supplies that are covered under
part B must be what? - CORRECT ANSWER Medically necessary
How does a beneficiary enroll in part B? - CORRECT ANSWER In
general, part B enrollment is automatic, and occurs at the same
time part A enrollment takes place. If a beneficiary wants to delay
their part B enrollment, they must notify Social Security.
Is there a late enrollment penalty for part B? - CORRECT ANSWER
Yes. Although enrollment in part B is voluntary, the beneficiary is
, required to have some form of credible coverage, and if they
cannot produce evidence of this credible coverage at the time of
enrollment into part B, they may be assessed a late enrollment
penalty of 10% of the premium per each 12 month time period in
which they could have had part B and did not.
Is there any assistance available for the Part B Premium? -
CORRECT ANSWER Yes, if the beneficiary is low income, they may
be eligible for premium assistance. Refer the client to the state
medicaid system.
Is there an income-related extra burden associated with the Part B
Premium? - CORRECT ANSWER Yes, its called IRMAA which stands
for Income Related Monthly Adjustment Amount. Basically, the
higher the income, the higher the premium.
For 2016, what is the Part B Deductible? - CORRECT ANSWER For
2017, the deductible is $183
Is accupuncture covered under Medicare? - CORRECT ANSWER No,
Medicare does not cover accupuncture
Is cosmetic surgery covered under Medicare? - CORRECT ANSWER
No, cosmetic surgery is not covered
Exam 250 Questions and Verified Correct
Answers
Medicare part A is what? - CORRECT ANSWER Hospital insurance
What does part A cover? - CORRECT ANSWER Part A covers hospital
stays, including Mental hospitals, skilled Nursing Facility care, if
such care is indicated after at least three days in the hospital,
hospice care, (end of life hospital, but home hospice is included),
some home health care (Extension of hospital care in a cheaper
form), blood, religious non-medical care, because some people will
not go into the hospital for religious reasons.
What is included in part A inpatient care? - CORRECT ANSWER A
semi-private room, general nursing, meals, treatment drugs, other
hospital services and supplies
What is a benefit period? - CORRECT ANSWER The time period
which is triggered the first day a beneficiary enters the hospital and
becomes responsible for the part A deductible, is measured
starting the day of discharge and ends when they have not
received hospital care, or Medicarecovered skilled care in a skilled
nursing facility for 60 days in a row from the date of discharge..
,Can an individual get part A if they have not worked 40 quarters in
the United States? - CORRECT ANSWER Yes, those who have
worked at least 30 qauarters can get Part A at a reduced out of
pocket premium, which was $226/month in 2016. Those who have
worked less then 30 quarters can get part A at full premium, which
in 2016 was $411 per month.
Is there a late enrollment fee for Medicare part A? - CORRECT
ANSWER Yes, if a beneficiary is eligible for part A and does not take
it, then if they elect to take part A coverage any time in the future,
they may be assesed a late enrollment penalty of 10% per year for
every full 12 month period that the beneficiary did not have part A
coverage.
What are the fees for a hospital stay under Part A coverage in 2016
- CORRECT ANSWER Days 1-60 are covered by the deductible of
$1288, Days 61-90 are covered at $322 per day, Days 91-150 are
lifetime reserve days and are $644 per day.
What happens after all hospital inpatient lifetime reserve days
have been used? - CORRECT ANSWER After all lifetime reserve days
have been used, all days of a hospital stay after day 90 which are in
the same benefit period are not covered.
What are the fees under part A for a stay in a mental health facility
- CORRECT ANSWER In 2016, Days 1-60 are covered by the
,deductible of $1288, Days 61-90 are covered at $322 per day, Days
91-190 are lifetime reserve days and are $644 per day.
What are the fees under part A for a stay in a skilled nursing
facility? - CORRECT ANSWER The patient must stay 3 days in-
hospital, and be certified by a physician to be admitted to a SNF,
which means that in 2016 the patient will owe the Part A
deductible of $1288 for days 1-20. There are no other charges for
days 1-20. Days 21-100 are covered at $161 per day. All days after
100 in the same benefit period are not covered.
What is Medicare part B? - CORRECT ANSWER Part B is called
Medical insurance, and covers providers that are oriented towards
out-patient care.
As a general rule, all services and supplies that are covered under
part B must be what? - CORRECT ANSWER Medically necessary
How does a beneficiary enroll in part B? - CORRECT ANSWER In
general, part B enrollment is automatic, and occurs at the same
time part A enrollment takes place. If a beneficiary wants to delay
their part B enrollment, they must notify Social Security.
Is there a late enrollment penalty for part B? - CORRECT ANSWER
Yes. Although enrollment in part B is voluntary, the beneficiary is
, required to have some form of credible coverage, and if they
cannot produce evidence of this credible coverage at the time of
enrollment into part B, they may be assessed a late enrollment
penalty of 10% of the premium per each 12 month time period in
which they could have had part B and did not.
Is there any assistance available for the Part B Premium? -
CORRECT ANSWER Yes, if the beneficiary is low income, they may
be eligible for premium assistance. Refer the client to the state
medicaid system.
Is there an income-related extra burden associated with the Part B
Premium? - CORRECT ANSWER Yes, its called IRMAA which stands
for Income Related Monthly Adjustment Amount. Basically, the
higher the income, the higher the premium.
For 2016, what is the Part B Deductible? - CORRECT ANSWER For
2017, the deductible is $183
Is accupuncture covered under Medicare? - CORRECT ANSWER No,
Medicare does not cover accupuncture
Is cosmetic surgery covered under Medicare? - CORRECT ANSWER
No, cosmetic surgery is not covered
