MEDICAID EXAM QUESTIONS WITH 100%
VERIFIED ANSWERS
What is the best definition of the term "health insurance premium"? -
ANSWER The amount health insurance companies charge by month for
coverage; the premium is the monthly fee all enrollees pay in order to
have health insurance coverage.
Do you have to pay your premium monthly, even if you don't use the
insurance? - ANSWER Yes
What is an "annual health insurance deductible"? - ANSWER The
amount of health care expenses you must pay each year yourself before
your insurance begins to pay; a type of cost-sharing feature often
included in a health insurance policy
What is the annual out-of-pocket limit? - ANSWER The most you will
have to pay in deductibles, copays, and coinsurance for covered care
received in the network for the year; Health plans sold through the
Marketplace and most employer health plans must cap the amount you
are required to pay each year in deductibles, copays, and coinsurance
for covered services received in network
Approx. what per cent of Americans receive health insurance coverage
through Medicaid at some point during the year? - ANSWER About
20%; Medicaid plays an important role by providing health insurance to
nearly 1 in 5 individuals and families across the country who do not have
access to other affordable coverage options
The Medicaid program is the same in all states. T or F - ANSWER
False. States have flexibility to design their own Medicaid programs
within broad federal guidelines.
Of the nearly 63 million people served by Medicaid each year, approx.
how many are children - ANSWER One-half; In federal fiscal year
2010, just under 50 percent (49%) of all Medicaid enrollees (about 32
million) were children
, Which group accounts for most Medicaid spending? - ANSWER Elderly
and disabled adults; Although elderly and disabled adults only make up
1/4 of Medicaid beneficiaries, they account for 66% of total costs.
How does the recent growth in Medicaid spending per person compare
to the growth in private health insurance premiums per person -
ANSWER Medicaid spending grew slower than private health insurance
premiums ; After accounting for enrollment growth, analyses show that
Medicaid has been able to keep cost increases below that of other
sectors of the health care system and in 2012, spending growth slowed
to near record lows, reflecting the slow-down in enrollment growth
Which type of coverage is the primary payer for long-term care services
and supports for elderly and disabled individuals - ANSWER Medicaid ;
Medicaid is the primary payer for long-term care services and supports
for low-income individuals across the age spectrum
What time of assistance does Medicaid provide for Medicare
beneficiaries - ANSWER Medicaid pays for Medicare premiums and
copays for low-income beneficiaries & Medicaid pays for health care
services not covered by Medicare, such as home and community based
services ; Medicaid plays an important role for over 9 million low-income
Medicaid beneficiaries, know as "dual eligible" beneficiaries, by filling in
the gaps in Medicare's benefit package
Medicaid is a government run health care delivery system, and provides
enrollees access to public health care facilities only. T or F - ANSWER
False ; Medicaid is a publicly financed insurance program that provides
enrollees access to physicians, hospitals and other providers who serve
the general population, including those with private insurance
Now that the ACA coverage provisions are in effect, who becomes newly
eligible for Medicaid in the states adopting Medicaid expansion -
ANSWER As of 2014 the ACA Medicaid expansion provides a new
coverage pathway for millions of currently and formerly uninsured low
income adults, including childless adults who have been historically
excluded from Medicaid coverage
VERIFIED ANSWERS
What is the best definition of the term "health insurance premium"? -
ANSWER The amount health insurance companies charge by month for
coverage; the premium is the monthly fee all enrollees pay in order to
have health insurance coverage.
Do you have to pay your premium monthly, even if you don't use the
insurance? - ANSWER Yes
What is an "annual health insurance deductible"? - ANSWER The
amount of health care expenses you must pay each year yourself before
your insurance begins to pay; a type of cost-sharing feature often
included in a health insurance policy
What is the annual out-of-pocket limit? - ANSWER The most you will
have to pay in deductibles, copays, and coinsurance for covered care
received in the network for the year; Health plans sold through the
Marketplace and most employer health plans must cap the amount you
are required to pay each year in deductibles, copays, and coinsurance
for covered services received in network
Approx. what per cent of Americans receive health insurance coverage
through Medicaid at some point during the year? - ANSWER About
20%; Medicaid plays an important role by providing health insurance to
nearly 1 in 5 individuals and families across the country who do not have
access to other affordable coverage options
The Medicaid program is the same in all states. T or F - ANSWER
False. States have flexibility to design their own Medicaid programs
within broad federal guidelines.
Of the nearly 63 million people served by Medicaid each year, approx.
how many are children - ANSWER One-half; In federal fiscal year
2010, just under 50 percent (49%) of all Medicaid enrollees (about 32
million) were children
, Which group accounts for most Medicaid spending? - ANSWER Elderly
and disabled adults; Although elderly and disabled adults only make up
1/4 of Medicaid beneficiaries, they account for 66% of total costs.
How does the recent growth in Medicaid spending per person compare
to the growth in private health insurance premiums per person -
ANSWER Medicaid spending grew slower than private health insurance
premiums ; After accounting for enrollment growth, analyses show that
Medicaid has been able to keep cost increases below that of other
sectors of the health care system and in 2012, spending growth slowed
to near record lows, reflecting the slow-down in enrollment growth
Which type of coverage is the primary payer for long-term care services
and supports for elderly and disabled individuals - ANSWER Medicaid ;
Medicaid is the primary payer for long-term care services and supports
for low-income individuals across the age spectrum
What time of assistance does Medicaid provide for Medicare
beneficiaries - ANSWER Medicaid pays for Medicare premiums and
copays for low-income beneficiaries & Medicaid pays for health care
services not covered by Medicare, such as home and community based
services ; Medicaid plays an important role for over 9 million low-income
Medicaid beneficiaries, know as "dual eligible" beneficiaries, by filling in
the gaps in Medicare's benefit package
Medicaid is a government run health care delivery system, and provides
enrollees access to public health care facilities only. T or F - ANSWER
False ; Medicaid is a publicly financed insurance program that provides
enrollees access to physicians, hospitals and other providers who serve
the general population, including those with private insurance
Now that the ACA coverage provisions are in effect, who becomes newly
eligible for Medicaid in the states adopting Medicaid expansion -
ANSWER As of 2014 the ACA Medicaid expansion provides a new
coverage pathway for millions of currently and formerly uninsured low
income adults, including childless adults who have been historically
excluded from Medicaid coverage
