leadership, managed care Exam
Questions and Answers 100% Pass
Who is Medicare available to? - ✔✔1. 65 or older who have worked in
Medicare-covered employment for 40 quarters,
2. younger people with certain disabilities (end-stage renal disease or
amyotrophic lateral sclerosis (ALS)
What does Medicare Part A cover? (6) - ✔✔1. Inpatient care in hospitals
2. Skilled nursing facility care
3. Hospice Care
4. Home health care
r5. You have to pay co-pays and deductibles
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,6. Inpatients vs out-patient
what is covered in Medicare part B? (6) - ✔✔1. Services from Health Care
Providers
2. Outpatient care
3. Home health care, PT/OT,ST
4. Ambulance services
5. Durable medical equipment (wheelchairs, walkers, hospital beds)
6. Many preventative services (screenings, shots or vaccines, and yearly
"wellness visits")
what are you responsible for if covered by Medicare part B? - ✔✔- to pay
part B premium through your SS Benefit.
IF you choose NOT to have part B you can choose it late BUT pay a penalty
How is Medicare C & D payed for? - ✔✔you pay for privately Medicare
Advantage plans - Allows beneficiaries to enroll in private health insurance
programs that will cover the gaps in coverage.
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, what does Medicare Part C cover? (4) - ✔✔1. Covers vision, hearing,
dental, wellness programs (gym membership)
2. Can also cover adult day care
3. transportation to the doctors office
4. over the counter medications and some prescription medications.
what does Medicare part D cover? - ✔✔cost of prescription drugs
what does medicare part A and B NOT cover? (8) - ✔✔1. Eye exams
relating to prescribing glasses
2. dental care or dentures, 3. hearing aids,
4. eyeglasses
5. private-duty nursing,
6. cosmetic surgery
7. concierge care
8. Long term care
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