CHAM MEDICARE EXAM QUESTIONS
WITH CORRECT ANSWERS
The majority of long-term care is custodial, not medically required care. Does
Medicare pay for custodial care? - ANSWER Custodial care is non-
professional, personal care, such as help with activities of daily living like
bathing, dressing, eating, getting in or out of bed or chair, moving around, and
using the bathroom. It may also be care most individuals perform for
themselves. Medicare does not pay for custodial care. Medicare only pays for
medically necessary skilled nursing facility (SNF) care. Skilled care is typically
just for a short while after a hospital stay. Skilled care is doctor-prescribed
medical care that you receive when you must have skilled nursing or rehab staff
to oversee, observe, and monitor your care. Examples of skilled care are the
changing of sterile dressings and physical therapy
A person can become eligible for Medicare on the grounds of what three
conditions? - ANSWER Age (65), disability (after 24 months of getting SSI),
ESRD
If someone is eligible for Medicare due to age, on what date does their benefits
commence? - ANSWER individuals turn age 65 on the day before their actual
65th birthday and Part A becomes effective on the first day of the month upon
turning age 65. For an individual whose 65th birthday is on the first day of the
month, Part A becomes effective on the first day of the previous month to their
birth month. For example, in the case of a person whose birthday falls on
December 1, Part A takes effect on November 1 since for Medicare, he or she
attained the age of 65 years on November 30.
, Individuals are eligible for Part A if they receive dialysis treatments regularly or
a kidney transplant, have applied, and are eligible on one of the following:
- ANSWER •have earned the requisite time under Social Security, the Railroad
Retirement Board, or as a government employee; or
•are receiving or entitled to Social Security or Railroad Retirement benefits; or
•are the dependent spouse or child of someone who has worked the required
number of years under Social Security, the Railroad Retirement Board, or as a
government employee; or
•are receiving Social Security or Railroad Retirement benefits.
Part A coverage begins for people eligible for Medicare on the basis of ESRD:
- ANSWER •the 3rd month after the month a regular dialysis course is initiated;
•the first month on which a regular course of dialysis is begun of dialysis if the
patient is treated by self-dialysis if the patient receives self-dialysis training; or
•the month of transplant;
•two months prior to the month of transplant if the patient was hospitalized in
the preceding months in anticipation of the transplant.
Are Part A Medicare-eligible individuals entitled to Part B? - ANSWER
Individuals living in the United States (except Puerto Rico residents) who
become eligible for premium-free Part A are enrolled in Part B automatically.
Because Part B is a voluntary program that involves paying a monthly premium,
such individuals who do not wish to have the coverage may decline enrollment.
What makes an individual eligible for Medicare Part B benefits? - ANSWER A
person 65 or older who is not entitled to premium-free Part A must meet the
following to become entitled to Part B: he or she must be a U.S. resident and
either a citizen, or an alien who was admitted lawfully for permanent residence
with 5 consecutive years of residence in this country at the time of application.
Individuals who are not eligible for automatic enrollment, or have already
WITH CORRECT ANSWERS
The majority of long-term care is custodial, not medically required care. Does
Medicare pay for custodial care? - ANSWER Custodial care is non-
professional, personal care, such as help with activities of daily living like
bathing, dressing, eating, getting in or out of bed or chair, moving around, and
using the bathroom. It may also be care most individuals perform for
themselves. Medicare does not pay for custodial care. Medicare only pays for
medically necessary skilled nursing facility (SNF) care. Skilled care is typically
just for a short while after a hospital stay. Skilled care is doctor-prescribed
medical care that you receive when you must have skilled nursing or rehab staff
to oversee, observe, and monitor your care. Examples of skilled care are the
changing of sterile dressings and physical therapy
A person can become eligible for Medicare on the grounds of what three
conditions? - ANSWER Age (65), disability (after 24 months of getting SSI),
ESRD
If someone is eligible for Medicare due to age, on what date does their benefits
commence? - ANSWER individuals turn age 65 on the day before their actual
65th birthday and Part A becomes effective on the first day of the month upon
turning age 65. For an individual whose 65th birthday is on the first day of the
month, Part A becomes effective on the first day of the previous month to their
birth month. For example, in the case of a person whose birthday falls on
December 1, Part A takes effect on November 1 since for Medicare, he or she
attained the age of 65 years on November 30.
, Individuals are eligible for Part A if they receive dialysis treatments regularly or
a kidney transplant, have applied, and are eligible on one of the following:
- ANSWER •have earned the requisite time under Social Security, the Railroad
Retirement Board, or as a government employee; or
•are receiving or entitled to Social Security or Railroad Retirement benefits; or
•are the dependent spouse or child of someone who has worked the required
number of years under Social Security, the Railroad Retirement Board, or as a
government employee; or
•are receiving Social Security or Railroad Retirement benefits.
Part A coverage begins for people eligible for Medicare on the basis of ESRD:
- ANSWER •the 3rd month after the month a regular dialysis course is initiated;
•the first month on which a regular course of dialysis is begun of dialysis if the
patient is treated by self-dialysis if the patient receives self-dialysis training; or
•the month of transplant;
•two months prior to the month of transplant if the patient was hospitalized in
the preceding months in anticipation of the transplant.
Are Part A Medicare-eligible individuals entitled to Part B? - ANSWER
Individuals living in the United States (except Puerto Rico residents) who
become eligible for premium-free Part A are enrolled in Part B automatically.
Because Part B is a voluntary program that involves paying a monthly premium,
such individuals who do not wish to have the coverage may decline enrollment.
What makes an individual eligible for Medicare Part B benefits? - ANSWER A
person 65 or older who is not entitled to premium-free Part A must meet the
following to become entitled to Part B: he or she must be a U.S. resident and
either a citizen, or an alien who was admitted lawfully for permanent residence
with 5 consecutive years of residence in this country at the time of application.
Individuals who are not eligible for automatic enrollment, or have already
