- Study guides, Class notes & Summaries

Medicare and Long-Term Care Insurance Questions with Complete Solutions

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4 pages

Written in 2023/2024

Classroom

what facility is long term care NOT provided in - Hospital an insured receives health care through both Medicare and Medicaid. She Currently has prescription drug coverage through Medicaid. does the insured need to enroll in Medicare part D? - Yes, she must begin receiving her prescription Drug coverage through Part D To quality for skilled nursing care a patient must - have a qualifying hospital stay of at least 3 consecutive days if a insured returns a Medicare supplement policy too the ...

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7 pages

Written in 2023/2024

Grade A+

QUINTER

An insured has 10 years of work experience. She participated in the Social Security program for 10 years. Her medicare Part A premium is most likely to be A. $0 B. $458 per month C. About 5% of monthly income D. $458 per month - $0

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6 pages

Written in 2023/2024

Grade A+

QUINTER

Which of the following Medicare parts will allow an assignment payment method? Part B Part C Part D All Medicare Parts Part B Assignment is an agreement by the insured's doctor, provider, or supplier to be paid directly by Medicare, to accept the payment amount Medicare approves for the service, and not to bill the insured for any more than the Medicare deductible and coinsurance. Assignments are applicable to Medicare Part B, but not to Parts C or D. Which of the following would be c...

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16 pages

Written in 2023/2024

Grade A+

QUINTER

Medicare - Health insurance for those over age 65, people under 65 with certain disabilities & those with ESRD (end stage renal disease - permanent kidney failure requiring dialysis or kidney transplant) CMS - Centers for Medicare and Medicaid Services administers the Medicare program. Social Security Administration handles most of the enrollment & plays a role in claims appeal process. MAC - Medicare Administrative Contractor - company contracted to administer Part A & Part B claims.

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15 pages

Written in 2023/2024

Grade A+

QUINTER

Z sells a MSP to a sick 72-year-old person, that he knows already has a Medicare supplement. The sale is - Not allowed because a person cant have multiple MSPs Which of the following does not qualify for Medicare under 65 years old? - Z who has pancreatic cancer All of the following are NOT correct regarding Medicare Advantage HMO and PPO plans EXCEPT: - Medicare Advantage PPOs do NOT use a gatekeeper. Which of the following is the primary point of contact to enroll Medicare providers? - a...

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14 pages

Written in 2023/2024

Grade A+

QUINTER

An individual who is not eligible for premium-free Medicare Part A coverage may apply for coverage during which of the following enrollment periods? A. All of the above B. Initial enrollment period C. General enrollment period D. Special enrollment period - A. All of the above Medicare makes what payment for services in which another payer may be responsible: A. Conditional payment B. Interim payment C. Transitional payment D. Temporary payment - A. Conditional payment

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15 pages

Written in 2023/2024

Grade A+

QUINTER

As of July 2001, Health Care Financing Administration (HCFA) changed it's title to... - Centers for Medicare and Medicaid Services (CMS) CMS is a _______ agency - Federal CMS is responsible for... (4 things) - 1. Assuring that the Medicaid, Medicare , and SCHIP programs are PROPERLY run by its contractor and state agencies 2. ESTABLISHING policies for paying health care providers 3. Conducting RESEARCH on the effectiveness of various methods of health care management, treatment, and fina...

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42 pages

Written in 2023/2024

Grade A+

QUINTER

What is Medicare? - Government health insurance program for people over 65 or younger people who may qualify. Who under 65 may qualify for Medicare? - Individuals who have disabilities such as permanent kidney failure or ALS Medicare part A covers what? - Hospital Which part of Medicare covers medical insurance? - Part B Which part of Medicare is known as Medicare Advantage? - Part C

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18 pages

Written in 2023/2024

Grade A+

QUINTER

An insured has 10 years of work experience. She participated in the Social Security program for 10 years. Her medicare Part A premium is most likely to be A. $0 B. $458 per month C. About 5% of monthly income D. $458 per month - $0 EXPLANATION: People do not pay a monthly Part A premium because they or their spouse have 40 or more quarters of Medicare-covered employment

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6 pages

Written in 2023/2024

Grade A+

QUINTER

Medicare Supplements - Health insurance to fill gaps in Medicare coverage Medicare Select - Type of Medicare supplement plan with defined network requirements Medicare Part D - Prescription drug benefit for Medicare beneficiaries Long-Term Care Insurance - Coverage for medical and personal services for individuals needing extended assistance

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3 pages

Written in 2023/2024

Grade A+

QUINTER

what facility is long term care NOT provided in - Hospital an insured receives health care through both Medicare and Medicaid. She Currently has prescription drug coverage through Medicaid. does the insured need to enroll in Medicare part D? - Yes, she must begin receiving her prescription Drug coverage through Part D To quality for skilled nursing care a patient must - have a qualifying hospital stay of at least 3 consecutive days if a insured returns a Medicare supplement pol...

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6 pages

Written in 2023/2024

Grade A+

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