CHAM Medicare UPDATED ACTUAL
Exam Questions and CORRECT Answers
Most long-term care is considered custodial care rather than medically necessary care. Does
Medicare pay for custodial care? - CORRECT ANSWER - Custodial care is non-skilled,
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 include care that most
people do for themselves. Medicare does not pay for custodial care. Medicare pays only for
medically necessary skilled nursing facility (SNF) care. Generally, skilled care is available only
for a short time after a hospitalization. Skilled care is health care given when you need skilled
nursing or rehabilitation staff to manage, observe, and evaluate your care. Examples of skilled
care are changing sterile dressings and physical therapy
Aperson can be entitled to Medicare based on what three conditions? - CORRECT
ANSWER - Age (65), disability (after receiving SSI for 24 months), ESRD
If a person is entitled to Medicare based on age, when do their benefits begin? - CORRECT
ANSWER - individuals attain age 65 the day before their actual 65th birthday and Part A
is effective on the first day of the month upon attainment of age 65. For an individual whose 65th
birthday is on the first day of the month, Part A is effective on the first day of the month
preceding their birth month. For example, if an individual's birthday is on December 1, Part A is
effective on November 1 since for Medicare purposes, he or she attained age 65 on November
30.
Individuals are eligible for Part A if they receive regular dialysis treatments or a kidney
transplant, have filed an application, and meet one of the following conditions: - CORRECT
ANSWER - •have worked the required amount of time under Social Security, the Railroad
Retirement Board, or as a government employee; or
•are getting or are eligible for Social Security or Railroad Retirement benefits; or
•are the spouse or dependent child of a person who has worked the required amount of time
under Social Security, the Railroad Retirement Board, or as a government employee; or
•are getting Social Security or Railroad Retirement benefits.
Part A coverage begins for those who qualify for Medicare based on ESRD: - CORRECT
ANSWER - •the 3rd month after the month in which a regular course of dialysis begins; or
Exam Questions and CORRECT Answers
Most long-term care is considered custodial care rather than medically necessary care. Does
Medicare pay for custodial care? - CORRECT ANSWER - Custodial care is non-skilled,
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 include care that most
people do for themselves. Medicare does not pay for custodial care. Medicare pays only for
medically necessary skilled nursing facility (SNF) care. Generally, skilled care is available only
for a short time after a hospitalization. Skilled care is health care given when you need skilled
nursing or rehabilitation staff to manage, observe, and evaluate your care. Examples of skilled
care are changing sterile dressings and physical therapy
Aperson can be entitled to Medicare based on what three conditions? - CORRECT
ANSWER - Age (65), disability (after receiving SSI for 24 months), ESRD
If a person is entitled to Medicare based on age, when do their benefits begin? - CORRECT
ANSWER - individuals attain age 65 the day before their actual 65th birthday and Part A
is effective on the first day of the month upon attainment of age 65. For an individual whose 65th
birthday is on the first day of the month, Part A is effective on the first day of the month
preceding their birth month. For example, if an individual's birthday is on December 1, Part A is
effective on November 1 since for Medicare purposes, he or she attained age 65 on November
30.
Individuals are eligible for Part A if they receive regular dialysis treatments or a kidney
transplant, have filed an application, and meet one of the following conditions: - CORRECT
ANSWER - •have worked the required amount of time under Social Security, the Railroad
Retirement Board, or as a government employee; or
•are getting or are eligible for Social Security or Railroad Retirement benefits; or
•are the spouse or dependent child of a person who has worked the required amount of time
under Social Security, the Railroad Retirement Board, or as a government employee; or
•are getting Social Security or Railroad Retirement benefits.
Part A coverage begins for those who qualify for Medicare based on ESRD: - CORRECT
ANSWER - •the 3rd month after the month in which a regular course of dialysis begins; or
