2024 /2025 | © copyright | This work may not be copied for profit gain Excel!
Medicare/Medicaid CMS Questions and
Correct Answers | Latest Update
What does CMS stand for?
✓ -:- Centers of Medicare and Medicaid services
What are the requirements to qualify for Medicare?
✓ -:- 1. over 65
2. entitled to Railroad Disability Benefits
3. entitled to disability benefits (SSI) for 24 months
4. entitled to SSI due to Low Gehrig's Disease
5. with End Stage Renal Disease (ESRD)
Medicare A
✓ -:- Hospital insurance
No premium if paid Medicare taxes!
Medicare B
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,2024 /2025 | © copyright | This work may not be copied for profit gain Excel!
✓ -:- Medical insurance
Can choose to enroll if pay premiums
Medicare C
✓ -:- Medicare Plan-private insurers
Medicare Advantage
Medicare D
✓ -:- Prescription drugs
What places can a Med A pt go to?
✓ -:- 1. Inpatient hospitalization
2. SNF
3. Home health
4. Hospice
5. Acute rehab
*HH can also be Med B!
2|P a g e | G r a d e A + | 2 0 2 0 2 5
, 2024 /2025 | © copyright | This work may not be copied for profit gain Excel!
What places can a Med B pt go?
✓ -:- 1. Outpatient
2. Physician services
3. Durable medical equipment
4. Mental health services
5. Ambulance
What is covered under Med C?
✓ -:- 1. Health maintenance org (HMO)
2. Preferred provider org (PPO)
3. Private fee-for-service (PFFS)
4. Point of service options (POS)
5. Medicare medical savings accounts (MSA)
*similar to private insurances-but have different regulations!
What is covered under Med D?
3|P a g e | G r a d e A + | 2 0 2 0 2 5
Medicare/Medicaid CMS Questions and
Correct Answers | Latest Update
What does CMS stand for?
✓ -:- Centers of Medicare and Medicaid services
What are the requirements to qualify for Medicare?
✓ -:- 1. over 65
2. entitled to Railroad Disability Benefits
3. entitled to disability benefits (SSI) for 24 months
4. entitled to SSI due to Low Gehrig's Disease
5. with End Stage Renal Disease (ESRD)
Medicare A
✓ -:- Hospital insurance
No premium if paid Medicare taxes!
Medicare B
1|P a g e | G r a d e A + | 2 0 2 0 2 5
,2024 /2025 | © copyright | This work may not be copied for profit gain Excel!
✓ -:- Medical insurance
Can choose to enroll if pay premiums
Medicare C
✓ -:- Medicare Plan-private insurers
Medicare Advantage
Medicare D
✓ -:- Prescription drugs
What places can a Med A pt go to?
✓ -:- 1. Inpatient hospitalization
2. SNF
3. Home health
4. Hospice
5. Acute rehab
*HH can also be Med B!
2|P a g e | G r a d e A + | 2 0 2 0 2 5
, 2024 /2025 | © copyright | This work may not be copied for profit gain Excel!
What places can a Med B pt go?
✓ -:- 1. Outpatient
2. Physician services
3. Durable medical equipment
4. Mental health services
5. Ambulance
What is covered under Med C?
✓ -:- 1. Health maintenance org (HMO)
2. Preferred provider org (PPO)
3. Private fee-for-service (PFFS)
4. Point of service options (POS)
5. Medicare medical savings accounts (MSA)
*similar to private insurances-but have different regulations!
What is covered under Med D?
3|P a g e | G r a d e A + | 2 0 2 0 2 5
