PubH 6012 Exam 3 Questions With Correct
Answers
3 |paths |to |medicare |eligibility |- |CORRECT |ANSWER✔✔-- |Over |65 |years |and |qualify |for |social |
security |benefits
- |disability: |must |qualify |for |social |security |disability |income |(SSDI) |and |collecting |for |at |least |
24 |months
- |diagnosis |of |end-stage |renal |disease |(ESRD), |Lou |Gehrig's |disease |(ALS), |and |receiving |SSDI |
payments
Another |medicare |eligibility |criteria |- |CORRECT |ANSWER✔✔-must |be |US |citizen |or |permanent |
legal |resident
medicare |enrollment |(december |2018) |- |CORRECT |ANSWER✔✔-60,418,955
Part |A |covers: |- |CORRECT |ANSWER✔✔-hospital/inpatient |services
part |B |covers: |- |CORRECT |ANSWER✔✔-physician/outpatient |services
part |C |covers: |- |CORRECT |ANSWER✔✔-managed |care |plans
part |D |covers: |- |CORRECT |ANSWER✔✔-prescription |drug |plans
Part |A |details: |- |CORRECT |ANSWER✔✔-- |mandatory |enrollment
- |no |premiums
- |benefits: |inpatient |hospital |care, |SNF |post-acture |care, |hospice
- |Long-term |care |NOT |covered
, - |financed |by: |2.9% |payroll |tax |(1.45% |by |employers |and |employees)
2.35% |for |higher |income |via |2013 |ACA
- |deductibes |for |each |day |in |patient |stay
- |cost |sharing: |after |60 |days |in |hospital, |SNF |after |20 |days
Part |B |details |- |CORRECT |ANSWER✔✔-- |voluntary |(95% |enrolled)
- |covers: |physician |services, |outpatient |services, |durable |medical |equipment, |drugs |given |by |
physicians, |specified |preventive |services, |home |health |visit
- |financed |by: |general |federal |tax |revenue |(73% |part |B |costs), |monthly |premium |($134/month |
in |2018), |10% |penalty |for |each |year |eligible |but |not |enrolled, |higher |premiums |for |higher |
incomes
- |annual |deductible |($183 |in |2018)
- |cost |sharing
Beneficiary |costs |- |CORRECT |ANSWER✔✔-$134 |part |b |premium
$183 |part |b |annual |deductible
sometimes |$422/month |for |part |A |if |not |enough |quarters |worked
$232 |part |a |standard |premium
part |A |hospital: |
- |$1340 |deductible/benefit |period
- |$0 |days |1-60 |in |hospital
- |$335 |days |61-90
- |$670 |91+ |days
Medigap |overview: |- |CORRECT |ANSWER✔✔-10 |plans, |strictly |regulated, |over |50% |choose |plan
|F, |C |and |F |cover |part |A |and |B |deductibles
Answers
3 |paths |to |medicare |eligibility |- |CORRECT |ANSWER✔✔-- |Over |65 |years |and |qualify |for |social |
security |benefits
- |disability: |must |qualify |for |social |security |disability |income |(SSDI) |and |collecting |for |at |least |
24 |months
- |diagnosis |of |end-stage |renal |disease |(ESRD), |Lou |Gehrig's |disease |(ALS), |and |receiving |SSDI |
payments
Another |medicare |eligibility |criteria |- |CORRECT |ANSWER✔✔-must |be |US |citizen |or |permanent |
legal |resident
medicare |enrollment |(december |2018) |- |CORRECT |ANSWER✔✔-60,418,955
Part |A |covers: |- |CORRECT |ANSWER✔✔-hospital/inpatient |services
part |B |covers: |- |CORRECT |ANSWER✔✔-physician/outpatient |services
part |C |covers: |- |CORRECT |ANSWER✔✔-managed |care |plans
part |D |covers: |- |CORRECT |ANSWER✔✔-prescription |drug |plans
Part |A |details: |- |CORRECT |ANSWER✔✔-- |mandatory |enrollment
- |no |premiums
- |benefits: |inpatient |hospital |care, |SNF |post-acture |care, |hospice
- |Long-term |care |NOT |covered
, - |financed |by: |2.9% |payroll |tax |(1.45% |by |employers |and |employees)
2.35% |for |higher |income |via |2013 |ACA
- |deductibes |for |each |day |in |patient |stay
- |cost |sharing: |after |60 |days |in |hospital, |SNF |after |20 |days
Part |B |details |- |CORRECT |ANSWER✔✔-- |voluntary |(95% |enrolled)
- |covers: |physician |services, |outpatient |services, |durable |medical |equipment, |drugs |given |by |
physicians, |specified |preventive |services, |home |health |visit
- |financed |by: |general |federal |tax |revenue |(73% |part |B |costs), |monthly |premium |($134/month |
in |2018), |10% |penalty |for |each |year |eligible |but |not |enrolled, |higher |premiums |for |higher |
incomes
- |annual |deductible |($183 |in |2018)
- |cost |sharing
Beneficiary |costs |- |CORRECT |ANSWER✔✔-$134 |part |b |premium
$183 |part |b |annual |deductible
sometimes |$422/month |for |part |A |if |not |enough |quarters |worked
$232 |part |a |standard |premium
part |A |hospital: |
- |$1340 |deductible/benefit |period
- |$0 |days |1-60 |in |hospital
- |$335 |days |61-90
- |$670 |91+ |days
Medigap |overview: |- |CORRECT |ANSWER✔✔-10 |plans, |strictly |regulated, |over |50% |choose |plan
|F, |C |and |F |cover |part |A |and |B |deductibles
