Samenvattingen, Aantekeningen en Examens

*Group health insurance* is a key aspect of the health insurance market, and it is available to employer groups. correct answers Mike and Joyce's medical expense insurance coverage is provided by their employer, Acme MFG, Inc. As such, how is their insurance provided? A group health plan that offers dependent coverage must continue such coverage for an employee's adult child until the child turns *26 years old*, whether or not the child is married. correct answers Under the Patient Protecti...

Which of the following statements about Medicare Part D prescription drug coverage is CORRECT? Individuals may obtain prescription drug coverage only through stand-alone plans issued by Medicare. Individuals who join a Medicare Part D prescription drug plan must pay a separate monthly premium for the coverage. Medicare Advantage plans never provide prescription drug coverage. Medicare recipients are automatically enrolled in Part D when they enroll in Medicare. correct answers Individuals ...

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 correct answers $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. A patient has 20 day stay in Medicare covered SNF. All of these services are covered EXCEPT A. M...

Under Medicare Part A, a beneficiary is entitled to reasonable and medically necessary hospital care lasting how long? 21 days 60 days 30 days Inpatient hospital care is not covered correct answers 60 days M enters a skilled nursing facility after being released from the hospital. Medicare will fully cover her costs for how long? 90 days 60 days 30 days 20 days correct answers 20 days How many days of care in a specialty psychiatric hospital will Medicare Part A cov...

A man is planning to retire after age 65. Until then, he will have his employer's health plan. When should he enroll in Medicare Part B? correct answers Within the 8 months of the day he is no longer employed or when coverage under the group plan ends In the Original Medicare Plan Part B, the percentage of the approved amount paid by the patient is 20%. This is referred to as correct answers Coinsurance What process will the insurance company use to monitor the insured's hospital stay to...

If someone has Original Medicare, in which part or parts of Medicare is he or she enrolled? A. Parts A and B B. Parts A, B, and C C. Part C D. Parts A, B, C, and D correct answers A. Parts A and B Parts A and B are referred to as Original Medicare because they were enacted together when the Social Security law was originally amended to create Medicare. Parts C and D were added later. An individual has been working for 8 years while the Hospital Insurance tax has been getting de...

What is a medicare supplement policy? (Medigap Policy) correct answers Is a health insurance policy sold by private insurance companies to fill in the coverage "gaps" in Original medicare. True or False: Medicare Supplements do NOT cover gaps in Medicare Advantage palns (MA/Medicare Part C) or provide coverage for medicare-approved prescription Drug Plans(Medicare part D). correct answers True True or False: Medicare supplement policies CANNOT cover anything that Medicare would NOT APP...

1. Long-Term Care benefits may be triggered by the insured's inability to perform at least ______ Activities of Daily Living (ADL's). A 5 B 3 C 4 D 2 correct answers D 2 2. In North Carolina, eligibility for Medicaid is determined by: A The State Treaury B North Carolina's Department of Health and Welfare C The U.S. Treasury D The county Departments of Social Services (DSS) and the Social Security Administration (SSA) for Supplemental Security Income (SSI) beneficiaries correct...

Medicare Part B correct answers Financed by the Supplementary Medical Insurance (SMI) Trust Fund, which is funded through general tax revenue and premiums paid by benefit recipients. Assignment correct answers If a doctor has accepted a Medicare assignment, the doctor will bill the patient directly. The patient then fills out a Medicare claim form and attaches the itemized bills from the doctor. These providers are known as Non-participating providers or suppliers. Non-participating providers...

Horace buys a Medicare supplement insurance policy but decides not to keep it. How many days does he have to return it for a full refund of the premium? correct answers 30 days Which of the following individuals is an appropriate customer for a Medicare supplement policy? correct answers Someone enrolled in both Part A and Part B of Medicare A purchased a long-term care policy on June 15. Two weeks later, she lost her job and decided that she could no longer afford the policy. What are her...