2 - Medicare Part A Flashcards
The Medicare Hospital Insurance (HI) tax rate is _____ on employers and ____ on employees.
- 1.45%
- 1.45%
Self-employed persons pay the full ____ HI tax.
-2.9%
An individual may enroll and receive Medicare Part A _______ having to pay premiums if the individual is at least age sixty-five (65) and entitled to Social Security Retirement Benefits or Railroad Retirement Benefits.
-without
If an individual is not eligible for premium-free Medicare Part A, and the individual does not buy Medicare Part A when first eligible, the monthly premium will go up ____ for every _____ the eligible individual didn’t have the coverage.
- 10%
- 12 months
Medicare Part A is also referred to as…
-Hospital Insurance Program
Medicare Part A Home Health Care has a ____ co-insurance for _____________
- 20%
- Durable Medical Equipment
For Medicare Part A, each “Benefit Period” end:
-60 consecutive days after discharge from the hospital
When a Medicare beneficiary has used 90 days of hospitalization in a benefit period he or she will be responsible for a payment of _______ per day when hospitalized.
-$670
Medicare Part A will pay for intermediate nursing care in a nursing facility for what maximum period of time?
-None
The Medicare beneficiary’s coinsurance amount for skilled nursing facility care is what percent of the benefit period deductible?
-1/8
Days 61-90 of hospitalization in a benefit period has a daily cost of _____. This amount is _____ of the Benefit Period Deductible.
- $335
- 25%
How much is the monthly premium in 2018 for Medicare Part A if the applicant has at least thirty (30) quarters of Social Security or railroad covered employment?
-$232
A person who wishes to purchase Medicare Part A must have been a legal resident of the United States for at least __________.
-5 years
An individual who has fewer than _____ quarters of Social Security or railroad work can buy Medicare Part A for $422.00 per month in 2018.
-30
The Original Medicare program generally consists of non-exhaustible benefits; however two (2) benefits under Medicare Part A are termed “exhaustible”. These two (2) benefits are:
-Lifetime Reserve & Psychiatric Hospital Days
An individual receiving Medicare Part A on a premium free basis due to a spouse’s work record must be married for at least ______ to continue free Medicare Part A. If a divorce occurs before this amount of time, the free coverage will cease.
-10 years
To be covered under Medicare Part A Skilled Nursing Care benefits, the patient must first have been hospitalized for at least (not including the day of discharge):
-3 days
The “Skilled Nursing Care” benefit provided by Medicare Part A provides co-insured coverage for how long in a Benefit Period?
-80 days
Once the person has been in an SNF as a Medicare Part A beneficiary for a period of 20 days the next 80 days in a benefit period have a coinsurance of ______ per day.
-$167.50
Medicare Part A claims and payments are processed by what organization contracted by Medicare?
-Medicare Administrative Contractors
Medicare Part A Premiums for non-qualifiers with fewer than 30 quarters…
-$422/month
Medicare Part A Premiums for non-qualifiers with 30 quarters to 39 quarters..
-$232/month
Medicare Part A Deductible for each new Benefit Period
-$1340 per Benefit Period
Coinsurance for Spell of Illness days 61-90 in a Benefit Period
-$335 per day
Coinsurance for “Lifetime Reserve Days” (91-150)
-$670 per day
Coinsurance for Skilled Nursing Facility Days (21-100)
-$167.50
Hospice Prescription Drug Coinsurance out-of-pocket per drug
-5% or $5 (lesser amount)
Hospice Respite Care Coinsurance
-5% of cost
Original Medicare pays Medicare-certified home health care agencies a set amount for each sixty (60) day period of care. The sixty (60) day period is referred to as an _______.
-Episode of Care
