2 - Medicare Part A

Question 1

The Medicare Hospital Insurance (HI) tax rate is _____ on employers and ____ on employees.

Answer 1

• 1.45%

- 1.45%

Question 2

Self-employed persons pay the full ____ HI tax.

Answer 2

-2.9%

Question 3

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.

Answer 3

-without

Question 4

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.

Answer 4

• 10%

- 12 months

Question 5

Medicare Part A is also referred to as…

Answer 5

-Hospital Insurance Program

Question 6

Medicare Part A Home Health Care has a ____ co-insurance for _____________

Answer 6

• 20%

- Durable Medical Equipment

Question 7

For Medicare Part A, each “Benefit Period” end:

Answer 7

-60 consecutive days after discharge from the hospital

Question 8

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.

Answer 8

-$670

Question 9

Medicare Part A will pay for intermediate nursing care in a nursing facility for what maximum period of time?

Answer 9

-None

Question 10

The Medicare beneficiary’s coinsurance amount for skilled nursing facility care is what percent of the benefit period deductible?

Answer 10

-1/8

Question 11

Days 61-90 of hospitalization in a benefit period has a daily cost of _____. This amount is _____ of the Benefit Period Deductible.

Answer 11

• $335

- 25%

Question 12

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?

Answer 12

-$232

Question 13

A person who wishes to purchase Medicare Part A must have been a legal resident of the United States for at least __________.

Answer 13

-5 years

Question 14

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.

Answer 14

-30

Question 15

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:

Answer 15

-Lifetime Reserve & Psychiatric Hospital Days

Question 16

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.

Answer 16

-10 years

Question 17

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):

Answer 17

-3 days

Question 18

The “Skilled Nursing Care” benefit provided by Medicare Part A provides co-insured coverage for how long in a Benefit Period?

Answer 18

-80 days

Question 19

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.

Answer 19

-$167.50

Question 20

Medicare Part A claims and payments are processed by what organization contracted by Medicare?

Answer 20

-Medicare Administrative Contractors

Question 21

Medicare Part A Premiums for non-qualifiers with fewer than 30 quarters…

Answer 21

-$422/month

Question 22

Medicare Part A Premiums for non-qualifiers with 30 quarters to 39 quarters..

Answer 22

-$232/month

Question 23

Medicare Part A Deductible for each new Benefit Period

Answer 23

-$1340 per Benefit Period

Question 24

Coinsurance for Spell of Illness days 61-90 in a Benefit Period

Answer 24

-$335 per day

Question 25

Coinsurance for “Lifetime Reserve Days” (91-150)

Answer 25

-$670 per day

Question 26

Coinsurance for Skilled Nursing Facility Days (21-100)

Answer 26

-$167.50

Question 27

Hospice Prescription Drug Coinsurance out-of-pocket per drug

Answer 27

-5% or $5 (lesser amount)

Question 28

Hospice Respite Care Coinsurance

Answer 28

-5% of cost

Question 29

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 _______.

Answer 29

-Episode of Care