B6-096 Medicare

Question 1

what percentage of people have 5+ chronic conditions?

Answer 1

20%

Question 2

what percentage of patient has both medicaid and medicare?

Answer 2

20%

**older impoverished people may be eligible for both

Question 3

plan A of medicare is paid for by

Answer 3

the employed

Question 4

who is eligible for medicare?

Answer 4

over 65 years of age OR
those with disabilities OR
those with ESRD

Question 5

which part of medicare is hospital coverage?

Answer 5

A

Question 6

which part of medicare covers outpatient/clinic visits?

Answer 6

B

Question 7

which part of medicare is prescription drug coverage?

Answer 7

D

Question 8

which part of medicare is Medicare Advantage Plans?

Answer 8

C

**privatized health care

Question 9

supplemental medicare insurance that provides additional coverage for deductibles

Answer 9

medigap policy

Question 10

amount patient pays each month for insurance

Answer 10

premium

Question 11

amount patient pays for each service

Answer 11

co-pay

Question 12

amount patient pays before medicare starts to help with cost

Answer 12

deductible

Question 13

patient pay a certain percentage once deductible is met

Answer 13

co-insurance

Question 14

the most a patient will pay in a year

Answer 14

out of pocket maximum

Question 15

does traditional medicare have a OPM?

Answer 15

no

**this is where medigap and supplemental plans can help cover extended hospital stays

Question 16

which part of medicare utilizes networks?

Answer 16

C

**out of network costs are exponentially more

Question 17

what medicare option would likely be best for a patient with multiple chronic diseases?

Answer 17

traditional (A&B) + D +medigap

Question 18

which part of medicare includes dental, vision, and hearing services?

Answer 18

C

Question 19

what are some things that can be done to curb the growing costs of medicare?

Answer 19

-raising min age to 67
-having medicare patients pay more
-forcing more medicare patients in Advantage plans/networks

Question 20

pays for physician visits, outpatient services, preventative services, and some home health

Answer 20

Part B

Question 21

medicare advantage is part

Answer 21

C