Ch 8 Medicare and Long-Term Care Insurance Part II

Question 1

What Medicare part will cover lab services or diagnostic tests?

Answer 1

Part B

Question 2

At what age do individuals qualify for Medicare?

Answer 2

Age 65

Question 3

What Medicare part provides a prescription drugs benefit?

Answer 3

Part D

Question 4

What part of Medicare is known as medical insurance?

Answer 4

Part B

Question 5

What is the purpose of Medicare supplement plans?

Answer 5

To fill in the gaps in Medicare coverage

Question 6

What is another name for Medicare supplement plans?

Answer 6

Medigap

Question 7

How is part B Medicare funded?

Answer 7

By monthly premiums and from the general revenues of the federal government

Question 8

What is the required free look period for Medicare supplement policies?

Answer 8

30 days

Question 9

Who is eligible for part B Medicare?

Answer 9

Part B is optional, and is offered to everyone who enrolls in part A

Question 10

In which Medicare supplemental policies are the core benefits found?

Answer 10

All plans (A-N)

Question 11

What is the initial enrollment period for Medicare part A?

Answer 11

When an individual first becomes eligible for Medicare, starting three months before turning age 65 and ending three months after the 65th birthday

Question 12

What benefits are provided by Medicare part C?

Answer 12

Expanded benefits for a fee through private insurance programs such as HMOs or PPOs

Question 13

If an individual is covered by Medicare, and is also covered by his employer’s health plan, which plan would be considered primary?

Answer 13

The employer plan

Question 14

What part of Medicare is known as hospital insurance?

Answer 14

Part A

Question 15

An insured with Medicare part D has reached the initial benefit limit and must now pay a portion of prescription drugs cost. What is the term for this gap in coverage?

Answer 15

The donut hole

Question 16

How many parts does Medicare have?

Answer 16

Four: parts A – D

Question 17

What are the activities of daily living?

Answer 17

Mobility, bathing, dressing, eating, toileting, and continence

Question 18

Who qualifies for Medicare coverage?

Answer 18

People age 65 or older, anyone who has been entitled to Social Security disability income benefits for two years, or who has chronic kidney disease

Question 19

How many pints of blood will be paid for by Medicare supplement core benefits?

Answer 19

First 3 pints

Question 20

What is the purpose of respite care in long-term care insurance?

Answer 20

To provide relief for major caregiver (usually a family member)

Question 21

What Medicare part helps pay for inpatient hospital care, inpatient care in a skilled nursing facility, home health care and hospice care?

Answer 21

Part A

Question 22

What is another name for Medicare advantage plans?

Answer 22

Part C

Question 23

Medicare part A will pay for what type of services?

Answer 23

Inpatient hospital care, skilled nursing facility care, home health care and hospice care

Question 24

Who issues Medigap policies?

Answer 24

Private insurers

Question 25

Can Alzheimer’s disease be excluded from coverage under a long-term care policy?

Answer 25

No, organic cognitive disorders, such as Alzheimer’s or Parkinson’s must be covered