Ch 8 Medicare and Long-Term Care Insurance Part II Flashcards
What Medicare part will cover lab services or diagnostic tests?
Part B
At what age do individuals qualify for Medicare?
Age 65
What Medicare part provides a prescription drugs benefit?
Part D
What part of Medicare is known as medical insurance?
Part B
What is the purpose of Medicare supplement plans?
To fill in the gaps in Medicare coverage
What is another name for Medicare supplement plans?
Medigap
How is part B Medicare funded?
By monthly premiums and from the general revenues of the federal government
What is the required free look period for Medicare supplement policies?
30 days
Who is eligible for part B Medicare?
Part B is optional, and is offered to everyone who enrolls in part A
In which Medicare supplemental policies are the core benefits found?
All plans (A-N)
What is the initial enrollment period for Medicare part A?
When an individual first becomes eligible for Medicare, starting three months before turning age 65 and ending three months after the 65th birthday
What benefits are provided by Medicare part C?
Expanded benefits for a fee through private insurance programs such as HMOs or PPOs
If an individual is covered by Medicare, and is also covered by his employer’s health plan, which plan would be considered primary?
The employer plan
What part of Medicare is known as hospital insurance?
Part A
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?
The donut hole
How many parts does Medicare have?
Four: parts A – D
What are the activities of daily living?
Mobility, bathing, dressing, eating, toileting, and continence
Who qualifies for Medicare coverage?
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
How many pints of blood will be paid for by Medicare supplement core benefits?
First 3 pints
What is the purpose of respite care in long-term care insurance?
To provide relief for major caregiver (usually a family member)
What Medicare part helps pay for inpatient hospital care, inpatient care in a skilled nursing facility, home health care and hospice care?
Part A
What is another name for Medicare advantage plans?
Part C
Medicare part A will pay for what type of services?
Inpatient hospital care, skilled nursing facility care, home health care and hospice care
Who issues Medigap policies?
Private insurers
Can Alzheimer’s disease be excluded from coverage under a long-term care policy?
No, organic cognitive disorders, such as Alzheimer’s or Parkinson’s must be covered
