Ch. 8: Review Test

Question 1

Medicare provides financial assistance with medical expenses to what three groups?

Answer 1

• People older than 65
• People with ESRD
• People younger than 65 with certain disabilities

Question 2

Medicare requires its beneficiaries to pay premiums, deductibles, and coinsurance, which is referred to as ___?

Answer 2

Cost savings

Question 3

Medicare Part A, the hospital insurance part of Medicare, is funded through what?

Answer 3

• Taxes withheld from employees’ wages

- Contributions paid by employees

Question 4

Coverage requirements under Medicare state that for a service to be covered, it must be considered what?

Answer 4

Medically necessary

Question 5

Part A coverage is available free of charge to Medicare beneficiaries age 65 or older who ____?

Answer 5

Are eligible to receive monthly Social Security benefits

Question 6

Private insurance companies that serve as the federal government’s agents in the administration of the Medicare program, including the payment of claims, are called what?

Answer 6

Medicare Administrative Contractors (MACs)

Question 7

Medicare Part B helps pay for what?

Answer 7

Medically necessary physicians’ services

Question 8

Medicare pays ____% of allowable charges after the annual deductible is met

Answer 8

80%

Question 9

The ____ is the duration of time during which a Medicare beneficiary is eligible for Part A benefits for services incurred in a hospital and/or skilled nursing facility (SNF).

Answer 9

Benefit period

Question 10

Manage healthcare plans that offer regular Part A and Part B Medicare coverage and additional coverage for certain other services are called ____?

Answer 10

Medicare Part C

Question 11

The Medicare prescription drug coverage plan is called what?

Answer 11

Medicare Part D

Question 12

In Medicare Part D, individual plans (such as group health insurance plans that offer varying benefits) must offer no less than the standard Medicare benefit, referred to as ____?

Answer 12

Credible coverage

Question 13

An individual qualifying for both Medicare and Medicaid benefits is referred to as a ____?

Answer 13

Dual eligible

Question 14

The program that provides community-based acute and long-term care services to Medicare beneficiaries is called what?

Answer 14

PACE

Question 15

Beneficiaries can change their Medicare health or prescription drug coverage during the ____?

Answer 15

Annual open enrollment period

Question 16

A health insurance plan sold by private insurance companies to help pay for healthcare expenses not covered by Medicare is called a ____?

Answer 16

Supplemental policy