Chapter 18 Medicare (title18) and Medicare Supp

Question 1

health coverage designed to provide protection for the elderly and early disabled

Answer 1

Medicare

Question 2

funded thru FICA taxes, no obligation to senior, covers Inpatient hospital, skilled nursing facility, home health care and hospice

Answer 2

Part A

Question 3

financed partially by recipient deducted from SS check, pays for doctor services, home health care (not covered by Part A) and outpatient medical services

Answer 3

Part B

Question 4

health plans offered by private companies approved by Medicare for both Part A and Part B (Advantage)

Answer 4

Part C

Question 5

prescription drug plan

Answer 5

Part D

Question 6

if a doctor only charges what Medicare says is reasonable, the doctor is said to take ____________________

Answer 6

Assignment

Question 7

if a doctor signs a _______________________ with Medicare he agrees to take assignment for all patients

Answer 7

Participating agreement

Question 8

works with Medicare to cover what Medicare does not

Answer 8

Medicare Supplement

Question 9

all Medicare supplements must comply with_____________

Answer 9

Standardization

Question 10

all companies that offer Medicare Supplements must offer______________

Answer 10

Core plan (PlanA)

Question 11

outline of coverage

Answer 11

Policy Summary

Question 12

basic information guide developed by NAIC

Answer 12

Buyer’s Guide

Question 13

Open enrollment period for med supp where it is guaranteed issue and the applicant cannot be rejected due to health or age

Answer 13

6 months after the qualified individual signs up for Part B