Chapter 4 / Social Insurance Flashcards
What medical part will cover lab services and diagnostic tests?
Part B
Who qualifies for Medicare coverage?
People age 65 or older, or anyone who has been entitled to social security disability income benefits for 2 years, or who has a chronic kidney disease.
Medicare part A will pay for what type of services?
Impatient hospital care, skilled nursing care, home health care or hospice care
What is another name for Medicare advantage plans?
Part C
who qualifies for Medicaid?
Persons with insufficient income
How is part B Medicare funded
By mouthy premiums and from the general revenues of the federal government
What is another name for Medicare supplement plans?
Medigap
At what age do individuals qualify for Medicare?
Age 65
What is the purpose of Medicare supplement plans?
To fill in the gaps in Medicare coverage
What part of Medicare is known as medical insurance?
Part B
When is an initial enrollment period for medicate part A?
When a individual first becomes eligible for Medicare, starting 3 months before turning 65 and ending 3 months after the 65th birthday
What part of Medicare is known as hospital insurance?
Part A
An insured with Medicare part D had reached the initial benefit limit and must now pay a portion of prescription drug costs. What is the term for this gap coverage?
The donut hole
In which Medicare supplemental policies are the core benefits found?
All parts (A-N)
What Medicare part provides a prescription drug benefit?
Part D
How many pints of blood will be paid for by Medicare supplement core benefits?
First 3 pints
Who is eligible for part B Medicare?
Part B is optional, and is offered to everyone who enrolls in part A
What is another name for old age, survivors, and disability insurance benefits?
social security
What benefits are provided by Medicare part C?
Extended benefits for a free through private insurance programs such as HMOs or PPOs
What benefit is based on a primary insurance amount (PIA)
Social security disability benefit
How many part does Medicare have?
Four (A-D)
What is the required free-look period for Medicare supplement policies?
30 days
What Medicare part helps pay for impatient hospital care, impatient care in a skilled nursing facility, home health and hospice care?
Part A
If an individual is covered by Medicare, and is also covered by his employers health plan, which plan would he considered primary?
The employer plan
How does someone qualify for social security disability income benefits?
The insured must have the proper insured status (such as fully insured) meet the definition of disability, and satisfy the waiting period
Who issues medigap policies?
Private insurers
