Chapter 8. Social Insurance Flashcards
What benefits are provided by Medicare Part C?
Expanded benefits for a fee through private insurance programs such as HMOs or PPOs.
Who qualifies for Medicaid?
Persons with insufficient income
Who is eligible for Part B Medicare?
Part B is optional, and is offered to everyone who enrolls in Part A
When is the initial enrollment period for Medicare Part A?
When an individual first becomes eligible for Medicare, starting 3 months before turning age 65 and ending 3 months after the 65th birthday
What is another name for Medicare Supplement plans?
Medigap
What benefit is based on a primary insurance amount (PIA)?
Social Security disability benefit
What part of Medicare is known as hospital insurance?
Part A
What is the required free-look period for Medicare Supplement policies?
30 days
How is Part B Medicare funded?
By monthly premiums and from the general revenues of the federal government
Who issues Medigap policies?
Private insurers
What Medicare part helps pay for inpatient hospital care, inpatient care in a skilled nursing facility, home health care and hospice care?
Part A
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
How many parts does Medicare have?
Four: Parts A - D
How many pints of blood will be paid for by Medicare Supplement core benefits?
First 3 pints
An insured with Medicare Part D has reached the initial benefit limit and must now pay a portion of prescription drugs costs. What is the term for this gap in coverage?
The donut hole
Medicare Part A will pay for what type of services?
Inpatient hospital care, skilled nursing facility care, home health care and hospice care
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
What Medicare part will cover lab services or diagnostic tests?
Part B
What is the purpose of Medicare Supplement plans?
To fill in the gaps in Medicare coverage
In which Medicare supplemental policies are the core benefits found?
All plans (A-N)
What Medicare part provides a prescription drugs benefit?
Part D
What is another name for Medicare Advantage plans?
Part C
What part of Medicare is known as medical insurance?
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 chronic kidney disease
