Health, Di, LtC, Veretans Flashcards

1
Q

If terminated for gross misconduct, what happens with COBRA?

A

Neither the person or children are eligible for COBRA

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2
Q

Outpatient hospital services are covered under part B

A
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3
Q

How long COBRA coverage can continue

A

Covered employee: voluntary or involuntary termination 18 months, change from full to part-time 18 months, disability 29 months
Spouse or other dependents: death, divorce, separation, Medicare eligibility 36 months,
Children of ees: loss of dependant status 36 months

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4
Q

Who must provide Cobra

A

Have 20 full time equivalent employees or more (a part time is half)

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5
Q

Features of managed care plans include: copayments, PCPs and gatekeepers.

A
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6
Q

All standard medical plans must include at least part A hospice care coinsurance or copayment. Medical policies may NOT duplicate benefits provided by Medicare.

A
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7
Q

How does the affordable care act limit the definition of pre-existing conditions?

A

Limitations can bo longer be applied to pre-existing conditions.

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8
Q

Hospice care is covered under Medicare part A

A
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9
Q

Enrollment in medicare part b is voluntary on an opt-out basis

A
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10
Q

Medicare part d

A

Offered through private medicate-approved insurance companies, not directly through Medicare itself. Part D does NOT have income or asset limitations though a premium surcharge may apply depending on person’s income

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11
Q

BOE taxes

A

Policy premiums are deductible business expenses to the company, the benefits payable are taxable income to the business.

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12
Q

Under COBRA someone who quits for how long covered?

A

18 months

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13
Q

Individuals eligible for medicare coverage

A
  1. A person who keeps working past 65.
  2. End stage renal failure
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14
Q

Individuals getting social security benefits are eligible for Medicare after 24 months of receiving Dldisabiloty payments

A
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15
Q

Under HIPPAA, Medigap policies must accept all applicants within how many months?

A

Six

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16
Q

DI policy that is guaranteed renewable

A

The right to renew is guaranteed. The insurers may only increase the premium for an entire class of policyholders.

17
Q

Difference between DI noncancelable and DI guaranteed renewable

A

Premiums on guaranteed renewable policies, while initially lower, may increase with each renewable. While initially more expensive, the noncancelable policy premiums never increase.