Insurance For Senior Citizens & Special Needs Individuals

Question 1

If an individual is covered by Medicare, and is also covered by his employer’s health plan, which plan would be considered primary?

Answer 1

The employer plan

Question 2

Who issues medigap policies?

Answer 2

Private insurers

Question 3

What Medicare part will cover lab services or diagnostic tests?

Answer 3

Part B

Question 4

What Medicare part provides a prescription drugs benefit?

Answer 4

Part D

Question 5

What is the required free look period for Medicare Supplement policies?

Answer 5

30 days

Question 6

What is the purpose of Medicare supplement plans?

Answer 6

To fill in the gaps in Medicare coverage

Question 7

Who is eligible for Part B Medicare?

Answer 7

Part B is optional and is offed to everyone who enrolle said in Part A

Question 8

What Medicare part helps pay for inpatient hospital care, inpatient care in a skilled nursing facility, home health care and hospice care?

Answer 8

Part A

Question 9

At what age do individuals qualify for Medicare?

Answer 9

65 years of Age

Question 10

What benefits are provided by Medicare Part C?

Answer 10

Expanded benefits for a fee through private insurance programs such as HMOs or PPOs

Question 11

When must the outline of coverage be provided to the insured?

Answer 11

No later than policy delivery

Question 12

What is the purpose of respite care in long term care insurance?

Answer 12

To provide relief for a major caregiver (usually a family member)

Question 13

Medicare Part A will pay for what type of services?4

Answer 13

1 Inpatient hospital care
2 skilled nursing facility care
3 home health care
4 hospice care

Question 14

In which Medicare supplemental policies are the core benefits found?

Answer 14

All plans (A-N)

Question 15

Who qualified for Medicare coverage?3

Answer 15

1 people age 65 or older

2 anyone entitled to social security disability income benefits for 2 years

3 those with chronic kidney disease

Question 16

Can Alzheimer’s disease be excluded from coverage under long term care policy?

Answer 16

No, organic cognitive disorders such as Alzheimer’s or Parkinson’s must be covered

Question 17

What is another name for Medicare Supplement plans?

Answer 17

Medigap

Question 18

What part of Medicare is known as hospital insurance?

Answer 18

Part A

Question 19

What are the activities of daily living?6

Answer 19

1 mobility
2 bathing
3 dressing
4 eating
5 toileting
6 continence

Question 20

An insured with Medicare part d has reached the initial benefit limit and must now pay a portion of prescription drug costs. What is the term for this gap in coverage?

Answer 20

The donut whole

Question 21

What is another name for Medicare Advantage plans?

Answer 21

Part c

Question 22

What part of Medicare is known as medical insurance?

Answer 22

Part b

Question 23

What type of Medicare policy requires insured’s to use specific healthcare providers and hospitals (in other words has restricted network provisions?

Answer 23

Medicare SELECT

Question 24

How many pints of blood will be paid for Medicare Supplement core benefits?

Answer 24

First 3 pints

Question 25

How is Part B Medicare funded?

Answer 25

By monthly premiums and from general revenues of the federal government

Question 26

When is the initial enrollment period for Medicare Part A?

Answer 26

When an individual first becomes eligible for Medicare, starting 3 months before turning age 65 and ending 3 months after the 65th birthday

Question 27

How many parts does Medicare have?

Answer 27

4 parts a through d