M10: Quizzes Flashcards
Medicare was first implemented in _______.
A. 1965
B. 1970
C. 1966
D. 1967
C. 1966
Text pg 437
Medicare originally consisted of two parts, Hospital Insurance (HI), also known as Part A, and Supplementary Medical Insurance (SMI), which is also known as Part B. ________ is the Medicare Advantage program.
A. Part D
B. Part AA
C. Part BB
D. Part C
D. Part C
The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 established the fourth part of Medicare, known as ________.
A. Part F
B. Part CC
C. Part E
D. Part D
D. Part D
Text pg 438
Part A is generally provided automatically and free of premiums to persons aged _____ or older who are eligible for Social Security or Railroad Retirement benefit.
A. 64
B. 62
C. 66
D. 65
D. 65
Text pg 438
Coverage is provided for services to terminally ill persons with life expectancies of ________ months or less who elect to forgo the standard Medicare benefits for treatment of their illness and choose to receive only hospice care.
A. 10
B. 8
C. 12
D. 6
D. 6
Text pg 439
A benefit period starts when the beneficiary first enters the hospital and ends when there has been a break of at least _______consecutive days since inpatient hospital or skilled nursing service was
provided.
A. 30
B. 100
C. 45
D. 60
D. 60
Text pg 440
If a beneficiary exhausts the allowable inpatient hospital days available in a benefit period, the beneficiary can elect to use days of Medicare coverage from a non-renewable “lifetime reserve” of up to ________ additional days.
A. 20
B. 100
C. 60
D. 30
C. 60
Text, pg 440
The standard Part B premium rate for 2022 is ______ per beneficiary.
A. $135.10
B. $104.10
C. $170.10
D. $144.10
C. $170.10
Text pg 444
For the standard Part D benefit design, there is an initial deductible in 2022 of _______.
A. $460
B. $480
C. $425
D. $470
B. $480
Text pg 448
______ has the overall responsibility for administration of the Medicare Program.
A. The DOL
B. FLSA
C. The CDC
D. HHS
D. HHS
Text pg 454
Medicare was first implemented in 1956.
True or False?
False
1966
Under HHA, certain medical supplies and durable medical equipment may be provided, although beneficiaries must pay a 20% coinsurance for durable medical equipment.
True or False?
True
Each Part A beneficiary also has a “lifetime reserve” of 60 additional hospital days that may be used when the covered days within a benefit period have been exhausted.
True or False?
True
There are no premiums for most people covered by Part A.
True or False?
True
Quality Improvement Organizations are groups of
non-practicing health care professionals who are paid
by the federal government to improve the effectiveness, efficiency, economy, and quality of services delivered to Medicare beneficiaries.
True or False?
False
A Medicare Board of Trustees, composed of two
appointed members of the public and three members
who serve by virtue of their positions in the federal
government, oversees the financial operations of the
HI and SMI trust funds
True or False?
False
Part D plans have the greatest cost variation of any type of Medicare coverage, with up to ourold price differences or identical sets of drugs.
True or False?
True
Most persons with end-stage renal disease (ESRD) are eligible for Medicare.
True or False?
True
Home health care under Parts A and B has no copayment and no deductible.
True or False?
True
A benefit period starts when the beneficiary first enters a hospital and ends when there has been a break of at least 90 consecutive days since inpatient hospital or skilled nursing care was provided.
True or False?
False
Medicare began July 1, _____.
A. 1956
B. 1966
C. 1965
D. 1955
B. 1966
Pg 5, Learning outcome 1.1; text pg 437
The ______ trust fund is financed primarily through a mandatory payroll tax.
A. SMI
B. SM
C. HI
D. HII
C. HI
Pg 12, Learning outcome 3.11; text pg 553
For Part D, _______ fund contributions account for the largest source of income.
A. non-general
B. general
C. payroll
D. employer
B. general
Pg 13, Learning outcome 3.3; text pg 444-447
For skilled nursing care covered under Part A, Medicare fully covers the first ______ days in the benefit period.
A. 10
B. 25
C. 20
D. 30
C. 20
Pg 14, Learning outcome 3.6; text pg 447
The tax rate for self-employed people is ______ percent.
A. 1.45
B. 2.00
C. 2.90
D. 1.90
C. 2.90
Pg 12, Learning outcome 3.1; text pg 443
Part ___ of Medicare is generally provided automatically and free of premiums to persons aged 65 or older who are eligible for Social Security or Railroad Retirement benefits.
A. D
B. B
C. A
D. C
C. A
Page 13, Learning outcome 3.2; Text, pg 443-444
For Part ____ of Medicare, the contributions from the general fund of the U.S. Treasury are the largest source of income, since beneficiary premiums are generally set at a level that covers 25% of the average expenditures for aged beneficiaries.
A. A
B. C
C. B
D. D
C. B
Page 13, Learning Outcome 3.3; Text pg 444-447
The term ___________ is used to mean private health insurance that pays, within limits, most of the health
care service charges not covered by Parts A or B of Medicare.
A. Medicare
B. Advantage
C. Medigap
D. Supplemental
C. Medigap
Page 14, Learning outcome 3.5; Text pg 447
After _____ days per benefit period, Medicare pays nothing for Skilled Nursing Facility care.
A. 90
B. 50
C. 100
D. 75
C. 100
Page 6, learning outcome 1.4; text pg 439
An additional Part A payroll tax of _______will be collected on earned income in excess of $200,000 (for those filing income tax singly) and $250,000 (for those filing jointly, the earnings thresholds are not indexed)
A. 0.5%
B. 0.75%
C. 0.6%
D. 0.9%
D. 0.9%
Page 12, Learning outcome 3.1; Text, pg 443
When benefits are paid to provide a certain standard of living to all contributors, this is called:
A. Social adequacy
B. Individual equity
C. An income ceiling
D. Adverse selection
A. Social adequacy
Study Guide, Module 10, Page 7, Learning Objective 1.5
Textbook, Page 387
The major groups of workers who are entitled to Social Security disability-income benefits include all of the following, EXCEPT:
A. Disabled workers
B. Unmarried children younger than the age of 18
C. Unmarried disabled children aged 21 or older
D. Spouses of disabled worker
C. Unmarried disabled children aged 21 or older
Study Guide, Module 10, Page 18, Learning Objective 5.4,
Textbook, Pages 400-401