Medicare

Question 1

Medicare Part A:
Part of the _____________plan.

Answer 1

United States Government Insurance Plan

Question 2

Medicare Part A:
Insures:
1.
2.
For___ __________

Answer 2

1. Inpatient Hospital Care
2. Inpatient Hospital Visits
   For the Beneficiary

Question 3

Medicare Part A
Covers:
1.
2.
3.
4.
5.
6.
7.
8.

Answer 3

1. Hospital Stays
2. Room
3. Food
4. Medical Tests
5. Doctor’s Fees
6. Skilled Nursing Care
7. Hospice Care
8. Some Forms of Home Healthcare

Question 4

Medicare Part A:
If the individual pays into Supplemental Security Income System for ______________it_______

Answer 4

10 years it does not require a monthly premium.

Question 5

Medicare Part A:
Allowed to enroll_____.

Answer 5

on 65th birthday.

Question 6

Medicare Part A:
May still pay______depending on__________

Answer 6

co-pays depending on the services required.

Question 7

Medicare Part A:
Coverage is based on:

Answer 7

national coverage decisions and local decisions made by companies in each state on what is considered medically necessary.

Question 8

Medicare Part B:
Part of the ________plan.

Answer 8

United States Government Insurance Plan

Question 9

Medicare Part B:
Insures
1.

Answer 9

1. Outpatient Care

Question 10

Medicare Part B:
Covers:
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13
14.
15.

Answer 10

1. Doctor’s Visits
2. Routine Physicals
3. Wellness Checks
4. Mammograms
5. X-Rays
6. Laboratory Work
7. Home Health
8. Physical
9. Occupational Therapy
10. Infusion Clinics
11. Diabetes
12. Prostate Screenings
13. Other medically necessary and Preventive Services
14. Ambulance
15. Durable Medical Equipment

Question 11

Medicare Part B:
Premiums___________.

Answer 11

must be paid (may be deducted from a an Supplemental Security Income Check).

Question 12

Medicare Part B:
______and_______is a a service not covered.

Answer 12

Deductibles and co-pay

Question 13

Medicare Part B:
Coverage is based on:

Answer 13

national coverage decisions and local necessary decisions made by each state’s companies on what is considered medically necessary.

Question 14

Medicare Part C:
Also known as_____.

Answer 14

Medicare Advantage

Question 15

Medicare Part C:
Part of the ______plan.

Answer 15

United States Government Insurance Plan

Question 16

Medicare Part C:
Administered by______.

Answer 16

private insurance companies that are contracted with healthcare.

Question 17

Medicare Part C:
Combines_____.

Answer 17

elements of a, b, d.

Question 18

Medicare Part C:
Covers:
1.
2.
3.
4.
5.
6.
7.

Answer 18

1. Health and Wellness Plans
2. Vision
3. Hearing
4. Dental
5. Medications
6. Some Hospital Visits
7. Some Doctor’s Visits

Question 19

Medicare Part C:
Typically involves:

Answer 19

1. health maintenance organization
2. preferred provider organization
3. similar insurance company

Question 20

Medicare Part C:
Typically patient will:

Answer 20

select a care provider from the providing company’s network of physicians and professionals.

Question 21

Medicare Part C:
Beneficiary must pay _______, ________, and ________ for________.

Answer 21

co-pays, premiums and deductibles for services rendered.

Question 22

Medicare Part C:
Can enroll at:

Answer 22

age 65 or during enrollment

Question 23

Medicare Plan D:
Part of the__________plan.

Answer 23

United States Government Insurance Plan

Question 24

Medicare Plan D:
Assists in______.

Answer 24

supporting prescription drug coverage

Question 25

Medicare Plan D: _______but_____to all Medicare beneficiaries willing to pay fees.

Answer 25

Optional but available

Question 26

Provided by __________ or can be _____________to______________ (including Medicare Part C).

Answer 26

private companies, purchased by itself, supplement other plans

Question 27

Must pay_____,_____, and______.

Answer 27

premiums, co-pays, deductible

Question 28

Must select from __________within_____________.

Answer 28

pharmacies within the providers established network.

Question 29

Can enroll at_____or_____.

Answer 29

age 65 or during open enrollment.