More Questions for BCPA Flashcards
What are the four principles of Beauchamp and Childress?
Autonomy
Non-maleficence
Beneficence
Justice
Autonomy
Non-maleficence
Beneficence
Justice
What are the four principles of Beauchamp and Childress?
CLAS
Culturally and linguistically appropriate services
Culturally and linguistically appropriate service
CLAS
CLAS
About respect and responsiveness: respect the whole individual and respond to the individual’s health needs and preferences
Vertical integration in healthcare
Kaiser Permanente
Encompasses everything from patient care to insurance under one entity
Kaiser Permanente
Vertical integration in healthcare
USC, HCA Healthcare, UCLA
Horizontal integration in healthcare
Horizontal integration in healthcare
USC, HCA Healthcare, UCLA
A system where an organization expands by acquiring or managing multiple facilities or hospitals that provide similar services (hospitals or clinics) but does not own all aspects of care
Which of the following is NOT covered under Medicare Part A?
A. Inpatient hospital care
B. Skilled nursing facility care
C. Home health care
D. Outpatient physical therapy
Answer: D. Outpatient physical therapy
Which of the following services does Medicare Part B cover?
A. Prescription drugs
B. Routine dental care
C. Durable medical equipment (DME)
D. Hearing aids
Answer: C. Durable medical equipment (DME)
Which of the following is true about Medicare Advantage (Part C)?
A. It is a government-run program that replaces original Medicare.
B. It is an alternative to Original Medicare provided by private companies.
C. Medicare Advantage plans require no additional premiums.
D. Part C covers all prescription drugs automatically.
Answer: B. It is an alternative to Original Medicare provided by private companies.
What is the initial enrollment period for Medicare?
A. 6 months before turning 65
B. 7 months surrounding the 65th birthday (3 months before and after)
C. 12 months surrounding the 65th birthday
D. Only during annual open enrollment
Answer: B. 7 months surrounding the 65th birthday (3 months before and after)
Medicare Part D primarily covers:
A. Doctor visits
B. Prescription drugs
C. Hospital care
D. Long-term care
Answer: B. Prescription drugs
Which of the following does Medicare Supplement Insurance (Medigap) do?
A. Replaces Medicare Part A and B
B. Helps cover costs not covered by Original Medicare, such as copayments, coinsurance, and deductibles
C. Provides prescription drug coverage
D. Offers dental and vision coverage
Answer: B. Helps cover costs not covered by Original Medicare, such as copayments, coinsurance, and deductibles
Which of the following is NOT a condition for Medicare eligibility?
A. Being 65 years old or older
B. Having End-Stage Renal Disease (ESRD)
C. Receiving Social Security Disability Insurance (SSDI) for at least 24 months
D. Being covered under an employer’s health plan
Answer: D. Being covered under an employer’s health plan
How does Medicare Part B typically calculate premiums?
A. A flat rate for all enrollees
B. Based on annual income
C. Based on health status
D. Based on the number of dependents
Answer: B. Based on annual income
Which of the following is NOT covered under Original Medicare (Part A and Part B)?
A. Hospice care
B. Acupuncture
C. Medically necessary doctor’s visits
D. Inpatient hospital stays
Answer: B. Acupuncture
During the annual Medicare Open Enrollment Period, beneficiaries can:
A. Sign up for Medicare Part A and B for the first time
B. Switch from Original Medicare to a Medicare Advantage Plan
C. Change Medigap plans without medical underwriting
D. Only change their Part D prescription drug plan
Answer: B. Switch from Original Medicare to a Medicare Advantage Plan
Which of the following is the primary source of funding for Medicare Part A?
A. Premiums paid by beneficiaries
B. General tax revenue
C. Payroll taxes through the Federal Insurance Contributions Act (FICA)
D. State funding
Answer: C. Payroll taxes through the Federal Insurance Contributions Act (FICA)
Medicare Part B generally covers what percentage of the approved amount for most doctor services, after the annual deductible is met?
A. 50%
B. 80%
C. 90%
D. 100%
Answer: B. 80%
Which of the following preventive services is covered by Medicare at no cost to the beneficiary under Part B?
A. Annual wellness visit
B. Long-term care
C. Routine hearing exams
D. Cosmetic surgery
Answer: A. Annual wellness visit
What is the “Donut Hole” in Medicare Part D?
A. A period when beneficiaries can switch plans
B. A coverage gap during which beneficiaries must pay a larger share of prescription drug costs
C. A time when no medications are covered
D. A period of free prescription drug coverage
Answer: B. A coverage gap during which beneficiaries must pay a larger share of prescription drug costs
Which of the following is NOT true about Medicare Part C (Medicare Advantage)?
A. Medicare Advantage plans are required to cover all the services Original Medicare covers.
B. Medicare Advantage plans may include additional benefits such as dental, vision, and wellness programs.
C. Medicare Advantage beneficiaries cannot switch back to Original Medicare.
D. Medicare Advantage plans are offered through private insurance companies.
Answer: C. Medicare Advantage beneficiaries cannot switch back to Original Medicare.