Social Insurance Flashcards

1
Q

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

A

Part A

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2
Q

What is another name for old age, survivors and disability insurance benefits?

A

Social security

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3
Q

At what age do individuals qualify for Medicare?

A

Age 65

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4
Q

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

A

The employer plan

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5
Q

Who qualifies for Medicaid?

A

Persons with insufficient income

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6
Q

What benefits are provided by Medicare Part C?

A

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

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7
Q

What Medicare part will cover lab services or diagnostic tests?

A

Part B

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8
Q

What part of Medicare is known as medical insurance?

A

Part B

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9
Q

Who issues Medigap policies?

A

Private insurers

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10
Q

Who is eligible for Part B Medicare?

A

Part B is optional, and is offered to everyone who enrolls in Part A

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11
Q

In which Medicare supplemental policies are the core benefits found?

A

All plans (A-D)

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12
Q

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

A

The donut hole

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13
Q

What is the purpose of Medicare Supplement plans?

A

To fill in the gaps in Medicare coverage

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14
Q

What part of Medicare is known as hospital insurance?

A

Part A

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15
Q

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

A

First 3 pints

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16
Q

How is part B Medicare funded?

A

By monthly premiums and from the general revenues of the federal government

17
Q

What benefit is based on a primary insurance amount (PIA)?

A

Social Security disability benefit

18
Q

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

A

30 days

19
Q

What is another name for Medicare Advantage plans?

A

Part C

20
Q

How many parts does Medicare have?

A

Four: Parts A - D

21
Q

Medicare Part A will pay for what type of services?

A

Inpatient hospital care, skilled nursing facility care, home health care, and hospice care

22
Q

What Medicare part provides a prescription drug benefit?

A

Part D

23
Q

How does someone qualify for Social Security disability income benefits?

A

The insured must have the proper insured status, meet the definition of disability, and satisfy the waiting period

24
Q

When is the initial enrollment period for Medicare Part A?

A

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