Social Insurance Flashcards
What Medicare part helps pay for inpatient hospital care, inpatient care in a skilled nursing facility, home health care and hospice care?
Part A
What is another name for old age, survivors and disability insurance benefits?
Social security
At what age do individuals qualify for Medicare?
Age 65
If an individual is covered by Medicare, and is also covered by his employer’s health plan, which plan would be considered primary?
The employer plan
Who qualifies for Medicaid?
Persons with insufficient income
What benefits are provided by Medicare Part C?
Expanded benefits for a fee through private insurance programs such as HMOs or PPOs
What Medicare part will cover lab services or diagnostic tests?
Part B
What part of Medicare is known as medical insurance?
Part B
Who issues Medigap policies?
Private insurers
Who is eligible for Part B Medicare?
Part B is optional, and is offered to everyone who enrolls in Part A
In which Medicare supplemental policies are the core benefits found?
All plans (A-D)
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?
The donut hole
What is the purpose of Medicare Supplement plans?
To fill in the gaps in Medicare coverage
What part of Medicare is known as hospital insurance?
Part A
How many pints of blood will be paid for by Medicare Supplement core benefits?
First 3 pints
How is part B Medicare funded?
By monthly premiums and from the general revenues of the federal government
What benefit is based on a primary insurance amount (PIA)?
Social Security disability benefit
What is the required free-look period for Medicare Supplement policies?
30 days
What is another name for Medicare Advantage plans?
Part C
How many parts does Medicare have?
Four: Parts A - D
Medicare Part A will pay for what type of services?
Inpatient hospital care, skilled nursing facility care, home health care, and hospice care
What Medicare part provides a prescription drug benefit?
Part D
How does someone qualify for Social Security disability income benefits?
The insured must have the proper insured status, meet the definition of disability, and satisfy the waiting period
When is the initial enrollment period for Medicare Part A?
When an individual first becomes eligible for Medicare, Starting 3 months before turning age 65 ending 3 months after the 65th birthday
