Social Insurance [health] Flashcards
. All of the following individuals may qualify for Medicare health insurance benefits EXCEPT
a. a person under age 65 who is receiving Social Security disability benefits
b. a retired person age 50
c. a healthy person age 65
d. a person age 45 who has permanent kidney failure
b. a retired person age
50
. Which of the following statements is NOT true concerning medicaid?
a. it consists of 3 parts - Part A, Part B, and Part C
b. it is a state program
c. it is funded by state and federal taxes
d. it is intended to provide medical assistance for certain categories of people who are needy
a. it consists of 3 parts - Part A, Part B, and Part C
A Medicare supplement plan must have at least which of the following provisions?
a. conditionally renewable
b. nonrenewable
c. noncancellable
d. guaranteed renewable
d. guaranteed renewable
How long is an open enrollment period for Medicare supplement policies?
a. 6 months
b. 1 year
c. 30 days
d. 90 days
a. 6 months
How many pints of blood will be paid for by Medicare Supplment Care benefits?
a. none, medicare pays for it all
b. everything after first 3
c. 1 pint
d. first 3
d. first 3
In which of the following situations would social security benefits not cease?
a. the individual dies
b. the individual has undergone therapy and is not longer disabled
c. the individuals son gets a part-time job to help support the family
d. the individual reaches age 65
c. the individuals son gets a part-time job to
help support the family
Regarding Medicare SELECT policies, what are restricted network provisions?
a. they determine premium rates
b. they help avoid adverse selection
c. they condition the payment of benefits
d. they determine who can be insured
c. they condition the payment of benefits
All of the following statements about Medicare Part B are correct except
a. it is financed by monthly premium
b. it is financed by tax revenues
c. it is a compulsory program
d. it covers services and supplies not covered by Part A
c. it is a compulsory program
The part of Medicare that helps pay for inpatient hospital care, inpatient
care in a skilled nursing facility, home health care and hospice care, is known as
a. Part C
b. Part D
c. Part A
d. Part B
c. Part A
How many parts does Medicare have?
Four: Parts A-D
What is another name for Old age, Survivors, and Disability insurance benefits?
Social Security
Who qualifies for Medicaid?
Persons with insufficient income
What Medicare part helps pay for inpatient hospital care, inpatient care in a skilled nursing facility, home health care and hospice care?
Part A
At what age do individuals qualify for Medicare?
Age 65
In which Medicare supplemental policies are the core benefits found?
All plans: A-N
Who qualifies for Medicare coverage?
People age 65 or older, or anyone who has been entitled to Social Security disability income benefits for 2 years, or
who has chronic kidney disease
How many pints of blood will be paid for by Medicare Supplement core benefits?
First 3 pints
Medicare A will pay for what types of services?
inpatient hospital care, skilled nursing facility care, home health care and hospice care
What is the required free-look period for Medicare Supplment policies?
30 days
How is Part B Medicare funded?
By monthly premiums and from the general
revenues of the federal government
Who is eligible for Part B medicare?
Part B is optional, and is offered to
everyone who enrolls in Part A
What Medicare part provides a prescription drugs benefit?
Part D
If an individual is covered by Medicare, and is also covered by his employers health plan, which plan would be considered primary?
the employer
What is the purpose of Medicare Supplement plans?
to fill the gaps in Medicare coverage
What is another name for Medicare Supplement plans?
Medigap
What part of Medicare is known as hospital insurance?
Part A
What part of Medicare is known as medical insurance?
Part B
What is another name for Medicare Advantage plans?
Part C
What benefits are provided by Medicare Part C?
Expanded benefits for a
fee through private insurance programs such as HMO’s or PPO’s.
What Medicare part will cover lab services or diagnostic tests?
Part B
