Insurance Ch 8

Question 11 of 15 All of the following statements concerning Medicaid are correct EXCEPT A Individual states design and administer the Medicaid program under broad guidelines established by the federal government. B Individuals claiming benefits must prove they do not have the ability or means to pay for their own medical care. C Persons, at least 65 years of age, who are blind or disabled and financially unable to pay, may qualify for Medicaid Nursing Home Benefits. D Medicaid is a state funded program that provides health care to persons over age 65, only. Incorrect! Medicaid is a government funded (both state and federal) program designed to provide health care to poor people of all ages.

d

Question 14 of 15 Which of the following is INCORRECT concerning Medicaid? A It provides medical assistance to low-income people who cannot otherwise provide for themselves. B It pays for hospital care, outpatient care, and laboratory and X-ray services. C The federal government provides about 56 cents for every Medicaid dollar spent. D It is solely a federally administered program. Correct! Medicaid is assistance program for persons with insufficient income and/or resources to pay for health care. States administer the program that is financed by federal and state funds.

d

Question 3 of 15 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 B. B Part C. C Part D. D Part A. Correct! Medicare Part A pays for these services, subject to copayments and limitations on the number of days of care.

d

Question 6 of 15 An insured becomes disabled at age 22 and can no longer work. She meets the definition of total disability under Social Security. What other requirement must the insured have met to receive Social Security disability benefits? A Have accumulated 20 work credits in the past 10 years B Have accumulated 40 work credits C Have reached the age of 25. D Have accumulated 6 work credits in the past 3 years Correct! To qualify for disability benefits under Social Security, the disabled person must have earned a certain amount of work credits. A maximum of 4 work credits can be earned each year. The amount of credits required varies by age. Persons disabled before the age of 24 can qualify for Social Security Benefits with only 6 work credits earned in the 3 years prior to the start of the disability.

d

Question 13 of 15 How many pints of blood will be paid for by Medicare Supplement core benefits? A First 3 B None; Medicare pays for it all C Everything after first 3 D 1 pint Incorrect! Medicare supplemental policies cover costs of deductibles and coinsurance for Parts A and B. Since Medicare will not pay for the first 3 pints of blood, a Medicare Supplement plan will cover that. This is considered to be a core benefit.

a

Question 4 of 15 What is another term for the general enrollment period for Medicare Part B? A Annual enrollment period B Initial enrollment period C Eligible enrollment period D Special enrollment period Incorrect! General enrollment period, also known as the annual enrollment period, runs from January 1st through March 31st of each year.

a

Question 7 of 15 In which Medicare supplemental policies are the core benefits found? A All plans B Plans A and B only C Plan A only D Plans A-D only Correct! The benefits in Plan A are considered to be core benefits and must be included in the other types. Therefore, all types contain the core benefits offered by Plan A.

a

Question 8 of 15 All of the following statements about Medicare supplement insurance policies are correct EXCEPT A They cover the cost of extended nursing home care. B They cover Medicare deductibles and copayments. C They supplement Medicare benefits. D They are issued by private insurers. Correct! Medicare supplement policies (Medigap) do not cover the cost of extended nursing home care. Medigap plans are designed to fill the gap in coverage attributable to Medicare's deductibles, copayment requirements, and benefit periods. These plans are issued by private insurance companies.

a

Question 9 of 15 Concerning Medicare Part B, which statement is INCORRECT? A It is fully funded by Social Security taxes (FICA). B It is known as medical insurance. C It offers limited prescription drug coverage. D It provides partial coverage for medical expenses not fully covered by Part A. Correct! Part B is funded by monthly premiums and from the general revenues of the federal government.

a

Question 1 of 15 All of the following are covered by Part A of Medicare EXCEPT A Home health services. B Physician's and surgeon's services. C In-patient hospital services. D Post-hospital nursing care. Correct! Physician's and surgeon's services are covered under Part B.

b

Question 15 of 15 Which type of care is NOT covered by Medicare? A Respite B Hospital C Long-term care D Hospice Correct! Hospice care, which includes respite care, and hospital care are included in Medicare Part A.

c

Question 2 of 15 To sign up for a Medicare prescription drug plan, individuals must first be enrolled in A Medicare Parts A and C. B Medicare Part D. C Medicare Part A. D Medicare Part B and C. Correct! To receive Medicare prescription drug benefits, beneficiaries must sign up with a plan offering this coverage in their area and must be enrolled in Medicare Part A or in Parts A and B.

c

Question 5 of 15 Which of the following is NOT covered under Part B of a Medicare policy? A Lab services B Physician expenses C Routine dental care D Home health care Correct! Medicare Part B covers dental expense resulting from an accident only.

c