Chapter 8: Social Insurance
Following hospitalization because of an accident, Bill was confined in a skilled nursing facility. Medicare will pay full benefits in this facility for how many days?
20
Which of the following must the patient pay under Medicare Part B?
20% of covered charges above the deductibile
Once the person meets the stringent requirements for disability benefits, how long is the waiting period under Social Security before any benefits will be paid?
5 months
How long is open enrollment period for Medicare supplement policies?
6 months
All of the following qualify for Medicare Part A EXCEPT
Anyone who is willing to pay a premium
A medicare supplement plan must have at least which of the following renewal provisions?
Guaranteed renewable
Which of the following statements is correct concerning the relationship between Medicare and HMOs?
HMOs may pay for services not covered by Medicare
Which type of care is NOT covered by Medicare?
Long-term care
Which of the following programs expands individual public assistance programs for people with insufficient income and resources?
Medicaid
All of the following statements concerning Medicaid are correct except
Medicaid is a state funded program that only provides health care to persons over age 65, only
Which of the following statements is not correct regarding Medicare?
Medicare Advantage must be provided through HMOs
Medicare Advantage is also known as
Medicare Part C
The primary eligibility requirement for Medicaid benefits is based upon
Need
Which of the following is not covered under Plan A in Medigap insurance?
The Medicare Part A
Which of the following is not covered under Plan A in Medigap insurance?
The Medicare Part A deductibile
Which of the following is not a factor in determining qualifications for Social Security disability benefits?
Workers occupation
For how many days of skilled nursing facility care will Medicare pay benefits?
100 days
If a person is disabled at age 27, and meets SS definition of total disability, how many work credits must he/she have earned to receive help?
12 credits
All of the following individuals may qualify for Medicare Health Insurance benefits except
A retired person of age 50
A 63 year old man is planning to be employed until age 68. When will he be eligible for Medicare?
Age 65, regardless of his employment
In which Medicare supplemental policies are the core benefits found?
All plans
In reference to the standard Medicare Supplement Benefits plans, what does the term standard mean?
All providers will have the same coverage options and conditions for each plan.
Which of the following is not an enrollment period for Medicare Part A applicants?
Automatic enrollment
Which of the following is not covered by Medicare?
Cosmetic surgery
Social security disability definition includes all of the following except
Disability expected to last for at least 6 months
Which of the following is an eligibility requirement for Social Security disability income benefits?
Fully insured status
Which of the following statements concerning Medicare Part B is correct?
It pays for physician services, diagnostic tests, and physical therapy
Medicaid provides all of the following benefits EXCEPT
Income assistance for work related injury
Which of the following statements is not true concerning Medicaid?
It consists of 3 parts: Part A (Hospitalization), Part B (Doctors Services), Part C (Disability income)
Concerning Medicare Part B, which statement is INCORRECT?
It is fully funded by Social Security tazed (FICA).
Which of the following is incorrect concerning Medicare?
It is solely a federally administered program
An applicant is discussing his options for Medicare supplement coverage with his agent. The applicant is 65 years old and has just enrolled in Medicare Part A and Part B. What is the insurance company obligated to do?
Offer the supplement policy on a guaranteed issue basis
What is another name for social security benefits?
Old-Age, Survivors, and Disability Insurance
Medicare Part A services do not include which of the following?
Outpatient Hospital Treatment
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
Part A
All of the following are covered by Part A of Medicare except
Physicans and surgeons services
Medicare Part D provides
Prescription drug benefit
Which of the following is not covered under part B of a Medicare policy?
Routine dental care
Which statements regarding qualifications for Social Security disability benefits is not trye?
The individual must be 65 years old
In which of the following situations would Social Security Disability benefits not cease?
The individual's son gets a part time job to help support the family
Hospice care is intended for
The terminally ill
All of the following statements about Medicare supplement insurance policies are correct except
They cover the cost os extending nursing home care
Which of the following is correct about Social Security
To be eligible, one must meet certain r requirements
