Medicare Part A

Respite care can be referred to as

Care for the caregiver

Hospice is:

Care for the terminally ill

The Medicare Hospice Care benefit will pay for all of the following except

Care in an emergency room

An example of skilled care is

Changing sterile dressings

Which of the following items will not be covered as an inpatient hospital care expense under Medicare Part A?

Clipper socks

Care that helps with daily activities of living such as eating, bathing, dressing, and using the bathroom is called

Custodial care

Hospice drug benefits for pain relief have a copayment of

No more than $5

Medicare Home Health Care covers all these services EXCEPT

Skilled nursing care on a full-time basis

A patient is admitted to a skilled nursing facility. The patient does not have a Medigap policy, and the SNF charges $176 per day. The patient is discharged after a 30 day stay. How much would she have to pay?

$1,760

A 45 year old woman has Medicare Part A. She is admitted to the hospital for a 4 day stay and pays the total inpatient hospital deductible. Upon release from the hospital, she enters a Medicare certified skilled nursing facility for a 30 day stay. Her care in the skilled nursing facility is a continuation of the kind of treatment she received in the hospital. How much does she have to pay?

$3,168 $1,408 + ($176 x 10 days) = 3,168

A man is covered under Medicare Part A. He has a 10-day stay in a Medicare-certified skilled nursing facility which he entered after a 2-day stay in the hospital. The cost per day is $400. How much will this insured have to pay for skilled nursing facility?

$4,000 (the entire cost)

A man with Medicare Part A coverage enters the hospital for 70 days of continuous stay. How much of the hospital bill will he have to pay?

$4,928 $1,408 (deductible) + $3,520 ($352 x 10) = $4,928

A patient is in the hospital for 5 days and is then admitted to a skilled nursing facility, within 30 days of leaving the hospital. If he is in the SNF for 12 days, how much will he have to pay?

0$ Medicare covers the first 20 days

A man has just completed an inpatient hospital stay of 100 consecutive days. How many lifetime reserve days has he used?

10 days

A patient has a 110 day stay in skilled nursing facility. All Medicare requirements have been satisfied. For how many days will Medicare participate in the cost of the patient's care?

100 days

An insured has been admitted to a specialty psychiatric hospital for mental health care. What is the maximum number days of inpatient care that Medicare will pay for?

190 days

Under Medicare home health care services, what is the patient's out of pocket cost for durable medical equipment?

20%

An insured covered by Medicare Part A has a 3 day stay in the hospital. What would be the insured's out of pocket cost?

A deductible only

Medicare-covered hospital expenses include

A semi-private room

Which of the following is usually excluded from coverage under Medicare hospice coverage?

Ambulance transportation

A Medicare patient was hospitalized on October 18, and discharged on October 21. The same patient was admitted again on November 1 of the same year. How many deductible payments are required?

One

Home health care is

Primarily skilled care

When a Medicare beneficiary chooses hospice care to be provided in a nursing home, Medicare will not pay for which of the following?

Room and board

Skilled Nursing Care is primarily

Round the clock nursing care in a Medicare approved skilled nursing facility

Claims for Medicare Part A services are filed by

The provider with the Medicare intermediary