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
