Chapter 8: Social Insurance

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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


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