UNIT 20 CHECKPOINT

Which of the following services would NOT be covered under Medicare Part B A) Amy is 30 and had a mammogram B) Jim is 55 and had his annual prostate cancer screening C) Susan is 30 and had a flu shot D) Richard is 55 and had a screening test for diabetes

A) Amy is 30 and had a mammogram

Which of the following is a government insurance program for individuals of all ages whose income and resources are insufficient to pay for health care? A) Medicaid B) Medicare C) Medicare Select D) Medigap

A) Medicaid

Which of the following Medicare Advantage Plans has a network of providers, but no gatekeeper, and enrollees pay more if their costs go outside of the plan's network? A) Medicare Preferred Provider Organization (PPO) Plans B) Medicare Specialty Plans C) Medicare Private Fee-For-Service (PFFS) Plans D) Medicare Managed Care Plans

A) Medicare Preferred Provider Organization (PPO) Plans

Medigap is another name for A) Medicare supplement insurance B) Medicare Part B C) Medicare Part D D) Medicare Part A

A) Medicare supplement insurance

All of the following are required provisions in a Medigap policy EXCEPT A) Medigap policies must have a 31-day free-look period B) Medigap policies must be guaranteed renewable C) Medigap policies must have a 30-day free-look period D) Medigap policies must not duplicate benefits provided by Medicare

A) Medigap policies must have a 31-day free-look period

All of the following statements about Medicare are correct EXCEPT A) the initial enrollment for Medicare is a 30-day period B) to be covered by Medicare, an individual must be "fully insured" C) Medicare pays a large portion of the health care bill for persons who are 65 or over D) Medicare is federally funded

A) the initial enrollment for Medicare is a 30-day period

All of the following statements about enrollment in Medicare Part B are correct EXCEPT A) the Part B monthly premium is deducted from the individual's Social Security monthly benefit check B) Part B is mandatory, and required a monthly premium C) individuals who enroll in Part A are automatically enrolled in Part B unless they request otherwise D) the Part B monthly premium is tied to an individual's income

B) Part B is mandatory, and required a monthly premium

Which of the following services is NOT excluded under Medicare Part B A) Private-duty nursing B) Flu shots C) outpatient prescription drugs D) routine foot, vision, dental, or hearing care

B) flu shots

Jill is terminally ill with cancer. She is at a point with her illness that she will need respite care, counseling, pain relief, and symptom management. Which of the following services will Jill most likely use? A) Home health care B) Hospice care C) Skilled nursing care D) Custodial care

B) hospice care

An individual's enrollment in Medicare is automatic on A) the last day of the month that she reaches age 65 B) the first day of the month that she reaches age 65 C) the last day of the month that she reaches age 72 D) the first day of the month that she reaches age 60

B) the first day of the month that she reaches age 65

A part of Medicare that pays for inpatient hospital care, skilled nursing care, home health care, and hospice care is A) Part B B) Part D C) Part C D) Part A

D) Part A

A part of Medicare designed to assist with the costs of prescription drugs is A) Part A B) Part B C) Part D D) Part C

C) Part D

Which of the following inpatient hospital services is NOT covered by Medicare Part A? A) a semiprivate room B) medical services C) private-duty nursing D) meals

C) private-duty nursing

All of the following statements about Medicare and employer group health coverage are correct EXCEPT A) if the employer has more than 20 employees, the group health plan is primary for employees B) if the employer has less than 20 employees, Medicare is primary employees and retirees C) regardless of the number of employees, Medicare is primary for retirees and employees D) if the employer has more than 20 employees, Medicare is primary for retirees

C) regardless of the number of employees, Medicare is primary for retirees and employees