What Medicare part provides a prescription drugs benefit?
Part D
What benefits are provided by Medicare Part C?
Expanded benefits for a fee through private insurance programs such as HMOs or PPOs.
What is another name for Old Age, Survivors, and Disability Insurance benefits?
Social Security
Who qualifies for Medicare coverage?
People age 65 or older, or anyone who has been entitled to Social Security disability income benefits for 2 years, or who has chronic kidney disease.
After the initial benefit limit is reached, what percentage of prescription drug costs must the insured pay under Medicare Part D?
100%
Who is eligible for Medicare Part B?
Part B is optional, and is offered to everyone who enrolls in Part A.
Who issues Medigap policies?
Private Insurers
What is another name for Medicare Supplement plans?
Medigap
Who qualifies for Medicaid?
Persons with insufficient income.
When is the initial enrollment period for Medicare Part A?
When an individual first becomes eligible for Medicare, starting 3 months before turning age 65 and ending 3 months after the 65th birthday.
What type of Medicare policy requires insureds to use specific healthcare providers and hospitals (in other words, has restricted network provisions)?
Medicare SELECT
Can Alzheimer's disease be excluded from coverage under a long-term care policy?
No, organic cognitive disorders, such as Alzheimer's or Parkinson's must be covered.
What benefit is based on a primary insurance amount (PIA)?
Social Security disability benefit
In which Medicare supplemental policies are the core benefits found?
All Plans (A-N)
What Medicare part will cover lab services or diagnostics tests?
Part B
What is another name for Medicare Advantage plans?
Part C
How many consecutive months of coverage must long-term care insurance provide?
12 Months
What is the required free-look period for Medicare Supplement policies?
30 Days
What are the activities of daily living?
Mobility, Bathing, Dressing, Eating, Toileting, and Continence
How is Part B Medicare funded?
By monthly premiums and from the general revenues of the federal government.
What part of Medicare is known as hospital insurance?
Part A
What is the purpose of Medicare Supplement plans?
To fill in the gaps in Medicare coverage.
What part of Medicare is known as medical insurance?
Part B
If an individual is covered by Medicare, and is also covered by his employer's health plan, which plan would be considered primary?
The Employer Plan
How many pints of blood will be paid by Medicare Supplement core benefits?
First 3 Pints
How many parts does Medicare have?
Four: Parts A-D
How is Medicaid funded?
Medicaid is a federal and state funded program.
Medicare Part A will pay for what types of services?
Inpatient Hospital Care, Skilled Nursing Facility Care, Home Health Care, and Hospice Care
What Medicare part helps pay for inpatient hospital care, inpatient care in a skilled nursing facility, home health care, and hospice care?
Part A
How does someone qualify for Social Security disability income benefits?
The insured must have the proper insured status (such as "fully insured"), meet the definition of disability, and satisfy the waiting period.