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Free Quiz

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1. Mrs. P, a New Yorker, has decided to buy Medigap Plan C to help cover some of her costs. She has found two companies in her area that offer this plan. One costs $150 a month and the other costs $185 a month. If she is mainly concerned about costs, should she buy the cheaper one?

No, the cheaper one does not offer as many benefits. Maybe. Both plans might have different benefits that may affect her health care. Yes, the cheaper one offers the same benefits as the more expensive one. Maybe. The difference in cost is generally a fair indicator that the plan offers different benefits.

2. The Medicare Part A Buy-In is available in all states:

True False

3. What does it mean if a provider “takes assignment?”

The provider agrees to accept Medicare, but can charge you up to a 35 percent coinsurance for services. The provider is assigned specific duties by Medicare to treat patients with quality care. The provider is assigned specific Medicare patients by the Centers for Medicare and Medicaid Services (CMS). The provider accepts Medicare’s approved amount for a service as payment in full.

4. Ms. K is asked to leave the hospital where she has been staying, but feels that she is not well enough to do so. Ms. K should request an immediate review of the hospital’s decision to discharge her by contacting this organization:

Hospital Appeals Review Entity Hospital Quality Center Quality Improvement Organization Maximus

5. Mr. Jones is disabled, 62 years old and works for a company that has 80 employees. He has both Original Medicare and insurance from his employer. Mr. Jones needs medical care. Generally,

Medicare will pay for the entire cost of his medical care. Medicare should pay first on any medical care he receives and his current employer insurance should pay second. Mr. Jones will most likely have to pay for the medical care out of his own pocket. His current employer insurance should pay first on any medical care he receives and Medicare should pay second.

6. A Medicare Summary Notice (MSN) is a bill you get from Original Medicare that lists the health care services you have received over the past three months.

True False

7. Generally, people must actively enroll in Extra Help if they have Medicaid and Medicare.

True False

8. Which of the following statements is true?

Veterans Affairs (VA) Benefits act as the secondary payer to Medicare. TFL does not coordinate with Medicare. TRICARE for Life (TFL) always pays first on health care before Medicare pays. VA Benefits do not coordinate with Medicare.

9. Individuals need to have a certain income in order to be eligible for Medicare.

True False

10. What is Original Medicare?

The traditional fee-for-service program offered directly through the federal government. The managed care plan offered through private insurance companies. The state program that is comprised of Parts A, B, C, and D. The managed care plan that allows plan members to go outside of the plan’s network to see health care providers.

11. Which part(s) of Medicare will usually provide coverage for immunosuppressant drugs?

Part A Part B Part B and D Part A and B

12. You cannot have both Medicare and Medicaid.

True False

13. Which of the statements is true?

You always pay more for Medicare Advantage plans. You can see any doctor in the nation with any type of Medicare Advantage plan. You must buy a separate prescription drug plan with Original Medicare, whereas some Medicare Advantage plans offer drug coverage. Original Medicare provides prescription drug coverage, but Medicare Advantage plans do not

14. Which of the statements is most precise?

Medicare is a state and federal program that offers health coverage specifically to people with low incomes. Medicaid is a federal program that specifically offers health coverage to people 65 years and older. Medicare is a state program that offers health coverage to people with low incomes. Medicaid is a federal and state-based program that offers health coverage to people with low incomes.

15. Medicare Advantage plans supplement Original Medicare.

True False

16. Ronald is disabled and has Medicare. He is not yet 65 years old. He turned down Part B and now facing a Part B premium penalty. Ronald will unfortunately be stuck with the Part B premium penalty for the rest of his life, provided that he does not qualify for any assistance programs.

True False

17. Which of the following statements most accurately describes a transition fill?

Prescription drug refills offered by Part D plans every time you transition from a hospital into a skilled nursing facility. A policy that allows new members of Part D plans to get coverage of medications they are new to taking. A policy that allows new members of Part D plans to get temporary coverage of medications they were already taking. Prescription drug refills offered by Part D plans once every year.

18. Medicare home health care is:

Non-medical care provided at the home such as cooking or cleaning. Skilled care and home health aide services provided at home to treat an illness or injury. Long-term care services provided at a nursing home. Non-medical care provided at a nursing home.

19. What is an Advance Beneficiary Notice?

A letter that health insurance plans must give in-network providers in advance of treating a patient to inform them of a Medicare beneficiary’s health history. A Medicare notice that in-network providers must give to beneficiaries in advance of providing them with medical services. A letter that health insurance plans must give Original Medicare providers in advance of seeing Medicare beneficiaries. A notice that medical providers must give their patients before providing care they believe Original Medicare won’t cover.

20. Medicare Part A generally does not cover:

Inpatient hospital care Doctor services provided in hospital settings Hospice Home health care

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