PUBH 6012 Exam 2 with All Correct Answers

PUBH 6012 Exam 2 with All Correct Answers Pathways for Medicare eligibility - Answer-1) over 65 years and qualify for social security benefits, 2) qualify for social security disability income and have been collecting benefits for 24 months, 3) diagnosis of end-stage renal disease or Lou Gehrig's disease and receiving SSDI payments Medicare eligibility gets you... - Answer-Entitlement to part A and eligibility to enroll in parts B, C, and D How many enrolled in Medicare - Answer-60 million (mostly elderly) Four parts of Medicare - Answer-A) Hospitals and inpatient services, b) Physicians and outpatient services, C) Managed Care plans, D) prescription drug plans Financing for Medicare Part A - Answer-Mandatory 2.9% payroll tax from employee and employers (into Hospital Insurance Trust fund), Deductibles and cost-sharing Financing for Medicare Part B - Answer-General federal tax revenue (about 73% of part B costs), monthly premium (24% of Part B costs), annual deductible, cost-sharing Medicare Part C advantages and disadvantages - Answer-Adv) comprehensive coverage and often includes prescription, may offer additional benefits, limits out of pocket spending; Dis) can restrict providers Parts of Medicare with penalty for not enrolling - Answer-B and D Medicare Part D financing - Answer-Monthly premiums, annual deductibles, sliding scale additional premium depending on income, cost-sharing, some subsidies Medigap - Answer-Supplemental insurance coverage for out of pocket costs not covered by A and B (no addition services or benefits)