Medicare Final Exam Questions with Verified Answers
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Course
Medicare Supplements
Institution
Medicare Supplements
Premium? - Answer-Premium is the fixed amount the insured has to pay to participate.
Deductible? - Answer-Deductible is a preset amount that you have to pay FIRST, before Medicare or a private insurance company begins to help with your costs.
Copay? - Answer-Copayment is a fixed amount that y...
Medicare Final Exam Questions with
Verified Answers
Premium? - Answer-Premium is the fixed amount the insured has to pay to participate.
Deductible? - Answer-Deductible is a preset amount that you have to pay FIRST, before
Medicare or a private insurance company begins to help with your costs.
Copay? - Answer-Copayment is a fixed amount that you pay, like $10 or $20, for a
service or product.
Coinsurance? - Answer-Coinsurance is splitting your health costs with the plan on a
percentage basis.
Define Part A and describe 3 benefits it covers? - Answer-Part A is (Hospital Insurance)
1. Skilled nursing services (20 Days)
2. Hospital meals
3. A semi privite room
Define Part B and describes 3 benefits it covers? - Answer-Part B is (Medical/ Doctors'
Insurance)
1. Outpatient medical services
2. Emergency Room services
3. X-rays, MRIs, and more
Define Part C - Answer-(Medicare Advantage plans) is another health coverage choice
you may have as part of Medicare. offered by a private company thats approved by
Medicare.
Name 3 ways Part C is different from Original Medicare - Answer-1. Needs a referral
2. Combines A &B
Prescription Drug coverage
What does Part D Primarily cover? - Answer-Prescription Drugs
What percentage does Part B typically cover? - Answer-80%
2018 Part B Deductible? - Answer-$183
If I receive Social Security benefits and am turning 65 next month, it's mandatory that I
elect Part B? - Answer-False
Days 1- 60 out - of- pocket cost? - Answer-0
, Days 61-90 out-of- pocket cost? - Answer-$335
Days 91-150 out- of Pocket cost? - Answer-$670
Part A Copay Days 91-150 are also known as? - Answer-Lifetime reserve
What is the Part A deductible amount? - Answer-$1,340
If you only have Part A of Medicare you qualify for Part C? - Answer-False
AEP is a popular time to Join, switch or drop a MA plan. When is this period? - Answer-
Oct 15- Dec 7
Spring Health Plans is contracted with multiple carriers that offer Part D? - Answer-True
A person can pick up Part D during all of the following except? - Answer-After 60 days
without drug coverage.
If a client is outside his or her enrollment period for Part D, Spring Health Plans will? -
Answer-Advise the client, but nothing else
Although individuals can't sign up for Part D until 3- months prior to their 65th birthday,
agents may send clients to SHP up to 6 - months prior to their 65th birthday? - Answer-
True
Name and describe the three stages Part D coverage? - Answer-1. Initial - you pay a
flat fee or percentage of a drug's total cost and insurer remaining balance.
2. Donut Hole - Once you out-of pocket cost reach 5k you move to Catastrophic
Coverage
3. Catastrophic. - You only pay a small copay amount for each filled perscription
The Donut Hole will Phase out in? - Answer-2020
What Part of Medicare does Skilled Nursing typically fall under? - Answer-Part A
Days 1-20 out-of pocket costs for SNF? - Answer-0
Days 21- 100 out of pocket cost for SNF? - Answer-Full
When I turn 65, I always get Medicare automatically? - Answer-False
Which individuals get Medicare automatically? - Answer-1.Turning 65 and already
receiving Social Security benefits.
2.Receiving disability due to ALS. 3.Turning 65 and receiving Railroad Retirement
Board benefis.
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