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XCEL Solutions 2-15 Exam-Ch. 15 Questions and Answers Latest Updated 2024
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XCEL Solutions 2-15 Exam-Ch. 15
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XCEL Solutions 2-15 Exam-Ch. 15Medicare Supplements (Medigap) - answer Health insurance that provides coverage to
fill gaps in Medicare coverage
-Covers medical costs not covered by the government in Medicare Parts A and B
-Do not pay costs for Part C and D
-Sometimes provide benefits like annual physical exams
*As of June 2010, there are 10 standardized Medigap plans
Medicare Supplement Plan Continued - answer They cover coinsurance on hospital
costs, up to an additional 365 days after Medicare part A benefits run out. They also
cover at least part of these costs:
-Medicare Part A hospice coinsurance or copayment
-Medicare Part B coinsurance or copayment
-First 3 pints of blood received as hospital inpatient
Medicare Supplement Insurance Standards - answer1) The policy must supplement
both part A and B of Medicare
2) The policy must automatically adjust its benefits to reflect statutory changes in
Medicare
3) The policy must cover all expenses not covered by part A from the 61st to the 90th
day and cover the lifetime reserve copayment and must provide full coverage for an
additional 365 days after Medicare benefits are exhausted
4) If policy excludes coverage for preexisting conditions, the exclusion cannot exist for
longer than 6 months
5) Part B expenses not covered by Medicare must be covered by the Medigap policy
6) The policy must include a minimum 30 day free-look provision
Medicare Select - answerA type of Medicare supplement (Medigap) plan sold in some
states that can be any of the standardized Medigap plans (A-N) but which requires
policy holder to receive services from within a defined network of hospitals- and in some
causes doctors
*Medicare supplement coverage through a preferred provider organization (PPO)
ex) provider groups, hospital marketing plans, and groups that are formed or operated
by insurers
Medicare and Managed Care - answerOffered by private companies
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