UHC Exam 1: Medicare/Medicaid-Questions with Correct Answers/
Verified/ latest Version (2024/2025)
Medicare - ✔✔established based on the need of health insurance for the elderly; was added
as an Amendment to the Social Security Act (Title XVIII)
Medicare Eligibilities - ✔✔Requires that individuals have worked at least 10 years in
Medicare-covered employment or have paid taxes into the Medicare system, are US Citizens
or permanent residents, and are at least 65 years old.
People under 65 may qualify for Medicare if they have End-Stage Renal Disease and require
dialysis or a kidney transplat or if they recieve Social Security disability benefits (and have
been for at least 24 months)
Medicare Enrollment and Spending - ✔✔Enrollment: 57 Million
Spending: $680 Billion
Medicare: Part A - ✔✔Hospital Insurance: Covers in-patient hospital care and other types of
institutional care
Medicare Part A Benefit Period - ✔✔A deductible of $1316 is paid at the beginning of each
period, which begins when a person enters the hospital and ends when a person has not
been a patient in a hospital or skilled nursing facility for 60 consequtive days (90 day periods
total)
60 day lifetime reserve days are available once the 90 days of the benefit period have been
used
190 day lifetime supply of inpatient psychiatric care is separate from the benefit periods and
reserve days
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