Medicare Essentials FINAL EXAM (PA 133907)

Americans who are eligible for Medicare must work in what type of employment?

When people enroll in Medicare during the annual open enrollment period between October 15 and December 7, when does their coverage begin?

Medicare coverage always begins on _____.

All the following are types of Medicare Advantage plans, EXCEPT:

A provider accepts _____ when it agrees to accept the Medicare-approved amount as payment in full for covered services.

Which of the following BEST describes how Original Medicare imposes out-of-pocket expenses?

Marco’s Part A benefit period ended once he had _____ for 60 consecutive days.

If Shuto’s nursing home stay was NOT covered by Medicare Part A, which of the following requirements was NOT met:

Medicare Part D (Prescription Drug Coverage) pays for some of the costs of drug coverage, as well as recommended:

Medicare’s initial Welcome to Medicare Visit and Yearly Wellness Visit are covered under Part B as:

What type of drug is required by the FDA to have the same active ingredients as its corresponding brand-name drug?

What must a Medicare beneficiary do first, before enrolling in a Medicare Advantage plan?

During the Medicare Advantage Open Enrollment Period from January 1 through March 31, a beneficiary who is already enrolled in a MA plan may do all the following, EXCEPT:

Medicare Supplement insurance/Medigap plans are no longer permitted to be sold if they include coverage for the costs of _____.

Mr. Hsieh enrolled in Original Medicare when he was first eligible. Two years later, he decided to purchase a Medicare Supplement insurance policy, and was charged a very high premium for the policy because:

In Medicare, beneficiaries must pay a _____ before their coverage begins paying covered costs each year.

Which of the following is NOT a cost related to Medicare Part B?

Anna is eligible for a Medicare Savings Plan because she:

Drugs costs in Medicare are based on all the following, EXCEPT:

A person may enroll in Medicare _____.

Unless individuals have their Medicare premiums deducted from their Social Security checks, premiums are due month, except for the _____ premium, which is due quarterly.

Producers talking about Medicare coverage CANNOT do which of the following?

Beneficiaries can learn why Medicare declined to pay a claim under Original Medicare by:

Which of the following is NOT a form of Medicare fraud and abuse?

Many types of Medicare fraud and abuse are also considered _____, which includes “the use of another’s assets without their consent, under false pretenses, undue influence, or through coercion and/or manipulation.”