Medicare Essentials FINAL EXAM (NE 6000169205)

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

A _____ applies under certain circumstances, such as when people move or lose health insurance coverage.

Unless individuals are eligible to enroll in Medicare during a special enrollment period, delaying enrollment beyond the initial enrollment period usually results in:

Beneficiaries in Original Medicare may seek care and services from any physician, health care provider, or facility so long as which of the following conditions is met?

When a beneficiary is insured by both Medicare and another health plan, the “primary payer” is the plan that:

Cedric’s physician does not accept assignment and can charge no more than 15% more than Medicare’s approved amount. For the services provided to Cedric. This figure is referred to as the:

In addition to paying for the costs of care while a beneficiary is an inpatient in a hospital, Part A pays for:

Which of the following services IS covered under Medicare Part A:

Medicare _____ pays for the costs of medically necessary care such as physician services, outpatient care, durable medical equipment, and mental health services.

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

Hendrik is reading through his Medicare drug plan’s ____, which is a list of prescription drugs for which it provides coverage.

How does Supplemental Security Income differ from other Social Security programs?

Which of the following is NOT a guideline or rule that applies to Medicare Advantage plans?

All the following rules and guidelines apply to Medicare Supplement insurance/Medigap plans, EXCEPT:

Which of the following is NOT true of Medicare Select policies?

A Medigap guaranteed issue right permits a beneficiary to purchase a Medicare Supplement insurance policy without:

Medicare Part A only provides coverage for the first _____ days a beneficiary receives care as an inpatient in a hospital, unless using any of the 60 lifetime reserve days.

The Income-Related Monthly Adjustment Amounts (IRMAA) that apply to Part B do which of the following:

Medicare Advantage plan costs are determined by:

Mr. Fischer is enrolled in Medicare Part D. He will not enter the Coverage Gap because he is enrolled in:

All Medicare premiums are due on the _____ of the month.

The guidelines that establish how advance directives can be issued and how they were are created by:

Medicare beneficiaries can file a claims appeal in all the following circumstances, EXCEPT:

When does Medicare and its representatives call consumers for sales and marketing purposes?

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.”