Effective Dates
Medicare
Medicaid
Medicare Part D
Misc
100
Starting in 2014, insurance companies can no longer do what? A) Deny coverage due to pre-existing conditions B) Charge premiums above 20% of your monthly income C) Charge co-pays D) Use your social security number as identification
A) Deny coverage due to pre-existing conditions
100
Medicare Advantage plans will be required to maintain a medical loss ratio (MLR) ____ percent, beginning in 2014? A) 50% B) 75% C) 85% D) 90%
C) 85%
100
Children, pregnant women, parents, and adults without dependent children with incomes up to 133% FPL. A) What group of individuals is eligible under the expansion of Medicare? B) What group of individuals is now eligible to receive benefits through CHIP? C) What group of individuals is eligible under the expansion of Medicaid? D) What group of illegal immigrants are eligible for benefits under Medicaid?
C) What group of individuals is eligible under the expansion of Medicaid?
100
By 2020, what in the Medicare Plan does the Reform aim to close? A) The prescription doughnut hole B) The expanding deficit C) The increasing age requirement D) The penalty rate charged if you enroll outside of the three month window upon eligibility
A) The prescription doughnut hole
100
The estimated number of people for whom the new health reform law will provide coverage to when fully implemented (including the new health insurance exchanges and Medicaid expansion). A) 60 million B) 32 million C) 18 million D) 75,000
B) 32 million
200
On which date will young adults be able to stay on their parents insurance? A) September 1, 2010 B) September 23, 2010 C) November 1, 2010
B) September 23, 2010
200
In what year are Medicare providers required to accept electronic remittance advice and funds transfer? A) 2011 B) 2012 C) 2013 D) 2014
D) 2014
200
2. When will Medicaid physician payment rates be equal to Medicare for primary services (Federally Funded)? A) March 2011 B) March 2012 C) March 2013 D) March 2014
C) March 2013
200
Beginning in 2011, seniors who reach the gap in prescription drug coverage known as the "doughnut hole" will receive what percent of discount on prescription drugs? A) 30% B) 40% C) 20% D) 50%
D) 50%
200
Children can stay on family health policies until age _____. A) 21 years old B) 26 years old C) 29 years old D) 23 years old
B) 26 years old
300
Performance based Medicare payments to hospitals (hospital value-based purchasing program) A) October 1, 2012 B) October 15, 2011 C) November 1, 2011 D) January 1, 2012
A) October 1, 2012
300
In what year will the Medicare Payroll Tax be expanded to include unearned income? A) 2011 B) 2012 C) 2013 D) 2014
B) 2012
300
Medicaid eligibility will expand to what population after health reform? A) People with incomes up to 144 percent of the federal poverty level B) Only people who has child with incomes up to 133 percent of the federal poverty level. C) People with incomes up to 133 percent of the federal poverty level D) Only people who has child and pregnant women with incomes up to 122 percent of the federal poverty level.
C) People with incomes up to 133 percent of the federal poverty level
300
How big is the rebate for those falling within Medicare Part D’s “Doughnut Hole”? A) $200 B) $250 C) $300 D) $350
B) $250
300
How many employees you have will be required to provide insurance to my employees if you are an employer after health reform? A) 55 B) 75 C) 85 D) 100
B) 75
400
Medicare’s Independence at Home demonstration project: -Providing primary care services to high-need beneficiaries in their homes -Providers benefits from savings for reduced health costs, improved outcomes and prevented hospitalizations/readmissions A) January 1, 2014 B) January 1, 2013 C) January 1, 2012 D) January 1, 2011
C) January 1, 2012
400
Which population will experience an increase in Medicare payroll taxes? A) Individuals earning more than $200,000 B) Individuals earning more than $100,000 C) Couples earning $250,000 D) Couples earning $200,000 E) A & C
E) A & C
400
What amount of federal funding will states receive to cover the expanded lives from 2014 - 2016? A) 70% B) 80% C) 90% D) 100%
D) 100%
400
By 2020, Part D enrollees will be responsible for what percentage of the cost of drugs in the coverage gap? A) 10% B) 20% C) 25% D) 30%
C) 25%
400
How much is the healthcare reform bill supposed to save over the next 10 years? A) $940 billion B) $560 million C) $200 billion D) $845 million
A) $940 billion
500
The new healthcare reform legislation provides funding for the Children’s Health Insurance Program through what year? A) 2012 B) 2013 C) 2014 D) 2015
D) 2015
500
What is the expected increase in Medicare payroll taxes? A) .45-1.44% B) 1.45-2.35% C) 2.36 – 3.45% D) 3.46-4.2%
B) 1.45-2.35%
500
What % of the Medicare payment rates will primary care doctors see in Medicaid payments fee-for-service and managed care payments in 2013 & 2014? A) 70% B) 80% C) 90% D) 100%
D) 100%
500
Medicare Part D cost-sharing for full-benefit dual eligible beneficiaries receiving home and communitybased care services will be equal to the cost-sharing for those who receive: A) Institutional care B) Home Care C) Physical Therapy D) Assisted Living
A) Institutional care
500
5. Under Health Reform what are the exchanges required to maintain? A) A call center for customer service B) Published Fee Schedule C) Summary of Benefits
A) A call center for customer service
M
e
n
u