Round 2

Medicare Basics

100

Name 2 types of services under Part A coverage

- Inpatient Care 

- Skilled Nursing Facility 

- Nursing Home 

- Hospice Care 

- Home Health Care

200

This covers two types of services: 

1) Medically Necessary Services 

2) Preventive Services 

Part B

300

Original Medicare consists of which two parts? 

Part A & Part B 

400

Days 1-60 for Part A coinsurance is how much? 

$0

500

What is the Part B deductible and Part B premium? 

$198 - $144.60

Medicare Eligibility

100

John has his 65th birthday in June and if he signed up for his Medicare coverage on his birthday month. When will his coverage start? 

July 

200

To qualify for Medicare coverage you have to be on disability for at least on how many months?

24 months 

300

Jason has stopped working and he is nervous about having penalties once he signs up. He finished his last day of work at the end of September 2020. What is his last month to sign up for Part B? 

May 2021

400

How many working quarters are required for a Part A premium of $252

30-39 Quarters

500

Medicare taxes for less than 30 quarters have what premium? 

$458

Part C & Part D

100

What is Part C?

A medicare advantage plan 

200

Part D coverage covers hospice and medications (true or false)

False (medications only)

300

What does HMO stand for?

Health Maintenance Organization

400

What does PFFS stand for?

Private Fee for Service 

500

What is the Part D national base premium for 2020 & 2021

2020 - $32.74

2021 - $33.06

Medigap

100

What's another name for a medigap plan?

Medicare Supplement 

200

What deductible is not covered for a Plan G?

Part B Deductible 

300

All medigap plans have a prescription drug plan? (true or false)

False 

400

The underwriting questions do not need to be asked to a medicare beneficiary in their IEP? (true or false)

True

500

Can you talk about the characteristics of a plan N?

- copayments up to $20 for some office visits 

- copayments up to $50 for emergency room visits 

Enrollments - Elections - GI

100

What is the IEP period?

7 months 

- 3 months before the birthday month 

- birthday month 

- 3 months after the birthday month 

200

What does ICEP stand for?

Initial Coverage Election Period

300

If someone moved last week and they want to switch their MAPD plan how many months do they have to switch?

2 Months 

400

What does it mean to be guaranteed issue?

An insurance company can't refuse to sell you a Medigap policy, cover all pre-existing health conditions, and can't charge you more for a past or present health problems

500

Jason has his Part B coverage starting July 2021. What is his 3 month ICEP window? 

April - May - June