Down to the Basics
Enrollment Periods
Know the Parts
Medicaid and LTCs
Definitions
100
The federal program providing hospital and medical insurance to people age 65 or older and to certain ill or disabled people.
What is Medicare?
100
The initial enrollment period for Part B is how many months?
What is 7 months?
100
It helps cover doctors' services and outpatiennt hospital care.
What is Part B?
100
When one spouse is in a nursing home and receiving Medicaid services, the community spouse is allowed to keep what persent of the couple's assets?
What is 50% of the couple's assets?
100
Permanent kidneye failure requiring dialysis or a kidney transplant.
What is End-Stage Renal Disease (ESRD)
200
The agency in charge of the Medicare program.
What is the Center for Medicare and Medicaid services?
200
The general enrollment period for part B coverage is ____ of each year.
What is january 1st - March 31st?
200
The Premium is $254 for persons that have 30-39 quarter of Medicare- covered employment and $461 for persons having less the 30 quarters of Medicare covered employment.
What is Part A
200
The largest source of health care funding for people with low incomes.
What is Medicaid?
200
A private company that contracts with Medicare to pay Part B bills
What is a carrier?
300
The year that the Medicare and Medicaid programs were signed into law
What is 1965?
300
The special enrollment period is following the month groups coverage ends in which participants can enrol is Part B without penalty.
What is 8 months?
300
I 2010, the monthly premium is $96.40.
What is Part B?
300
A medicaid program for beneficiaries who need help in paying for Medicare services, icluding Medicare Part A premiums, Part B premiums and Medicare deductibles and coinsurance amounts for Medicare Services.
What is QMB (qualified Medicare beneficiary)
300
A policy feature that returns at least part of the premiums to the insured if the insured cancels the policy or lets it lapse.
What is non forfeiture benefit?
400
This act implemented a plan to add a Part D Prescription Drug Benefit to the standard Medicare Coverage
What is the Medicare Prescription Drug, Improvement and Modernization Act of 2003 (MMA)?
400
The Part B permium will be increased by how much for each 12 months the individual could have been enrolled, but not.
What is 10%
400
In order to join a Medicare Advantage plan, a person must be enrolled in what part under theoriginal Medicare Plan?
What is Part A and Part B?
400
Suppotive service provided by qualified para-professionals who are trained, equipped, assigned, and supervised by professionals within an agency to help maintain, strengthen, and safeguard the care of the elderly in their own home.
What is homemaker services?
400
A notice the patient receives after the doctor or provider files a claim for Part A and Part B services i the Original Medicare Plan. It explains what the provider was billed for, the Medicare approved amount how much Medicare paid ,and what the patient pays.
What is MSN (Medicare Summary Noticec)?
500
Self employed persons pay what percentage of HI tax? Employees and employers pay what percentage?
What is 2.9% of payroll tax, and 1.45%
500
If a person has Amyotrophic Lateral Sclerosis (ALS), that person will be enrolled in Medicare Part B within how soon after they are entitles to Social Security benefits?
What is the first month of receiving Social Security benefits?
500
Under Part D of Medicare, the coverage gap when a benefit limit of $___ is reached and the beneficary is responsible for 100% of grug costs. When the gap reaches $____, catastrophic coverage will start and will cover 95% of prescription drug costs.
What is $2,830, and $4,550?
500
A long-term care policy term that can only be used when the isurer does not have the right to change the premium.
What is level premium?
500
This means the individual is medically unstable and requires frequent monitoring by a medical doctor or registered nurse.
What is acute care?
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