Part A and B
Part C and Medigap
Extra Help and MSP
Part D
Random
100
What is the General Enrollment Period?
The period each year when you can sign up for Medicare Part A and/or Part B, if you chose not to sing up when first eligible or if you missed your Special Enrollment Period.
100
Medicare pays for a "one time only"__________ within the first twelve months a person has Part B.
What is a Physical exam
100
Mrs. Jones has a SSA income of $900 and has spent all of her savings but lives in a $2 Million home which is paid for. What programs would she be eligible for?
MSP and extra help
100
Subsidy Qualifier
This can be found on the SSA Website and can help applicants find out if they may qualify or not for the Part D subsidy.
100
• Includes all benefits and services covered under Part A and Part B • Run by Medicare-approved private insurance companies • Usually includes Medicare prescription drug coverage (Part D) as part of the plan • May include extra benefits and services for an extra cost
Medicare Part C (Medicare Advantage)
200
This ends when a patiend is discharged from a hospital or SNF for 60 consecutive days.
What is a benefit period
200
A bene is entitled to a screening every two years or yearly if at high risk
What is a Cervical Exam
200
Which MSP programs pay for the Part B premium?
SLMB, QMB and QI
200
Allows you to see a simulated version of the I1020 that is in productionion and navigate through the screens to assist the public with inquiries.
What is the ApPages
200
What needs to happen in order to initiate long-term care insurance benefits?
The policy holder must need help with a specified number of Activities of Daily Living
300
Which of the following will Part B never pay for: Diagnostic Tests Inpatient mental health services Medications administered in a physicians office
Inpatient mental health services
300
Name at least three services that part B covers.
What is Doctor visits and treatments,Surgeon and Anesthetist fees, Physical and speech therapy, Diagnostic tests and X-rays, Emergency Room charges, Hospital outpatient clinic charges, non-self-administered drugs, lab test and radiology, ambulance charges, casts, splints and braces, artificial limbs, durable medical equipment, other medical supplies, except first aid items.
300
Joe has a monthly income of $1,100 and owns his home and a vehicle. Which program would he likely qualify for?
QMB, SLMB, or QI ?
300
Which drugs are not covered by Part D? Barbiturates, Drugs to treat Anorexia Drugs approved by the FDA
Drugs to treat Anorexia
300
Janet got her flu shot at her Dr. office. She received a bill from them for the full amount, but she believes that Medicare should pay for it. Where is the best place to find instructions about how to submit an appeal?
Medicare Summary Notice (MSN)
400
It is January and Helen is 66 years old and has part A. Her job was recently terminated and she decided to take the 18 months of COBRA her employer offered to her. What will happen when her COBRA ends and she decides to sign up for Medicare?
Because COBRA is not considered insurance based on current employment, Helen will have to wait until the General Enrollment period (January-March) to sign up for Part B and it will not begin until July. She will also be penalized for not have Part B. She can, however, sign up for Part D without penalty.
400
A service not provided in the US or not reasonable and necessary.
What is SMI Exclusions
400
Out of pocket limit
What is $6,700
400
the State Assistance programs for Part D
What is PAAD and Senior Gold
400
When you have a complicated question about who pays first, Medicare or private insurance, what is the best resource for an official answer? Employer's Human Resource Department The private insurance plan 1-800-Medicare Benefits Coordination & Recovery Center (COB)
Benefits Coordination and Recovery Center
500
Medicare pays for most inpatient hospital care under what payment system?
What is Prospective Payment System
500
The facility that provides surgical services that do not require a hospital stay.
What is Ambulatory Surgical Center
500
You verify the Medicare Advantage plan by viewing the Group Health line in this query.
What is The Medicare Enrollment Query (MEQ)
500
Clerks in this office process most MAPS exceptions
What is Wilkes-Barre Data Operations Center (WBDOC).
500
In 1972 a technical error was introduced in the law which resulted in beneficiaries getting a double adjustment for inflation. In 1977 Congress acted to correct the error. Instead of making the correction immediate, they phased it in over a five year period. This phase-in period was defined as affecting those people born in 1917-1921.
What is The Notch
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