Medicare Basics
What federal program provides health insurance for people 65 and older?
What is Medicare?
Who administers Medicaid programs?
What are State governments?
Medicare covers people 65 and older and people with what?
What are certain disabilities or end-stage renal disease (ESRD)?
What term describes someone who qualifies for both Medicare and Medicaid?
What is a dual eligible beneficiary?
Medicare beneficiaries can receive Part A and B services through what two plan types?
What are Original Medicare and Medicare Advantage (MA) plans?
Which part of Medicare covers hospital insurance?
What is Part A?
Name two groups typically eligible for Medicaid coverage.
Who are low-income adults and pregnant women?
What disease allows Medicare eligibility without the standard 24-month waiting period?
What is Amyotrophic Lateral Sclerosis (ALS)?
Which program helps pay premiums and deductibles for Medicare Part A and B?
What is the Qualified Medicare Beneficiary (QMB) program?
What optional plan can be added to Original Medicare for drug coverage?
What is a stand-alone Prescription Drug Plan (Part D)?
What part of Medicare covers physician services, outpatient care, and home health services?
What is Part B?
True or False: Medicaid eligibility is the same in every state.
What is False?
Medicaid covers children, parents of minor children, and what aging group?
Who are youth “aging out” of foster care?
What program assists only with Medicare Part B premiums?
What is the Specified Low-Income Medicare Beneficiary (SLMB) program?
True or False: Some Medicaid services are delivered by private insurance companies.
What is True?
What is the name of the private plan that includes both Part A and B services, often with added benefits?
What is Medicare Advantage (Part C)?
What percentage of births does Medicaid cover in the U.S.?
What is 40%?
What three factors must Medicaid applicants meet beyond income and category eligibility?
What are immigration status, residency, and U.S. citizenship?
Who does the Qualified Disabled Working Individual (QDWI) program help?
Who are certain disabled and working beneficiaries?
Name three services Medicaid must cover.
What are doctor visits, inpatient/outpatient hospital services, and mental health services?
Which part of Medicare covers outpatient prescription drug coverage?
What is Part D?
What is the largest payer of long-term care and mental health services in the U.S.?
What is Medicaid?
Name two groups that must be covered by all state Medicaid programs.
Who are children and pregnant women?
What federal booklet can help you learn more about dual eligibility?
What is the Dual Eligible Beneficiaries Under Medicare and Medicaid booklet?
What services must Medicaid cover related to pregnancy and prevention?
What are prenatal care, maternity care, and preventive care (e.g., immunizations)?