Medicare Coverage and Cost
Medicare Part A covers outpatient hospital care. True or False
(False, Part B)
There are two agencies responsible for enrolling people into Medicare. True or False
(True)
Is COBRA considered creditable coverage by Medicare? True/False
False
Everyone is automatically enrolled in Medicare. True or False
1. (False. Medicare enrollment is only automatic for individuals receiving Social Security benefits and or Railroad Retirement Board benefits.
1. The Medicare Part B 2018 standard monthly premium is $142.66. True or False
(False, it is $144.66)
Original Medicare generally includes cover care outside the U.S.True or False
False
What is the youngest age that you could get Medicare because of End-Stage Renal Disease?
(There is no age limit.)
The Medicare Open Enrollment Period (OEP) is for people new to Medicare and begins each year on October 15. True or False
(False, it is for people who already have Medicare that want to enroll in or switch MA Plan, Medigap policy, and/or PDP.)
Original Medicare refers to Medicare Parts A, B, and D. True or False
(False. Original Medicare refers to Medicare Parts A and B.)
Name at least 2 of the required conditions for coverage at a Skilled Nursing Facility (SNF).
Require daily skilled services, 2. Hospital inpatient 3 consecutive days or longer, 3. Admitted to SNF within specific timeframe, 4. SNF care must be for a hospital-treated condition, 5. Must be a Medicare-participating SNF)
Benefit periods can span across calendar years. True or False
(True)
A person can have Medicare Part A or Part B and get a Medigap policy. True or False
(False, they must have BOTH)
Medicare usually begins automatically after getting Social Security Disability Insurance (SSDI) for 20 months. True or False
(False, 24 months.)
Medicare pays second if you also have Medicaid. True or False
(False. Medicaid is always the payer of last resort)
The official Medicare website for people with Medicare is HealthCare.gov. True or False
(False. The official Medicare website for people with Medicare is Medicare.gov)
Diabetic testing supplies are covered under Part A.True or False
(False, Part B)
To enroll in Medicare, go to your local Medicare office. True or False
1. (False, Social Security or the Railroad Retirement Board [for railroad retirees] handle Medicare enrollment.)
If you enroll during the Medicare General Enrollment Period (GEP) (Jan 1 – March 31), when does your coverage begin?
(July 1)
The New Medicare Advantage Open Enrollment Period is from January 1 – March 31 each year. True or False
(True)
The Medicare & You handbook is mailed to people with Medicare every year in the spring. True or False
(False. It is mailed to every beneficiary household in the fall)
A person is considered “outpatient” while getting services in a hospital emergency department even if they spend the night. True or False
(True, a doctor must write an order to admit you to the hospital to be considered inpatient)
Medicare Advantage (Part C) is not part of the Medicare Program. True or False
(False, Part C is part of the Medicare Program. Private insurance companies approved by Medicare provide Medicare coverage)
If you have ESRD and are new to Medicare, are you allowed to get your health care through a Medicare Advantage Plan. True or False
True - effective January 2021
Medicare Part D has a monthly premium, deductibles, and copayments. True or
(True)
Contact BCRC-QIO to ask questions or report complaints about the quality of care you got for a Medicare service. True or False
False - BFCC-QIO (Beneficiary and Family Centered Care Quality Improvement Organization)