Medicare Basics
Medicaid Basics
Beneficiaries
Dual Eligibility
Covered Services
100

What federal program provides health insurance for people 65 and older?

What is Medicare?

100

Who administers Medicaid programs?


What are State governments?

100

Medicare covers people 65 and older and people with what?


What are certain disabilities or end-stage renal disease (ESRD)?

100

What term describes someone who qualifies for both Medicare and Medicaid?


What is a dual eligible beneficiary?

100

Medicare beneficiaries can receive Part A and B services through what two plan types?


What are Original Medicare and Medicare Advantage (MA) plans?

200

Which part of Medicare covers hospital insurance?


What is Part A?

200

Name two groups typically eligible for Medicaid coverage.


Who are low-income adults and pregnant women?

200

What disease allows Medicare eligibility without the standard 24-month waiting period?


What is Amyotrophic Lateral Sclerosis (ALS)?

200

Which program helps pay premiums and deductibles for Medicare Part A and B?


What is the Qualified Medicare Beneficiary (QMB) program?

200

What optional plan can be added to Original Medicare for drug coverage?


What is a stand-alone Prescription Drug Plan (Part D)?

300

What part of Medicare covers physician services, outpatient care, and home health services?


What is Part B?

300

True or False: Medicaid eligibility is the same in every state.


What is False?

300

Medicaid covers children, parents of minor children, and what aging group?


Who are youth “aging out” of foster care?

300

What program assists only with Medicare Part B premiums?


What is the Specified Low-Income Medicare Beneficiary (SLMB) program?

300

True or False: Some Medicaid services are delivered by private insurance companies.


What is True?

400

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)?

400

What percentage of births does Medicaid cover in the U.S.?


What is 40%?

400

What three factors must Medicaid applicants meet beyond income and category eligibility?


What are immigration status, residency, and U.S. citizenship?

400

Who does the Qualified Disabled Working Individual (QDWI) program help?

Who are certain disabled and working beneficiaries?

400

Name three services Medicaid must cover.


What are doctor visits, inpatient/outpatient hospital services, and mental health services?

500

Which part of Medicare covers outpatient prescription drug coverage?


What is Part D?

500

What is the largest payer of long-term care and mental health services in the U.S.?


What is Medicaid?

500

Name two groups that must be covered by all state Medicaid programs.


Who are children and pregnant women?

500

What federal booklet can help you learn more about dual eligibility?


What is the Dual Eligible Beneficiaries Under Medicare and Medicaid booklet?

500

What services must Medicaid cover related to pregnancy and prevention?


What are prenatal care, maternity care, and preventive care (e.g., immunizations)?