Chapter 1: Medicare and Medicaid

Chapter 1. Medicare and Medicaid

Which of the following is true about Medicare Part A?

a. It covers some care in a skilled nursing facility.

b. Individuals need to opt-in.

c. It covers medications administered in the doctor's office.

d. It pays for nursing home residence.

e. It is provided by private insurance companies.

Which of the following is true about Medicare Part B?

a. It lacks medication coverage.

b. It is an opt-in program.

c. There is a copay for physician office visits.

d. It has no monthly premium.

e. It is accepted by all licensed physicians.

Which of the following is true about Medicare Part C?

a. It is an opt-out program.

b. It may cover prescription drugs that are not part of the Part B benefit.

c. It has no monthly premium.

d. Medical service providers work directly for CMS.

e. It is the same as Medigap insurance.

Which of the following is true about Medicare Part D?

a. It is an opt-in program.

b. It covers all medication a Medicare beneficiary may receive.

c. It covers all OTCs and herbals.

d. It has a uniform nationwide monthly premium.

e. It guarantees the same drug costs nationwide.

Which of the following is true about members of a dual eligible SNP?

a. They qualify for Medicaid only.

b. They must have end-stage renal failure.

c. They must have an income of no more than 100% federal poverty level.

d. They are more likely to have mental health issues than the usual Medicare recipient.

e. They must be disabled for more than 12 months.

Which of the following is true about the low-income subsidy?