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Questions and Answers
What is Medicare Part B also known as?
What is Medicare Part B also known as?
Medicaid is a government-funded program designed to provide health care to:
Medicaid is a government-funded program designed to provide health care to:
Maria is a Preferred Provider Organization (PPO) subscriber and received care from an out-of-network provider. Which of the following is the likely result?
Maria is a Preferred Provider Organization (PPO) subscriber and received care from an out-of-network provider. Which of the following is the likely result?
An individual can enroll in a Part C Medicare Advantage Plan at what time?
An individual can enroll in a Part C Medicare Advantage Plan at what time?
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How is Medicare Part B funded?
How is Medicare Part B funded?
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An accident and health policy that provides reimbursement benefits makes them payable to the:
An accident and health policy that provides reimbursement benefits makes them payable to the:
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An HMO that involves a partnership of physicians and other providers who practice out of a central facility is called a(n):
An HMO that involves a partnership of physicians and other providers who practice out of a central facility is called a(n):
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The open enrollment period for Medicare Part B is:
The open enrollment period for Medicare Part B is:
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Paul is an employee who caught a disease unique to the trade in which he was exposed to. Paul has a(n):
Paul is an employee who caught a disease unique to the trade in which he was exposed to. Paul has a(n):
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How does one become eligible for Part D: Prescription Drug coverage?
How does one become eligible for Part D: Prescription Drug coverage?
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Medicare provides coverage for each of the following EXCEPT:
Medicare provides coverage for each of the following EXCEPT:
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Donna and Mary were racing bicycles in a store parking lot while being cheered on by fellow employees. Mary ran into John, another employee, who happened to be taking out the garbage. Both Mary and John are injured. Who would most likely be covered under Workers' Compensation?
Donna and Mary were racing bicycles in a store parking lot while being cheered on by fellow employees. Mary ran into John, another employee, who happened to be taking out the garbage. Both Mary and John are injured. Who would most likely be covered under Workers' Compensation?
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The Federal Employees Benefit Program consists of two types of health plans for federal civilian employees. The two plans are fee-for-service and:
The Federal Employees Benefit Program consists of two types of health plans for federal civilian employees. The two plans are fee-for-service and:
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Which of the following is a legal entity created for the sole purpose of providing affordable group health coverage to its participants?
Which of the following is a legal entity created for the sole purpose of providing affordable group health coverage to its participants?
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An individual covered under a Blue Cross Blue Shield plan is called a(n):
An individual covered under a Blue Cross Blue Shield plan is called a(n):
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Which of the following is Medicare Part B also known as?
Which of the following is Medicare Part B also known as?
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A 70-year-old insured individual has suffered from kidney failure for the past 24 months. She is covered by her spouse's large-group employer plan. How will Medicare be utilized in this situation?
A 70-year-old insured individual has suffered from kidney failure for the past 24 months. She is covered by her spouse's large-group employer plan. How will Medicare be utilized in this situation?
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Which of the following is NOT taken into consideration when determining eligibility for Medicare benefits?
Which of the following is NOT taken into consideration when determining eligibility for Medicare benefits?
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Study Notes
Medicare and Medicaid
- Medicare Part B is also known as Supplementary Medical Insurance.
- Medicaid is designed to provide healthcare for low-income individuals.
Health Insurance Plans
- Preferred Provider Organization (PPO) subscribers can receive care from out-of-network providers, and their care is typically covered.
- Part C Medicare Advantage Plan enrollment occurs when an individual becomes eligible for Medicare.
Medicare Funding and Benefits
- Medicare Part B is funded through general tax revenues and user premiums.
- Medicare provides coverage for hospital services, doctor services, and surgery, but does not cover custodial care.
Workers' Compensation
- In an incident involving workplace injuries, John, who was unwittingly affected while taking out the garbage, would likely be covered under Workers' Compensation.
Federal Employee Benefits
- The Federal Employees Benefit Program offers two health plan types: fee-for-service and prepaid plans.
Health Coverage Entities
- Multiple Employer Welfare Arrangements (MEWAs) provide affordable group health coverage to participants.
- A subscriber is an individual covered under a Blue Cross Blue Shield plan.
Medicare Coverage Details
- Medicare Part B is also known as medical insurance, providing essential health services.
- In cases of kidney failure, Medicare acts as the secondary insurer when the individual is covered by a spouse's employer plan.
Eligibility for Medicare
- Chronic kidney disease, age, and Social Security disability impact Medicare eligibility, but income does not factor into the assessment.
Additional Notes
- A closed network health plan typically requires copayments for physician visits, and using physicians outside the network incurs additional costs or may not be covered.
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Description
Test your knowledge about Medicare, Medicaid, and various health insurance plans. This quiz covers topics such as Medicare funding, Workers' Compensation, and Federal Employee Benefits. Gain insights into the complexities of health insurance and understand its implications for individuals and families.
