31 Questions
What percentage of the Medicare eligible population enrolled in Part B in 2020?
95%
How is Medicare Part B funded?
By premiums from recipients
What is the premium for Medicare Part B in 2024?
$174.70/month
For incomes over $500,000 (single) or $750,000 (married), what is the premium for Medicare Part B?
$594/month
Which Medicare service is designed to help recovery in a less expensive environment than the hospital?
Home health
What kind of services does Medicare pay for that are lower cost substitutes for hospital care?
Skilled nursing and home health services
What percentage of the Medicare population has fair/poor health?
23%
Which part of Medicare pays for outpatient hospital services?
Part B
Who automatically receives Medicare Part A benefits without paying a premium?
Persons aged 65 and older
How is Medicare Part B funded?
By payroll taxes
What is the deductible amount for Hospital Deductible under Medicare Part A in 2024?
$1,632
Who is automatically enrolled in Medicare Part B?
Persons who are Medicare eligible
What is a characteristic of Social Insurance Programs?
Benefits are earned
Who administers the Medicare program centrally?
Social Security Administration (SSA)
Which department is responsible for investigating fraud in the Medicare system?
Centers for Medicare and Medicaid Services (CMS)
What is the eligibility requirement for individuals to receive Medicare benefits?
Having worked at eligible jobs during their career
Which agency is responsible for making policy and paying healthcare providers in the Medicare system?
Centers for Medicare and Medicaid Services (CMS)
What does it mean when it is said that benefits in Medicare are earned?
Individuals work at eligible jobs and pay into the system
What is the purpose of the low-income subsidy mentioned in the text?
To waive or reduce Medicare premiums and deductibles for eligible individuals
Which group of beneficiaries is highlighted as potentially having significant savings through Part D enrollment?
Beneficiaries with higher incomes and assets who don’t have adequate coverage
What does TrOOP stand for in the context of Medicare Part D?
True Out-of-Pocket Costs
What is the late penalty fee incurred by individuals not enrolled in Part D or a creditable plan after 12/31/23?
1% of premium per month
What significant change occurred regarding insulin products in 2023 in relation to Medicare Part D coverage?
Insulin products were limited to $35/month for all beneficiaries
What key feature is introduced for Medicare coverage in 2025 according to the text?
Out-of-pocket spending capped at $2,000
What does a 5-star plan in Part D have that other plans do not?
Special enrollment period
Why was there a dramatic decline in pharmacy reimbursement, especially in rural areas?
Lack of minimum or maximum reimbursement rates set by Congress
Which of the following medications are NOT covered under Part D?
Antigens (allergy shots)
What is an example of a drug covered by Nebraska Medicaid but not covered under Part D?
Rx cough & cold medications
What requirement must be met by the retail pharmacy network in urban areas according to Tricare standards?
90% of beneficiaries must live within 2 miles of a retail pharmacy
What is the primary goal of a Medication Therapy Management (MTM) program?
Ensure appropriate use of Part D drugs and optimize therapeutic outcomes
Why did Congress avoid setting minimum or maximum reimbursement rates for pharmacies?
To allow the marketplace to determine fair rates
Test your knowledge on Medicare Part B premiums and enrollment requirements. Learn about the premium costs for different income brackets and how programs can help patients pay for Part B coverage.
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