Medicare Basics in Personal Injury Cases Quiz PDF

Medicare Basics in Personal Injury Cases Who is primarily eligible for Medicare? a) Individuals aged 55 and older b) Individuals aged 65 and older, and certain younger people with disabilities c) Only individuals with disabilities d) Anyone regard...

Medicare Basics in Personal Injury Cases Who is primarily eligible for Medicare? a) Individuals aged 55 and older b) Individuals aged 65 and older, and certain younger people with disabilities c) Only individuals with disabilities d) Anyone regardless of age or disability status Answer: b) Individuals aged 65 and older, and certain younger people with disabilities Which part of Medicare covers hospital insurance? a) Part A b) Part B c) Part C d) Part D Answer: a) Part A What is Medicare's role in personal injury cases when other insurance is involved? a) Primary payer b) Secondary payer c) Exclusive payer d) Irrelevant Answer: b) Secondary payer What are Medicare conditional payments? a) Payments made after all other insurances have paid b) Payments made to cover non-injury related expenses c) Payments made when the primary payer is not expected to pay promptly d) Payments made exclusively for prescription drugs Answer: c) Payments made when the primary payer is not expected to pay promptly What must happen to Medicare's conditional payments when a primary payer settles? a) They must be reimbursed to Medicare b) They are forgiven c) They convert to regular payments d) They are ignored Answer: a) They must be reimbursed to Medicare What is a Medicare lien? a) A legal claim by Medicare to recover payments it made for injury-related care b) A requirement to pay Medicare premiums  c) An obligation to enroll in Medicare Part D d) A type of insurance policy Answer: a) A legal claim by Medicare to recover payments it made for injury-related care What is the purpose of a Medicare Set-Aside (MSA) arrangement? a) To cover immediate medical expenses b) To set aside a portion of a settlement for future medical expenses related to the injury c) To pay for non-medical expenses d) To avoid paying taxes on the settlement Answer: b) To set aside a portion of a settlement for future medical expenses related to the injury Who must report settlements, judgments, awards, or other payments to Medicare? a) Only the injured party b) Insurers and self-insurers c) The injured party's attorney d) The medical provider Answer: b) Insurers and self-insurers What can happen if mandatory reporting to Medicare is not complied with? a) The case is dismissed b) There are no consequences c) Significant fines and penalties d) Medicare coverage is canceled Answer: c) Significant fines and penalties Why is it important to keep detailed records of medical treatments and expenses related to the injury? a) To ensure accurate calculation of Medicare’s recovery amount b) To provide documentation for tax deductions c) To increase the settlement amount d) To share with friends and family Answer: a) To ensure accurate calculation of Medicare’s recovery amount