NC Long Term Care
Supportive services provided by qualified para-professionals who are trained, equipped,
assigned, and supervised by professionals within an agency to help maintain,
strengthen, and safeguard the care of the elderly in their own homes is called -
ANS-Homemaker services.
Homemaker service standards must, at a minimum, meet standards established by the
North Carolina Division of Social Services and may include assistance in management
of household budgets, planning nutritious meals, purchasing and preparing foods,
housekeeping duties, consumer education, and basic personal and health care.
A man with Medicare Part A coverage enters the hospital for 70 days of continuous
stay. How much of the hospital bill will he have to pay? - ANS-$4,774
The insured in this scenario will pay $1,364 (deductible) + $3,410 ($341 x 10) = $4,774.
Persons age 65 or older who do not participate in Social Security are - ANS-Eligible for
Medicare if a premium is paid
Part A is financed by the Health Insurance tax, a part of payroll withholding tax,
deductibles, and copayments. If one does not qualify for Social Security, a person age
65 or older may pay a premium for Part A and Part B Benefits.
Which of the following would be covered under Medicare home health care? -
ANS-Durable medical equipment
Medicare home health care pays 80% of the cost of durable medical equipment.
A man who has Medicare Part B has a health condition that requires him to use a
scooter. To be eligible for Medicare coverage for this cost, the patient - ANS-May rent
the scooter.
If a patient qualifies for a Medicare-covered power wheelchair or scooter and his or her
health condition is expected to improve, the patient may rent the equipment for as long
as medically necessary. The supplier will pick up the equipment when the patient no
longer needs it.
, A man has Medicare Part B. He goes to his doctor for treatment on January 1 and then
again on July 15. On December 29, he returns to his doctor to treat another injury. What
is the total deductible the insured will he have to pay for these 3 visits? - ANS-$185
If Medicare Part B deductible applies ($185 in 2019), the insured must pay all costs until
he or she meets the yearly Part B deductible before Medicare begins to pay its share.
The Medicare Part A daily copayment for the first 60 days of a hospital stay is - ANS-$0
For the first 60 days of inpatient hospital care, Medicare pays hospital costs except a
deductible. There is no copayment. The copayment does not begin until the patient has
more than 60 days of continuous stay.
An insured is enrolled in Medicare Part D. He has met his deductible, so the plan is
paying 75% of his prescription drug costs. The plan will continue to pay this percentage
of the costs until what benefit limit is reached? - ANS-$3,820
After the deductible is met, the plan provides coverage for prescription drug costs until a
benefit limit of $3,820 is reached (dollar amounts are for 2019).
Medigap policies do NOT cover - ANS-Long-term care.
Medicare Supplement insurance, or Medigap, does not cover long-term care. Medigap
does cover some preventive care and some of the excess charges, known as Part B
balance billing for patients who are treated by a provider that does not accept
assignment. Medigap covers some of the patient's cost for up to 100 days in a skilled
nursing facility.
Doctors and hospitals who join a Medicare HMO are called the plan's - ANS-Network.
In most Medicare HMOs, there are doctors and hospitals that join the plan (called the
plan's network).
A patient has a 20-day stay in a Medicare-covered Skilled Nursing Facility. All of these
services are covered EXCEPT - ANS-Home Health Care.
Home Health Care may be covered when the patient is at home, but does not apply in a
skilled nursing facility.
Supportive services provided by qualified para-professionals who are trained, equipped,
assigned, and supervised by professionals within an agency to help maintain,
strengthen, and safeguard the care of the elderly in their own homes is called -
ANS-Homemaker services.
Homemaker service standards must, at a minimum, meet standards established by the
North Carolina Division of Social Services and may include assistance in management
of household budgets, planning nutritious meals, purchasing and preparing foods,
housekeeping duties, consumer education, and basic personal and health care.
A man with Medicare Part A coverage enters the hospital for 70 days of continuous
stay. How much of the hospital bill will he have to pay? - ANS-$4,774
The insured in this scenario will pay $1,364 (deductible) + $3,410 ($341 x 10) = $4,774.
Persons age 65 or older who do not participate in Social Security are - ANS-Eligible for
Medicare if a premium is paid
Part A is financed by the Health Insurance tax, a part of payroll withholding tax,
deductibles, and copayments. If one does not qualify for Social Security, a person age
65 or older may pay a premium for Part A and Part B Benefits.
Which of the following would be covered under Medicare home health care? -
ANS-Durable medical equipment
Medicare home health care pays 80% of the cost of durable medical equipment.
A man who has Medicare Part B has a health condition that requires him to use a
scooter. To be eligible for Medicare coverage for this cost, the patient - ANS-May rent
the scooter.
If a patient qualifies for a Medicare-covered power wheelchair or scooter and his or her
health condition is expected to improve, the patient may rent the equipment for as long
as medically necessary. The supplier will pick up the equipment when the patient no
longer needs it.
, A man has Medicare Part B. He goes to his doctor for treatment on January 1 and then
again on July 15. On December 29, he returns to his doctor to treat another injury. What
is the total deductible the insured will he have to pay for these 3 visits? - ANS-$185
If Medicare Part B deductible applies ($185 in 2019), the insured must pay all costs until
he or she meets the yearly Part B deductible before Medicare begins to pay its share.
The Medicare Part A daily copayment for the first 60 days of a hospital stay is - ANS-$0
For the first 60 days of inpatient hospital care, Medicare pays hospital costs except a
deductible. There is no copayment. The copayment does not begin until the patient has
more than 60 days of continuous stay.
An insured is enrolled in Medicare Part D. He has met his deductible, so the plan is
paying 75% of his prescription drug costs. The plan will continue to pay this percentage
of the costs until what benefit limit is reached? - ANS-$3,820
After the deductible is met, the plan provides coverage for prescription drug costs until a
benefit limit of $3,820 is reached (dollar amounts are for 2019).
Medigap policies do NOT cover - ANS-Long-term care.
Medicare Supplement insurance, or Medigap, does not cover long-term care. Medigap
does cover some preventive care and some of the excess charges, known as Part B
balance billing for patients who are treated by a provider that does not accept
assignment. Medigap covers some of the patient's cost for up to 100 days in a skilled
nursing facility.
Doctors and hospitals who join a Medicare HMO are called the plan's - ANS-Network.
In most Medicare HMOs, there are doctors and hospitals that join the plan (called the
plan's network).
A patient has a 20-day stay in a Medicare-covered Skilled Nursing Facility. All of these
services are covered EXCEPT - ANS-Home Health Care.
Home Health Care may be covered when the patient is at home, but does not apply in a
skilled nursing facility.
