Questions and Answers
Medicare coverage is generally available to those individuals: - Answer-Age 65 or over,
certain disabled individuals and those persons with ALS or ESRD
Which of the following statements about Medicare Part D is NOT correct? - Answer-
Coverage is available only from stand-alone plans.
Which of the following is not a Medicare enrollment period? - Answer-(7 month period
known as the initial enrollment, General enrollment- Jan 1- March 31 each year, Special
enrollment- an 8 month period to enroll once terminated from the group plan) All of
these are enrollment period for Medicare.
All of the following are incorrect regarding Part A of Medicare except: - Answer-Monthly
premium is free
Services of physicians and surgeons provided in a hospital or elsewhere: - Answer-Are
covered by Medicare Part B with a premium charge
All of the following qualify Medi-cal except: ( Pregnant women, Low income under age
21, Kids in foster care who are under 21) - Answer-Those who are partially blind
Under Medicare Part B, the Medicare beneficiary must: - Answer-Pay 20% of covered
charges above the deductible and there is no stop loss.
Which of the following health care plans are offered under Medicare Advantage? Health
maintenance organizations ((HMO) plan, Preferred provider organization (PPO) plan,
Private fee-for-service (PFFS) plan): - Answer-All of the answers are correct
Which of the following would be a part B Medicare exclusion? - Answer-Long term care
over 100 days per benefit period.
Which component of Medicare would pay for a hospital stay? - Answer-Part A
Which of the following may be offered by an insurer offering Medicare supplements? -
Answer-Core benefit plan without additional benefits
Which of the following is not a difference between Medi-cal and Medicare?
(Beneficiaries pay no premiums vs beneficiaries pay premium, Funded by state & Fed
government vs funded only by federal government, Low income families vs 65 years
and older.) - Answer-Administered by using CMS vs administered by using federal
government