age 1 of 64
PUBH 6012 EXAM 2 STUDY GUIDE 2025/2026
COMPLETE QUESTIONS WITH CORRECT DETAILED
ANSWERS || 100% GUARANTEED PASS <BRAND
NEW VERSION>
Four parts of Medicare/Benefits .....Answer.......Part A: Hospital
Insurance (HI)
Part B: Physician/outpatient services
Part C: Managed Care Plan/Medicare Advantage
Part D: Prescription drug plans
Medicare .....Answer.......i. Administration: Federal program
administered by States in collaboration with federal gov.
,age 2 of 64
ii. Eligibility: must be U.S citizen or permanent resident, 65+,
permanent disabilities, End Stage Renal Failure (ESRD), Lou
Gehrig's Disease (ALS)
iii. Enrollment: Through social security
iiii. Funding/Financing: Federal tax revenue
What is the role of the private sector within Medicare?
.....Answer.......Private plans administer medicare programs +
medicare advantage. Can offer supplemental plans.
What are the out of pocket expenses under Medicare?
.....Answer.......Monthly premiums, deductibles, co-payments,
prescription drugs
What is Medicare advantage? .....Answer.......Medicare
Advantage is Medicare Part C. A combination of A + B.
,age 3 of 64
Financed through Parts A, B and D. Enrollment expected to drop
as a result of changes in 2019 to the ACA
What is Medigap? .....Answer.......Federally regulated insurance
coverage for out-of-pocket costs not covered by parts A and B.
10 available plans to provide seamless coverage.
What is Medicare dual-eligibility? .....Answer.......Those eligible
for medicare and medicaid. Medicaid pays for medicare
beneficiaries premiums and cost-sharing for 20% of medicare
beneficiaries with low-income and modest assets.
Part A .....Answer.......Enrollment: Mandatory (no premiums)
Funding: payroll tax/ high-income earners
Benefits: impatient hospital care, post acute care
, age 4 of 64
Out of pocket costs: -$1340 deductible, day 1-60 covered, 61-
90 $335
Penalties
Part B .....Answer.......-Enrolled: 95% enrolled
-Funding: general tax revenue, monthly
premium/deductible/cost sharing
Part C .....Answer.......Administration: privately administered plan
Enrollment: 25%, optional
Funding: Parts a,b,d pay for part c, more expensive than
traditional FFS
Out-of pocket limits
PUBH 6012 EXAM 2 STUDY GUIDE 2025/2026
COMPLETE QUESTIONS WITH CORRECT DETAILED
ANSWERS || 100% GUARANTEED PASS <BRAND
NEW VERSION>
Four parts of Medicare/Benefits .....Answer.......Part A: Hospital
Insurance (HI)
Part B: Physician/outpatient services
Part C: Managed Care Plan/Medicare Advantage
Part D: Prescription drug plans
Medicare .....Answer.......i. Administration: Federal program
administered by States in collaboration with federal gov.
,age 2 of 64
ii. Eligibility: must be U.S citizen or permanent resident, 65+,
permanent disabilities, End Stage Renal Failure (ESRD), Lou
Gehrig's Disease (ALS)
iii. Enrollment: Through social security
iiii. Funding/Financing: Federal tax revenue
What is the role of the private sector within Medicare?
.....Answer.......Private plans administer medicare programs +
medicare advantage. Can offer supplemental plans.
What are the out of pocket expenses under Medicare?
.....Answer.......Monthly premiums, deductibles, co-payments,
prescription drugs
What is Medicare advantage? .....Answer.......Medicare
Advantage is Medicare Part C. A combination of A + B.
,age 3 of 64
Financed through Parts A, B and D. Enrollment expected to drop
as a result of changes in 2019 to the ACA
What is Medigap? .....Answer.......Federally regulated insurance
coverage for out-of-pocket costs not covered by parts A and B.
10 available plans to provide seamless coverage.
What is Medicare dual-eligibility? .....Answer.......Those eligible
for medicare and medicaid. Medicaid pays for medicare
beneficiaries premiums and cost-sharing for 20% of medicare
beneficiaries with low-income and modest assets.
Part A .....Answer.......Enrollment: Mandatory (no premiums)
Funding: payroll tax/ high-income earners
Benefits: impatient hospital care, post acute care
, age 4 of 64
Out of pocket costs: -$1340 deductible, day 1-60 covered, 61-
90 $335
Penalties
Part B .....Answer.......-Enrolled: 95% enrolled
-Funding: general tax revenue, monthly
premium/deductible/cost sharing
Part C .....Answer.......Administration: privately administered plan
Enrollment: 25%, optional
Funding: Parts a,b,d pay for part c, more expensive than
traditional FFS
Out-of pocket limits
