Chapter 14 Medical Insurance - Medicare

25 terms by bettyboodee

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True

Medicare is the largest single medical benefits program iin the United States

False

Lifetime reserve (45 days) may be used only once during a patient's lifetime and are usually reserved for us during the patient's final, terminal hospital stay

All of the above

Special incentives mandated by Congress to increase the number of health care providers signing participating provider agreements with Medicare include

Institutional providers for inpatient services

Medicare Part A covers

Medicare

The largest single medical benefits program in the United States is

False

Medicare Savings Programs help people with high income and asset levels pay for health care coverage

Both a and b

Hospice care is provided when

Both b and c

The benefit period was formely known as

They or their spouse paid Medicare taxes while they were working

Individuals age 65 or over do not pay a monthly premium for Medicare Part A if

Al of the above

RVUs consider resources used in providing a service such as

False

the goal of PACE is to help patients find the appropriate skilled nursing care

To help people stay independent and lie in their community as long as possible

The goal of All-Inclusive Care for the Elderly is

Physician services, outpatient hospital care, and other services not covered by Medicare Part A

Medicare Part B covers

True

Medicare limits hospice care to four benefit periods: two periods of 90 days each, one 30-day period, and a final "lifetime" extension of unlimited duration

True

When a patient chooses Medicare hospice benefits, all other Medicare benefits stop, with the exception of physician services or treatment for conditions not related to the patient's terminal diagnosis

190

Persons confined to a psychiatric hospital are allowed ____ lifetime reserve days instead of the 60 days allotted for stay in an acute care hospital

Medigap

All Medicare beneficiaries can also obtain a supplemental insurance policy called

True

Medicare Part D is a prescription drug coverage plan

True

One way to join a Medicare Prescription Plan requires subscribers to pay a monthly premium and an annual deductible

All of the above

General Medicare eligibility requires an individual or their spouse to

False

Medigap is designed to supplement all insurance benefits by paying for services that they do not cover

True

Medicare Part B helps cover physician services, outpatient hospital care, and other services not covered by Medicare Part A

B

Medicare Part ____ helps cover physician services, outpatient hospital care, physical and occupational therapy, and some home health care

60

A benefit period begins with the first day of hospitalization and ends when a patient has been out of the hospital for ____ consecutive days

Both B and C

Medicare reimburses provider services according to

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