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25 terms

Chapter 14 Medical Insurance - Medicare

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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