Medicare Flashcards

Front

Medicare Part A will pay the full cost of skilled nursing facility care for the first _____ days of such care.

Back

a. 20

Front

The Part B deductible must be paid

Back

b. Once each calendar year

Front

The Medicare-approved amount for a given surgery is $1,000. Assuming the patient has already met the Part B deductible, how much of this bill will Medicare pay?

Back

c. $800

Front

In describing Medicare’s managed care plans (HMOs), all of the following statements are true EXCEPT:

Back

d. Subscribers can go to any doctor or hospital they wish under a Medicare HMO

Front

A Medicare managed care plan (HMO) requires subscribers to have:

Back

c. Both Part A and Part B coverage

Front

The coinsurance percentage that a patient must pay under Medicare Part B is:

Back

c. 20%

Front

LTC policy option that allows the policy owner to periodically receive automatic benefit increases

Back

Inflation protection

Front

Time period a Long-Term Care insurer may rescind or deny coverage for misrepresentation of information provided on the insured’s application

Back

2 years

Front

True statement regarding home health care benefits in a Long-Term Care policy

Back

The policy may require that the insured first receive nursing services in a community setting before home health care services are covered

Front

Minimum consecutive months of coverage required for Long-Term Care policies issued in North Carolina

Back

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