Social Health Insurance

Which of the following individuals is least likely to be eligible for Medicare?

• Mannie, who is 65 and just registered for his Social Security Benefits

• Margaret, who is eligible for Social Security, but is willing to pay a fee for her insurance

• Karl, who has been diagnosed with end-stage liver disease

• Genevieve, who has been receiving benefits from Social Security for 3 years.

Under Medicare Part B, individuals pay a deductible each

• benefit period

• week

• month

• year

After the deductible is satisfied, Part B pays what percentage of all approved charges?

• 10%

• 20%

• 80%

• 100%

Doctors and suppliers who agree to accept the amount Medicare will pay are said to have agreed to:

• Payment

• assignment

• assessment

• capitation

All of the following outpatient services are covered under Part B EXCEPT

• Artificial limbs

• emergency room services

• most immunizations

• physical therapy

Which of the following outpatient services is excluded from Part B coverage?

• Casts and splints

• Laboratory tests billed by hospitals

• Medically necessary ambulance services

• Hearing exams

The Original Medicare Plan consists of:

• Medicare Part A

• Medicare Part B

• Medicare Part A and B

• Medicare Part C and D

Michelle is 65 and starting to receive Social Security Benefits. To receive Medicare Part A, she needs to:

• fill out an enrollment form at her local Social Security office

• Pay a monthly premium

• prove eligibility

• do nothing

The annual general enrollment period Medicare Part B begins on:

• January 1

• March 1

• March 31

• July 1

Some kind of supplement to Medicare is needed by almost everyone covered by Medicare. Which of the following individuals would NOT need medicare supplement insurance

• George, whose medical conditions are currently under control

• Ken, whose income is low enough to qualify him for help from Medicaid

• Carl, whose net worth is high enough to cover any medical bills that might incur

• Larry, who has high blood pressure that is controlled with medication