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Chapter 8
Social Insurance
| Question | Answer |
|---|---|
| Which of the following is NOT a factor in determining qualifications for Social Security disability benefits? | Worker's occupation |
| An applicant is discussing his options for Medicare supplement coverage with his agent. The applicant is 65 years old and has just enrolled in Medicare Part A and Part B. What is the insurance company obligated to do? | Offer the supplement policy on a guaranteed issue basis |
| In which Medicare supplemental policies are the core benefits found? | All plans |
| To sign up for a Medicare prescription drug plan, individuals must first be enrolled in | Medicare Part A. |
| Following an injury, a policyowner covered under Medicare Parts A & B was treated by her physician on an outpatient basis. How much of her doctor's bill will she be required to pay out-of-pocket? | 20% of covered charges above the deductible |
| Which of the following is NOT an enrollment period for Medicare Part A applicants? | Automatic enrollment |
| The part of Medicare that helps pay for inpatient hospital care, inpatient care in a skilled nursing facility, home health care and hospice care, is known as | Part A. |
| Which of the following is NOT covered under Plan A in Medigap insurance? | The Medicare Part A deductible |
| Which of the following statements is NOT correct regarding Medicare? | Medicare Advantage must be provided through HMOs. |
| If a person is disabled at age 27 and meets Social Security's definition of total disability, how many work credits must he/she have earned to receive benefits? | 12 credits |
| Which of the following programs expands individual public assistance programs for people with insufficient income and resources? | Medicaid |
| How long does the initial enrollment period for Medicare Part B last? | 7 months |
| Which type of care is NOT covered by Medicare? | Long-term care |
| An insured has Medicare Part D coverage. Upon reaching the initial benefit limit, what percentage of the prescription drug cost is the insured responsible for paying? | 25% |
| What is another term for the general enrollment period for Medicare Part B? | Annual enrollment period |
| How long is an open enrollment period for Medicare supplement policies? | 6 months |
| Prior to purchasing a Medigap policy, a person must be enrolled in which of the following? | Parts A and B of Medicare |
| What is the difference between the Medicare approved amount for a service or supply and the actual charge? | Excess charge |
| When is the General Enrollment period for Medicare Part B? | January 1 through March 31 each year |
| An individual did not enroll in Medicare Part B when first becoming an eligible. Which of the following would allow the individual another opportunity to enroll? | General enrollment period |
| Medicare Advantage is also known as | Medicare Part C |
| A 63 year old man is planning to be employed until age 68. When will he be eligible for Medicare? | Age 65regardless of his employment status |
| Which of the following statements is INCORRECT concerning Medicare PartB coverage? | Part B coverage is provided free of charge when an individual turns age 65 |
| Concerning MedicarePart B, which statement is INCORRECT? | It is fully funded by Social Security taxes (FICA) |
| All of the following covered by Part A of Medicare EXCEPT | Physician’s and surgeon’s services |
| Which of the following statements concerning Medicare Part B is correct? | It pays for physician services, diagnostic tests and physical therapy |
| Which of the following statements pertaining to Medicare Part A is correct? | Individuals who have ALS automatically qualify for Medicare part A, regardless of age |
| Which of the following is NOT a factor in determining qualifications for Social Security disability benefits? | Worker’s Compensation |
| Following hospitalization because of an accident, Bill was confined in a skilled nursing facility. Medicare will pay full benefits in this facility for how many days? | 20 |
| For how many days of skilled nursing facility care will Medicare pay benefits? | 100 |
Created by:
Hayley92