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Test Your Medicare/Medicaid Knowledge

Multiple Choice

1. Which answer below is not covered under Medicare Part A?

a. Skilled Nursing Home services

b. Skilled Nursing Home services

c. Physician Office services

d. Hospice services

2.

What is the name of the Medicare program that offers products such as HMO, PPO, MSA and other Medicare insurance policies?

a. Medicare Part D

b. Medicare Part C

c. Medigap Insurance

d. QMB for patients that have Medicare and Medicaid

3. Which answer below is not a Medicare eligibility requirement?

a. Be a citizen or permanent resident of the United States

b. Must have worked at least 10 years in a Medicare covered employment position

c. Be a minimum age of 65 or disability

d. Must have income of less than $50,000 to qualify for Medicare Part B

4.

Eligible Medicare beneficiaries must pay a monthly premium, which answer below is the correct premium the beneficiary is responsible for?

a. Beneficiaries that are eligible for Medicare receive Part A automatically at no extra cost and pay a monthly premium for Part B

b. Beneficiaries that are eligible for Medicare pay a monthly premium for Part A and receive Part B automatically at no cost

c. Beneficiaries that are eligible for Medicare pay a monthly premium for Part A and Part B

d. Beneficiaries that are eligble for Medicare pay a monthly premium for Part A and Part B but could be eligible for Medicaid to pay
          both due to low income.

5. The physician bills for a procedure in the amount of $100.00. Medicare allows $80.00 and the patient is responsible for 20% of the allowable. How much is paid to the physician by Medicare?

a. 84

b. 16

c. 64

d. 20

6. What are Medigap policies?

a. State Medicaid plans to fill in the “gaps” of healthcare costs that Medicare does not pay

b. Health insurance sold by private insurance to help pay for some costs the Medicare plan doesn’t cover

c. It is considered a Medigap policy when the beneficiary has Medicare Part A, B and Medicaid

d. Medicare HMO plans

7. What is EPSDT?

a. Medicaids comprehensive preventative child health care program for individuals 0-21 years of age

b. Medicaid HMO

c. Medicaid program for children with disabilities that are considered permanent disabilities such as blindness, deafness, CP, etc.

d. Medicare program for beneficiaries with End Stage Renal Disease

8. Who funds and administers Medicaid benefits?

a. Funded and administered by private payers per state

b. Funded and administered state legislature

c. Federally funded program, and administered by each state

d. Funded and administered by local governments and counties

9. If a patient has Medicare and Medicaid, which is primary?

a. Medicare

b. Medicaid

c. Depends on the age of the patient

d. Depends on program they have had the longest

10. What is the name of the form given to a Medicare patient before a service is performed that a particular service or procedure may not be paid by Medicare and could be the financial responsibility of the patient?

a. CERT

b. ZPIC

c. MIC

d. ABN

 

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