Pubh 6012 exam 3 - Study guides, Class notes & Summaries

PUBH 6012 Exam 3 Questions with Correct Answers What is Medicare? - Answer-- Health insurance program for individuals over 65 years old and individuals with certain terminal illnesses - Enacted under Lyndon B. Johnson in 1965 in the social security act - Administered by the centers for medicare and medicaid services (federal agency) - Broken into four parts, Part A, B, C, & D Eligibility requirements for Medicare (Entitlement to Part A and eligibility to enroll in parts B, C, and D) -...

PUBH 6012 Exam 3 Questions and Answers All Correct Medicare Eligibility - Answer-Over 65 years of age & qualify for social security benefits Disability Income for at least 24 months End stage renal disease or ALS AND receiving SSDI Must be US citizen or permanent legal resident Four Parts of Medicare - Answer-1. Part A: Hospitals/Inpatient Services 2. Part B: Physicians/Outpatient Services 3. Part C: Managed Care Plans 4. Part D: Prescription Drug Plans Medicare Part A Bene...

PUBH 6012 Exam 2 with All Correct Answers Pathways for Medicare eligibility - Answer-1) over 65 years and qualify for social security benefits, 2) qualify for social security disability income and have been collecting benefits for 24 months, 3) diagnosis of end-stage renal disease or Lou Gehrig's disease and receiving SSDI payments Medicare eligibility gets you... - Answer-Entitlement to part A and eligibility to enroll in parts B, C, and D How many enrolled in Medicare - Answer-60 mi...

PUBH 6012 Exam 2 Questions with Answers All Correct prescription drug doughnut hole - Answer-gap in prescription drug coverage between a limit for coverage and catastrophic coverage T/F Medicare Advantage offers less choice in provider than traditional medicare - Answer-true because medicare advantage is similar to managed care-- there is a preferred or required network of providers where you can receive care, traditional medicare is fee-for-service from any medicare provider prospectiv...