Term
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Definition
| ________________ is a federal medical expense insurance program for people age ______ and older. |
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Term
| part a hospital;payroll tax;part b medical |
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Definition
| Medicare has two distinct parts, ________________________ that is financed through a portion of the ______________________ (FICA), and ______________________ which is financed from monthly premiums, paid by the insured and from the general revenues of the federal government. |
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Term
| in patient hospital care;skilled nursing facility care;home health;hospice care;automatic |
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Definition
| Medicare Part A helps pay for ________________, ________________, _________________, and ________________. Enrollment in Part A is _____________ and for individuals eligible for Social Security. |
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Term
| 90 days;60;30;60;non-renewable |
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Definition
| Inpatient Hospital Care helps pay for up to ____________ in a participating hospital in any benefit period. The first _________ days are covered at 100% of approved charges after the deductible, and the next __________ days have a daily co-payment. Every Part A insured has a lifetime reserve of ____________ days that is _________________. |
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Term
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Definition
| Skilled Nursing Facility Care helps pay for up to _______ days in a participating skilled nursing facility in each benefit period, following a _________________ day hospital confinement. The first _________ days are fully covered, and the next ___________ days require a daily co-payment. |
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Term
| Home health care;deductable;unlimited;intermittent |
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Definition
| Medicare will pay the full, approved costs of ____________________ if the insured is confined to the home and requires skilled care for an injury or illness. There is no hospitalization requirement, and there is no ____________________. Covered visits are ____________________ as long as medically necessary and performed on an _______________ basis. |
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Term
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Definition
| For the terminally ill, _________________ is an alternative to regular Medicare benefits. The emphasis is on _______________. |
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Term
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Definition
| _________________ is designed to give a primary caregiver time off and can be provided for not more than ___________________. |
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Term
| doctors;Jan 1 thru Mar 31 |
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Definition
| Medicare Part B helps pay for _______________ and other medical services and supplies not covered by Part A. If initially declined, the insured must until the next open enrollment period (________________ each year). |
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Term
| 100 dollars;20%;out of pocket |
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Definition
| The patient's cost in Part B is a ________ annual deductible and a ________ coinsurance requirement. There is no maximum _________________ limit on the coinsurance payable for Part B expenses. |
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Term
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Definition
| _____________________ helps pay for a variety of benefits. |
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Term
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Definition
| _________________ is Medicare provided by approved FIlMOs or PPOs. |
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Term
| Medicare supplement policies |
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Definition
| _________________ (Medigap) are issued by private insurance companies. |
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Term
| 10 standard;core benefits;optional |
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Definition
| There are ______________ Medicare Supplement benefit plans available (A through J). Plan A provides the ____________________ and must be offered in all the plans. The other nine are ____________________. |
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Term
| core benefits;61 to 90;91 to 150;151 to 365 |
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Definition
| ___________________ include approved hospital costs for the co-payments from days __________ in any benefit period, approved hospital costs for the co-payments for lifetime reserve days _____________, approved hospital costs for days _______________, charges for the first three pints of blood, and Part B coinsurance amount. |
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Term
| guaranteed renewable;30 day |
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Definition
| As a minimum, Medigap policies must be _________________________ and must include a ___________ free look period. |
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Term
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Definition
| MSPs cannot restrict coverage for preexisting conditions for more than ___________ |
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Term
| medicare select;plan specified |
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Definition
| _____________________ is a MSP that utilizes HMOs and PPOs. The insured must use _____________________ providers in order to have full coverage. |
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Term
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Definition
| A medical assistance program, funded by the federal and state government, for the needy is __________________. |
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Term
| poor;overage 65;blind;permanently;totally;welfare benefits |
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Definition
| To qualify for Medicaid, a person must be _______________. Once need has been established, eligible persons must be ________________, _____________, __________, and ___________________ disabled, or caring for children receiving _______________________________. |
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Term
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Definition
| Before Medicaid will reimburse nursing home costs, a person must first pass a __________________________. Assets not included in the test are referred to as _________________________ |
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Term
| medicare supplement policy |
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Definition
| It is illegal to sell a _____________________________________________ to someone on Medicaid. |
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Term
| medical services;no expense;almost anything |
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Definition
| Medicaid provides complete _________________________ to the needy at _________________________ to the recipients. It covers ______________________________ that can go wrong with your body. |
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Term
| fully insured;definition of disability;5 month waiting period |
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Definition
| To qualify for Social Security Disability a person must be _____________________, meet the _______________________________, and satisfy the ___________________________________. |
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Term
| primary insurance amount (PIA) |
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Definition
| The amount of monthly benefit is based on the person's _______________________. |
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Term
| Age 65;dies;no longer disabled |
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Definition
| Benefits cease when the individual reaches ______________, ___________, or is __________________________. |
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Term
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Definition
| If receiving Social Security disability benefits at age 65, those benefits ________________ and are replaced by Social Security __________________ benefits. |
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Term
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Definition
| If an individual no longer satisfies the definition of Social Security Disability, benefits will continue for an adjustment period of__________________. |
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Term
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Definition
| At death, family Social Security Disability income benefits continue as Social Security _____________ benefits. |
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