CCM CCM Financial & Benefits Navigation

Question 1

Which federal program provides health insurance primarily to individuals aged 65 and older or those with certain disabilities in the US?

Accepted Answer

Medicare

Answer

Medicaid

Answer

CHIP

Answer

TRICARE

Question 2

Medicare Part D covers which of the following?

Accepted Answer

Outpatient prescription drugs

Answer

Hospital inpatient services

Answer

Physician office visits

Answer

Skilled nursing facility care

Question 3

A CCM case manager helping a low-income client access both Medicare and Medicaid benefits should be aware that these clients are called:

Accepted Answer

Dual-eligible individuals

Answer

Preferred beneficiaries

Answer

Co-insured members

Answer

Supplemental enrollees

Question 4

The Extra Help program (Low Income Subsidy) assists Medicare beneficiaries with:

Accepted Answer

Part D prescription drug costs including premiums, deductibles, and copays

Answer

Hospital copayments only

Answer

Home health aide services

Answer

Dental and vision benefits

Question 5

When assisting a client with a Medicare Advantage (Part C) plan, the case manager should know that these plans:

Accepted Answer

Are offered by private insurers and may include extra benefits beyond Original Medicare

Answer

Provide identical coverage to Original Medicare with no differences

Answer

Do not require prior authorization for any services

Answer

Only cover services within a hospital setting

Question 6

A client loses employer-sponsored health coverage. Under COBRA, they are typically eligible to continue coverage for up to:

Accepted Answer

18 months

Answer

6 months

Answer

12 months

Answer

36 months