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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

Medicare is the federal health insurance program for Americans 65+ and those with qualifying disabilities or end-stage renal disease.

Question 2

Medicare Part D covers which of the following?

Accepted Answer

Outpatient prescription drugs

Answer

Medicare Part D is the prescription drug benefit, covering outpatient medications through approved private plans.

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

Individuals who qualify for both Medicare and Medicaid are called 'dual-eligible' and require coordination of both programs' benefits.

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

Extra Help (LIS) reduces or eliminates Part D drug plan costs — premiums, deductibles, and copayments — for qualifying low-income beneficiaries.

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

Medicare Advantage plans are private insurance alternatives to Original Medicare and often include additional benefits like dental, vision, or wellness programs.

(CCM) Certified Care Management Professional Practice Test

(CCM) Certified Care Management Professional Practice Test

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