Medicare and Medicaid Flashcards
7 cards from real Life and Health California Exam practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Medicare and Medicaid flashcards as text
How long does the Medicare Initial Enrollment Period (IEP) last for individuals turning 65?
Answer: 7 months — 3 months before, the birth month, and 3 months after
The Initial Enrollment Period spans 7 months: the 3 months before the month of the 65th birthday, the birthday month itself, and the 3 months following.
Which part of Medicare covers hospice care for terminally ill beneficiaries?
Answer: Medicare Part A
Medicare Part A covers hospice care for beneficiaries who are certified as terminally ill with a life expectancy of 6 months or less and who choose palliative rather than curative care.
A beneficiary who delays enrolling in Medicare Part B beyond their Initial Enrollment Period without qualifying for a Special Enrollment Period will face:
Answer: A late enrollment penalty of 10% of the Part B premium for each full 12-month period of delay
Medicare imposes a 10% late enrollment penalty on the Part B premium for each full 12-month period the beneficiary was eligible but did not enroll, and this penalty generally lasts as long as they have Part B.
Which of the following services is generally NOT covered by Original Medicare (Parts A and B)?
Answer: Routine dental care and cleanings
Original Medicare does not cover routine dental care, including cleanings, fillings, or dentures; these must be covered through separate dental insurance or Medicare Advantage plans with dental benefits.
Medigap policies sold to newly eligible Medicare beneficiaries after January 1, 2020 may no longer cover which benefit?
Answer: The Medicare Part B annual deductible
Under the Medicare Access and CHIP Reauthorization Act (MACRA), Medigap plans sold to newly eligible beneficiaries after January 1, 2020 cannot cover the Part B deductible, eliminating Plans C and F for new enrollees.
Which of the following best describes a 'dual eligible' individual?
Answer: Someone who qualifies for and is enrolled in both Medicare and Medicaid
A 'dual eligible' is someone who qualifies for both Medicare (typically due to age or disability) and Medicaid (due to low income), allowing Medicaid to help cover Medicare's cost-sharing requirements.
Under Medicare, a 'benefit period' ends when a beneficiary has been out of a hospital or skilled nursing facility for how many consecutive days?
Answer: 60 consecutive days
A Medicare benefit period ends when the beneficiary has not received inpatient hospital or skilled nursing facility care for 60 consecutive days, after which a new benefit period (and new Part A deductible) begins.