MEDICARE AND MEDICAID

Medicare is
A a full-service health care program
B another term for Social Security
C a joint federal-state means tested program
D a federal entitlement program

Which of the following statements regarding Medicare is CORRECT?
A Enrollees are billed for premiums on Medicare Part A on a semiannual basis.
B Under Medicare Part B, payment for physicians' services is unlimited.
C Medicare Part A carries no deductible.
D Medicare Part B is voluntary.

To be eligible for Medicare's nursing home benefit, the claimant must first
A do all of these
B have a physician certify that skilled care is required and being received
C spend at least 3 days in a hospital
D enter a Medicare-certified skilled nursing facility

After a person qualifies for Medicare's skilled nursing home benefits, Medicare will pay 100% of all approved charges for
A as long as the care is needed
B 80 days
C 100 days
D 20 days

Medicare's Diagnostic Related Groups (DRGs)
A have resulted in more quicker and sicker hospital discharges
B are used to find Medicare-certified skilled nursing facilities
C require a physician to accept assignment
D have resulted in hospitals becoming more profitable

Medicaid is a government-funded program designed to provide medical assistance for
A low-income people who meet certain asset and income limitation tests
B retired government employees
C disabled people who do not have Medigap coverage
D elderly people who are not covered by Medicare

All of the following are considered to be exempt assets when determining an applicant's eligibility for Medicaid EXCEPT
A an individual retirement account
B household furnishings
C a burial trust fund
D a wedding ring

Eligibility for Medicaid benefits is based on a married couple's assets
A upon entering the nursing home
B after qualifying for Medicaid
C before applying for Medicaid
D before entering the nursing home

A community spouse is able to keep
A neither additional assets nor income
B additional assets and income
C additional assets only
D additional income only