#1
Which part of Medicare covers hospital stays?
Medicare Part A
ExplanationCovers inpatient hospital care, skilled nursing facility care, hospice care, and some home health care.
#2
What is the eligibility age for Medicare in the United States?
65
ExplanationMost people become eligible at age 65, but younger individuals with certain disabilities also qualify.
#3
Which government agency administers the Medicare program in the United States?
Centers for Medicare & Medicaid Services (CMS)
ExplanationOversees Medicare and Medicaid, ensuring their effective implementation.
#4
What is the 'coverage gap' in Medicare Part D often referred to as?
Doughnut hole
ExplanationA phase where beneficiaries pay more for prescription drugs before catastrophic coverage kicks in.
#5
What is the penalty for late enrollment in Medicare Part B?
10% increase in premium for each year of delay
ExplanationPenalty increases premiums by 10% for each year delayed, applied for life.
#6
Which of the following is not a factor that can affect Medicare costs?
Marital status
ExplanationFactors such as income, health conditions, and plan choice impact Medicare costs.
#7
What is the purpose of the Medicare Advantage Open Enrollment Period?
To change Medicare Advantage plans or disenroll
ExplanationAllows switching or disenrolling from Medicare Advantage plans.
#8
What does Medicare Part B typically cover?
Doctor visits and outpatient care
ExplanationCovers medically necessary services like doctor visits, outpatient care, preventive services, and some home health care.
#9
Which of the following is true about Medicare Advantage (Part C) plans?
They are provided by private insurance companies approved by Medicare
ExplanationAn alternative to Original Medicare, Part C plans are offered by private insurers approved by Medicare.
#10
Which Medicare part covers prescription drugs?
Medicare Part D
ExplanationA standalone plan or part of Medicare Advantage, Part D covers prescription drugs.
#11
What is the initial enrollment period for Medicare?
6 months before turning 65, lasts for 6 months
ExplanationAn opportunity to enroll in Medicare without penalties, around the time you turn 65.
#12
What does Medicare Part C include?
Medicare Advantage plans
ExplanationCombines coverage of Part A, Part B, and often Part D, offered by private insurers.
#13
What is the maximum period you can delay enrolling in Medicare Part D without incurring penalties?
1 year
ExplanationBeyond 63 days after becoming eligible, delaying more than a year incurs penalties.
#14
What is the maximum period you can delay enrolling in Medicare Part B without incurring penalties?
2 years
ExplanationBeyond 63 days after becoming eligible, delaying more than two years incurs penalties.
#15
What does Medigap insurance cover?
Out-of-pocket costs not covered by Medicare
ExplanationSupplements Original Medicare by covering copayments, coinsurance, and deductibles.
#16
Which of the following is not covered by Original Medicare?
Prescription drugs
ExplanationPrescription drug coverage requires a separate plan, like Medicare Part D.
#17
What is the 'Welcome to Medicare' preventive visit?
A free visit to discuss your medical history and current health
ExplanationInitial visit to create a preventive care plan, available within the first 12 months of enrollment.
#18
What is the income-related monthly adjustment amount (IRMAA) in Medicare?
A premium adjustment based on income for Medicare Part B and Part D
ExplanationHigher-income earners pay higher premiums for Medicare Part B and Part D.
#19
What is the purpose of a Health Savings Account (HSA) in relation to Medicare?
To save money for future medical expenses tax-free
ExplanationAllows individuals to save for medical expenses, providing tax benefits.