Understanding Medicare Eligibility and Coverage Considerations Quiz

Test your knowledge on Medicare eligibility, coverage, and enrollment with these 17 questions. Learn about Parts A, B, C, and D.

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Who is automatically eligible for Medicare?

Anyone over the age of 60

US citizens and legal residents age 65 or older

Only individuals with disabilities

Those who have private insurance

What is the eligibility requirement for Medicare Part B?

Must be age 65 or older

Must be a US citizen or legal resident

Must have worked and paid Social Security taxes for at least 10 years

Must have a qualifying disability

What is the maximum waiting period for coverage to begin after enrolling in Medicare?

30 days

90 days

6 months

1 year

Which government agency administers the Medicare program?

Social Security Administration

Centers for Medicare & Medicaid Services (CMS)

Department of Health and Human Services (HHS)

Medicare Access and CHIP Reauthorization Act (MACRA)

Which of the following is NOT a factor that affects Medicare eligibility?

Age

Employment status

Citizenship status

Income level

What is the primary purpose of Medicare Part A?

Covering prescription drugs

Providing coverage for doctor visits

Hospital insurance

Vision and dental care

Which of the following services is typically not covered by Medicare?

Hospice care

Emergency room visits

Durable medical equipment

Routine dental care

What does Medicare Advantage (Part C) offer that Original Medicare does not?

Lower premiums

Coverage for prescription drugs

Coverage for vision and dental care

All of the above

Which part of Medicare covers skilled nursing facility care?

Part A

Part B

Part C

Part D

#10

What does Medicare Part D primarily cover?

Hospital stays

Prescription drugs

Doctor visits

Home healthcare

#11

What is the main purpose of Medicare Supplement Insurance (Medigap) policies?

To provide coverage for long-term care services

To cover costs not paid by Original Medicare

To provide coverage for dental and vision care

To replace Original Medicare

#12

What is the income-based program that helps some people with Medicare pay for their Part D prescription drug costs?

Medicaid

Social Security Disability Insurance (SSDI)

Supplemental Security Income (SSI)

Extra Help (Low-Income Subsidy)

#13

What is the 'donut hole' in Medicare Part D coverage?

A coverage gap where the beneficiary must pay all prescription drug costs out-of-pocket

An optional coverage for additional medical services

A period during which the beneficiary can switch their Medicare plan

A government subsidy for Medicare premiums

#14

What is the penalty for not enrolling in Medicare Part B when first eligible, if not covered under another group health plan?

10% increase in premium for each year of delay

Permanent exclusion from Medicare coverage

Automatic enrollment with higher premiums

No penalty

#15

How often can individuals make changes to their Medicare coverage during the Annual Enrollment Period?

Once a year

Twice a year

Every six months

Once every three years

#16

What is the income threshold for Medicare's high-income surcharge on Part B premiums?

$85,000 for individuals, $170,000 for couples

$100,000 for individuals, $200,000 for couples

$75,000 for individuals, $150,000 for couples

$110,000 for individuals, $220,000 for couples

#17

Which of the following is NOT a factor considered in determining Medicare Part D prescription drug coverage costs?

The specific drugs covered by the plan

The pharmacy where prescriptions are filled

The beneficiary's age

Whether the drugs are brand-name or generic