#1
Who is automatically eligible for Medicare?
US citizens and legal residents age 65 or older
ExplanationAge and citizenship/residency qualifications.
#2
What is the eligibility requirement for Medicare Part B?
Must be a US citizen or legal resident
ExplanationCitizenship or residency as a qualification.
#3
What is the maximum waiting period for coverage to begin after enrolling in Medicare?
90 days
ExplanationWaiting period before coverage starts.
#4
Which government agency administers the Medicare program?
Centers for Medicare & Medicaid Services (CMS)
ExplanationAgency responsible for Medicare.
#5
Which of the following is NOT a factor that affects Medicare eligibility?
Employment status
ExplanationEmployment status doesn't affect eligibility.
#6
What is the primary purpose of Medicare Part A?
Hospital insurance
ExplanationCoverage for hospital stays and related services.
#7
Which of the following services is typically not covered by Medicare?
Routine dental care
ExplanationExclusion of routine dental services.
#8
What does Medicare Advantage (Part C) offer that Original Medicare does not?
All of the above
ExplanationVarious additional benefits beyond Original Medicare.
#9
Which part of Medicare covers skilled nursing facility care?
Part A
ExplanationPart A includes coverage for skilled nursing care.
#10
What does Medicare Part D primarily cover?
Prescription drugs
ExplanationMainly covers prescription medications.
#11
What is the main purpose of Medicare Supplement Insurance (Medigap) policies?
To cover costs not paid by Original Medicare
ExplanationFill gaps in Original Medicare coverage.
#12
What is the income-based program that helps some people with Medicare pay for their Part D prescription drug costs?
Extra Help (Low-Income Subsidy)
ExplanationAssistance program for Part D costs based on income.
#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
ExplanationCoverage gap requiring full out-of-pocket payment.
#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
ExplanationPenalty for delayed enrollment in Part B.
#15
How often can individuals make changes to their Medicare coverage during the Annual Enrollment Period?
Once a year
ExplanationYearly opportunity for coverage adjustments.
#16
What is the income threshold for Medicare's high-income surcharge on Part B premiums?
$85,000 for individuals, $170,000 for couples
ExplanationIncome thresholds for higher Part B premiums.
#17
Which of the following is NOT a factor considered in determining Medicare Part D prescription drug coverage costs?
The beneficiary's age
ExplanationAge is not a factor in Part D costs.