Question 1

One type of Medicare Advantage Plans provides focused care for a specific group of people,such as diabetics and nursing home residents.This type of Medicare Advantage Plan is a

Accepted Answer

The description fits a Special Needs plan. This type of Medicare Advantage Plan is designed to provide targeted care for individuals with certain health conditions or living situations, such as those with chronic illnesses, people who are dual-eligible for Medicare and Medicaid, and individuals living in nursing homes.

Question 2

A serious current concern with the Social Security program is the depletion of the Disability Income Trust Fund.Each of the following contributed to the depletion of the fund EXCEPT

Accepted Answer

The answer of A serious current concern with the Social...

Question 3

Which of the following statements about the impact of the implementation of the Affordable Care Act (ACA)on workers compensation is true?

Accepted Answer

The answer of Which of the following statements about the...

Question 4

Under Part A of Medicare,how is reimbursement for inpatient hospital care determined?

Accepted Answer

Medicare determines reimbursement for inpatient hospital care through a system called diagnosis-related groups (DRGs). Each patient is classified into a DRG based on their diagnosis, and the hospital is reimbursed a set amount for that classification of care. This system incentivizes hospitals to provide efficient and effective care, as they are not reimbursed for extra days spent in the hospital or unnecessary procedures.

Question 5

Which of the following statements concerning Medicare Prescription Drug Plans is (are)true?
I.The monthly premium is not based on an individual's health status or the number of prescriptions used.
II.After the beneficiary has paid an initial deductible,Medicare pays the entire cost of all prescription drugs the beneficiary needs.

Accepted Answer

I is true because Medicare Prescription Drug Plans (Part D) premiums are not determined by health status or prescription usage. However, II is false because after the deductible, the beneficiary typically shares the cost with Medicare through co-payments or coinsurance, and there is also a coverage gap ("donut hole") to consider.

Question 6

As an alternative to the Original Medicare Plan,beneficiaries can elect to enroll in private health insurance plans that cover all services that the Original Medicare Plan covers except hospice care.These private health insurance plans that are an alternative to the Original Medicare Plan are called

Accepted Answer

Medicare Advantage Plans are the private health insurance plans that provide coverage for all services that the Original Medicare Plan covers except hospice care. They may also offer additional benefits such as vision, dental, and prescription drug coverage. Medigap Insurance Programs and Medicare Prescription Drug Plans provide additional coverage to beneficiaries who have enrolled in the Original Medicare Plan. PACE Programs are programs that provide comprehensive medical and social services to certain eligible individuals.

Question 7

Which of the following statements about the financial status of Medicare Part A is (are)true?
I.Part A has serious financial problems.
II.Reforms instituted by Congress have reduced total Part A expenditures in recent years.

Accepted Answer

Medicare Part A does have serious financial problems, as it is facing depletion of its trust fund by 2026. However, there have been no significant reforms that have reduced total Part A expenditures in recent years.

Question 8

An important current issue in state workers compensation programs is the overuse of a certain category of pain-killing drugs.These drugs have been associated with drug overdoses and drug addiction.This category of drugs is called

Accepted Answer

The overuse of opiates in state workers compensation programs is a well-known issue that has been associated with drug overdose and addiction. Hypertension drugs, statins, and beta-blockers are not typically associated with these issues.

Question 9

Which of the following statements regarding the Emergency Unemployment Compensation (EUC)program is true?

Accepted Answer

EUC benefits are funded entirely by the federal government, distinguishing them from regular unemployment benefits that are typically funded at the state level.

Question 10

Which of the following statements about Social Security disability benefits is true?

Accepted Answer

The Social Security program uses a strict definition of disability, meaning that a person must have a medically determinable impairment that prevents them from engaging in substantial gainful activity and is expected to last for at least 12 months or result in death. Benefits are not based on a percentage of previous earnings, and there is a waiting period of five months before benefits can begin. There is also no maximum duration for disability benefits, as long as the person continues to meet the definition of disability.

Question 11

All of the following changes would reduce the long-range deficit for the Social Security program EXCEPT

Accepted Answer

Delaying scheduled increases in the full retirement age would actually increase the long-range deficit for the Social Security program because it would mean people would start receiving benefits later, thus reducing the period over which benefits are paid out and saving money. Options A, C, and D would help reduce the deficit by increasing revenue or reducing payouts.

Question 12

Under the Medicare Prescription Drug Program,a coverage gap (also called a "donut hole")exists after the beneficiary and drug plan pay a certain amount for covered drugs.The coverage gap refers to

Accepted Answer

The coverage gap (donut hole) refers to the temporary gap in coverage that begins when the beneficiary and drug plan pay a certain amount for covered drugs during the year (in 2021, this threshold is $4,130) and ends when the catastrophic limit is reached (in 2021, this limit is at $6,550 out-of-pocket spending) and coverage resumes. During the coverage gap, beneficiaries may have to pay a higher percentage of their prescription drug costs.

Quiz 18: Social Insurance

One type of Medicare Advantage Plans provides focused care for a specific group of people,such as diabetics and nursing home residents.This type of Medicare Advantage Plan is a

A serious current concern with the Social Security program is the depletion of the Disability Income Trust Fund.Each of the following contributed to the depletion of the fund EXCEPT

Which of the following statements about the impact of the implementation of the Affordable Care Act (ACA) on workers compensation is true?

Under Part A of Medicare,how is reimbursement for inpatient hospital care determined?

As an alternative to the Original Medicare Plan,beneficiaries can elect to enroll in private health insurance plans that cover all services that the Original Medicare Plan covers except hospice care.These private health insurance plans that are an alternative to the Original Medicare Plan are called

Which of the following statements about the financial status of Medicare Part A is (are) true? I.Part A has serious financial problems. II.Reforms instituted by Congress have reduced total Part A expenditures in recent years.

An important current issue in state workers compensation programs is the overuse of a certain category of pain-killing drugs.These drugs have been associated with drug overdoses and drug addiction.This category of drugs is called

Which of the following statements regarding the Emergency Unemployment Compensation (EUC) program is true?

Which of the following statements about Social Security disability benefits is true?

All of the following changes would reduce the long-range deficit for the Social Security program EXCEPT

Under the Medicare Prescription Drug Program,a coverage gap (also called a "donut hole") exists after the beneficiary and drug plan pay a certain amount for covered drugs.The coverage gap refers to