Question 1

Under Medicare Part A, dialysis supplies for in-home dialysis are covered along with drug clotting factors for hemophilia patients and prescription drugs for immunosuppressive therapy for individuals who receive an organ transplant.

Accepted Answer

Medicare Part A primarily covers hospital insurance, including inpatient care, skilled nursing facility care, hospice, and some home health care. Dialysis supplies, drug clotting factors, and immunosuppressive drugs are typically covered under Medicare Part B.

Question 2

Medicare Part B is financed by monthly premiums from those beneficiaries who voluntarily enroll in the program. The funds generated by the collection of premiums are deposited in a separate account known as the Federal Supplementary Medical Trust Fund.

Accepted Answer

Medicare Part B is indeed financed in part by monthly premiums from beneficiaries who choose to enroll, and these funds are deposited into the Federal Supplementary Medical Insurance (SMI) Trust Fund, which helps pay for Medicare Part B and Part D benefits.

Question 3

The federal/state entitlement program that came out of the Title XIX of the Social Security Act that pays for medical assistance for individuals with low income is called Medicaid, which became law in 1965 and is funded only by the individual state governments.

Accepted Answer

Medicaid is jointly funded by the federal government and individual state governments, not solely by state governments.

Question 4

Mandatory Medicaid services include inpatient hospital services, outpatient hospital services, pregnancy-related services, lab and X-ray, pediatric and nurse practitioner services, and nurse-midwife services.

Accepted Answer

Mandatory Medicaid services, as defined by federal law, include a range of services such as inpatient and outpatient hospital services, pregnancy-related services, laboratory and X-ray services, pediatric and family nurse practitioner services, and nurse-midwife services, among others.

Question 5

Any payments from a state Medicaid program to a healthcare provider are considered as "Payment in Full."

Accepted Answer

Payments from a state Medicaid program to a healthcare provider are considered as "Payment in Full" because Medicaid is a government-funded health insurance program that provides coverage to low-income individuals and families. As such, Medicaid payments are considered to be full payment for the services provided by healthcare providers.

Question 6

The Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA) is a comprehensive healthcare program where the Veterans Affairs (VA) shares the cost of care for covered services and supplies.

Accepted Answer

CHAMPVA is indeed a program where the VA shares the cost of covered healthcare services and supplies for eligible beneficiaries, which typically include the spouses or children of veterans who are permanently and totally disabled due to a service-connected condition, have died from a service-connected condition, or were killed in action.

Quiz 4: Government Payer Types