Chapter 3 Review Quiz

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SUNY Westchester Community College *

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140

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Economics

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Feb 20, 2024

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docx

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2

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Chapter 3 Review Quiz 1. Katrina is a Medicare Part A beneficiary. She has met her Part A deductible. During March and April, Katrina had a 22-day stay in a skilled nursing facility. What is her cost sharing amount? a. $0---Katrina’s cost sharing obligation does not apply to skilled nursing care. b. $352 c. $1,408 d. $1,760 2. Which part of Medicare is the managed care option? Part C. 3. When was Medicare Part D added to the Medicare benefit package? What services did it add? Medicare Part D was added in 2003 as part of the Medicare Modernization Act of 2003 (MMA). Medicare Part D is the outpatient prescription drug benefit. 4. List at least three eligibility requirements mandated for states to qualify for federal matching funds. State programs must provide coverage to at least these groups: Poverty-related infants, low-income families, families receiving transitional medical assistance, & certain working individuals with disabilities. 5. List three examples of services provided under PACE. Primary care services Hospital care Nursing facility care 6. What is the target population of the Children’s Health Insurance Program (CHIP) (Title XXI)? CHIP targets children whose family income level is too high to qualify for Medicaid but that does not allow funds to pay for private healthcare insurance.
7. Which TRICARE program is the most economical program for military families, and why is it less expensive than the other options? TRICARE Prime is the most economical because there is no enrollment, deductible or co-payment fees for covered services. 8. What program covers healthcare costs and loss of income from work-related injuries or illness of federal government employees? Federal Employee's Compensation Act of 1916 9. What services must be included in CHIP plans? Inpatient hospital, outpatient hospital, physician's medical and surgical, laboratory and radiology, well-baby/childcare services, immunizations, and dental services. 10. Which act set regulations for injured federal workers? The Federal Employees' Compensation Act (FECA) provides coverage for people who work for the federal government and are injured or contract an occupational disease. Claim forms would be sent to the Office of Workers' Compensation Programs, administered by the U.S. Department of Labor.
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