Check your understanding 3.1

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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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Uploaded by ProfessorNarwhalMaster908

HIT 140 Check Your Understanding 3.1 1. Match each Medicare part with the type of benefit it provides. a. Part A _ D _ Medicare drug benefit b. Part B _ B _ Physician services c. Part C _ A _ Inpatient hospital services d. Part D _ C _ Medicare Advantage 2. Arnav is a Medicare beneficiary who is covered under Part A and Part B. His first acute- care inpatient admission for the benefit period was 10 days long. This was his first healthcare encounter for the benefit year. The allowed charges for the admission were $7,845.50. What is Arnav's cost sharing amount? The cost sharing amount is $1,408, which is the inpatient deductible. Since Arnav has not exhausted his first 60 days of coverage, no daily copayment is required. 3. What benefits will a Medicare beneficiary gain by choosing Medicare Part C? Examples include long-term care, dental care including dentures, eye exams including contacts and eyeglasses, fitness benefit, routine hearing care including hearing aids, transportation services, and meal benefits. 4. Describe the Part D coverage gap. The Part D coverage gap is entered into when the beneficiary and their plan has spent $4,020 on prescription drugs. During the gap, the beneficiary must pay a higher coinsurance amount for prescription drugs. Once the beneficiary and plan have paid $6,350, the beneficiary leaves the coverage gap and enters catastrophic coverage where 95 percent of prescription drug costs are covered. 5. Why is Medicaid coverage not identical in New Jersey, California, and Idaho? Coverage differs among the states because Medicaid is a federal-state partnership rather than a federal-only program. Medicaid allows states to maintain a unique program adapted to state residents' needs and average incomes. Although state programs must meet coverage requirements for groups such as recipients of adoption assistance and foster care, other types of coverage, such as vision and dental services, are determined by the states' Medicaid agencies.

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