Chapter 3 Review Quiz Student Version

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University of Kansas *

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Health Science

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Dec 6, 2023

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20 Points 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 is Medicare’s managed care option. Medicare Advantage is the name of the program. 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 (MMA). Not fully implemented until 2006. Medicare Part D is the outpatient prescription drug benefit program. 4. List at least three Medicaid eligibility requirements mandated for states to qualify for federal matching funds. State programs must provide coverage to these groups. Poverty-related infants, low-income families, families receiving transitional medical assistance and elderly and disabled individuals receiving SSI. 5. List three examples of services provided under PACE? Three services provided under PACE are dental care, personal care services, and 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 remote is the least expensive program for active duty family members because this managed care program does not have enrollment, deductible or copayment fees. 8. What program covers healthcare costs and lost income from work-related injuries or illness of federal government employees? The Federal Employees Compensation Act (FECA) program covers employees of the federal government. 9. What services must be included in CHIP plans and benchmark-equivalent plans? Mandatory benefits include well baby care, well child care, dental coverage, behavioral health and vaccines. pg. 1 CHAPTER 3 QUIZ STUDENT VERSION
10. Which Act set regulations for injured federal workers? The Federal Employees’ Compensation Act of 1916 FECA. pg. 2 CHAPTER 3 QUIZ STUDENT VERSION
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