Which of the following statements regarding the lifetime reserve of hospital coverage for Medicare patients is correct?
Which of the following statements regarding the lifetime reserve of hospital coverage for Medicare patients is CORRECT? The lifetime reserve is an additional 60 days of coverage on top of the 90-day benefit period Medicare provides for hospitalization.
Which of the following must be included in a Medicare supplement policy's outline of coverage?
All Medicare supplement policies must provide certain core benefits, including coverage for Medicare Part A-eligible hospital expenses not covered by Medicare from the 61st day through the 90th day in any Medicare benefit period, the coinsurance amount of Medicare Part B-eligible expenses, and coverage under Medicare ...
Which statement is true about members of a Medicare Advantage plan who want to enroll in a Medicare supplement insurance plan?
Which statement is true about members of a Medicare Advantage (MA) Plan who want to enroll in a Medicare Supplement Insurance Plan? The consumer must be in a valid MA election or disenrollment period.
Which of the following is true about Medicare supplement insurance underwriting criteria in states where underwriting applies quizlet?
Which of the following is true about Medicare Supplement Insurance underwriting criteria in states where underwriting applies? Underwriting is required if the consumer is not in his/her Medicare Supplement Open Enrollment period or does not meet Guaranteed Issue criteria.
Which of the following would a Medicare supplement policy cover?
Medicare Supplement insurance Plan A covers 100% of four things: Medicare Part A coinsurance payments for inpatient hospital care up to an additional 365 days after Medicare benefits are used up. Medicare Part B copayment or coinsurance expenses. The first 3 pints of blood used in a medical procedure.
Which of the following is a requirement for standard Medicare supplement plans?
What are those requirements? People must be at least 65 years old, regardless of their health condition, and must apply for a Medicare supplement policy within six months of enrolling in Medicare Part B.
Is Medicare Advantage the same as Medicare?
Medicare Advantage is an “all in one” alternative to Original Medicare. These “bundled” plans include Part A, Part B, and usually Part D. Plans may have lower out-of- pocket costs than Original Medicare. In many cases, you'll need to use doctors who are in the plan's network.
Does Medicare Advantage plan replace Medicare?
Medicare Advantage does not replace original Medicare. Instead, Medicare Advantage is an alternative to original Medicare. These two choices have differences which may make one a better choice for you.
Which is true about Medicare supplement open enrollment?
Under federal law, you have a six-month open enrollment period that begins the month you are 65 or older and enrolled in Medicare Part B. During your open enrollment period, Medigap companies must sell you a policy at the best available rate regardless of your health status, and they cannot deny you coverage.
When marketing UnitedHealthcare Medicare Advantage plans to consumers which of the following must an agent do?
The individual must be legally authorized in the state in which the consumer resides to act on behalf of the consumer (e.g., Power of Attorney). Advantage plans to consumers, which of the following must an agent do? Provide current marketing materials that have been approved by CMS and UnitedHealthcare.
What are the 4 phases of Medicare Part D coverage?
If you have a Part D plan, you move through the CMS coverage stages in this order: deductible (if applicable), initial coverage, coverage gap, and catastrophic coverage. Select a stage to learn more about the differences between them.Oct 1, 2021
Which of the following customers are eligible for Medicare?
Medicare is the federal health insurance program for: People who are 65 or older. Certain younger people with disabilities. People with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD)
What is Medicare hospital?
Health clinics or centers (as defined by the State) that previously operated as a hospital before being downsized to a health clinic or center.
Can a CAH be a swing bed?
A CAH may also be granted "swing-bed" approval to provide post-hospital Skille d Nursing Facility-level care in its inpatient beds. In the case of hospice care, a hospice may contract with a CAH to provide the Medicare hospice hospital benefit. Reimbursement from Medicare is made to the hospice.
How long is a hospital stay for Medicare Part A?
For hospital stays that are expected to be two midnights or longer, our policy is unchanged; that is, if the admitting physician expects the patient to require hospital care that spans at least two midnights, the services are generally appropriate for Medicare Part A payment.
When did CMS adopt the 2 minute rule?
To provide greater clarity to hospital and physician stakeholders, and to address the higher frequency of beneficiaries being treated as hospital outpatients for extended periods of time, CMS adopted the Two-Midnight rule for admissions beginning on or after October 1, 2013. This rule established Medicare payment policy ...
What is the Two-Midnight Rule?
The Two-Midnight rule also specified that all treatment decisions for beneficiaries were based on the medical judgment of physicians and other qualified practitioners. The Two-Midnight rule did not prevent the physician from providing any service at any hospital, regardless of the expected duration of the service.