5: To attain currently insured status under Social Security, a worker must have earned at least how many credits during the last 13 quarters?
A 4 credits
B 6 credits
C 10 credits
D 40 credits
To be considered currently (or partially) insured, an individual must have earned 6 credits during the last 13-quarter period.
6: Which of the following is NOT an enrollment period for Medicare Part A applicants?
A Special enrollment
B General enrollment
C Automatic enrollment
D Initial enrollment
There are 3 types of enrollment periods for Medicare Part A: initial enrollment period, general enrollment period and special enrollment period.
7: Under the New York State Disability Benefit Law, no employee may be entitled to benefits for more than how many weeks after 52 consecutive calendar weeks or during any one period of disability?
A 12 weeks
B 16 weeks
C 26 weeks
D 48 weeks
Employees are not entitled to benefits for more than 26 weeks during 52 consecutive calendar weeks or during any one period of disability.
3: The minimum number of credits required for partially insured status for Social Security disability benefits is
A 4 credits.
B 6 credits.
C 10 credits.
D 40 credits.
To be considered partially insured, an individual must have earned 6 credits during the last 13-quarter period.
4: Which of the following is an eligibility requirement for all Social Security Disability Income benefits?
A Have permanent kidney failure
B Be at least age 50
C Have attained fully insured status
D Be disabled for at least 1 year
Although Social Security offers many benefits, such as retirement, survivors and Medicare, only those who have attained fully insured status are eligible for Disability Income benefits. Contributing to Social Security for 40 quarters (10 years) attains fully insured status.
13: Which of the following statements is NOT correct?
A Medicare Part B provides physician services.
B Medicare Advantage must be provided through HMOs.
C Medicare Advantage may include prescription drug coverage at no cost
D Medicare Part A provides hospital care.
Medicare Part A provides hospital care; Medicare Part B provides doctors and physician services, and Medicare Advantage (previously Medicare+Choice) offers expanded benefits for a fee through private health insurance programs such as HMOs and PPOs.
A Welfare benefits.
B Old-age and retirement benefits.
C Disability benefits.
D Death benefits.
Social Security is an entitlement program, not a welfare program.
14: To attain currently insured status under Social Security, a worker must have earned at least how many credits during the last 13 quarters?
A 4 credits
B 6 credits
C 10 credits
D 40 credits
To be considered currently (or partially) insured, an individual must have earned 6 credits during the last 13-quarter period.
15: An insured has Medicare Part D coverage. He has reached his initial benefit limit and must now pay 50% of his prescription drug costs. What is the term for this gap in coverage?
A Latency period
B Donut hole
C Bridge
D Blackout period
Once the initial benefit limit is reached, a gap called a "donut hole" occurs, in which the beneficiary is responsible for a portion of prescription drug costs.
A A per office visit deductible
B 20% of covered charges above the deductible
C 80% of covered charges above the deductible
D All reasonable charges above the deductible according to Medicare standards
After the deductible, Part B will pay 80% of covered expenses, subject to Medicare's standards for reasonable charges.
13: If one takes Social Security retirement benefits at age 62, what needs to be done at age 65 to qualify for Medicare?
A Nothing
B Apply for coverage through the state
C Appear for a physical at the Social Security office
D Apply at a local Social Security office
Nothing needs to be done in this case. Medicare Part A and B will automatically be effective the month you turn 65.
7: Medicare Part A services do NOT include which of the following?
A Post hospital Skilled Nursing Facility Care
B Hospitalization
C Hospice Care
D Outpatient Hospital Treatment
Outpatient treatment is covered under Part B.
8: Which of the following is NOT an enrollment period for Medicare Part A applicants?
A General enrollment
B Automatic enrollment
C Initial enrollment
D Special enrollment
There are 3 types of enrollment periods for Medicare Part A: initial enrollment period, general enrollment period and special enrollment period.
10: Other than for a qualified life event, when can a change be made in benefits for a Flexible Spending Account (FSA)?
A No changes can be made once the policy is issued
B During the open enrollment period
C At any time as necessary
D Within 3 months of the cause of the change
FSA benefits may be changed during open enrollment, unless the circumstances are deemed a Qualified Life Event.
12: For how many days of skilled nursing facility care will Medicare pay benefits?
A 90
B 100
C 30
D 60
Treatment in a skilled nursing facility is covered in full for the first 20 days. From the 21st to the 100th day, the patient must pay the daily copayment. There are no Medicare benefits provided for treatment in a skilled nursing facility beyond 100 days.
13: Which of the following is an eligibility requirement for all Social Security Disability Income benefits?
A Have attained fully insured status
B Be disabled for at least 1 year
C Have permanent kidney failure
D Be at least age 50
Although Social Security offers many benefits, such as retirement, survivors and Medicare, only those who have attained fully insured status are eligible for Disability Income benefits. Contributing to Social Security for 40 quarters (10 years) attains fully insured status.
8: Which of the following is INCORRECT concerning Medicaid?
A It is solely a federally administered program.
B It provides medical assistance to low-income people who cannot otherwise provide for themselves.
C It pays for hospital care, outpatient care, and laboratory and X-ray services.
D The federal government provides about 56 cents for every Medicaid dollar spent.
Medicaid is assistance program for persons with insufficient income and/or resources to pay for health care. States administer the program that is financed by federal and state funds.
11: All of the following are covered by Part A of Medicare EXCEPT
A Post-hospital nursing care.
B Home health services.
C Physician's and surgeon's services.
D In-patient hospital services.
Physician's and surgeon's services are covered under Part B.