CSS CSS Medicare & Medicaid Benefits 1 — Questions and Answers
Question 1: What are the four parts of Medicare (A, B, C, D) and what does Part A cover?
- Part A covers outpatient visits
- Part A covers hospital inpatient care and skilled nursing facility stays (Correct answer)
- Part A covers prescription drugs
- Part A covers dental and vision
Correct answer: Part A covers hospital inpatient care and skilled nursing facility stays
Medicare Part A covers inpatient hospital care, skilled nursing facility care, hospice, and some home health services, and is premium-free for most beneficiaries.
Question 2: How many days of skilled nursing facility (SNF) care does Medicare Part A cover at 100% with no copay?
- 30 days
- 20 days (Correct answer)
- 60 days
- 100 days
Correct answer: 20 days
Medicare Part A covers the first 20 days of SNF care at 100%, then requires a daily copay for days 21–100, with no coverage after day 100.
Question 3: Which Medicare part covers outpatient medical services, doctor visits, and preventive care?
- Part A
- Part B (Correct answer)
- Part C
- Part D
Correct answer: Part B
Medicare Part B covers medically necessary outpatient services, physician fees, preventive care, and some home health services, with a monthly premium.
Question 4: What is a Medicare Advantage plan (Part C)?
- A supplemental insurance sold by private companies
- A private insurance plan that bundles Medicare Part A and B benefits (Correct answer)
- A standalone prescription drug plan
- A Medicaid managed care plan
Correct answer: A private insurance plan that bundles Medicare Part A and B benefits
Medicare Advantage (Part C) plans are offered by private insurers approved by Medicare and must cover all Part A and B services, often including additional benefits.
Question 5: What is the primary difference between Medicare and Medicaid?
- Medicare is for low-income individuals; Medicaid is age-based
- Medicare is federal health insurance primarily for those 65+; Medicaid is means-tested for low-income individuals (Correct answer)
- Medicare covers long-term care; Medicaid covers hospital stays
- There is no difference—they are the same program
Correct answer: Medicare is federal health insurance primarily for those 65+; Medicaid is means-tested for low-income individuals
Medicare is a federal insurance program based primarily on age or disability, while Medicaid is a joint federal-state program based on income and asset eligibility.
Question 6: Which Medicare enrollment period allows beneficiaries to switch or drop Medicare Advantage plans annually?
- Special Enrollment Period
- Annual Enrollment Period (Oct 15–Dec 7) (Correct answer)
- Initial Enrollment Period
- General Enrollment Period
Correct answer: Annual Enrollment Period (Oct 15–Dec 7)
The Annual Enrollment Period (AEP) from October 15 to December 7 allows Medicare beneficiaries to switch plans, with changes effective January 1.
CSS CSS Medicare & Medicaid Benefits 1
What are the four parts of Medicare (A, B, C, D) and what does Part A cover?