Medicare and Medicaid Flashcards
7 cards from real Life and Health California Exam practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Medicare and Medicaid flashcards as text
Medicare Supplement (Medigap) policies are primarily designed to:
Answer: Cover gaps in Original Medicare such as deductibles, copayments, and coinsurance
Medigap policies are sold by private insurers to cover cost-sharing gaps left by Original Medicare, such as deductibles, copays, and coinsurance amounts.
How many standardized Medigap plan letters are currently available to most Medicare beneficiaries in most states?
Answer: 10 standardized plans
There are currently 10 standardized Medigap plans (A, B, C, D, F, G, K, L, M, and N), though Plans C and F are not available to those who became eligible for Medicare after January 1, 2020.
Medicare Advantage (Part C) plans are required to cover at minimum:
Answer: All services covered under Original Medicare Part A and Part B
By law, Medicare Advantage plans must provide at least the same level of coverage as Original Medicare Part A and Part B, and many offer additional benefits.
Under Medicaid eligibility rules, which population group is typically given the highest priority for coverage?
Answer: Low-income individuals, families, pregnant women, elderly, and disabled persons
Medicaid targets vulnerable and low-income populations including children, pregnant women, elderly adults, and people with disabilities, as mandated by federal law.
During the annual Medicare Part D Open Enrollment Period, beneficiaries are permitted to:
Answer: Add, drop, or switch Part D prescription drug plans for the following year
Each year from October 15 to December 7, Medicare beneficiaries can join, switch, or drop a Medicare drug plan, with changes taking effect January 1.
Medicare Part A covers skilled nursing facility (SNF) care only after a qualifying inpatient hospital stay of at least how many consecutive days?
Answer: 3 consecutive days
Medicare requires a qualifying inpatient hospital stay of at least 3 consecutive days before it will cover skilled nursing facility care.
In California, the state's Medicaid program is known by which name?
Answer: Medi-Cal
California's Medicaid program is called Medi-Cal, which provides free or low-cost health coverage to eligible low-income Californians.