PUBH 6012 EXAM 3 (WEEKS 7-9) ACTUAL 2025/2026 LATEST UPDATE

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PUBH 6012 EXAM 3 (WEEKS 7-9) ACTUAL 2025/2026 QUESTIONS AND 100% CORRECT ANSWERS What is Medicare? - Answer -health insurance for adults 65+ and adults with certain terminal conditions/disabilities Who/what enacted medicare? - Answer -Lyndon B. Johnson under Title XVIII of Social Security Act 1965 Who administers medicare? - Answer -Centers for Medicare and Medicaid Services (CMS) {a federal agency} What are the 3 main pathways to medicare eligibility (aka, entitlement to part A and eligibility to enroll in B,C,D)? - Answer -1. over 65 years old AND qualify for social security benfits (10 years or 40 quarters of earnings) 2. disability -- qualify for Social Security Disability Income (SSDI) AND have been collecting benefits for at least 24 months 3. diagnosis of end stage renal disease (ESRD) or Lou Gehrig's (ALS) AND receiving SSDI ** also must be US citizen/permanent legal resident The majority of medicare beneficiaries fall under which eligibility category? - Answer -adults 65+ (disability/ESRD+ALS <10 million, total 63.4 million) What is the 4 part structure of medicare? - Answer -1. Part A: hospitals/inpatient services 2. Part B: physicians/outpatient services Need assistance on Online classes, Exams & Assignments? Reach out for instant help!! Full Course Assistance, Plagiarism-free Essay Writing, Research Paper, Dissertation, Discussion Posts, etc…. Confidential & Secure services. Tutors are available for all subjects! Email now at: tutorjean01@gmail.com 3. Part C: managed care plans 4. Part D: prescription drug plans Medicare Part A (aka Hospital Insurance) - Answer -Enrollment mandatory upon eligibility coverage includes: inpatient hospital care, hospice care, skilled nursing facility (SNF) long-term care NOT included Medicare Part A: cost-sharing - Answer -inpatient hospital care: 1-60 days deductible only, 60-90 days coinsurance hospice care: no cost Skilled nursing facility (SNF): 1-20 days $0, 21-100 days coinsurance How is Medicare Part A financed? - Answer -mandatory 2.9% payroll tax (90% part A funding). employers pay 1.45%, employees pay 1.45% for incomes up to $200,000 indiv/$250,000 couple [2.35% for incomes over these] other sources for last 10%: taxation on social security benefits, premiums for those ineligible for part A, interest earned on hospital trust fund Medicare Part B (aka Medical Insurance/supplemental medical insurance [SMI]) - Answer -enrollment is voluntary Cost sharing is 20% coinsurance after deductible met coverage: physician services, outpatient services (including durable medical equipment -- walkers, canes, etc.), drugs administered by physician (e.g., chemotherapy), specified preventive services (vaccines and cancer screenings), home health visits How is Medicare Part B financed? - Answer -General federal tax revenue (73%) Monthly premiums -- higher for higher incomes (24%) [10% penalty for each year eligible but not enrolled if you don't have same coverage elsewhere, added to all future months] Annual deductibles Cost sharing Need assistance on Online classes, Exams & Assignments? Reach out for instant help!! Full Course Assistance, Plagiarism-free Essay Writing, Research Paper, Dissertation, Discussion Posts, etc…. Confidential & Secure services. Tutors are available for all subjects! Email now at: tutorjean01@gmail.com