2015 - Adp - Original Medicare - Mv & Wb/Training

Part B premiums are usually deducted from the beneficiary's Social Security payment. This means that the premiums are automatically deducted from the monthly Social Security benefit that the beneficiary receives. This method of payment ensures that the premiums are paid consistently and on time, without the need for the beneficiary to manually make the payment.

Medicare Part B does have a $147 deductible for 2014, which means that individuals are required to pay this amount out of pocket before their coverage begins. After the deductible is met, there is a 20% coinsurance, which means that Medicare will cover 80% of the approved amount for services, and the individual is responsible for the remaining 20%. Therefore, the statement "Medicare Part B has a $147 deductible for 2014, which is followed by a 20% coinsurance" is true.

A private contract is an agreement between a patient and a provider who does not provide services through the Medicare program. This means that the provider does not accept Medicare and the patient agrees to pay for the services out of pocket. This type of contract allows the provider to charge their own fees, rather than being limited to the Medicare pay scale.

If a provider accepts Medicare but not Medicare Assignment, they have the freedom to charge the customer more for the service. However, there are limitations on the amount they can charge. The provider can charge the customer more, but the additional amount is restricted to no more than 15% over Medicare's approved amount. This ensures that the provider cannot excessively overcharge the customer and keeps the costs within a reasonable limit.

Long Term Care is not covered by Original Medicare. Original Medicare primarily covers hospital stays, doctor visits, and medically necessary services and supplies. Long Term Care, which includes assistance with daily activities such as bathing, dressing, and eating, is typically not covered by Medicare. Instead, individuals may need to rely on other sources of coverage such as long-term care insurance or Medicaid to help cover the costs of long-term care services.

The correct answer is A and B. A customer can enroll in Medicare prior to age 65 if they have End Stage Renal Disease (ESRD) or if they have a disability. ESRD is a condition in which the kidneys are no longer able to function properly, requiring regular dialysis or a kidney transplant. Disability refers to a physical or mental impairment that prevents an individual from engaging in substantial gainful activity and is expected to last for at least one year or result in death.

Medicare Part A is usually premium-free because it is funded through payroll taxes that individuals pay while working. On the other hand, Medicare Part B requires a monthly premium because it covers services like doctor visits, outpatient care, and medical supplies that are not fully funded by payroll taxes. Therefore, individuals enrolled in Medicare typically have to pay a monthly premium for Part B coverage.

Medicare Part B covers durable medical equipment (DME) such as hospital beds, oxygen equipment, wheelchairs or scooters, and other similar items. This part of Medicare focuses on outpatient services and medical supplies that are medically necessary to treat a specific condition or illness. Therefore, it is the correct answer for the question.

Medicare Part B helps pay for physician services and diagnostic tests. This means that it covers the costs associated with visits to doctors, specialists, and other healthcare professionals, as well as any necessary tests or screenings to diagnose and monitor medical conditions. It does not cover inpatient surgery, which is typically covered by Medicare Part A. This answer is correct because it accurately identifies the services that Medicare Part B provides coverage for.

Medicare Part A covers various healthcare services, including home health care, hospital stays, skilled nursing facilities (SNF), and hospice care. Home health care refers to medical services provided at home for individuals who are recovering from an illness or injury. Hospital stays are covered for inpatient care, including necessary treatments and medications. Skilled nursing facilities are covered for short-term rehabilitation and nursing care. Lastly, hospice care is provided for terminally ill patients who require palliative care. Therefore, all of these services are covered under Medicare Part A.