The Centers for Medicare and Medicaid Services (CMS) administer what twomajor public
insurance programs? Correct Answer: Medicaid and Medicare
How is
... [Show More] Medicaid funded? Correct Answer: by both federal and state tax dollarsWho is eligible
for Medicaid? Correct Answer: Low-income children
Low-income pregnant women
Elderly and disabled individuals who qualify for the Supplemental SecurityIncome Program
How is Medicare funded? Correct Answer: by federal tax dollars
Who is eligible for Medicare? Correct Answer: The elderly age 65 and olderhaving worked 40
quarters and paid Medicare taxes
Certain younger individuals with disabilities
Individuals with end-stage renal disease Individuals
in need of a kidney transplant
Individuals receiving Social Security Disability and who have amyotrophic lateralsclerosis
What is covered under Medicare Part A? Correct Answer: hospitalization (up to 90days), skilled
nursing facility (up to 100 days), hospice (up to 6 months for terminally ill), and some home
health care
What is covered under Medicare Part B? Correct Answer: ambulatory practitioner service;
physical, occupational, and speech therapy; medical equipment; diagnostic tests; and some
preventative care
What is Medicare Part C? Correct Answer: Medicare Advantage; optional coverage for
beneficiaries who can choose to receive all of their health care services through one of the
provider organizations covered under the MedicareAdvantage Plan
What is Medicare Part D? Correct Answer: optional coverage for outpatient pharmaceuticals;
prescription drug coverage program available to all Medicarebeneficiaries. Private companies
approved by Medicare provide the coverage.
What service is guaranteed to be covered by Medicaid? Correct Answer: familyplanning
services
Other services covered under Medicaid include:
inpatient medical hospitalizations
outpatient services
home health services
home health aides
skilled nursing facilities services for those age 21 and olderservices
rendered by NPs and nurse midwives
medical supplies for use in-home
pregnancy-related services up to 60 days postpartum
What services may not be covered under Medicaid? Correct Answer: vision careeyeglasses
dental care
dentures hearing
examshearing
aides
routine physical exams
inpatient psychiatric hospitalizations
health alliance Correct Answer: public agency that uses its bargaining power to negotiate
competitive prices for health insurance from the private insurance market
special interest agency Correct Answer: group of people seeking or receivingspecial advantages
through political lobbying
public interest groups Correct Answer: promote issues of general public concern
political action committee Correct Answer: an organization that raises moneyprivately to
influence elections or legislation, especially at the federal level
preventative factors Correct Answer: factors that prevent or protect the personfrom developing
a psychiatric condition or disorder
What are the 3 categories of preventative factors? Correct Answer: biological,psychological, [Show Less]