The LPN is working in a senior center and is approached by a participant who asks the nurse, "Can you help me understand my Medicare benefits?" The nurse would base a response on which of the following? (Select all that apply.)
a. Medicare is a federally funded program for individuals 65 and over.
b. Medicare is a payment system for the working poor.
c. Medicare bases payment to individuals on their current medical diagnosis.
d. Medicare Part A covers inpatient hospital care and is free to those who qualify for Social Security.
e. Medicare Part B covers outpatient services and has a monthly cost.
f. Perscription drug coverage for those with Medicare coverage is available.
ANS: A, D, E, F
Medicare is run by the U.S. government and currently covers all individuals age 65 and over. Several Medicare plan options are offered: Original Medicare, Medicare Health Plans, Medigap policies, and prescription drug coverage for everyone with Medicare. There are two parts of coverage in the original Medicare plan. Part A covers inpatient hospital care, skilled nursing facilities, hospice services, and some home care. There is no premium or deductible for Part A. Part B is medical insurance that covers physician costs, outpatient services, some home care, supplies, and other things not covered by Part A. Some preventive services may also be covered. A monthly premium and yearly deductible are paid for Part B coverage
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