Exam 18: Social Insurance

Which of the following statements about the role of physicians with respect to Medicare claims is (are) true? I.Physicians who do not accept an assignment of Medicare claims can charge as much as 200 percent of the Medicare-approved fee. II.Physicians who accept assignment agree to accept the Medicare-approved amount as payment in full.

Which of the following statements about participation in the Social Security program is (are) true? I.Most private sector employees are covered under the Social Security program. II.Each employee has the right to "opt out" of the Social Security program if the employee does not wish to participate in the program.

Tony is 48 years old. He earned the maximum taxable wage base under Social Security annually between the time when he was 26 and when he was 40. At age 40, he dropped out of the workforce to care for children as his wife had a high-paying job. Which statement is true regarding Tony's insured status under Social Security?

Which of the following is a current problem with workers compensation programs?

EFG Company experienced a reduced demand for its products during a recession. EFG managers were considering laying off some workers when the personnel director said, "Let's not lay off these workers. If we do, our unemployment insurance premiums will increase. The state considers employment stability when determining our premium." Considering the firm's employment record when determining the rate to charge for unemployment insurance is called

Which of the following statements about the Medicare prescription drug benefit is (are) true? I.Beneficiaries select a prescription drug plan and pay monthly premiums, with the premium reduced or waived for low-income beneficiaries. II.The benefit provides first-dollar coverage of prescription drugs up to a maximum of $10,000 per year, but no coverage after $10,000.

Which of the following expenses is covered under the medical insurance (Part B) portion of the Medicare program?

An important current issue in state workers compensation programs is the overuse of a certain category of pain-killing drugs. These drugs have been associated with drug overdoses and drug addiction. This category of drugs is called

Prior to the passage of workers compensation laws, all of the following common law defenses could be used by employers to avoid financial responsibility for work-related injuries EXCEPT

Which of the following statements about hospice benefits under the hospital insurance (Part A) portion of Medicare is (are) true? I. To become eligible for hospice care, a patient must first receive inpatient care for at least 10 consecutive days. II. Hospice benefits are provided to persons who are terminally ill.

Which of the following statements about the financing of OASDI and Medicare is (are) true? I.There is a maximum taxable wage base for OASDI. II.There is a maximum taxable wage base for Part A of Medicare.

Which of the following statements about a worker's primary insurance amount is (are) true? I.It is the monthly amount paid to a worker who elects early retirement at age 62. II.It is equal to 50 percent of the worker's final average pay that was subject to Social Security taxes.

Which of the following statements about the problems and issues of unemployment insurance programs is (are) true? I.Many state programs are inadequately financed. II.Only a small portion of the total unemployed receive benefits at any time.

Which of the following statements about the coverage of health care services under Part A of Medicare is (are) true? I.Services in the patient's home are covered if the patient requires skilled care and meets certain conditions. II.Hospice care is available for beneficiaries with a terminal illness.

Beth was injured at work and is eligible to receive workers compensation benefits. All of the following benefits are provided under workers compensation EXCEPT

All of the following statements about the Medicare prescription drug benefit are true EXCEPT

In addition to most persons over age 65, which of the following persons is (are) eligible for Medicare benefits? I.Persons under age 65 who have been entitled to Social Security disability benefits for at least 24 months II.Persons under 65 who need long-term kidney dialysis treatment or a kidney transplant

Under one type of Medicare Advantage Plan, members of the plan can see any doctor or health services provider that accepts Medicare patients. If members receive care outside the network of member physicians and care facilities, they must pay higher out-of-pocket costs. This type of Medicare Advantage Plan is a

Which of the following statements about the characteristics of social insurance programs is true?