TOOLS & TECHNIQUES OF EMPLOYEE BENEFIT AND RETIREMENT PLANNING 11th Edition College Course Materials Deanna L. Sharpe, Ph.D., CFP®, CRPC®, CRPS® Associate Professor CFP® Program Director Personal Financial Planning Department University of Missouri-Columbia Please Note: Correct answers for each question are indicated in bold type. After each question, the number of the page containing information relevant to answering the question is given. When a calculation is necessary or the reasoning behind a given answer may be unclear, a brief rationale for the correct answer is also given. Part A: Retirement Planning Government Benefits Chapter 4: Medicare True/False 4.1 The Prescription Drug Insurance offered as Medicare Part D is funded solely by the government 4.2 Medicare Advantage (Part C) plans are limited to Health Maintenance Organizations (HMOs), Preferred Provider Organizations (PPOs) and Provider Sponsored Organizations (PSOs) 4.3 Enrollment in Medicare Part A for individuals aged 65 and older who are entitled to Social Security retirement benefits is voluntary and requires payment of a nominal monthly premium. Answers: 4.1 4.2 4.3 False [p. 39] False [p. 39] False [p. 40] Multiple Choice 4.4 A Medigap policy a. will cover any out-of-pocket expenses b. is designed to help pay deductibles and coinsurance incurred by those enrolled in Part A and Part B of Medicare c. may pay for certain items or services not covered by Medicare d. a and b e. b and c Answer: E [p. 39] 4.5 Which of the following types of health care is not covered under Medicare Part A a. b. c. d. e. home health visits hospice care for terminally ill patients physical therapy inpatient hospital care post-hospital extended care Answer: C [p. 41] 4.6 Which of the following parts of Medicare is (are) funded by payroll tax? a. b. c. d. e. Hospital Insurance Medical Insurance Medicare Advantage Prescription Drug Insurance Medicare Supplement Insurance Answer: A [pp. 45-46] Application 4.7 Mrs. Albright is covered under Medicare Part A. She was hospitalized on June 4. She was discharged on June 10. She was hospitalized again in late September for 5 days. Which of the following is true? a. Medicare Part A will cover all costs of the first hospitalization but will require a deductible for the second hospitalization b. since both hospitalizations occurred in the same year, Mrs. Albright need only pay the deductible for the first hospitalization c. Medicare Part A will cover only one hospitalization per calendar year, so her second hospitalization is not covered d. Medicare Part A will cover both hospitalizations, but Mrs. Albright must pay a deductible for each one e. Medicare Part A will cover all costs of both hospitalizations since, taken together, Mrs. Albright did not exceed her 60 days of hospitalization per year Answer: D [p. 41] 4.8 Mr. Teague is covered under Medicare Part A. He was hospitalized on August 10 and discharged on August 15. Complications set in and he was readmitted to the hospital on August 25. Which of the following is true? a. Medicare Part A counts both hospitalizations as part of his first benefit period b. Since both hospitalizations occurred in the same year, Mr. Teague need only pay the deductible for the first hospitalization c. Medicare Part A will cover only one hospitalization per calendar year, so his second hospitalization is not covered d. Medicare Part A will cover both hospitalizations, but Mr. Teague must pay a deductible for each one e. Medicare Part A will cover all costs of the first hospitalization but will require a deductible for the second hospitalization Answer: A [p. 41] 4.9 Dr. Curt N. Short practiced medicine in a general partnership for 15 years prior to his retirement this year at age 55. Is he eligible for Medicare benefits this year? a. yes b. no Answer: B [p. 39] 4.10 Elsie and her husband Zeb were married 55 years before he died last year. When Zeb retired at age 65, he began receiving benefits from Social Security and Medicare Part A. As a life-long homemaker, Elsie receives spouse benefits from Social Security. Earlier this year, at age 75, Elsie was in a car accident, breaking her hip and cracking 4 ribs. After two weeks in the hospital, she was transferred to a skilled nursing facility for 10 more days. After her discharge, a visiting nurse came by her home once a week. Which of the following services are covered under Medicare Part A for Elsie? a. b. c. d. inpatient hospital care only inpatient hospital care and post-hospital extended care in a skilled nursing facility inpatient hospital care and home health service benefits post-hospital extended care in a skilled nursing facility home and health service benefits e. inpatient hospital care, post-hospital extended care in a skilled nursing facility home and health service benefits Answer: E [p. 41 – Elsie’s time in each facility falls within the coverage limits of Medicare Part A]