RN Nursing · Health Care Delivery Systems · Practice question
A nurse is planning an educational program about Medicare for a group of clients who are under 65 years of age. Which of the following information should the nurse include?
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Medicare type C provides coverage for outpatient physical therapy.
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Medicare type D provides a medical savings account.
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Medicare type A provides coverage for home health care services.
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Medicare type B provides coverage for prescriptions.
Answer & explanation
Correct: Medicare type A provides coverage for home health care services.
Medicare Part A (hospital insurance) provides coverage for inpatient hospital stays, skilled nursing facility care, hospice care, and home health care services when those services are medically necessary. This makes the statement that Medicare Part A covers home health care services correct. Understanding Medicare structure is essential for nurses educating clients under 65 who qualify through disability or certain diagnoses such as end-stage renal disease. Medicare Part B covers outpatient services, including physician visits, outpatient physical therapy, preventive services, and durable medical equipment — not Part C as stated in one of the options. Medicare Part C, also called Medicare Advantage, is a managed-care option offered through private insurers that bundles Part A and Part B benefits, and sometimes Part D; it does not specifically describe a medical savings account. Medicare Part D provides prescription drug coverage through private plans — it does not provide a medical savings account. A Medicare Savings Account is an option within some Part C plans, but it is not the definition of Part D. By correctly identifying that home health care is a Part A benefit, the nurse ensures clients understand what services are covered without out-of-pocket payment under the hospital insurance component of Medicare.
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