The nurse is caring for an 88-year-old client with advanced decompensated heart failure who is being considered for hospice home care. The client's family asks the nurse, "Will Medicare cover the cost of the home care service?" Which of the following statements would be appropriate for the nurse to make?
"An individual must qualify for disability insurance under Medicare."
"The cost of the home hospice care does involve a copay with Medicare."
"The cost of the home hospice care is covered under Medicare Part A."
"An individual must have supplemental insurance along with Medicare."
The Correct Answer is C
A. "An individual must qualify for disability insurance under Medicare." This is incorrect as Medicare coverage for hospice care does not depend on disability insurance; it is based on the diagnosis and eligibility for hospice care.
B. "The cost of the home hospice care does involve a copay with Medicare." This is incorrect because Medicare generally covers hospice care with minimal costs, including no copay for hospice care itself, though there may be small charges for some items or services.
C. "The cost of the home hospice care is covered under Medicare Part A." This is correct. Medicare Part A covers hospice care if the client meets eligibility requirements for terminal illness and hospice care.
D. "An individual must have supplemental insurance along with Medicare." This is incorrect as Medicare Part A provides coverage for hospice care, and supplemental insurance is not required for this specific coverage.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Limited vision at night does not necessarily meet the criteria for being homebound; the focus is more on the overall inability to leave home without considerable effort.
B. Being bedridden and requiring assistance to get into a wheelchair could indicate severe mobility issues, but it does not alone determine homebound status.
C. Living alone with children nearby does not impact the assessment of being homebound; it is more about the client's ability to leave the home.
D. Requiring a taxing effort to leave the home for a prescribed event meets the criteria for being homebound, as it demonstrates significant difficulty in leaving the home without considerable effort or assistance.
Correct Answer is B
Explanation
A. Telehealth does not directly cover the cost of prescriptions, medical equipment, or other health care expenditures; it focuses on providing access to care.
B. Telehealth is beneficial for homebound clients as it facilitates communication with primary care providers, overcoming barriers to accessing in-person care.
C. Telehealth cannot replace all services provided by health care institutions; it complements but does not duplicate every aspect of in-person care.
D. Telehealth is not specifically a supplemental program for gaps in insurance coverage but rather a mode of delivering care that can enhance access.
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