CMS Fundamentals Practice Exam

Cost sharing in Medicare includes which components?

Premiums only Deductibles and coinsurance Copayments only Deductibles, coinsurance, and copayments

Correct Answer:

Deductibles, coinsurance, and copayments

Explanation:

Cost sharing in Medicare refers to the out-of-pocket amounts you pay for covered services. It includes deductibles (the amount you pay before coverage begins for a benefit period or year), coinsurance (a percentage of costs you pay after meeting the deductible), and copayments (a fixed amount for specific services). Premiums, while necessary to maintain coverage, are separate ongoing payments and not considered cost sharing. So the components that count as cost sharing are deductibles, coinsurance, and copayments.

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