Eligibility
I lost my Part B coverage.:( True or False...can I still have my MAPD plan?
False
I offer inpatient stay. What am I?
A hospital
I specialize in skin treatments.
Dermatologist
I offer you flexibility, with me you can see both INN & OON providers.
I am a PPO plan.
Fill in the blanks ...Going______ days or more without creditable ________.
What is 63 ,prescription drug coverage.
This disease makes me eligible for Medicare.
End-Stage Renal Disease
I am a provider and I want to check eligibility and benefits for a member. What should I do?
Call provider services.
I make you Dentures.
Prosthodontist.
Usual requires a referral from a PCP to see a specialist.
HMO plans
I want to get dental treatment but I do not want to be stuck with an unexpected bill. What can I ask for to avoid this ?
A predetermination
True or False...I can have more than one MAPD plan at a time.
False
With an HMO plan I must have you on file...
A PCP (Primary care provider)
You see me for your pap smears.
I am a Gynecologist.
My plan does not offer transportation ...who can I call for this?
RFL (Resources for living)
VAIS stands for...
Value Added Items and Services
I have to have both to qualify for a Medicare advantage plan.
Part A & B
I have a bill here from a provider that I do not believe is correct. What do I do?
make a phone call to the provider to query the bill.
Give me your do-do to test. (Lol)
I am a Gastroenterologist.
A stand alone prescription drug plan is also called...
A PDP plan
Prior authorization is required ..I am responsible to request this! Who am I?
The provider
I have to have what part to avoid the LEP.
Part D
I only assist Providers with two (2) things...
1.Expedited appeals
2.Check an appeal status.
Ewwww...I cater to your stinky toe nails.
I am a Podiatrist.
I cover all benefits of original medicare.
Both HMO and PPO plans.
I need this three (3) pieces of information to complete verification steps.
1> Member ID
2>Name
3>DOB