Plans
Terms
MSPQ
Medicare in General
100

Everyone with Medicare can get this coverage to help lower prescription costs and help protect against higher drug costs in the future.

What is Part D?

100

Pays for all or part of Medicare copays, coinsurance and deductibles.

What is Medicaid?
100

Term used when Medicare doesn't have primary payment responsibility.

What is Medicare Secondary Payer?

100

The age in which people become eligible for Medicare.

What is age 65?

200

Covers doctor visits and outpatient care such as physical and occupational therapy.

What is Part B?
200

Includes individuals who are enrolled in Medicare Part A & B and receive full Medicaid benefits.

What is dual eligibility?

200

The primary payer when a Medicare patient is injured at their part time job.

What is Workers' Compensation?

200

People under age 65 can have Medicare if they are considered this...

What is disabled?

300

Covers inpatient hospital stays including critical access, skilled nursing facilities, hospice and some home health care.

What is Part A?

300

Dual eligibility is bases on age and ___________.

What is low income?

300

The primary payer for a Medicare patient when their spouse is under 65 and still employed with an employer with more than 100 employees.

What is Group Health Plan (GHP)?

300

People of any age are eligible for Medicare if they have this medical diagnosis.

What is End Stage Renal Disease?

400

Part of Medicare policy that allows private insurance companies to provide Medicare Benefits with plans such as HMO's and PPO's. Often referred to as Medicare Advantage Plans.

What is Part C?

400

Missing advantage plans in HDX responses is the biggest reason for these.

What are denials?
400

The primary payer of a Medicare patient who has been injured in a motor vehicle accident.

What is liability or no-fault insurance?

400

Medicare is a __________ health insurance program for people who meet the qualifications.

What is federal?

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