B is for Biologics
Take My Money
Infusion Confusion
D is for Drugs
100

The part of Original Medicare that covers the expense of medications administered in a health care facility. 

What is Part B

100

A temporary limit on what the drug plan will cover for Part D drugs after the insurance AND insured's cost reach $5030.00.

Gap Phase

100
  • Vaccinations.
  • Some antigens.
  • Blood clotting factors.
  • Injectable and infused drugs.
  • Injectable osteoporosis drugs.
  • Erythropoiesis-stimulating agents.
  • Oral end-stage renal disease drugs.
  • Transplant and immunosuppressive drugs. ALL THESE ARE BILLED UNDER THIS MEDICARE PART

Part B 

100

This Medicare Part pays for any medications you take regularly to manage chronic conditions, for example, heart disease, high cholesterol, or asthma. It also pays for any medications you take for a short period of time, such as antibiotics. 

What is Part D

200

Remicade is most commonly a Part B Medication administered for any one of these autoimmune diseases. (Name One)

-Chrone's

-UC

-Rheumatoid Arthritis 

-Plaque Psoriasis

- Psoriatic Arthritis 

-Ankylosing Spondylitis 

200

The amount you must pay for health care or prescriptions before Original Medicare, your Medicare Advantage Plan, your Medicare drug plan, or your other insurance begins to pay.




Deductible

200

Drugs that administered with a pump and covered under Part B for diabetics. 

Insulin

200

The type of medication used to treat high cholesterol. 

What is a "Statin"?

300

These Medicare-provided services and items may be covered by Medicare Part B, and not Part D. (Name 1 of 4 possible answers)

  • Certain medications (commonly referred to as Part B drugs)
  • Durable medical equipment (wheelchairs, diabetic test strips, nebulizers, etc.)
  • Specialty pharmacy
  • Mail-order pharmacy
300

The extra amount you have to pay isn’t part of your plan premium. You don’t pay the extra amount to your plan. Most people have the extra amount taken from their Social Security check. If the amount isn’t taken from your check, you’ll get a bill from Medicare or the Railroad Retirement Board. You must pay this amount to keep your Part D coverage. You’ll also have to pay this extra amount if you’re in a Medicare Advantage Plan that includes drug coverage.

What is a Part D IRMA 

300

Infusions that are NOT brand name. Insurance companies want you to try at least two of these prior to approving a brand name infusion covered under Part B

What are bio-similars? 

300

The Type of medication used to treat A fib. 

What is a Beta Blocker?

400

Consider using these types of medical providers when you need Part B drugs or medical equipment. 

(Name 1 of 6)

  • Medical equipment
  • Home infusion
  • Home health care
  • Specialty pharmacy
  • Medical specialty service
  • Mail-order pharmacy
400

Applying for, and receiving, this social security benefit can decrease the amount of SNAP (FOOD Assistance) a client gets from their state. Depending on the amount of this benefit, they could lose their food assistance all together. 

Extra Help

400

Chemo medications taken at home are covered under this Medicare part. 

Both B and D 

400

Phosphate binders, erythropoietin-stimulating agents (ESA), intravenous (IV) iron agents, B complex vitamins, and immunosuppressants 

What are drugs commonly used in renal failure?

500
  • Injections for osteoporosis
  • Some transplant medications
  • Immunosuppressants
  • End-stage renal disease (ESRD) medications
  • Flu, pneumonia, and Hepatitis B shots

Types of Drugs covered under Part B Medicare 

500

Medicare Advantage Plan with drug coverage may help your Indian health facility because the plan pays the Indian health facility for the cost of your prescription drugs. 

MAPD

500

What an insured must pay in order to receive a Part B infusion in a medical office. (1 of 3) 

Deductible

Co-insurance (20% usually)

Co-Pay

500

If you have full coverage from Medicaid and live in a nursing home, you pay nothing for covered prescription drugs after Medicaid has paid for your for this amount of time.  

What is "One Full Month"

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