MEDICARE PART A
MEDICARE PART B
MEDICARE PART C
MEDICARE PART D
AZPCP
100
WHAT TYPES OF SERVICES DOES MEDICARE PART A COVER?
A. INPATIENT HOSPITALIZATION B. INPATIENT CARE IN A SKILLED NURSING FACILITY C. CUSTODIAL OR LONG TERM CAR D. PHYSICIAN OFFICE VISITS
100
What types of services does Medicare Part B cover?
A. Outpatient surgery B. Preventative screenings C. Ambulance Services D. Custodial Care
100
What is another term used for Medicare Part C Plans?
A. Medicare Advantage B. HMO C. PPO D. Medigap plan
100
What is meant by the "donut hole"
A. This means there's a temporary limit on what the drug plan will cover for drugs.The coverage gap begins after you and your drug plan have spent a certain amount for covered drugs. B. This refers to the deductible you must pay before your drug plan will cover prescriptions. C. How the drug plans refer to generic medication
100
What does AZPCP stand for?
A. Arizona Primary Care Plus B. Arizona Priority Care Plus C. Arizona Primary Care Providers
200
WHAT IS THE CO-INSURANCE AMOUNT YOU PAY WHENEVER YOU UTILIZE PART A BENEFITS?
A. 50% B. ZERO C. 20%
200
What is the premium for Medicare Part B?
A. Zero B. Most people pay the Part B premium of $104.90 each month in 2013. C. 10% of your Supplemental Income
200
What type of services are covered in a Medicare Part C plan?
A. Inpatient hospitalization B. Physician services C. Lab & x-ray services D. Custodial care
200
What is the amount you must reach before entering the coverage gap?
A. 25% for each prescription B. Once YOU have paid $2,970 out of pocket C. In 2013, once you and your plan have spent $2,970 on covered drugs (the combined amount plus your deductible), you're in the coverage gap.
200
AZPCP is part of a larger corporation. True False
True - Heritage Provider Network.
300
WHAT IS THE PREMIUM FOR PART A COVERAGE?
A. $441 each month in 2013 B. most people get Part A premium-free C. If you have Part B then Part A is free
300
What does it mean if your physician(s) "accept assignment"
A. You won't owe the doctor any co-insurance B. You don't need a supplemental insurance C. They agree to charge you only the Medicare deductible and coinsurance amount and usually wait for Medicare to pay its share before asking you to pay your share (20% of APPROVED charges)
300
What type of additional services can a Medicare Part C plan offer that may not be covered on Medicare Part A or Part B.
A. Vision Services B. Enrollment into special health and fitness programs c. Custodial Care
300
How does you coverage change when you are in the coverage gap?
A. You have no coverage B. Name brand - 47.5% (you pay)plan pays 52.5% C. Generic - 79% (you pay)/ plan pays 21%
300
What are some of the advantages for a Primary Care Physician to join the network?
A. PCP can purchase health insurance for their employees B. When a patient needs special services, we will coordinate and communicate results with PCP. C. AZPCP handles negotiating contracts with health plans on behalf of physicians.
400
When does Part A cover Skilled Nursing Care?
A. After 3 day hospitalization B. Whenever you need it C. When your doctor says you need it D. When you need custodial care
400
What services are covered when you travel more than 30 miles away from home?
A. Outside the U.S. - no coverage (except for certain circumstances) B. Inside the U.S. - Same benefits, no matter where you are C. Only for emergency or urgently needed services
400
What are reasons you would NOT want to join a Medicare Part C plan?
A. You see specialists that are in various areas around the country. B. You have ESRD C. You are in the middle of a treatment plan with a specialists
400
What happens if I decide not to enroll in a drug plan?
A. You pay out of pocket for all prescriptions B. If you decide to enroll later, you may have to pay a penalty C. You will never be able to get prescription coverage
400
How does a patient benefit from their physician being part of the AZPCP network?
A. Referrals and Claims are processed locally. B. AZPCP takes over your care from Your primary care physician. C. Patients receive specialized case management care and attention to enhance their healthcare.
500
What is covered under the Hospice component of Part A?
A. Custodial Care B. Spiritual Counseling C. Durable medical equipment
500
What is the Medicare Part B deductible?
A. $147 per year B. Zero C. 104.90 (premium)
500
What is the difference between a PPO and an HMO?
A. PPO allows you to go out of network, but pay a higher cost. B. HMO allows you to go out of network, but pay a higher co-payment C. HMO requires you to call BEFORE going to an emergency room.
500
Under what circumstances would it NOT be a good idea to join a Medicare Part D plan?
A. You are on am employer sponsored retiree plan B. You are on a Medicare Advantage plan that includes drug coverage C. You can't afford it D. You are not currently taking any medications
500
Even though AZPCP is new to Arizona (October 2011), the parent comapany has been involved in healthcare delivery for how long?
A. 10 years B. 20 years C. 30 years
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