Item of Convenience T/F?
Terminology
200

Toilet Seat 

What is true? It will be denied. 

200

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

What is a Deductible?

400

Grab Bars

What is True? It will be denied. 

(Considered a self-help device, not primarily medical).

400

An amount you may be required to pay as your share of the cost for benefits AFTER you pay any deductibles. 

What is coinsurance? (or Co-Pay)

Generally a percentage (eg. 20%)


600


What is False? 

Will be covered if aids in positioning due to respiratory or other medical condition

600

This Part of Medicare pays for Durable Medical Equipment as well as certain doctors' services, outpatient care, medical supplies, and preventative services

What is Part B?

800

Telephone Alert Systems

What is True?

Considered an emergency communication service and does not serve a diagnostic or therapeutic service

1000

A White Cane for a person suffering from blindness?

What is True? 

Considered to be a self-help and identifying item that is not considered to make a meaningful contribution to the treatment of an illness or injury.

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