Medicare
Which part of Medicare covers inpatient services?
Plan that covers extreme and serious emergency medical situations, typically for people under 35
Catastrophic plan
Direct payment
Do you have to meet your deductible every year?
No
Obamacare, which helps to lower healthcare costs, is also known as...
The ACA/Affordable Care Act
Medicare, Medicaid, and TRICARE are all examples of this kind of plan.
Government plan
Plan that combines some characteristics of both a PPO and an HMO plan
POS
Payments made to healthcare providers individually
Fee for service
To keep your health insurance, you must pay this monthly payment...
premium
FDA stands for...
The Food & Drug Administration
To usually qualify for Medicare, you have to be this age or older.
65
The two types of plans that cover both in and out of network.
PPO & POS
True/False- The money saved in an FSA account can be rolled over to the next year
False
A flat-fee paid directly to the service provider after a patient receives the service.
co-payment
Penalizes hospitals for having higher-than-expected 30-day readmission rates
Hospital Readmission Reduction Program/HRRP
Which part of Medicare may have a coverage gap?
True/False- an HMO plan provides coverage only if the care is delivered by a hospital, physician, or pharmacy contracted with the insurance company
True
A single payment that covers all health care providers as opposed to paying them each individually
Bundling payments/Bundled payment
After you pay your deductible, the patient pays a percentage of the service cost and the insurer pays the other percentage. What am I?
Co-insurance
United States-based nonprofit tax-exempt organization that accredits more than 20,000 health care organizations and programs in the United States
The Joint Commission
Medicare payment system based on pre-determined and fixed amounts
Prospective Payment system
False
When you turn 65 years old, you can take saved up money out of this type of account without penalty.
Health Savings Account/HSA
You have to go in for surgery and have already met your deductible that year. Will your insurance help to cover the cost of the surgery?
Yes. Your insurance company helps to pay after you have met your deductible.
Amendment to the ACA that included reducing medical education costs