Medicaid
The name of the Medicaid program in New Mexico
What is Centennial Care?
The abbreviation SNF stands for:
What is skilled nursing facility?
The percentage of Medicare beneficiaries in the US enrolled in Medicare Advantage plans (2023).
What is 48%?
Enacted in 2006 and not included in Original Medicare
What is Part D?
Another name for the Part D coverage gap phase.
What is the doughnut hole?
The percentage of New Mexicans enrolled in Medicaid (2020)
What is 34%?
End of life care covered under Part A
What is Hospice?
True or false- a Medicare Advantage Plan replaces Traditional Medicare.
What is true?
A list of covered drugs chosen by a health plan and characterized in tiers
What is a formulary?
The amount a beneficiary must pay before Medicare begins to pay for services and supplies
What is a deductible?
The state capitol located at the highest elevation above sea level.
What is Santa Fe?
Outpatient physical therapy covered by this part.
What is Part B
Plan in which members can use only in-network providers unless urgent/emergent or no contracted provider is available
What is HMO?
The opposite of a "Brand" medication.
What is generic?
The year that Medicare was signed in to law
When is 1965?
Medicaid is available to this group
What is low income people of all ages?
If a Medicare beneficiary does not have supplemental insurance, they will incur this fee for Part B services.
What is a 20% coinsurance?
Annual Enrollment Period (AEP)
When is October 15- December 7?
The Part D deductible in 2023.
What is $505?
The first national wilderness area designation in the United States.
What is the Gila National Forest?
If eligible, Medicaid will pay for this long term care setting
What is a nursing home?
The upper limit of days a patient will incur no deductible or coinsurance for a Skilled Nursing Facility stay.
What is 20 days?
Eyeglasses and hearing aids are what type of Medicare Advantage benefit.
What are value added services?
The percentage of beneficiary medication costs the manufacturer pays during the coverage gap phase (formerly, the donut hole).
What is 70%?
True or False: The Medicare maintenance benefit for physical therapy services is limited to specific ICD10 codes (ie diagnoses).
What is false?