Eligibility
What is Loss, Gain, Change of Medicaid
What is MCD
Low Income Subsidy (LIS)
• Includes all benefits and services covered under Part A and Part B • Run by Medicare-approved private insurance companies • Usually includes Medicare prescription drug coverage (Part D) as part of the plan • May include extra benefits and services for an extra cost
Medicare Part C (Medicare Advantage)
This ends when a patient is discharged from a hospital or SNF for 60 consecutive days.
What is a benefit period
List The 5 Chronic Conditions
COPD, Chronic Heart Failure, ESRD, Diabetes, Lung
What is the election code that allows you to not have Part D coverage?
CDC (Credible Drug Coverage)
IHS stands for?
Indian Health Services
Timeframe of Delayed Part B
What is 3-1-1
Name at least three services that part B covers.
What is Doctor visits and treatments,Surgeon and Anesthetist fees, Physical and speech therapy, Diagnostic tests and X-rays, Emergency Room charges, Hospital outpatient clinic charges, non-self-administered drugs, lab test and radiology, ambulance charges, casts, splints and braces, artificial limbs, durable medical equipment, other medical supplies, except first aid items.
Two forms of cost sharing for Medicare are.
What is deductibles and coinsurance
How long does a Part D penalty last?
For the remainder of their life
40 Quarters equal what when qualifying for Medicare?
10 Years
What qualifies you for a Medicare Advantage Plan?
What is A+B=C & Enrollment Period (Election)
OEP-N requires a client to have?
A&B and a Medicare Advantage Plan using an initial period
What in a Medicare Advantage Plan covers wheelchairs, walkers, canes and oxygen tanks?
DME (Durable Medical Equipment)
the State Assistance programs for Part D election?
PAP
What is our Site Director Name
Diedirius Johnson
Forms of Medicare Advantage Plan?
HMO, HMO-POS, PPO, PFFS
The facility that provides surgical services that do not require a hospital stay.
What is Ambulatory Surgical Center
Oct 15 - Dec 7
AEP Timeframe
MAPD
What is the name of your 3 leaders on MAQL:
O'Bee , Devon, Aaron