Cost Share Terms
A fixed amount that a member pays for services
copay
This part of medicare covers inpatient hospital visits
part A
My cousin without my permission calls in to ask what doctor i went to last week
no
Initial Coverage Enrollment Period (ICEP or IEP)
Lobsters have red blood
False, they have blue blood
a percentage amount a member pays for services
coinsurance
this part covers regular doctor's visits, durable medical equipment, and diagnostic testing
Part B
My mom who is listed on my account as an authorized representative calls to ask what is my benefit for a flu shot
yes
Annual Enrollment Period (AEP)
There are more stars in the universe than there are grains of sand on earth.
True
name all 3 types of post service cost share
copay, coinsurance, deductible
this part covers medication prescribed by your doctor
Part D
My dad and myself call together to request a new ID card for myself
yes
Enrollment period for medicare advantage members to make a change in their plan
Medicare Advantage Open Enrollment Period
(MA-OEP)
It takes over 1000 peanuts to make a jar of peanut butter
false, it takes about 540
a pre service charge members have to pay monthly
premium
this is also known as original medicare
part A & B
My wife calls in to ask what is my benefit for visiting a urgent care
no
Enrollment period for people who qualify for a special circumstance like moving out of service area
Special Enrollment Period (SEP)
It’s possible to hum while holding your nose.
False, it is impossible
a fixed amount a member has to pay before their insurance starts paying
deductible
this is another name for medicare advantage plans
Part C
name one form of PHI
name, address, SSN, DOB, diagnosis codes, procedure codes, provider information
This type of plan does not need an enrollment period and can drop and sign up at any time
Medicare Supplement plans
The liver is the only human organ that can fully regenerate itself.
True