Original Medicare
This federal law enacted in 1966 that gives people the right to get information from a Federal Government agency
What is the Freedom of Information Act?
SNF
What is skilled nursing facility?
Another name for Medicare Advantage plan
What is Part C?
Enacted in 2006 and not included in Original Medicare
What is Part D?
Another name for the coverage gap
What is the doughnut hole?
The year that Medicare was signed in to law
When is 1965?
End of life care covered under Part A
What is Hospice?
True or false- a Medicare Advantage Plan is a replacement for Original 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 organization that manages Medicare and Medicaid
Who is CMS?
DME
What is Durable Medical Equipment?
PCP
What is Primary Care Physician?
Three conditions a drug must meet to be covered under Part D
What is available by RX, approved by FDA an sold in the US?
PPO
What is Preferred Provider Organization?
A person is eligible for Medicare when they turn 65, have a certain disability or have a diagnosis of this disease.
What is ESRD?
when does General Enrollment Period mailings are sent to people who didn’t sign up for Part B when they were first eligible or who dropped or lost their Part B coverage in the past year.
What is each January ?
Plan in which members can use only in-network providers unless urgent/emergent or no contracted provider is available
What is HMO?
Opposite of "Brand" drug
What is generic?
Acquired by BCBSNC in October 2001
What is Partners National Health Plan?
Seven month period which begins 3 months before you turn 65, the month you turn 65, and ends 3 months after the month you turn 65.
What is the initial enrollment period?
Voluntary supplement that covers physician services, ambulance services and preventive services.
What is Part B?
Annual Enrollment Period (AEP)
When is October 15- December 7?
Insulin administered on an insulin pump is covered under this benefit
What is Part B?
A plan is for people enrolled in both Medicare and Medicaid. The purpose of this type of plan is to combine all your Medicare and Medicaid health care and prescription drug benefits into one health plan.
What is Medicare-Medicaid plans (MMPs)?