Enrollment
A member's 65th birthday is on July 25. He enrolls in medicare on his birthday. This is the date his plan becomes effective
What is July 1
Must have these 2 to have Medicare Advantage
What is Part A &B
Health information may be changed by_________
What is the member and a power of attorney.
Part D is commonly known to cover __________
What is Prescription drugs
These plans require you to have both Medicare and Medicaid?
What is special needs Plans (SNP)
During what period can a member switch enrollments more than once?
What is Annual Enrollment Period
This part of Original Medicade covers hospital care.
What is part A.
Hipaa stands for Health Insurance ___________ and __________ Act
What is Portability and Accountability
A list of prescription drugs covered by a plan.
What is a formulary
How old does a member have to be to receive medicare if you have ESRD?
What is any age
John has end stage renal disease. He is eligible to join medicare during this period.
What is special enrollment Period.
This part of Original Medicade covers doctors visits
What is part B.
A person whom the customer has authorized to speak with a health insurance carrier regarding their account.
What is authorized Representative
A late enrollment penalty for signing up for part d after a member is eligible lasts how long?
What is for life.
Wal-Mart Home Delivery Pharmacy,Walgreens Home Delivery Pharmacy,Walgreens Home Delivery Pharmacy,Cigna Home Delivery are all examples of
What is Mail order pharmacy
Michelle wants to disenroll from his part C plan. He can do that during the period January 1 to March 31st. This is called what?
What is the Open Enrollment Period.
Parts A and B deductibles are
Part A $1,364 Part B $185
Individually identifiable health information created, received, or stored on behalf of a covered member.
What is Protected Health Information (PHI)
These plans don't have drug coverage
What is Orginal Medicare and MA (Medicare Advantage)
LIS stand for this
What is a Low Income Subsidy.
A member enrolls in medicare on her birthday of June 1. This is the time frame of months they can enroll into a MAPD.
What is March 1st through September 30th
This part of original medicare covers Diabetic testing supplies
What is medicare part B
Has a customer service agent violated hipaa if only the member's name and date of birth are obtained.
What is yes
True or False: The shingles Vaccine is covered by part D.
What is True
True or false: Maurcus is the best dressed supervisor in the building the last two days
What is False (Brandon)