Out-of-Pocket
What is the flat amount a pt pays when seeing a doctor
Copay
What is the first commercial insurance in the United States
BCBS
What regions are their for TRICARE
West and East
What book do you use to look up ESRD?
ICD-10-CM
Nephrologist what does -oligist mean
Study of: Doctor who specializes in the kidneys
What is the Percentage of a pts portion called
Coinsurance
Members have OON and IN Coverage in this plan
PPO Plan
What is Catastrophic Cap
The OOP or Cap for TRICARE
What is the flap called to allow you to swollow and breathe
epiglottis
What does ESRD stand for
End Stage Renal Disease
What is the average OOP max for MA plans
pt cannot be seen outside of the state unless approved or emergency
Medicaid
What is Open Season
Open Enrollment for TRICARE
What is the tube that takes food to the stomach
Esophagus
What does Neph- stand for
Kidney or Renal
What is Medigap plan G pay
Everything besides the Medicare Premium and Deductible
What is Medicare Advantage and Medigap plans
What assists Medicare pts with their out of pocket costs
Provider that will accept TRICARE but is not Contracted with TRICARE
Non-Network Provider
Name of the food that has been chewed and mixed in the mouth with saliva
Bolus
What does vesic- stand for
Bladder
What does not go with Medicare Part B? Premium, Copay, Coinsurance, OOP Max
OOP Max and Copay - Medicare Part B has a Premium, Deductible and 20% coinsurance
The Affordable Care Act (ACA), Obama Care, Exchange Plans
Ages for TRICARE Young Adult
21 to 26 as long as they are in college
What is the Digestive System Purpose
The process that breaks down food into small molecules so they can move into the blood stream
What does Nephrectomy mean
Removal of the Kidney