Part A
You can ask one of these, to find out if a hospice provider is Medicare-approved
What is your doctor?
...the hospice provider?
...state hospice organization?
...state health department?
Part B covers these two types of services
What are Medically necessary services and Preventative services?
You generally pay a set amount for your health care before Medicare pays its share then, Medicare pays its share
What is a deductible?
The amount you pay for covered preventative services under Original Medicare
What is Zero?
Routine Footcare
What is an excluded body part care under Original Medicare?
When all of these are true:
You’re admitted to the hospital as an inpatient after an official doctor’s order, which says you need inpatient hospital care to treat your illness or injury. The hospital accepts Medicare. In certain cases, the Utilization Review Committee of the hospital approves your stay while you’re in the hospital
What is Inpatient hospital care is covered?
Your doctor prescribes it for use in your home, is medically necessary and Medicare covers these, but are not limited to, Canes, Hospital beds or patient lifts for example.
What is durable medical equipment?
One main factor for Medicare coverage
What is Federal and State laws?
What is National coverage decisions made by Medicare about whether something is covered?
What are local coverage decisions made by companies in each state that process claims for Medicare. These companies decide whether something is medically necessary and should be covered in their area.
Annual Wellness Visit
What is the name of a yearly preventative doctor's appointment?
Non-skilled personal care, like help with activities of daily living like bathing, dressing, eating, getting in or out of a bed or chair, moving around and using the bathroom is not covered by Medicare.
What is Long Term/Custodial Care?
Part A covers Inpatient care in a hospital, Skilled Nursing Facility care, Nursing home care, Hospice and Home health care. True or False.
What is true?
When ground transportation is needed to be transported to a hospital, critical access hospital, or skilled nursing facility for medically necessary services, and transportation in any other vehicle could endanger your health
What is Ambulance services?
There are so many primary care doctors to choose from, but do you need to choose one for your Original Medicare?
What is no?
You pay deductible for the Covid Vaccine - True/False
What is False?
Original Medicare doesn't cover this procedure (including dry needle) for any condition other than chronic low back pain.
What is Acupuncture?
Part A may cover care in a certified skilled nursing facility (SNF).
What is needing to be medically necessary?
$1484 deductible for each benefit period
What is inpatient cost for mental healthcare?
Most prescriptions aren't covered in Original Medicare. There are exceptions as well as being able to add what drug coverage
What is Part D
The frequency Original Medicare pays for a Bone Density Test
What is 24 months?
A medicine coverage that is excluding by Original Medicare
What is Part D or prescription coverage?
Your plan will continue to cover these extra services as long as you continue to pay your plan’s premiums and other costs.
What are extra services not covered by OM?
Example: Dental, Vision
The number of benefit periods you can have when you get mental health care in a general hospital
What is no limit?
The law requires providers and suppliers to file your claims for the covered services and supplies you get; these providers are
What are doctors, hospitals, skilled nursing facilities and home health agencies?
Screenings include blood tests for cholesterol, lipid, and triglyceride levels that help detect conditions that may lead to a heart attack or stroke.
What is Cardiovascular Disease Screenings?
A referral is required to see a specialist in the Original Medicare Program, True or False
What is False?