Acronym Salad
EOC
What is evidence of coverage
A set amount you may be required to pay as your share of the cost for a medical service or supply, like a doctor’s visit, hospital outpatient visit, or a prescription drug.
What is a Copayment
The correct benefit category for a pre-op physical
What is Physician/Practitioner services, including doctor's office visits
This is the period of time when you can enroll when you are first eligible for Medicare,
What is the initial enrollment period, 7 months. 3 months prior to 65th bday month and 3 months after.
UCare's contracted chiropractic provider network
What is Fulcrum Health
These are all the ways a member can pay their premiums currently.
What are mail, EFT, online, phone, bill pay through bank, SSA deduct (PWO)
TAT
What is Turn Around Time
An amount you may be required to share as your share of the cost for services or prescription drugs after you pay any deductibles. (usually a %)
What is Coinsurance
The correct benefit category for knee replacement surgery
What is inpatient Hospital Services or Outpatient Surgery
October 15th to December 7th Every year
When is the Annual Election Period?
This benefit provides
What is Healthy Savings
This is the 2021 premium for the Esential Rx North plan.
What is $69?
DME
What is Durable Medical Equipment
The periodic payment to Medicare, an insurance company, or a health care plan for health or prescription drug coverage
What is a premium
The correct benefit category for a thyroid test
What is diagnostic tests, X-rays, and clinical laboratory services
When circumstances in a member's life create a need to make changes to their plan outside of the Annual election period.
What is a special election period?
This is the name of the computerized voice for Warm Health
What is Mary Beth
This is a letter that indicates the member's premium dollar amount. They can be sent for previous and current dollar amounts.
What is the premium verification letter
ANOC
What is Annual Notice of Changes
The most that you pay during the calendar year for in-network covered Part A and Part B services. Amounts you pay for your plan premiums, Medicare Part A and Part B premiums, and prescription drugs do not count toward this.
maximum out of pocket amount
The correct benefit category for a continuous glucose monitor
What is diabetes self-management training, diabetic services and supplies
This type of plan does not have strict open enrollment dates
What is a group plan?
What is UCare for Seniors (UFS)
The wording in the text box at the top of this letter is:
We need your help to complete your application
What is the Missing Information Letter?
PAC
What is the provider assistance center
The amount the member must pay for health care or prescriptions before their UCare plan begins to pay.
What is the deductible
The correct benefit category for a 3D mammogram
What is outpatient diagnostic test and therapeutic services and supplies and Breast Cancer Screening
This is the period of time each year when individuals are allowed a one-time change to their plan outside of the AEP.
What is the Medicare Advantage Open Enrollment Period (MAOEP). Jan 1-March 31
This is the name of the services for root canal therapy on permanent teeth, including pulpotomies, indirect pulp-cap, and root canal retreatment
What is Endodontic services
This is sometimes an amount the member pays to the government in addition to the plan premium
What is IRMAA?
For bonus: What does it stand for?