Original Medicare
These are the four parts of original Medicare.
What is Part A, Part B, Part C, and Part D
This part of Medicare equals Pharmacy Advantage.
What is Part C?
With an HMO, members must elect _______.
What is a PCP?
The acronym for PPO is
What is Preferred Provider Organization
In order to be eligible for DSNP, a member must be....
What is Dually eligible?
This part of Original Medicare has a monthly premium.
What is Part B?
Medicare Advantage is also known as a _______.
What is a replacement plan?
This plan is chosen by people who typically don't_____.
What is leave the service area.
PPO members have in network coverage outside of Michigan as long as the provider......
What is Medicare Contracted
The DSNP plan is targeted to members with
Original Medicare is managed by this entity.
CMS, Centers for Medicare and Medicaid Services
People with a Medicare Advantage plan cannot have ______.
What is another Medicare Advantage plan.
The acronym HMO stands for
What is Health Maintenance Organization
Unlike HMO, PPO members don't have to.....
What is elect a PCP.
The acronym DSNP stands for
Dual Special Needs Plan
Once elected, Original Medicare pays.
Medicare Advantage plans may cover _____, but may not.
What is prescription drugs?
Which two services are covered anywhere an HMO member goes?
What is urgent care and emergency.
PPO plans are typically chosen by people who like to.....
What is travel.
DSNP members are assigned two people upon enrollment...
What is a Nurse Care Manager and a HAA Health Navigator.
This enrollment period only comes once!
What is the initial enrollment period?
In order to enroll in a Medicare Advantage plan, people must have _______.
What is Medicare Part B.
With an HMO, members utilize specialists in their PCP's ______.
What is network.
PPO members are responsible for.......
What is Directing their own care.
DSNP enrollment periods are different than all other Medicare plans because.....
What is DSNP members are entitled to one SEP per quarters 1-3 and during quarter 4 they follow AEP.