Is It Covered?
Medicaid, Medicare, or both: Who covers the cost of prescription drugs?
Both. Medicare is the primary insurer and Medicaid absorbs costs not covered by Medicare.
Patients who have HIV also have a safety net called the AIDS Drug Assistance Program (ADAP), and its specific focus is prescription drug coverage.
This is a federal health insurance program that pays for hospital and medical care for elderly and certain disable Americans?
Medicare.
True or False: Health care providers will soon be paid based on the quality and value of the health care they provide to patients instead of how many services they provide.
True.
Value Based Payments (Purchasing).
I burned my hand taking a pan out of the oven. It's slightly red, painful but does not have any blisters. What should I do?
Treatments for a first-degree burn include:
First-degree. These burns only affect the outer layer of your skin. A mild sunburn’s one example. Your skin may be red and painful, but you won’t have any blisters. Long-term damage is rare.
Part A, B, C or D? The advantage Plan is an example of which part?
Part C
I think I have the flu, where should I go?
My primary care provider
True or False: Medicaid can cover the costs of premiums, cost sharing, and the balance of prescription costs not covered by Medicare.
True.
This is a state to state health benefits program designed for low income people, and those who are blind, disabled, members of families with dependent children deprived of the support of at least one parent?
Medicaid
What is a Managed Care Organization?
Managed Care plans focus on preventive health care and provide individuals enrolled with a medical home for themselves and their families.
Managed care plans are a type of health insurance. They have contracts with health care providers and medical facilities to provide care for members at reduced costs.
I'm having chest pains and a hard timing breathing, should I:
1. Take some pain medication
2. Go to my Primary Care Provider
3. Go to Urgent Care
4. Go to the hospital
Part A, B, C or D? Which part covers hospital visits?
Part A
At what temperature of my fever should I go to the hospital?
103F
True or False: Routine Dental services are covered by Medicare?
False.
Medicare does not cover routine dental cleanings, filings, dentures or other types of dental devices. Part A might pay for certain dental services received while hospitalized during an emergency.
This insurance requires that an individual must fill out a new application every year to stay on the program?
Medicaid.
You must fill out a new Medicaid application every year to stay in the Medicaid program.
What is one example of a Social Determinant of Health?
Bonus Question: What is the definition of a Social Determinant of Health?
Bonus Question: The social determinants of health are the conditions in which people are born, grow, live, work and age. These circumstances are shaped by the distribution of money, power and resources at global, national and local levels.
I have had a cough for about a week. The over the counter medications I have been taking have not helped. What should I do?
Call my Primary Care Provider for a sick visit.
Part A, B, C or D? Which part covers Prescription Drugs?
Part D
The sudden & unexpected onset of a condition or injury that endangers my life, could result in a disability & requires immediate care / visit to the hospital?
What is a medical emergency
Medicaid, Medicare, or both: Who covers the cost of glasses and/or contacts?
Medicaid only
True or False: If you are receiving Medicare, you are not eligible for the Medicaid program?
False.
If you qualify for both Medicare and Medicare, you are "dual eligible." Sometimes the two programs can work together to cover most of your health care costs.
True or False: Changes to Medicaid are being made to:
1. Improve operational efficiencies, reducing avoidable, unproductive and duplication of services
2. Ensure treatment in the most optimal setting and by the right provider
3. Shift focus to preventive care and population health
True.
I fell down and scraped my knee. It's slightly bleeding with no deformities. What should I do?
Apply ice, some over the counter medication and band-aid.
Part A, B, C or D? This part covers Home Health Care?
Part B
Home health care is clinical medical care provided by an registered nurse, occupational therapist, physical therapist or other skilled medical professionals, and is often prescribed as part of a care plan following a hospitalization. Home health care services include: Therapy and skilled nursing services.
I think I sprained my ankle and my doctor does not have any openings for a week. Where should I go?
Urgent Care.
Your primary care doctor should be your first call in non-emergency situations.
Urgent Care Center: If you can't reach your doctor or need care outside of regular office hours, urgent care centers and retail health clinics are good options
Medicaid, Medicare, or both: Has these plans M_______ Advantage (MA), M_______ Advantage Prescription Drug (MAPD), and M______ Supplemental (Med Supp)?
Medicare.
Medicare Advantage (MA), Medicare Advantage Prescription Drug (MAPD), & Medicare Supplemental (Med Supp).
If you are enrolled in this insurance program you are not eligible to receive HARP / HCBS (Home & Community Based Services).
Medicare
True or False: Providers will be creating networks with each other and working together to improve health care costs and to ensure quality of care.
True.
Collaborations being developed are called Behavioral Health Care Collaborations.
What are the steps to help heal a sprained ankle. HINT: R.I.C.E.
Rest Ice Compression Elevation
Part D
I have a sudden/debilitating migraine that begins within a matter of seconds, causes vision or speech impairment, fever, weakness, exhibits unusual symptoms for me. Where should I go?
Call 911 and go to the hospital.