Medicare
Medicare part D covers
Prescription Drugs
Medicaid was designed to provide insurance for this group of people
Low income families
This managed care plan requires a fixed monthly fee for membership
HMO
This is another name for an indemnity plan
Fee for service
These medicare plans require a premium
B, C, and D
Act that was passed that gave states the option to expand their Medicaid programs
Affordable Care Act
In order to see a specialist, you have to get a referral from your primary care doctor
POS
There is no provider network in this plan, so people have more freedom to choose their own ___________
doctors
This part/s of medicare covers flu shots and diabetes screenings
B and C
Program that provides coverage for uninsured children whose family doesn’t qualify for medicaid
Child Health Insurance Program (CHIP)
Can see a specialist without having to get a referral from your primary care doctor
PPO
Every time you visit the healthcare provider you must pay a set amount determined in the policy called a
Co-pay
The following people qualify for medicare: people over 65, Certain younger people with disabilities, and people with end stage ______
renal disease
Medicaid is jointly financed by these two things
Federal and State Government
Coverage is limited to providers who work for the insurance company
HMO
High or low premium compared to group and employer insurance plans
higher
In order to be eligible for homecare, the person must show decreasing acuity, require intermittent care, and be _________
homebound
Medicaid provides health insurance coverage, long term assistance care, and assistance to _______ Beneficiaries
Medicare Beneficiaries
These plans do not require a deductible if seeing an in network doctor
HMO and PPO
Patients are responsible for paying for their own medical bills until this is reached
deductible