Medicare
How many parts are there to Medicare? And what are they?
4 (A, B, C, D)
Who funds Medicaid?
federal and state governments
What does MCOs stand for?
Managed Care Organizations
What is an Indemnity Plan considered?
a traditional plan
What color was our slides?
What population does Medicare typically serve?
What population does Medicaid typically cover?
low-income families, pregnant women, seniors, and people with disabilities
Why were MCOs developed?
to control the rising costs of healthcare, while maintaining acces and good quality care
True or False: HMOs, PPOs, and other MCOs came before the formation of Indemnity Plans
False
What is our topic today?
Healthcare Financing
Who funds Medicare?
federal government
True or False: Eligibility and benefits are fixed in each state.
False
What are the three types of MCOs we talked about so far?
2. Preferred Provider Organization (PPOs)
3. Point of Service (POS)
What is a benefit of indemnity plans?
allows flexibility for the client to choose any physician or provider they want
Name two of the images that we had on our slides?
pig, plant, flying coin, savings jar, "zero debt" angel, sparkle, people
What does Medicare Part B cover?
medically necessary services + preventative services (ex. ambulance transportation, annual exams + screening services, durable medical equipment, etc.)
How much money did the government spend on Medicaid in 2010?
400 billion dollars
True or False: Preferred Provider Organizations (PPO) offers more flexibility than HMOs
True
True or False: The plan will reimburse the insurer for a portion of their healthcare costs
True
How many videos have we played so far?
3
Which part of Medicare covers specific vaccinations, like shingles?
Medicare Part D
How many services are there that the government MUST provide coverage for? And can you name them?
1. inpatient and outpatient hospital services
2. laboratory and radiology services
3. physician services
4. skilled nursing care at home or in a nursing home for people older than 21 years old
5. early periodic screening, diagnosis, and treatment for people younger than 21 years old
6. family planning
What is a con of Health Maintenance Organizations (HMOs)?
limited options because of a requirement of members receiving care WITHIN a network
What is a con of Indemnity Plans?
will cost more because it charges per service
What are our names?
Angelica, Keying, Rachel, and Chloe