Medicare Plans
Plan that includes Part A and Part B
What is Original Medicare?
Services and care which is necessary to treat an emergency medical condition.
What is Emergency Medicaid?
Plan that employer provide employee Plan that required you to have a Primary Care Physician.
What is an HMO Plan?
Tricare Prime has a Primary Care Manager and requires you to have a ________________ on file for visit other then with you PCM.
What is a Referral?
A person that is financially responsible for the patient account.
What is a Guarantor?
Plan that only include prescription drugs..
What is Part D?
Plan that provided care for children under the age of 18, when they don't qualify for Medicaid.
What is Chip?
Plan that offers flexibility of an HMO or PPO plan for in and out of coverage
What is an EPO Plan?
Health plan for Families of Veterans which provide care and shares the cost of covered healthcare services to eligible beneficiaries.
What is CHAMPVA?
Family members that are on the policy holder.
What is a Dependent?
Plan A + Plan B + Plan D= ________
What is Medicare Part C
Medicaid program that required the patient to have a Primary Care Physician.
What is a Manage Care Medicaid Plan?
Commerical plan that can be Out of state Plan, Texas Plan, Medicare replacement plan, or Obama plan and it starts with three alpha-prefix
What is BCBS ?
Plan that provides Health Care and Prescription on a space availability on a Military Base.
What Tricare Direct Care?
Multi Health insurance policies that determines which insurance should be primary or secondary.
What is Coordination of Benefits?
Medicare Covers ___ full days, ____ coinsurance days, with Lifetime max of _______days.
Medicare Cover 60 full days, 30 coinsurance days, with Lifetime max of 60 days.
A cost assistance program designed to help individuals who are eligible with both Medicare and Medicaid
What is Medicaid QMB?
Plan which is not an insurance, but a cooperative in which members agree to cover a portion of one another's medical cost.
What is a Health Share Plan?
UH covers the _________Region?
What is the West Region?
you pay a flat fee for certain medical expenses, while your insurance pay the rest.
What is a Co-pay
Plan that pick-up the 20% co-insurance that Medicare does not covered.
What is a Medicare Supplement Plan?
Program that provides free women's health and family planning services to eligible, low-income Texas women.
What is Health Texas Women Program?
Financial Assistance plan that assists patient with their medical bills and patient are responsible for a month payment
What is Care Link?
Tricare for life is a wrap-around plan that must be used with this plan.
What is Medicare Part A and Part B.
Time frame when an enrollee can choose or change a health plan for the following year
What is Open Enrollment?