PLANS
What part of Medicare is Hospital Insurance?
PART A
A fixed amount you pay for a specific service or medication, usually at the time of the visit.
Copay or Co-payment
What does CMS mean?
Center for Medicare and Medicaid Services
Which part offers Medicare Advantage Plan?
Part C
What is 100 x 10 + 15 - 3 ÷ 2 x 0 =
(PEMDAS is not needed)
0 - Any number multiplied by Zero is Equal to 0
Give at least 2 Medical Services not covered by PART A.
Physician Services Outpatient Hospital Care Preventive services Mental Health Services Home Health Visits X-rays, diagnostic tests, durable medical equipment Physical, Speech, and Occupational Therapy Clinical Laboratory Service Blood (Outpatient)
The mst you'll ave to pay in a year for covered services. After you reach this amount, your insurance pays 100% of covered costs.
Maximum Out-of-pocket
Who won Miss Universe 2015? Crowned last December 20, 2025.
Pia Alonzo Wurtzbach
65
In F.L.A.M.E.S. Love Game, what does E means?
Which part of Medicare offers Prescription Drug?
Part D
What does TMNVE stands for?
Termed as Never Enforced
Who is the author of "Touch Me Not"?
Dr. Jose P. Rizal
Aside from being 65 years old, what are the other 2 qualifications for Medicare?
A younger person that has Disabilities
A person that has Terminal Ill
What is the Full Name of Wave 50 A Trainer?
Shiennalyn Gubot
Which part of Medicare offers free access and free of cost for DME?
None, Part B offers DME but not free.
If MJ has a deductible of $1,000 and he has a procedure that cost $800 and another procedure that cost $800. How much does MJ has to pay out-of-pocket for Insurance to help?
$1,600 - Total Bill
Less: $1,000 Deductible
TOTAL = $600
What does PAG-ASA stands for?
Philippine Atmospheric Geophysical and Astronomical Services Administration
The customer called in because he/ she wanted to know the benefits of his/her father. The caller identifies himself/herself as authorize because of POA. Upon checking the notes and previous tickets, the caller submitted AOR 3 days ago. Will you assist the caller?
No, the turnaround time is 5 days. 3 days ago is not sufficient for the investigation of document submitted.
How many 9 from 1 to 100?
20
Can you give the other names of PART A,B,C and D?
Part A - Hospital Insurance
Part B - Medical Insurance
Part C - Medicare Advantage Plan
Part D - Prescription Drug Plan
Give at least 3 Qualifying Life Events.
Moving (new address, nursing home, back to U.S.)
Losing other coverage (employer, union, or drug plan)
Gaining/loss of eligibility (Medicaid, Extra Help, Special Needs Plan)
Plan issues (Medicare ends contract, enrollment errors)
Joining or leaving employer/union health coverage
What is Rizal's Full name?
Jose Protacio Rizal Mercado y Alonso Realonda
1. POA
2. AOR
3. Verbal Authorization
1. POA - No expiration, unless revoke by member or member's death.
2. AOR - 1 year valid
3. Verbal Authorization - 7 days
Give at least 3 parts of Earth.
Geosphere (Lithosphere)
Hydrosphere
Biosphere
Atmosphere
Cryosphere