Brief Overview A-D
Helps provides hospitalization
What is medicare part A
Qualifications to be started on medicare
HINT THERE ARE THREE he mentioned
What is age >65, disability, and live in state for at least 5 years
What does Part B DME include
What is home blood sugar(glucose) monitors used with the equipment, including blood sugar test strips, lancet devices, and lancets
Supplemental that will cover health care costs not covered by original medicare. And what does it not cover?
What is Medigap and long term care
What are three things that describe Medicaid
What is federal and state dollars, sate administered, based on income, and all ages
Medicare managed care
What is medicare part C
Medicare Eligibility
Worked and contribute to social security for 10 years
US citizen or legal resident 65 and older
reside in US for a minimum of 5 years
worked at least 10 years in medicare covered employment
What are some drugs covered under medicare part B
What is nebulizers and transplant drugs
Program must target enrollees in the sponsor's Part D plan who (4 requirements)
1.) Have multiple chronic disease AND
2.) Are taking multiple Part D drugs AND
3.) Are likely to incur annual cost for covered Part D drugs that exceed a predetermined level specified by the secretary
4.) Automatic enrollment, may opt out
Basic Medicare Part D coverage typically includes which characteristics
A. Deductible
B. Increased coverage within the Donut hole
C. Automatic enrollment once medicare eligible
D. All of the above
What is Deductible
Medicare prescription drug program
What is Medicare Part D
Part A covers
Most medically necessary hospital, skilled nursing facility, home health, and hospice care.
"INPATIENT"
Vaccinations such as the plus shot, pneumonia and insulin pump fall under what Medicare Part?
What is Medicare part B
Which population is covered under the Medicare Modernization Act?
What is Medicare beneficiaries
Medicare Part A is finacnced by which of the following:
A. Employee payroll taxes
B. Beneficiary cost sharing
C. Self - employment taxes
D. A and C
E. All the above
What is All the above
Provide Physician services
What is medicare part B
True or False: Part A is free is certain eligibility requirements met?
What is true
What Medicare part is called medicare advantage, you get more coverage services, and you pay a premium. It allows for more choice
What is Medicare Part C
Which statement regarding Medicare Part D is TRUE?
A. Seniors are automatically enrolled once Medicare eligible
B. Coverage is the same throughout the year, regardless of the medication cost amount
C. Most participants pay a monthly premium
D. Covers medications given while person is admitted to hospital
What is C. Most participants pay a monthly premium
True or False: In order to receive prescription coverage through Medicare Part D, and individual must enroll in parts A, B, and C
What is False
Name Medicare part A-D brief overview
What is:
A - Provides hospitalization
B - Physician services
C - managed care
D- Prescription drug program
Part B covers
Most medically necessary doctors' services, preventative care, durable medical equipement (DME), hospital outpatient services, laboratory tests, x rays, mental health care, and some home health and ambulance services.
This Medicare Part provides outpatient prescription drug coverage. You DO NOT have to get this, it is voluntary
What is Medicare Part D
Which is NOT permissible under the Medicare Modernization Act?
A. Having a deductible in your PDP
B. Requiring a patient to use a mail order pharmacy
C. Changing the prices of medication
D. Directing a beneficiary to Medicare. gov for more information
What is B. Requiring a patient to use a mail order pharmacy
At what intervals may a patient with a medicare PDP or MA-PDP change his/ her provider
What is once a year