Medicare Jeopardy

Cost Share Terms

100

A fixed amount that a member pays for services

copay

200

a percentage amount a member pays for services

coinsurance

300

name all 3 types of post service cost share

copay, coinsurance, deductible

400

a pre service charge members have to pay monthly

premium

500

a fixed amount a member has to pay before their insurance starts paying

deductible

Medicare Parts

100

This part of medicare covers inpatient hospital visits

part A

200

this part covers regular doctor's visits, durable medical equipment, and diagnostic testing

Part B

300

this part covers medication prescribed by your doctor

Part D

400

this is also known as original medicare

part A & B

500

this is another name for medicare advantage plans

Part C

HIPAA

100

My cousin without my permission calls in to ask what doctor i went to last week

no

200

My mom who is listed on my account as an authorized representative calls to ask what is my benefit for a flu shot

yes

300

My dad and myself call together to request a new ID card for myself

yes

400

My wife calls in to ask what is my benefit for visiting a urgent care

no

500

name one form of PHI

name, address, SSN, DOB, diagnosis codes, procedure codes, provider information 

Enrollment periods

100

the First enrollment period a member gets when they turn 65. starts 3 months before and ends 3 months after their birth month. 

Initial Coverage Enrollment Period (ICEP or IEP)

200

an enrollment period from October 15th - December 7th

Annual Enrollment Period (AEP)

300

Enrollment period for medicare advantage members to make a change in their plan

Medicare Advantage Open Enrollment Period

(MA-OEP)

400

Enrollment period for people who qualify for a special circumstance like moving out of service area

Special Enrollment Period (SEP)

500

This type of plan does not need an enrollment period and can drop and sign up at any time

Medicare Supplement plans

True or false fun Facts

100

Lobsters have red blood

False, they have blue blood

200

There are more stars in the universe than there are grains of sand on earth.

True

300

It takes over 1000 peanuts to make a jar of peanut butter

false, it takes about 540

400

It’s possible to hum while holding your nose.

False, it is impossible

500

The liver is the only human organ that can fully regenerate itself.

True