Medicare
Medicare is a federal health insurance program for retirees 65 years or older and any people with disabilities irrespective of age.
True or False?
True
Medicare v. MassHealth
Which focuses on individuals over 65?
Medicare
Part A for hospital coverage and Part Bfor medical coverage are the originalparts of the Medicare funded by the______ government.
Federal
What is One Care?
Integrated care option for dual-eligible individuals living with disabilities.
What is the Center for Medicare and Medicaid Services?
This federal organization oversees Medicare and Medicaid.
What Managed Care Plancan dual eligible membersenroll in?
One Care
Which of these things are covered by Medicare Part A?
Hospitals
Skilled nursing facilities
Long term care facilities
All of the above!
What does PACE stand for?
Program of all-inclusive care for the Elderly
Name 3 categorical eligibilityfactors of the Medicare population.
65+ individuals who qualify for SSD
<65 with disabilities
Individuals who have End-Stage Renal Disease
________ is the term that bothMedicare and MassHealth use todescribe groups of doctors andhospitals that work together toprovide care.
The Network
Doctor’s services, outpatient care,home health care, and durablemedical equipment are covered bywhich Medicare plan?
Doctor's services, outpatient care,home health care, and durable medical equipment are covered by this.
Enrollment in Senior Care Options is mandatory.
True or False?
False
A Managed Medicare Plan may cover vision, dental, and hearing aids. Other Medicare plans do not cover these services.
True or False?
True
Medicare v. MassHealth
Which income limits are lower?
Medicare
Medicare part ___ covers prescription drugs.
Medicare Part D
If an individual has Medicare, butis not a senior, MassHealth maycover their part ____ premium.
Part B
Who is the Medicare Programfocused on benefitting?
The elderly and disabled are the target population.
If a member has both Medicareand MassHealth, who is thepayer of last resort?
MassHealth
Medicare Part C plans and Medicare Advantage (MA) plans are the same thing.
True or False?
True
When a member enrolled in aMassHealth plan becomes eligible forMedicare, what happens to theircurrent MassHealth plan?
They’re disenrolled from the MassHealth plan.