Medicare
What does Medicare Part A cover?
What is to provide coverage for inpatient hospital services, skilled nursing care, and hospice?
Who is Eligible for Medicare Advantage?
What is:
–Be enrolled in Medicare Part A (Hospital Insurance)
–Be enrolled in Medicare Part B (Medical Insurance)
–Live in the plan’s service area
–Be a United States (U.S.) citizen or lawfully present in the U.S.
–Not be incarcerated
What does CMS stands for?
What is Centers for Medicare & Medicaid Services?
These screenings include blood tests for cholesterol, lipid, and triglyceride levels that help detect conditions that may lead to a heart attack or stroke. Medicare covers these screening blood tests once every 5 years. You pay nothing for the tests if the doctor or other qualified health care provider accepts assignment. What Preventative Services is this?
What is Cardiovascular disease screenings?
Who is Monique Jauregui?
What is USCB Manager for the Customer Service?
What does Medicare Part B cover?
What is to cover medically necessary outpatient services, including doctor visits and preventive care?
7-month window around the 65th birthday (3 months before, the month of, and 3 months after), what enrollment period is this?
What is Initial Enrollment Period (IEP)?
How does CMS Measure Success?
What is:
1.Timeliness Study Metrics
2.Accuracy and Accessibility Study Metrics
3.STARS and CAHPS - Consumer Assessment of Healthcare Providers and Systems (CAHPS)
•FDA-approved and FDA-authorized vaccines help reduce the risk of illness from COVID-19 by working with the body’s natural defenses to safely develop immunity (protection) against the virus. What Preventative Services is this?
What is COVID-19 Vaccines?
When calling out for the day, who are you calling?
Who is attendance/HR line?
What does Medicare Part C cover?
What is to offer an alternative to Original Medicare by providing all Part A and B benefits, often with additional service?
Runs from October 15 to December 7, what enrollment period is this?
What is Annual Enrollment Period (AEP)?
How many seconds does the incoming calls need to be answered after the interactive voice response (IVR)?
What is 30 seconds?
Medicare covers up to 2 blood glucose (blood sugar) laboratory test screenings (with and without a carbohydrate challenge) each year if your doctor determines you’re at risk for developing diabetes. You pay nothing for the test if your doctor or other qualified health care practitioner accepts assignment.What Preventative Service is this?
What is Diabetes screenings?
What is the name of the project assigned to you?
What is UCLA Medicare Advantage?
What does Medicare part D cover?
What is to provide affordable prescription drug coverage, ensuring beneficiaries have access to necessary medications?
Runs from January 1 to March 31, what enrollment period is this?
What is Medicare Advantage Open Enrollment Period (OEP)?
Accuracy and Accessibility Study Metrics is determined by what?
What is:
1.Availability of interpreters for individuals
2.Teletypewriter (TTY) functionality and
3.Accuracy of plan information provided by customer service representatives (CSRs) in all languages
This test helps to see if you’re at risk for broken bones. Medicare covers it once every 24 months (more often if medically necessary) for people who have certain medical conditions or meet certain criteria. You pay nothing for this test if your doctor or other qualified health care provider accepts assignment.What Preventative Service is this?
What is Bone mass measurements?
What is an outpatient visit?
What is:You’re an outpatient if you’re getting emergency or observation services (which may include an overnight stay in the hospital or services in an outpatient clinic), lab tests, or X-rays, without a formal inpatient admission (even if you spend the night in the hospital.
What is not covered under Medicare Part B?
What is:
1.Routine Dental Care
2.Routine Vision Care
3.Hearing Aids and Related Exams
4.Cosmetic Surgery
5.Other Common Exclusions
Triggered by life events like moving out of the plan’s area, losing other coverage, or becoming eligible for Medicaid, what enrollment period is this?
What is Special Enrollment Period (SEP)?
Health plans are rated on a scaleof 1 to what?
What is 5?
Medicare covers Pap tests and pelvic exams to check for cervical and vaginal cancers. As part of the pelvic exam, Medicare also covers a clinical breast exam to check for breast cancer. Medicare covers these screening tests once every 24 months in most cases. Medicare covers these screening tests once every 12 months if you’re at high risk for cervical or vaginal cancer, or if you’re of child-bearing age and had an abnormal Pap test in the past 36 months. What Preventative Service is this?
What is Cervical & vaginal cancer screenings?
What is an inpatient stay?
what is you’re an inpatient when the hospital formally admits you with a doctor’s order?