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Medicare
HIPAA
Medicare "Acts"
Medi-facts
Medicare 3
100
This part of Medicare Covers Hospital
What is Medicare Part A
100
HIPAA is an acronym that stands for.
What is Health Insurance Portability and Accountability Act
100
HMO
What is Health Maintenance Organization
100
When a Member's RxSpend reaches 2,970.00 they reach this.
What is The Coverage Gap
100
Part of Medicare that covers Medical bills
What is Medicare Part B
200
Has no premium if you work for 10 or more years and pay into Medicare.
What is Medicare Part A
200
PHI
What is Personal Health Information
200
PPO
What is Preferred Provider Organization
200
For a Brand name medication in the Coverage Gap, the manufacturer pays what percentage?
What is 50%
200
Part of Medicare that requires both Medicare A and B/not supplement.
What is Medicare Advantage Plans, Part C
300
Medicare Part A and Part B are considered what?
What is Original Medicare
300
Three parts of Information to HIPAA Verify a memeber
What is First and last name, DOB, and one of the following: Member ID, Medicare ID or Complete Address
300
HMO-POS
What is Health Maintenance Organization- Point of Service
300
The Troop is consisted of ________ and _________ paying towards this amount to reach the Catastrophic stage.
What is Members Out of pocket cost and the manufacturers Out of pocket cost and the amount is 4,750.00
300
Covers canes, neutralizers, wheelchairs and diabetes testing strips.
What is Medicare Part B
400
Covers the gaps in Original Medicare
What is Medigap(Medicare supplemental insurance)
400
1996
What is the year HIPAA was implemented.
400
PFFS
What is Private Fee For Service
400
Offered by third party companies to provided Prescription coverage for individuals on Medicare.
What is Medicare Part D
400
In this stage you pay 2.65 or 5% for a generic medication and 6.60 or 5% for a brand medication
What is catastrophic stage
500
The qualifications to obtain Medicare
What is be 65 years of age or order, have a disability or ESRD(kidney failure)
500
Must be done of every, EVERY call.
What is HIPAA Verification
500
CMS
What is Centers for Medicare and Medicaid Services
500
Max Deductible for a Prescription Drug plan in 2013
What is 325.00
500
What year did Medicare Part D come into affect?
What is 2006