Medicare Part A - Answer Hospital Insurance
Medicare Part B` - Answer Medical Insurance (out pt, Mental health services, ambulance, clinical research, premium requred
Medicare Part C - Answer Medicare Advantage Plus
(includes A and B)
Replaces traditional medicare
Medicare Part D - Answe...
Indiana Navigator Exam Questions & Answer
Medicare Part A - Answer Hospital Insurance
Medicare Part B` - Answer Medical Insurance (out pt, Mental health services, ambulance, clinical research, premium requred
Medicare Part C - Answer Medicare Advantage Plus
(includes A and B)
Replaces traditional medicare
Medicare Part D - Answer Prescription drug coverage
Qualified Medicare Beneficiary - Answer Pays part A and B premiums, deductibles, and co-insurance
(Can be combined w Medicaid)
Specified low income beneficiary - Answer Pays part B premium
(can be combined w Medicaid)
Qualified Individual - Answer Pays part B premium
(CANT be combined w Medicaid)
QMB only - Answer only Medicare, must meet income requirements
(covers premiums, co-pay, and co-insurance)
QMB also - Answer displays Medicaid traditional, pays for service that is not covered by Medicare
Combined w Medicaid
(covers premiums, co-pays, and deductibles) Coinsurance - Answer % a pt pays for a covered healthcare service after their deductible has been met.
(most pt have 80/20)
Copay - Answer fixed amount a pt pays for a covered healthcare service before their deductible has been
met
CoreMMIS - Answer Core Medicaid Management Information System
used to verify IHCP eligibility
Deductible - Answer amount paid out-of-pocket by the policy holder before an insurance provider will cover any healthcare expenses
End Stage Renal Disease - Answer last stage of chronic kidney disease. pt will be on dialysis or need a kidney transplant to stay alive
Emergency Medical Treatment and Lbaor Act - Answer requires anyone coming to the ER to be stabilized and treated regardless of their insurance status or ability to pay
Fee-For-Service - Answer Payment model where healthcare services are bundled and paid for seperately
Federal Poverty Levl - Answer Measure of income by the federal government to determine ipt eligibility for subsidized insurance plans
Federally Qualified Health Center - Answer Community based healthcare providers that receive funds from the HRSA health Center Program to provide primary care services in underserved areas
Group Health Plan - Answer GHP
Employee plan maintained by an employer that provides Medicare care for employees and dependents through insurance
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