Medicare Supplement Insurance policies or Medigap is sold by:
a. Medicare
b. Medicaid
c. Private insurance companies
d. Healthcare providers - Answer-c. Private insurance companies
Albert has purchased a Medigap policy to supplement his Medicare benefits. To which entity will Albert
pay his m...
AAPC CPB : Chapter 11 Review Medicare Supplement Insurance policies or Medigap is sold by: a. Medicare b. Medicaid c. Private insurance companies d. Healthcare providers - Answer -c. Private insurance companies Albert has purchased a Medigap policy to supplement his Medicare benefits. To which entity will Albert pay his monthly premium for this policy? a. Medicare b. MAC c. Medicaid d. Medigap insurance company - Answer -d. Medigap insurance company Andrew has selected TRICARE Prime as his health plan. Who will be responsible for coordinating his health care, maintaining his medical records and referrals to specialists when needed? a. PCP - Primary Care Provider b. PCC - Primary Care Coordinator c. PCM - Primary Care Manager d. PCN - Primary Care Networker - Answer -c. PCM - Primary Care Manager Barbara's late husband, Joe, was a lieutenant in the Navy. He served for 30 years, retiring 10 years prior to his death that was related to service connected disability. Barbara will still have healthcare coverage as Joe's widow under which of the followin g healthcare programs? a. TRICARE b. CHAMPVA c. CHAMPUS d. Medicare - Answer -b. CHAMPVA Beth has purchased a Medigap policy to supplement her Medicare coverage. She has authorized Medicare to send payments directly to the physician, and Medicare has transferred their claims information to the Medigap insurance company. This transfer of inform ation is known as: a. Cross -under b. Shared billing c. Cross -over d. Data sharing - Answer -c. Cross -over Dr. Allen who is a non -PAR provider performs an appendectomy on a 67 year -old Medicare patient. The physician's UCR for the surgery is $1500. Medicare's approved fee for this procedure is $1100. What is the limiting charge that this non -PAR provider can ch arge to this Medicare patient? a. $1265 b. $1100 c. $1500 d. $1201.75 - Answer -d. $1201.75 Early and Periodic Screening, Diagnostic and Treatment (EPSDT) is a program associated with: a. Medicare b. Medicaid c. Commercial insurance carriers d. All insurance carriers - Answer -b. Medicaid
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