Medicare/Medicaid CMS Questions And Answers Rated A+ New Update Assured Satisfaction
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Course
Medicare/Medicaid CMS
Institution
Medicare/Medicaid CMS
Medicaid expansion - 2014-state choice
Coverage to non-elderly, non-disabled adults!
Covers the "gap" for those who didn't qualify, but make too little to get private insurance
*benefits state by lowering hospital/state costs of unpaid ER/health bills
What places can a Med B pt go? - 1. Outpati...
Covers the "gap" for those who didn't qualify, but make too little to get private insurance
*benefits state by lowering hospital/state costs of unpaid ER/health bills
What places can a Med B pt go? - 1. Outpatient
2. Physician services
3. Durable medical equipment
4. Mental health services
5. Ambulance
What are the requirements to qualify for Medicare? - 1. over 65
2. entitled to Railroad Disability Benefits
3. entitled to disability benefits (SSI) for 24 months
4. entitled to SSI due to Low Gehrig's Disease
5. with End Stage Renal Disease (ESRD)
Medicare A - Hospital insurance
No premium if paid Medicare taxes!
Medicare B - Medical insurance
Can choose to enroll if pay premiums
Medicare C - Medicare Plan-private insurers
Medicare Advantage
, Medicare D - ✔️✔️Prescription drugs
What places can a Med A pt go to? - 1. Inpatient hospitalization
2. SNF
3. Home health
4. Hospice
5. Acute rehab
*HH can also be Med B!
What is covered under Med C? - ✔️✔️1. Health maintenance org (HMO)
2. Preferred provider org (PPO)
3. Private fee-for-service (PFFS)
4. Point of service options (POS)
5. Medicare medical savings accounts (MSA)
*similar to private insurances-but have different regulations!
What is covered under Med D? - ✔️✔️Voluntary enrollment with A or B coverage
Medicare contracts with private companies
Medigap benefits - ✔️✔️Supplemental health insurance policy
Fills "gaps" within original Medicare plan
-basically covers some or most out of pocket
Through private insurance companies
*must enroll in BOTH part A and B within 6 months of eligibility for Medicare
Who manages Medicaid? - ✔️✔️At the Federal level=CMS
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