UHC certification
Medicare Correct Answer: Federal health insurance program
Medicare is administered by whom? Correct Answer: CMS ( Centers for medicare and medicaid services)
Parts A & B of medicare are Correct Answer: federal health insurance program referred to as original medicare
...
UHC certification
Medicare Correct Answer: Federal health insurance program
Medicare is administered by whom? Correct Answer: CMS ( Centers for medicare
and medicaid services)
Parts A & B of medicare are Correct Answer: federal health insurance program
referred to as original medicare
Part A? Correct Answer: Hospital insurance
Part B? Correct Answer: Medical insurance
What doesnt medicare cover? Correct Answer: routine dental, eye care hearing
exam,deductibles, coinsurance and copayments
Part C? Correct Answer: Medicare Advantage Plans
MA covers? Correct Answer: Part A &B coverage, and some part D coverage
MA plans are not? Correct Answer: Medicare supplement insurance plans
What offers lower monthly premiums MADP or supplement? Correct Answer:
MADP
do MAP's have a annual maximum OOP maximum that limits the amount of
money a member must spend every year for covered services? Correct Answer:
YES
MA plans integrate what type of additonal coverage? Correct Answer: part D
prescription drug coverage
If a customer wants to keep their stand alone prescription drug plan, what may the
customer want to enroll in? Correct Answer: MA-only PFFS plan
What is a stand alone drug plan called? Correct Answer: PDP
WHat is PFFS? Correct Answer: Private Fee for Service (PFFS) - Plans that allow
you to go to any doctor or hospital that accepts their terms
, If a customer lives in a rural area, what type of plan may they want because it gives
them freedom to access doctors that may not be in their network? Correct Answer:
PFFS plan
Do HMO's require referals? Correct Answer: Yes
Do PPO's require a referal? Correct Answer: No
When a member enrolls in a MA plan, they receive their coverage from medicare
or the MA plan? Correct Answer: MA plan
When a customer is enrolled in a MA plan, they must continue paying their
premiums for what other plan? Correct Answer: Part B
MA plans have a maxium annual limit on OOP costs called a? Correct Answer:
MOOP amount ( Maxium out of pocket)
When a member is enrolled in a MA plan, they are automatically disenrolled from
any other MA plan or PDP( prescription drug plan) in which they are enrolled as of
the new plans_____? Correct Answer: effective date
An exception exisits for MA-only PFFS plans as a member can also be enrolled in
a what? Correct Answer: Stand alone PDP
If a member enrolls in a MA plan, what must the member do? Correct Answer:
Cancel in writing their medicare supplement insurance policy with the carrier after
their request to enroll in MA plan has been approved.
Medicare supplement insurance policies cannot be used in conjunction with what
type of plan? Correct Answer: MA plan
A medicare supplement insurance plan helps to cover some of the OOP costs
associated with? Correct Answer: original medicare.
A medicare supplement insurance plan does NOT pay the cost-sharing of what
type of plan? Correct Answer: MA plan
when a client enrolls in a MA plan, will it automatically terminate their MA plan?
Correct Answer: NO
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Classroom. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $8.49. You're not tied to anything after your purchase.
