Medicare/Medicaid CMS Questions And Answers Rated A+ New Update Assured Satisfaction
9 views 0 purchase
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
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 PatrickKaylian. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $9.69. You're not tied to anything after your purchase.
