Question

Question 2 10 pts A fixed amount that can be charged to an MA Plan Enrolee on copaymen coinsuran deductible premium Question 3 10 pts Coordinated Care Plans (CCP) include all of these EXCEPT PPOs HMOs Private FFSs PSOs Question 4 10 pts MSA stands for Medicaid Medical Services Account Medicare Medical Specialties Allottment dicaid Medical Savings Account Medicare Medical Savings Account Question 5 10 pts Cost Sharing includes all of these payments from the patie Deductible Co-insurance remiunm Co-payment

Answer 1

1. A fixed amount that can be charged to an MA plan enrollee on a per-service basis:

Copayment

Health care services that are intended to maintain or improve the health status of enrollees, for which the MA organization incurs a cost or liability under an MA plan. Benefits are submitted and approved through the annual bidding process.

2. Coordinated care plans (CCP) include all of these except?

PSOs

With respect to the Medicare program, this type of plan is a type of coordinated care plan (CCP) or Medicare managed care plan where a group of doctors, hospitals, and other health care providers agree to become part of the contracted plan network. Members must get care from the providers in the plan network.

3. MSA stands for -

MSA Medical Savings Account

The second part is a special type of savings account. The Medicare MSA Plan deposits money into your account. You can use money from this savings account to pay your health care costs before you meet the deductible.

Medicare MSA plans cover the Medicare services that all Medicare Advantage Plans must cover. In addition, some Medicare MSA plans may cover extra benefits for an extra cost, like:

• Dental
• Vision
• Long-term care not covered by Medicare

4. Cost sharing includes all of these payments from the patient :

Premium

Price people pay to buy the policy. When a person pays a premium they are making their fixed contributed into the pool.