What is Medicare Part B?
A. It is the managed care component of Medicare. |
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B. Provides for prescription drug plans. |
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C. Supplemental health plan to cover physician services. |
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D. It is financed from payroll taxes. |
Answer: (A) It is the managed care component of Medicare. As Medicare Part B (medical insurance) is part of Original Medicare which includes outpatient care, preventive services, ambulance services, and it also covers medical services which is medically necessary to treat health condition of a person. So, it is the managed care component of Medicare where it covers all the expenses regarding the outpatient treatment or any ambulance services etc.
What is Medicare Part B? A. It is the managed care component of Medicare. B. Provides for prescription drug...
UESTION 5 Match the following government insurance with its purpose. Provides prescription drug benefits to seniors and other eligible beneficiaries. A. Medicare -A Coverage for inpatient hospital care, skilled nursing care, hospice, and home health care B. Medicare -B Medicare -C Eliminates the need for supplemental Medigap insurance because deductibles and coinsurance costs are nonexistent. D. Medicare -D Coverage for physician charges, outpatient hospital services, ambulance services, and emergency department services. lick Save and Submit to save and submit. Click...
Which of the following is correct about Medicare reimbursement? Medicare Part A pays for hospital services; Medicare Part B pays for physician services; Medicare Part C does not pay non-covered services; Medicare Part D pays prescription drug benefits. Medicare Part B pays for hospital services; Medicare Part A pays for physician services; Medicare Part C does not pay benefits; Medicare Part D pays prescription drug benefits. Medicare Part A pays for hospital services; Medicare Part B pays for physician services;...
Describe Medicare Part D Prescription Drug Benefit. Describe Medicare supplemental policies called Medigap or medsup policies.
What is one difference between Medicare FFS and Medicare Advantage? A. Medicare FFS is ran by private insurance companies B. Medicare advantage may include a supplemental prescription drug plan C. Medicare FFS includes extra benefits such as expanded vision and dental D. Medicare Advantage always includes a drug plan
Someone post from a discussion question... (Respond to it) Medicare is a federal program that provides health coverage if you are 65+ or under 65 and have a disability, no matter your income. Medicaid is a state and federal program that provides health coverage if you have a very low income. Medicaid offers care to the poorest families while CHIP extends coverage to a larger number of children. Care through the Medicaid program may be more extensive, but the CHIP...
4) Services included in Medicare Part A benefit include all EXCEPT: (5pts) Inpatient hospitalization Long-term care hospitalization O Hospice care Hearing aidsd 5) Medicare Part C combines Medicare Parts A and B into a managed care option known as 6) What is the name of the supplemental insurance coverage to Medicare Part A and Part B that covers most cost sharing expenses? Spts 7) What is the nation's largest integrated healthcare system?
Medicare Part D .a) True/False: Medicare directly manages and provides Part D services for Medicare beneficiaries. b) Select from the following: In the initial coverage period, how much of the drug costs do Part D enrollees pay? .A – 100%; B-75%; C-50%; D-25% c)Describe in detail the federal government’s role in the financing of Medicare Part D from premium subsidy to Medicare reinsurance of Part D. d) Briefly describe: why was Part D implemented?
The Affordable Care Act changed Medicare by: changing the percentage of the Part B premium that Medicare enrollees have to pay. reducing the large Part A deductible. reducing the time Medicare beneficiaries can switch between plans from 1 year to 30 days. reducing the "donut" hole in the Part D (prescription drugs) benefit.
The Medicare Part C program: Enables beneficiaries to enroll in risk-based health plans such as HMOs and PPOs. Uses the Bretton-Woods RVRBS formula to reimburse physicians. Was created under TEFRA to provide health insurance for the working indigent. Provides a prescription drug benefit for Medicare beneficiaries.
AH Sfganization that processes claims and provides administrative services for another organization is utilization management. b. resource-based relative value system. third-party administrator. d. provider network. a. C. 37. The Affordable Care Act includes which of the following categories of essential health benefins a. Emergency services b. Laboratory services c. Prescription drugs d. All of the above 38. Services that are needed to improve the patient's current health are considered a. elective. b. preventive. c. medically necessary. d. provider network. 39....