B6-096 Medicare Flashcards
what percentage of people have 5+ chronic conditions?
20%
what percentage of patient has both medicaid and medicare?
20%
**older impoverished people may be eligible for both
plan A of medicare is paid for by
the employed
who is eligible for medicare?
over 65 years of age OR
those with disabilities OR
those with ESRD
which part of medicare is hospital coverage?
A
which part of medicare covers outpatient/clinic visits?
B
which part of medicare is prescription drug coverage?
D
which part of medicare is Medicare Advantage Plans?
C
**privatized health care
supplemental medicare insurance that provides additional coverage for deductibles
medigap policy
amount patient pays each month for insurance
premium
amount patient pays for each service
co-pay
amount patient pays before medicare starts to help with cost
deductible
patient pay a certain percentage once deductible is met
co-insurance
the most a patient will pay in a year
out of pocket maximum
does traditional medicare have a OPM?
no
**this is where medigap and supplemental plans can help cover extended hospital stays
which part of medicare utilizes networks?
C
**out of network costs are exponentially more
what medicare option would likely be best for a patient with multiple chronic diseases?
traditional (A&B) + D +medigap
which part of medicare includes dental, vision, and hearing services?
C
what are some things that can be done to curb the growing costs of medicare?
-raising min age to 67
-having medicare patients pay more
-forcing more medicare patients in Advantage plans/networks
pays for physician visits, outpatient services, preventative services, and some home health
Part B
medicare advantage is part
C