Chap 17 Flashcards
Coinsurance
met when a patient pays a percentage of her medical expenses. Her insurance pays the remaining percentage
Provides benefits to
individuals 65 years or older, individuals younger with certain disabilities
Patients who have Medicare part A
do not pay premium for this coverage
When a person has both Medicare and Medicaid
Medicare is the primary insurance
Advanced beneficiary notice
when Medicare does not pay for service- patient must sign to let them know they may be responsible for payment or they can choose not to have the treatment done
When a person has more than one insurance company
the primary insurance is the one that is billed first
Medicare part A
hospital insurance
Medicare part B
physicians fees, diagnostic tests and some screening tests
Medicare b part 2
diagnostic tests, outpatient hospital services, clinical lab services, speech therapy, medically necessary, physicians fees, certain immunizations (influenza and pneumonia), specific screening tests
Medicare part C
combination of Medicare part a and part b and also called as the Medicare advantage
Medicare part d
prescription drugs