Chapter 4: Overview of Medicare Flashcards
What does the federal government established in 2001 to administer the Medicare and Medicaid programs?
Centers for Medicare & Medicaid Services (CMS).
CMS relies on a network of to serve as the primary operational contract between the Medicare program and health care providers?
Medicare Administrative Contractors (MACs).
Medicare coverage consists of?
Plan A, Plan B, Plan C, and Plan D.
What does Plan A covers?
Hospital admissions, skilled nursing facility stays, home health care and hospice.
What does Plan B covers?
Outpatient expenses, including providers’ fee, physical therapy, laboratory tests and medical supplies.
What is Plan C?
Medicare Advantage (MA) plans.
MA Plans are offered by?
Private insurance companies, are approved by Medicare and cover all Medicare services.
What does Plan D offer?
Prescription drug coverage to Medicare patients.
