Medicare/Anthem (BlueCross BlueShield)

Question 1

What is the single largest health care program in the US?

Answer 1

Medicare

Question 2

Who is responsible for administering medicare?

Answer 2

CMS

Question 3

Medicare A

Answer 3

Inpatient hospital

Question 4

Medicare B

Answer 4

Medical insurance

Question 5

Medicare C

Answer 5

Advantage= alternative plan for Medicare A&B

Question 6

5 star rating system is for which medicare?

Answer 6

C

Question 7

Medicare D

Answer 7

Prescription drug benefits

Question 8

Medigap

Answer 8

covers cost not reimbursed by normal medicare

Question 9

Medicare enrollment

Answer 9

65 and older

Question 10

Do not pay a premium for Medicare Part A if?

Answer 10

They or a spouse paid Medicare taxes while they were working

Question 11

Dual Eligible Medicare

Answer 11

program that helps w/ people with low income (medicare and medicaid)

Question 12

Hospice Care

Answer 12

$0, no deductible

Question 13

Origin of BlueCross

Answer 13

Only covered hospitals

Question 14

Origin of BlueShield

Answer 14

Physician services

Question 15

PAR

Answer 15

Participating Providers

Question 16

PAR is..?

Answer 16

Must submit claims for all BCBC subscribers, write off difference or balance btwn the amount charged by the provider and approved fee, Bill patients only the deductible and copay/coinsurance based on BCBS allowed fees