Medicare/Anthem (BlueCross BlueShield) Flashcards

You may prefer our related Brainscape-certified flashcards:
1
Q

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

A

Medicare

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2
Q

Who is responsible for administering medicare?

A

CMS

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3
Q

Medicare A

A

Inpatient hospital

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4
Q

Medicare B

A

Medical insurance

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5
Q

Medicare C

A

Advantage= alternative plan for Medicare A&B

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6
Q

5 star rating system is for which medicare?

A

C

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7
Q

Medicare D

A

Prescription drug benefits

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8
Q

Medigap

A

covers cost not reimbursed by normal medicare

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9
Q

Medicare enrollment

A

65 and older

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10
Q

Do not pay a premium for Medicare Part A if?

A

They or a spouse paid Medicare taxes while they were working

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11
Q

Dual Eligible Medicare

A

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

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12
Q

Hospice Care

A

$0, no deductible

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13
Q

Origin of BlueCross

A

Only covered hospitals

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14
Q

Origin of BlueShield

A

Physician services

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15
Q

PAR

A

Participating Providers

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16
Q

PAR is..?

A

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