Test 2 Flashcards
How many parts does MEDICAID have?
1
How many different types of governmental insurances are there?
6
What does the id number one a Tri Care insurance card look like?
Your SSN
How many parts does Medicare have?
4
What is another name for the Medicare card?
Red white and blue card
What individuals are eligible to receive CHAMP VA?
Individuals that are retired from the armed forces
What individuals are eligible to receive Worker’s Compensation
Individuals that were injured at the worksite while performing a duty that was required of them
Who pays for the benefit provided in worker’s compensation?
State govt pays half
Employers pays half
What individuals are eligible to receive Medicare?
Senior citizens, veterans, & individuals with disabilities
How are individuals screened in order to receive Tri Care?
DEERS
Who funds Medicaid?
State Government
What does the id # look like on a MEDICAID card?
Alphanumeric containing:3 letters,5 numbers
Explain the concept behind the “donut hole” or coverage gap.
After 2400 spent on medication the pt has to pay the next $3,051.25 until they can receive Medicare D again
What part of Medicare has the donut hole?
Medicare part D
What individuals are eligible to receive Medicaid?
Low income & people with disabilities
An individual can receive medical treatment with a Florida Medicaid card in Delaware?
No, can only be used in issuing state unless it’s an emergency
T/F. You must be 65 and over in order to receive Medicaid
False
What part of government funds Medicare?
Federal Government
State governments funds?
Medicaid
Federal government funds?
Medicare
Medicare A covers?
Hospital admission & stay, hospice care, home health
Medicare pt B covers ?
Outpatient expenses, X-rays,lab work, blood work, CATscan,mri, DME
Medicare part C covers?
Combines A,B,& D together
Medicare Part D covers?
Prescription coverage
DME is
Durable medical Equipment
I.e. Canes, walkers, wheelchairs, seringes
Medicare supplemental insurance given to?
- Low Income
- Severe Disability
- Severely Sick
Medicare supplemental insurance picks up the cost of?
Medicare deductible/ coverage gap
Workers compensation is provided by the?
State government
Workers compensation requires what for almost all procedures?
Preauthorization
DEERS is short for?
Defense Enrollment Eligibility Reporting System
Medicaid card # has how many digits?
16
Medicaid sequence # is?
2 digits between 00-99
