1. Medicare ANS >>> Federal health insurance program
2. Medicare is administered by whom? ANS >>> CMS ( Centers for medicare and
medic- aid services)
3. Parts A & B of medicare are ANS >>> federal health insurance program
referred to as original medicare
https://www.stuvia.com/user/CULTIVATED
, 4. Part A? ANS >>> Hospital insurance
5. Part B? ANS >>> Medical insurance
6. What doesnt medicare cover? ANS >>> routine dental, eye care hearing
exam,de- ductibles, coinsurance and copayments
7. Part C? ANS >>> Medicare Advantage Plans
8. MA covers? ANS >>> Part A &B coverage, and some part D coverage
9. MA plans are not? ANS >>> Medicare supplement insurance plans
10. What offers lower monthly premiums MADP or supplement? ANS >>> MADP
11. do MAP's have a annual maximum OOP maximum that limits the amount
of money a member must spend every year for covered services? ANS >>>
YES
12. MA plans integrate what type of additonal coverage? ANS >>> part D
prescription drug coverage
https://www.stuvia.com/user/CULTIVATED
, 13. If a customer wants to keep their stand alone prescription drug plan, what
may the customer want to enroll in? ANS >>> MA-only PFFS plan
14. What is a stand alone drug plan called? ANS >>> PDP
15. WHat is PFFS? ANS >>> Private Fee for Service (PFFS) - Plans that allow you
to go to any doctor or hospital that accepts their terms
16. If a customer lives in a rural area, what type of plan may they want
because it gives them freedom to access doctors that may not be in their
network? ANS >>> PFFS plan
17. Do HMO's require referals? ANS >>> Yes
18. Do PPO's require a referal? ANS >>> No
19. When a member enrolls in a MA plan, they receive their coverage from
medicare or the MA plan? ANS >>> MA plan
20. When a customer is enrolled in a MA plan, they must continue paying their
premiums for what other plan? ANS >>> Part B
https://www.stuvia.com/user/CULTIVATED
2. Medicare is administered by whom? ANS >>> CMS ( Centers for medicare and
medic- aid services)
3. Parts A & B of medicare are ANS >>> federal health insurance program
referred to as original medicare
https://www.stuvia.com/user/CULTIVATED
, 4. Part A? ANS >>> Hospital insurance
5. Part B? ANS >>> Medical insurance
6. What doesnt medicare cover? ANS >>> routine dental, eye care hearing
exam,de- ductibles, coinsurance and copayments
7. Part C? ANS >>> Medicare Advantage Plans
8. MA covers? ANS >>> Part A &B coverage, and some part D coverage
9. MA plans are not? ANS >>> Medicare supplement insurance plans
10. What offers lower monthly premiums MADP or supplement? ANS >>> MADP
11. do MAP's have a annual maximum OOP maximum that limits the amount
of money a member must spend every year for covered services? ANS >>>
YES
12. MA plans integrate what type of additonal coverage? ANS >>> part D
prescription drug coverage
https://www.stuvia.com/user/CULTIVATED
, 13. If a customer wants to keep their stand alone prescription drug plan, what
may the customer want to enroll in? ANS >>> MA-only PFFS plan
14. What is a stand alone drug plan called? ANS >>> PDP
15. WHat is PFFS? ANS >>> Private Fee for Service (PFFS) - Plans that allow you
to go to any doctor or hospital that accepts their terms
16. If a customer lives in a rural area, what type of plan may they want
because it gives them freedom to access doctors that may not be in their
network? ANS >>> PFFS plan
17. Do HMO's require referals? ANS >>> Yes
18. Do PPO's require a referal? ANS >>> No
19. When a member enrolls in a MA plan, they receive their coverage from
medicare or the MA plan? ANS >>> MA plan
20. When a customer is enrolled in a MA plan, they must continue paying their
premiums for what other plan? ANS >>> Part B
https://www.stuvia.com/user/CULTIVATED
