Eustacemaina122

Mrs. Turner is comparing her employer's retiree insurance to Original Medicare and would like to know which of the following services Original Medicare will cover if the appropriate criteria are met? What could you tell her? Original Medicare covers ambulance services. Madeline Martinez was widowed several years ago. Her husband worked for many years and contributed into the Medicare system. He also left a substantial estate which provides Madeline with an annual income of approximately $1...

Mr. Sanchez has just turned 65 and is entitled to Part A but has not enrolled in Part B because he has coverage through an employer plan. If he wants to enroll in a Medicare Advantage plan, what will he have to do? He will have to enroll in Part B. Mrs. Walters is enrolled in her state's Medicaid program in addition to Medicare. What should she be aware of when considering enrollment in a Medicare Advantage (MA) plan? She cannot enroll in an MA Medical Savings Account (MSA) plan. Mr. Gome...

This year you have decided to focus your efforts on marketing to employer group plans. One employer provides you with a list of their retirees and asks you to contact them to explain the characteristics of the plan they have selected. What should you do? You may go ahead and call them. Winthrop Brokerage wishes to place an advertisement in the local newspaper that says: "We offer Medicare Advantage plans offered by AB Health and Top Choice Health. Contact us if you would like to learn mor...

Mr. Zachow has a condition for which three drugs are available. He has tried two but had an allergic reaction to them. Only the third drug works for him and it is not on his Part D plan's formulary. What could you tell him to do? Mr. Zachow has a right to request a formulary exception to obtain coverage for his Part D drug. He or his physician could obtain the standardized request form on the plan's website, fill it out, and submit it to his plan. Mr. Polanski likes the cost of an HMO pla...

Types of Medicare Advantage Plans PPO, HMO, MSA, Cost Plan, PFFS Medicare-Medicaid plans Serve both Medicare and Medicaid individuals. Include Part D coverage. Individuals sometimes referred to as dual eligibles Medicare Cost Plan Type of Medicare health plan. Have Part B to enroll. Can join anytime plan is accepting new members. A non network provider will can charge higher coinsurances and deuctibles. Different enrollment/disenrollment periods apply. Can get Part D Rx coverage if availab...

Mrs. West wears glasses and dentures and has enjoyed considerable pain relief from arthritis through acupuncture. She is concerned about whether or not Medicare will cover these items and services. What should you tell her? Medicare does not cover acupuncture, or, in general, glasses or dentures. Mr. Bickford did not quite qualify for the extra help low-income subsidy under the Medicare Part D Prescription Drug program and he is wondering if there is any other option he has for obtaining h...

Mr. Wu is eligible for Medicare. He has limited financial resources but failed to qualify for the Part D low-income subsidy. Where might he turn for help with his prescription drug costs? - Mr. Wu may still qualify for help in paying Part D costs through his State Pharmaceutical Assistance Program. What impact, if any, will recent regulatory changes have upon Medigap plans? -The Part B deductible will no longer be covered for individuals newly eligible for Medicare starting January 1, 2020...

Mrs. Chen will be 65 soon, has been a citizen for twelve years, has been employed full time, and paid taxes during that entire period. She is concerned that she will not qualify for coverage under part A because she was not born in the United States. What should you tell her? Choose one answer. a. Most individuals who are citizens and over age 65 are covered under Part A by virtue of having paid Medicare taxes while working, though some may be covered as a result of paying monthly premiums...

Who receives a medicare ID card Every medicare beneficiary Are Social Security Cards still used No, new identification numbers are used now. How old to you have to be to use Medicare? 65 How can you get medicare if under 65? 1. Get disability from Social Security 2. Certain disabilities from Railroad Retirement Board for 24 months. 3. Have ALS or End-Stage Renal disease (ESRD) When did Medicare come into existence? 1965 Who Administers Medicare? The Center for Medicare and Medicaid Servic...

r. Lopez has heard that he can sign up for a product called "Medicare Advantage" but is not sure about what type of plan designs are available through this program. What should you tell him about the types of health plans that are available through the Medicare Advantage program? c. They are Medicare health plans such as HMOs, PPOs, PFFS, and MSAs. Correct Mr. Wells is trying to understand the difference between Original Medicare and Medicare Advantage. What would be a correct description...

Mr. Carlini has heard that Medicare prescription drug plans are only offered through private companies under a program known as Medicare Advantage (MA), not by the government. He likes Original Medicare and does not want to sign up for an MA product, but he also wants prescription drug coverage. What should you tell him? b. Mr. Carlini can stay with Original Medicare and also enroll in a Medicare prescription drug plan through a private company that has contracted with the government to pro...

Mr. Carlini has heard that Medicare prescription drug plans are only offered through private companies under a program known as Medicare Advantage (MA), not by the government. He likes Original Medicare and does not want to sign up for an MA product, but he also wants prescription drug coverage. What should you tell him? Mr. Carlini can stay with Original Medicare and also enroll in a Medicare prescription drug plan through a private company that has contracted with the government to provid...

Davis is 52 years old and has recently been diagnosed with end-stage renal disease (ESRD) and will soon begin dialysis. He is wondering if he can obtain coverage under Medicare. What should you tell him? He may sign-up for Medicare at any time however coverage usually begins on the fourth month after dialysis treatments start. Juan Perez, who is turning age 65 next month, intends to work for several more years at Smallcap, Incorporated. Smallcap has a workforce of15 employees and offers emp...

T/F You may be charged with a crime simply for serving a guest who appears to be intoxicated. True T/F It is illegal to serve alcohol to a pregnant woman. False T/F Dram shop laws protect the server from being sued in the event that an intoxicated guest injures another individual. False T/F The state liquor authority can suspend an establishment's liquor license for allowing a minor to enter the establishment with a fake ID. True T/F All guests must be 21 years old to purchase alcohol. T...

Foodborne illness Disease transmitted to people by food Foodborne illness outbreak When at least 2 people have the same symptoms after eating the same food Challenges to food safety Time, language & culture, literacy & education, pathogens, unapproved suppliers, high-risk populations, staff turnover Contamination Presence of harmful substances in food 3 categories of contaminants Biological, chemical, physical Biological contaminant Viruses, parasites, fungi, bacteria (some plants, mushr...

foodborne illness disease transmitted to people through food conditions for "outbreak" -2 or more people have same symptoms after eating same food -investigation by local authority -lab analysis confirmation 5 major risk factors for food borne illness -purchasing from unsafe sources -failing to cook correctly -holding food at unsafe temperatures -using contaminated equipment -poor personal hygiene temperature danger zone 41-135 degrees Fahrenheit most dangerous temperature range with...

foodborne illness an illness caused by eating contaminated food or beverage foodborne-illness outbreak the occurence of 2 or more cases of a similar illness resulting fron eating a common food costs of a foodborne illness to an establishment lose customers & sales, lose prestige & reputation, lawsuits resulting in legal fees, increased incurance premiums populations at high risk for foodborne illness elderly, infants/pre-school age children, pregnant women, people taking certain medication...

The purpose of a food safety management system is to: prevent foodborne illness by controlling risks and hazards A manager's responsibility to actively control risk factors for foodborne illnesses is called active managerial control A manager asks a chef to continue cooking chicken breasts after seeing them cooked to an incorrect temperature. This is an example of which step in active managerial control? corrective action A manager walks around the kitchen every hour to answer questions ...

Foodborne Illness A disease trasmitted to people by food. Foodborne Illness Outbreak Two or more people have the same symptoms after eating the same food. Biological Contaminants Include certain viruses, parasites, fungi, bacteria, and toxins. Chemical Contaminants Include cleaners, sanitizers and polishes that can contaminate food. Physical Contaminants Foreign objects such as metal shavings, staples, bandages, glass, dirt, bag ties, fish bones and fruit pits are examples of this contamin...

Maximum acceptable receiving temp. for fresh beef 41 degrees warmest acceptable receiving temp. for eggs 45 degrees Max internal temp. for cold TCS food to be held 41 degrees 50 - 70 degrees temp. for dry storage rooms 135 degrees minimum internal temp. for hot TCS food to be held. 155 degrees minimum internal cooking for ground beef 165 degrees minimum internal cooking temp. for stuffed pork chops