Test 2 Flashcards

(32 cards)

1
Q

How many parts does MEDICAID have?

A

1

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2
Q

How many different types of governmental insurances are there?

A

6

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3
Q

What does the id number one a Tri Care insurance card look like?

A

Your SSN

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4
Q

How many parts does Medicare have?

A

4

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5
Q

What is another name for the Medicare card?

A

Red white and blue card

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6
Q

What individuals are eligible to receive CHAMP VA?

A

Individuals that are retired from the armed forces

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7
Q

What individuals are eligible to receive Worker’s Compensation

A

Individuals that were injured at the worksite while performing a duty that was required of them

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8
Q

Who pays for the benefit provided in worker’s compensation?

A

State govt pays half

Employers pays half

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9
Q

What individuals are eligible to receive Medicare?

A

Senior citizens, veterans, & individuals with disabilities

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10
Q

How are individuals screened in order to receive Tri Care?

A

DEERS

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11
Q

Who funds Medicaid?

A

State Government

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12
Q

What does the id # look like on a MEDICAID card?

A

Alphanumeric containing:3 letters,5 numbers

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13
Q

Explain the concept behind the “donut hole” or coverage gap.

A

After 2400 spent on medication the pt has to pay the next $3,051.25 until they can receive Medicare D again

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14
Q

What part of Medicare has the donut hole?

A

Medicare part D

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15
Q

What individuals are eligible to receive Medicaid?

A

Low income & people with disabilities

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16
Q

An individual can receive medical treatment with a Florida Medicaid card in Delaware?

A

No, can only be used in issuing state unless it’s an emergency

17
Q

T/F. You must be 65 and over in order to receive Medicaid

18
Q

What part of government funds Medicare?

A

Federal Government

19
Q

State governments funds?

20
Q

Federal government funds?

21
Q

Medicare A covers?

A

Hospital admission & stay, hospice care, home health

22
Q

Medicare pt B covers ?

A

Outpatient expenses, X-rays,lab work, blood work, CATscan,mri, DME

23
Q

Medicare part C covers?

A

Combines A,B,& D together

24
Q

Medicare Part D covers?

A

Prescription coverage

25
DME is
Durable medical Equipment | I.e. Canes, walkers, wheelchairs, seringes
26
Medicare supplemental insurance given to?
- Low Income - Severe Disability - Severely Sick
27
Medicare supplemental insurance picks up the cost of?
Medicare deductible/ coverage gap
28
Workers compensation is provided by the?
State government
29
Workers compensation requires what for almost all procedures?
Preauthorization
30
DEERS is short for?
Defense Enrollment Eligibility Reporting System
31
Medicaid card # has how many digits?
16
32
Medicaid sequence # is?
2 digits between 00-99