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Day 1 Insurances
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What are the ways we can get health insurance?
Employer, Self Purchase, and Government
What are the categories of insurance
Government & Commercial
What are the government sponsored insurances?
Medicare, Medicaid, Tricare & VA
What is an HMO?
HMO- with an HMO plan, you must be seen by your PCP, get a referral in order for you to see a specialist, on order for your insurance to cover the costs.
What is a PPO?
PPO- with a PPO plan, You do not need a referral to see a specialist. You have the freedom to see anyone you need, in and out of network and your insurance will
What is Medicare?
Is a government sponsored insurance that is for persons who are 65 or older and persons with certain disabilities.
What is Medicaid?
mA government sponsored insurance for persons with low income and their families.
How many parts of Medicare do we have?
4 Parts (A,B,C, & D)
What color is the Medicare Card?
Red, White & Blue
What parts of Medicare does the straight Medicare include and the member ID is consist of what?
Part A and B and also the member ID is consist of Numbers and Letters.
What is Medigap?
When someone gets and extra insurance from a private insurance company that will help cover what Medicare did not cover.
What does ZZ stand for?
Secondary
Can Medicaid be self pay?
No it cannot be self pay
Every Medicare can be self pay except for?
Care Plus Medicare
Once someone has both MCR & MCD, they will be considered?
Dual Eligible
Can Medicare or Medicaid be shared?
No, they are like scholarships.
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