medigap policy is ? an independent policy to supplement medicare coverage, or regulated by the dept of health and human services
Added by Mariah T.
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A Medigap policy, also known as Medicare Supplement Insurance, is designed to help cover some of the out-of-pocket costs that Original Medicare (Part A and Part B) does not cover, such as copayments, coinsurance, and deductibles. Show more…
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Text: A Medigap insurance policy is designed to cover which one of the following so-called "gaps" in Medicare coverage? A) Medicare-approved charges not paid by Medicare B) Charges in excess of those allowed by Medicare C) Long-term care expenses D) Health care costs incurred by low-income individuals
Akash M.
Describe the type of medical insurance coverage you have. If you are not insured, describe the policy held by someone you know, or access the website of the Medicare program (Medicare.gov) and click the tab "What Medicare Covers" before answering the following questions. According to the plan's policy information (often printed in a pamphlet that accompanies the policy itself or available online at the plan's website), what benefits does the policy cover? Are some services excluded from coverage? Are any preventive medical services included?
1. Which of the following is correct? Part A is Hospital Insurance Part B is Medicare Prescription Drug Coverage Part C is Medical Insurance Part D is Medicare Advantage Plans (like HMOs and PPOs) 2. John is 65 years old with a history of diabetes, arthritis, and chronic back pain. He has signed up for Part B. He is currently in his Medigap Open Enrollment Period. John knows that during this time his insurance company can do which of the following: Use medical underwriting Sell him any Medigap plan they offer Charge him more for a Medigap policy than they charge someone with no health problems Make him wait for coverage to start 3. Which statement about Medicare is accurate? It is a health insurance program for people aged 65 and older People of any age who have End-Stage Renal Disease (ESRD) are eligible It is administered by each state individually It covers prescription drugs only 4. Janet was recently diagnosed with pneumonia exacerbated by her COPD and will need therapy at a Skilled Nursing Facility (SNF) before returning home. Which part of Medicare will help pay for her skilled nursing facility care? Part A Part B Part C Part D 5. Susan has recently had a stroke and is being discharged from the hospital. She would like to go home with home health services. She would like Medicare Part B to pay for this service. Which of the following would disqualify Susan from being eligible to be covered for these services? She requires skilled care on an intermittent basis She is under the care of her doctor She will be able to leave the house for small errands She will have a face-to-face encounter with her doctor prior to being discharged home 6. Which term describes your doctor, provider, or supplier agreeing to accept the Medicare-approved amount as full payment for covered services? Creditable Coverage Assignment Copayment Agreement Guaranteed Payout
Adi S.
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