| Medicare Terminology | Medicare Coverage | Government Agencies | Definitions | Part C Terminology |
|---|---|---|---|---|
|
What is Annual Notice of Change, Notification sent to medicare beneficiaries to inform them of their plan changes.
What is ANOC stand for and what are its uses?
|
This model is used to determine the equivalency of creditable coverage.
What is the Standard Drug Benefit Design?
|
Medicare contributes funding to the individual state agencies.
Who funds Medicaid?
|
What is Co-Payment.
This is a flat dollar amount.
|
What is Part B premium.
What payment is required in order to be enrolled in a Medicare Advantage plan?
|
|
What is Medicare Outpatient Observation Notice.
What is the MOON?
|
What is Medicare Savings Program.
This Federal Program assists with Deductible, Premiums, Co-payments, etc. at the State level?
|
What is Income Related Monthly Adjusted Amount.
What is IRMAA?
|
What is Co-insurance.
This is % of cost.
|
What is Point of Service.
What does POS stand for?
|
|
What is The amount that is allowable by non-medicare participating providers or the % above the medicare approved amount.
What is the meaning of Excess charges?
|
What is Medication Tiers.
These levels determine the co-payment and/or coinsurance of prescription medications.
|
What is Wellness Visits are used for preventive care, screenings and over all health assessments.
This benefit is given to each beneficiary annually.
|
What is Deductible.
This is first dollar cost.
|
What is the plans Service Area.
Enrollment into Medicare Advantage requires the beneficiary to reside where?
|
|
What is Maximum Out Of Pocket.
What is MOOP?
|
What is Medicare Part C and Part D.
What product is the Summary of Benefits used for?
|
Full Benefit Dual Eligible.
What is FBDE?
|
What is Medicare Lock in Period.
This period happens between April 1-October 1.
|
What is Original Fee for Services of Medicare.
What benefits does Medicare Advantage cover?
|
|
What is Continuous days without hospitalization or skilled nursing facility.
What is Benefit Period?
|
What is MediGap or Medicare Supplement insurance.
Where can you find the Out Line of Coverage?
|
What is Social Security Disability Income.
What is SSDI?
|
What is Explanation of Benefits.
No payment is required with this type of service notification.
|
That the provider agrees to the Payment, Terms and Conditions of a PFFS plan.
What does the term Deemed mean?
|
Support Us on Ko-fi