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1. 
Who runs/sets the guidelines for Medicare?
A.
The state
B.
CMS
C.
Maximus
D.
Department on Aging
2. 
Who is Medicare intended for?
A.
Beneficiaries 65 or older
B.
Beneficiaries under 65 with certain disabilities
C.
Beneficiaries of any age with End-Stage Renal Disease (ESRD)
D.
Beneficiaries of any age who have ALS
3. 
How many "parts" of Medicare are there?
A.
3 Parts
B.
4 Parts
C.
5 Parts
D.
6 Parts
4. 
Original Medicare consisted of ___________________.
A.
Part A
B.
Part B
C.
Part C
D.
Part D
5. 
What is covered under Part A of Medicare?
A.
Hospital Coverage (Inpatient Hospitalizations, Skilled Nursing Services, Home Health Care, Hospice Care)
B.
Medical Coverage (Office Visits, Lab Services, Ambulance Rides, Diagnostic Services)
C.
Medicare Advantage (Parts A, B, & D + additional benefits, such as routine vision and dental)
D.
Prescription Drug Coverage (Covers the cost of Prescription Drugs)
6. 
What is covered under Part B of Medicare?
A.
Hospital Coverage (Inpatient Hospitalizations, Skilled Nursing Services, Home Health Care, Hospice Care)
B.
Medical Coverage (Office Visits, Lab Services, Ambulance Rides, Diagnostic Services)
C.
Medicare Advantage (Parts A, B, & D + additional benefits, such as routine vision and dental)
D.
Prescription Drug Coverage (Covers the cost of Prescription Drugs)
7. 
What is covered under Part C of Medicare?
A.
Hospital Coverage (Inpatient Hospitalizations, Skilled Nursing Services, Home Health Care, Hospice Care)
B.
Medical Coverage (Office Visits, Lab Services, Ambulance Rides, Diagnostic Services)
C.
Medicare Advantage (Parts A, B, & D + additional benefits, such as routine vision and dental)
D.
Prescription Drug Coverage (Covers the cost of Prescription Drugs)
8. 
What is covered under Part D of Medicare?
A.
Hospital Coverage (Inpatient Hospitalizations, Skilled Nursing Services, Home Health Care, Hospice Care)
B.
Medical Coverage (Office Visits, Lab Services, Ambulance Rides, Diagnostic Services)
C.
Medicare Advantage (Parts A, B, & D + additional benefits, such as routine vision and dental)
D.
Prescription Drug Coverage (Covers the cost of Prescription Drugs)
9. 
What is a Premium?
A.
The amount of money you pay your health insurance company to have their health insurance coverage
B.
A specified amount of money that the insured must pay before an insurance company will pay a certain percentage of a claim
C.
Set dollar amount you pay for a specific healthcare service
D.
Percentage you pay for covered healthcare services after your deductible has been met
10. 
What is a deductible?
A.
The amount of money you pay your health insurance company to have their health insurance coverage
B.
A specified amount of money that the insured must pay before an insurance company will pay a certain percentage of a claim
C.
Set dollar amount you pay for a specific healthcare service
D.
Percentage you pay for covered healthcare services after your deductible has been met
11. 
What is a copayment?
A.
The amount of money you pay your health insurance company to have their health insurance coverage
B.
A specified amount of money that the insured must pay before an insurance company will pay a certain percentage of a claim
C.
Set dollar amount you pay for a specific healthcare service
D.
Percentage you pay for covered healthcare services after your deductible has been met
12. 
What is a coinsurance?
A.
The amount of money you pay your health insurance company to have their health insurance coverage
B.
A specified amount of money that the insured must pay before an insurance company will pay a certain percentage of a claim
C.
Set dollar amount you pay for a specific healthcare service
D.
Percentage you pay for covered healthcare services after your deductible has been met
13. 
Who is the over-the-counter vendor for Meridian Medicare members?
A.
Healthfirst
B.
Fidelis Care
C.
People's Health
D.
FieldTex
14. 
Who is the transportation vendor for Meridian Medicare members?
A.
Alpha Medical Transport
B.
MTM
C.
Logisticare
D.
MAS
15. 
What does CC: A mean?
A.
Member has both Medicare (primary) and Medicaid (secondary) through Meridian
B.
Member has Medicare (primary) with Meridian, but has Medicaid (secondary) with another vendor, or has no Medicaid at all
C.
Member has only Medicaid, and it is with Meridian
D.
Member has Medicare (primary) with a different vendor, but has Medicaid (secondary) through Meridian
16. 
What does CC: B mean?
A.
Member has both Medicare (primary) and Medicaid (secondary) through Meridian
B.
Member has Medicare (primary) with Meridian, but has Medicaid (secondary) with another vendor, or has no Medicaid at all
C.
Member has only Medicaid, and it is with Meridian
D.
Member has Medicare (primary) with a different vendor, but has Medicaid (secondary) through Meridian
17. 
What does CC: C mean?
A.
Member has both Medicare (primary) and Medicaid (secondary) through Meridian
B.
Member has Medicare (primary) with Meridian, but has Medicaid (secondary) with another vendor, or has no Medicaid at all
C.
Member has only Medicaid, and it is with Meridian
D.
Member has Medicare (primary) with a different vendor, but has Medicaid (secondary) through Meridian
18. 
What does CC: D mean?
A.
Member has both Medicare (primary) and Medicaid (secondary) through Meridian
B.
Member has Medicare (primary) with Meridian, but has Medicaid (secondary) with another vendor, or has no Medicaid at all
C.
Member has only Medicaid, and it is with Meridian
D.
Member has Medicare (primary) with a different vendor, but has Medicaid (secondary) through Meridian
19. 
Which Meridian plan is always CC: A?
A.
Extra
B.
Essential
C.
Elite
D.
Complete
20. 
Who enrolls members onto Meridian Complete?
A.
Meridian Sales Agents
B.
CMS
C.
The State
D.
Meridian Enrollment Team
21. 
Meridian Complete is also known as...
A.
MMAI
B.
MMP
C.
D-SNP
D.
MI Health Link
22. 
Which Medicare plans does Meridian currently offer?
A.
Extra
B.
Elite
C.
Edge
D.
Complete
23. 
What is a Sequestration?
A.
The amount a member is responsible for paying on a claim
B.
A 2% federal reduction from Medicare payments
C.
A payment hold placed on a provider's account due to them having a negative balance
D.
The amount a member must pay to have Medicare insurance
24. 
T/F: PCP Referrals are required if a member would like to see a specialist
A.
True
B.
False
25. 
T/F: All Medicare members have a set deductible of $198 per year
A.
True
B.
False