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Process in which plans require doctors to provide detail information about the patient’s condition before a claim is approved:
Premium
Copay
A gap in Medicare prescription drug coverage (Part D)
PBMs
Medicare
False
Prior authorization
True
The portion of the cost the patient is responsible for paying for a covered service.
Premium
Copay
A gap in Medicare prescription drug coverage (Part D)
PBMs
Medicare
False
Prior authorization
True
Federally funded health insurance for people age 65 or older.
Premium
Copay
A gap in Medicare prescription drug coverage (Part D)
PBMs
Medicare
False
Prior authorization
True
Every person will have all Medicare parts
Premium
Copay
A gap in Medicare prescription drug coverage (Part D)
PBMs
Medicare
False
Prior authorization
True
The amount of money that must be paid every month to the insurance company in order to be insured.
Premium
Copay
A gap in Medicare prescription drug coverage (Part D)
PBMs
Medicare
False
Prior authorization
True
In Medicare pre-existing conditions must be covered, including pregnancy
Premium
Copay
A gap in Medicare prescription drug coverage (Part D)
PBMs
Medicare
False
Prior authorization
True
Companies that administer drug benefit programs are called:
Premium
Copay
A gap in Medicare prescription drug coverage (Part D)
PBMs
Medicare
False
Prior authorization
True
The Medicare donut hole refers to...
Premium
Copay
A gap in Medicare prescription drug coverage (Part D)
PBMs
Medicare
False
Prior authorization
True
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