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Medicare Definitions
Test Description: Review definitions of Important Medicare Words
Instructions: Answer all questions to get your test result.
1) An amount you may be required to pay as your share of the cost of medical services.
A
Coinsurance
2) If you disagree with the denial of a request for coverage of health care servics or payment for services you already received.
A
Appeal
3) A person who provides services that doesnt need the skills of a licensed nurse or therapist, such as help with personal care; ie bathing, dressing, etc.
A
Home Health Aide
4) Services, supplies, or drugs that are needed for the prevention, diagnosis, or treatment of your medical conditin and meet accepted standars of medical practice.
A
medically Necessary
5) A provider or facility with which we have not arranged to coordinate or provide covered services to members of our plan
A
Out of Network/Facility
6) Care provided to treat a non-emergency, unforeseen medical illness, injury, or condition, that requires immediate medical care.
A
Urgently Needed Care
7) An entity that operates exclusively for the purpose of furnishing outpatient surgical services to patients not requiring hospitalization and whose expected stay in the center does
A
Ambulatory Surgical Center
8) An amounty you may be required to pay as your share of the cost for a medical service or supply.
A
Copayment
9) Certain medical equipment that is ordered by your doctor for use at home: walkers, wheelchairs, etc
A
Durable Medical Equipment (DME)
10) Medicare Suppement Insurance sold to fill "gaps" in Originial Medicare
A
Medigap
*select an answer for all questions
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