Insurance Verification Week 1 Prep Quiz

_________ is the federal health insurance program that provides health benefits to Americans age 65 and older.

• Social Security System

• Medicare

• Medicaid

• Insurance

This type of plan allows you to go to a provider that is out of network, but you'll pay more.

• HMO

• PPO

• Medicaid

• Medigap

All of these are the eligibilities for Medicare except

• You are age 65 or older

• You are younger than 65 with a qualifying disability

• You are a low-income individual

• You have a diagnosis of ESRD

You can stamp Medicare from these tabs except

• Comments Tab

• Insurance Tab

• Event Form

• Eligibility Tab

True or False: Medicare Supplement will ONLY cover after traditional Medicare.

• True

• False

How many days is a Same & Similar valid?

• 30 days

• 8 days

• 15 days

• 1 year

What is the coverage percent in coding the secondary Medicare Supp Plan G if Medicare ded is still not met?

• 80%

• 20%

• 0%

• 100%

The patient has Type 2 diabetes if the diagnosis code starts with E__

If the patient has a Medicare deductible balance of $240 and the secondary insurance is Blue Shield federal, how much should be the patient's responsibility?

• FULL COST UNTIL MCR DED MET THEN $0

• 20% COINS

• $0 COPAY

What is the preferred portal to use when checking coverage for BCBS Plans?

• Zirmed

• Availity

• Experian

• EV