Medicare Jeopardy 2 Jeopardy Template

Prescription/Medical terms	Network Terms	MA Supplemental Benefits
100 What is the period in prescription drug coverage that occurs between the initial coverage limit and the out of pocket threshold (catastrophic)? Coverage Gap	100 What is it called when an individual has permission to see specialist physicians Referral	100 What is the Supplemental benefit that covers a beneficiaries Teeth, Ears, and Eyes? Dental, Vision & Hearing
200 What is the one-time, 30-day supply, of a drug that your plan doesn’t cover is called what Transitional Fill	200 What is the person who is most often a main doctor however it may be a nurse practioner or physical assistant? Who can be a PCP	200 Where do you look at to find covered services for items such as Vitamins, supplements & toothpaste? OTC Catalog Benefits
300 What is the permission or confirmation that a service will be covered before it is provided called? Prior Authorization	300 When one type of plan has to used in network providers and another can use out of network providers what is this called? Difference between HMO vs PPO	300 What allows insurance companies to cover part b premium by reducing how much and individual pay per month for Medicare? Part B Premium Reduction
400 What is the initial amount paid by beneficiary before insurance helps pay for covered services? Deductible	400 What is the process which an insurance plan for people who have both Medicare and Medicaid at any age ? Who qualifies for DSNP plans? How do you confirm eligibility?	400 What are the covered expenses by Medicare for an individual to go to local gyms and fitness programs called? Fitness Benefits
500 What is the type of prior authorization requirement to control the cost and risks of prescription drugs called? Step Therapy	500 Some people may have too much income to qualify for Medicaid. This amount is called excess income. Some people may qualify for Medicaid if they spend the excess income on medical bills this is called what? Spend Down	500 What is the travel/escort by an ambulance, private or public vehicle covered by Medicare called? Transportation

Medicare Jeopardy

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