Question

- Answer with True or False:

1 - The Affordable Care Act created Community First Choice as an optional Medicaid benefit and focuses on community health services to Medicaid enrollees with disabilities.

2- Most health insurance policies require contributions from the covered individual in the form of coinsurance, copayments, and deductibles

3- Medicare Part D developed a prescription drug program for Medicare enrollees.

4- Coinsurance is a type of copayment that is part of a fee-for-service policy where the patient pays a percentage of the cost of the services

5- For Medicare Part D beneficiaries, the "donut hole" starts after the beneficiary has spent a designated amount for covered drugs.

6- Limited benefit plans only provide one or two Medicaid benefits.

7- In managed care payments, another term for a per member per month policy is called a capitation policy.

Answer 1

1. TRUE. the ACA(affordable care act) extended medicaid eligibility to all adults whose income at or below 138 percent of the poverty line.the ACA provision focus on community intervention of non profit hospitals and need them to conduct assessment of community needs for enjoying their tax-exempt status.
2. TRUE. most of the health insurance policies has a clause in which the insured will need to pay a part of the medical expenses on their own.coinsurance,copayments,deductibles are such kind of contributions from the insured.
3. TRUE. Medicare part D also called Medicare prescription drug benifit is an optional benefit offered to every Medicare enrollees.they can pay self administered prescription drugs through this plan.
4. TRUE. After paying deductibles the insurance company may want you to pay a percentage of the cost of a covered health care service,which is called as Coinsurance.
5. FALSE.it is not only the spending of the beneficiary but the shared spending reaches a set limit.benificiary enters donut hole when the total spending on drugs;what benificiary and the insurer paid for drugs reaches a certain goverment set limit.
6. TRUE. Limited benefit plans provide coverage to particular illness like emergency services,family planning serives under medicaid benefits.
7. TRUE. the per member per month policy is also called capitation policy.