HIICAP

1. out This type of provider does not accept Medicare at all and has signed an agreement to be excluded from the Medicare program
4. Outpatient hospital stay during which an individual receives medical services to help the doctor decide whether they should be admitted as an inpatient or discharged
6. A formal written request to your Part D plan asking that it pay for a drug you need
7. The phase of Part D coverage after your initial coverage period, also known as the coverage gap
10. Medicare covers 60 _____ _____ days, which you can use when you are in the hospital for more than 90 days
11. Medicare ____ occurs when someone knowingly deceives Medicare to receive payment when they should not, or to receive higher payment than they should
12. The New York State Ombudsprogram for people with Medicaid who need long term care services

2. Medigap plans can impose a waiting period if you have a ______ and have not had prior creditable coverage for a certain amount of time
3. A Medicare Administrative _____ (MAC) is a private company that processes Part A and Part B medical claims or Durable Medical Equipment (DME) claims for Original Medicare beneficiaries
5. Type of service received from a health care provider using telephone or video technology
8. The Medicaid _____ is a state-run program for people whose income is higher than would normally qualify them for Medicaid, but who have high medical expenses that reduce their income to the Medicaid eligibility level
9. Type of service you receive to prevent illness, detect medical conditions, and stay healthy