Medicare

3. Care Care for terminally ill
6. Care Bathing, Dressing, Cooking Care
8. Drugs taken for long term conditions
10. If members spouse worked 40 quarters, the member does not have to pay Part A premium
11. Carve out Member eligible for Part B but doesn't sign up and has group coverage
13. Rx Essential, Enhanced, Enhanced Plus
14. Disabled for 24 monhts
16. 6 Tier only found on Blue Advantage
17. Emergency Condition not related to accidents or surgical problems but needs immediate attention
18. Allows member 12 months from sign up date to cancel Blue Advantage

1. Enrollment Penalty Law put in place in 2006
2. List of drugs
4. B Heparin, Epogen Alfa, Procrit
5. Budget Act Authorized CMS to contract with managed care plans
7. Medical Used to supplement or replace Cross and Shield medical and surgical riders
9. Hospital services done to preserve teeth
11. Bought from private insurance company to pay health costs
12. Test Covered under Major Medical, show ups as a Shield Claim
15. Medigap