• 1. Health Maintenance Organizations Plans
• 2. Preferred Provider Organizations Plans
• 3. Point of Service Plans
• 1. Health Reimbursement Accounts
• 2. Health Savings Accounts and High-Deductible Plans
• 1. Medicare Parts A and B
• A. Part A
• B. Part B
• 2. Medicare Part D
• 3. Medicare Advantage Plans
• 4. Medicare Suppl...
• 1. Medicare Allowed Amount or Medicare Payment
Schedule
• 2. Participation and Nonparticipation with Medicare
• 3. Medic...
Lecture 1
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Lecture 1

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Lecture 1

  1. 1. • 1. Health Maintenance Organizations Plans • 2. Preferred Provider Organizations Plans • 3. Point of Service Plans
  2. 2. • 1. Health Reimbursement Accounts • 2. Health Savings Accounts and High-Deductible Plans
  3. 3. • 1. Medicare Parts A and B • A. Part A • B. Part B • 2. Medicare Part D • 3. Medicare Advantage Plans • 4. Medicare Supplemental Plans • 5. Dual Eligibility – Medicare and Medicaid Recipients • 6. Railroad Retirement Health Insurance • 7. Employer or Union Coverage and Medicare • 8. Medicare open enrollment advantage and medicare drug programs • 9. Medicaid
  4. 4. • 1. Medicare Allowed Amount or Medicare Payment Schedule • 2. Participation and Nonparticipation with Medicare • 3. Medicare Limiting Charge • 4. Usual and Customary Payment Schedules • 5. Standard Charge Fee Schedules • 6. Contractual Adjustments • 7. Payment Schedules

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