Mrs. Willard wants to know generally how the benefits under Original Medicare might compare to the benefits package of a Medicare Advantage Plan before she starts looking at specific plans. What could you tell her? AHIP Module 2 Final Review

Answer:

Medicare Health Plans may offer extra benefits that Original Medicare does not offer such as vision, hearing, and dental services and must include a maximum out-of-pocket limit on Part A and Part B services.

Explanation:

Medicare Advantage Plans refers to a form of medicare insurance plan provided by a private corporation that deals with Medicare deliver all of the benefits of Part A and Part B. Some Medicare Advantage Programs also provide the cost of prescribed medications. In both parts A and B, Original Medicare pays a fee, and coinsurance plus any Part D or Medigap costs. Medicare Advantage programs have all costs combined into one package. In the case where people participating in a Medicare Advantage Plan, the plan covers most of the Medicare services.

Answer:

Medicare from the Govt has part A and Part B

A pays the hospitals and no charge fee to you.

B pays doctors and medical services you pay this year, 2021, $148 per month.

Together they pay about 80% of all expense. You're liable for the 20% GAP in coverage.  Now two parts

Original Medicare

Then you can buy, and we always recommend GAP insurance called Medicare Supplements.  There are many forms of GAP coverage.

Private insurance firms have gap programs.  A plan known as G pays most if not all of the GAP.  You generally don't have to change doctors or providers.

Medicare Advantage

"Private Insurance Companies" pay the GAP and sometime have more benefits as you have seen on the TV commercials that SCREAM at you to get the Medicare Advantage Program.  You are required to us their network of providers and hospitals.  

Explanation:

Bottom-line  Make sure your providers are in the network of the Medicare Advantage plan, if not find a plan that does or change providers.

Medicare Advantage plans are less expensive and you can save money but just make sure.  You also have the right by law to go back to "The Original Medicare Plan."

Based upon what you have learned in this class, write a psychological explanation for
what is going on in this scenario; and suggestions to help Ella improve her life.
Ella is a 25 year old woman, married with two children. Her daughters are ages 1 and
3. She is a university graduate and her partner brings in a good income. Over the
past six months Ella has felt tired, lost weight, and does not seem to find enjoyment
in activities that she usually enjoyed.
Today she awoke, sat on the couch and watched her two daughters play in the living
room for the morning. She changed the diapers of her youngest daughter (Nora) and
sent her oldest daughter (Addy) to the bathroom. After feeding them lunch, she
looked out the window. She watched as an older man fell on the side-walk, and
struggled for 10 minutes to get back on his feet. Eventually Ella lay down on the
couch and fell asleep for the afternoon.
She awoke in time to make her children dinner. After feeding them and putting them
to bed she had two glasses of wine while watching a movie. She felt tipsy, since she
had not eaten anything all day. Feeling exhausted, at 9 pm she went to bed for the
night.

If you were interested in medical coding and working specifically with hospitals, which certification might you pursue?
A. CHPS
B. CCS-P
C. RHIT
D. CCS​