Health Insurance

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Medicaid typically provides services that cover vision benefits, including eye exams in most states. The frequency individuals may receive an eye exam varies from state to state. Children under 21 can receive eye exams, eyeglass frames and lenses under a Medicaid program.

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  • Does Medicare cover dental surgery?

    Q: Does Medicare cover dental surgery?

    A: Medicare insurance plans do not provide coverage for most dental care procedures, according to CMS.gov. This includes preventative care, fillings, extractions, surgeries and other dental procedures and supplies.
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  • Is the HIPAA law different in each state?

    Q: Is the HIPAA law different in each state?

    A: HIPPA, the Health Insurance Portability and Accountability Act, is a federal law that is the same regardless of state. Each state has, however, enacted its own privacy acts that may supersede HIPPA under certain conditions.
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  • Does Medicaid cover eye exams?

    Q: Does Medicaid cover eye exams?

    A: Medicaid typically provides services that cover vision benefits, including eye exams in most states. The frequency individuals may receive an eye exam varies from state to state. Children under 21 can receive eye exams, eyeglass frames and lenses under a Medicaid program.
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  • Is Medicare Part B mandatory?

    Q: Is Medicare Part B mandatory?

    A: Medicare Part B coverage is not mandatory. An individual can go outside of the plan network for Part B services and receive a reimbursement from Medicare when Medicare is the primary payer.
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  • What is the HIPAA Privacy Act?

    Q: What is the HIPAA Privacy Act?

    A: The Privacy Rule of the Health Insurance Portability and Accountability Act regulates the use and disclosure of individually identifiable health information. Although President Clinton signed HIPAA into law in 1996, the Privacy Rule did not become effective until April 14, 2003.
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  • What are the different types of Medicaid plans?

    Q: What are the different types of Medicaid plans?

    A: The types of Medicaid programs available to patients vary from state to state, but generally fall into two categories. Of these, community Medicaid is coverage for people who have little to know medical insurance from other sources, while Medicaid nursing home coverage is specifically for costs associated with senior living.
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  • What is the opposite of risk averse?

    Q: What is the opposite of risk averse?

    A: In the realm of investments, the generally accepted opposite of risk adverse is risk taker or risk lover. A risk taker is an individual willing to a greater risk in investing in hopes of obtaining a higher, albeit less likely, return on that investment.
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  • What is considered "low income" to Medicare?

    Q: What is considered "low income" to Medicare?

    A: There are multiple tiers of low income classifications under the Medicare system, all of which use the federal poverty level as a base line. At the first tier, an individual or couple's assets and income must fall under 100 percent of the federal poverty level.
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  • What is the Medicaid program?

    Q: What is the Medicaid program?

    A: Medicaid is a governmental program that provides medical and health-related services for specific groups of people in the United States who meet certain criteria. Many times this care is provided at no cost to individuals and families, serving U.S. citizens with low incomes and few resources.
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  • Are you eligible for Medicare if you're under the age of 65?

    Q: Are you eligible for Medicare if you're under the age of 65?

    A: Individuals who are disabled or who have end-stage renal failure may qualify for Medicare benefits even if they are younger than 65, according to Medicare. Otherwise, individuals are not eligible for Medicare until age 65.
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  • Q: How do you renew your child's Medicaid benefits?

    A: Children's Medicaid sends a family renewal packet in the mail near the end of child's coverage. The packet has an application that a family can fill out and return to renew coverage for their child.
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  • Q: What plans are available from MedStar Medicare Choice?

    A: There are currently three separate plans available from the MedStar Medicare Choice program, states the MedStar Medicare Choice website. These plans are for members already on Medicare and require that the Medicare Part B premium still be paid.
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  • Where can you find patient information?

    Q: Where can you find patient information?

    A: For those interested in information about a specific medical institution's services, policies and procedures regarding patients and care, many hospitals and healthcare providers provide answers to questions through their online portals. These resources also detail services provided by the facility and have tools for accessing a patient's test results, medical records and appointments, as shown on Boston Medical Center's website.
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  • What is PPO insurance?

    Q: What is PPO insurance?

    A: PPO means preferred provider organization. It is an insurance plan or option that offers a reduced rate when the patient goes to a doctor or hospital that is in their network of preferred providers.
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  • Q: How much does it cost to have Medicaid transportation?

    A: As of 2012, 51 of the 56 U.S. states and territories offer nonemergency medical transportation services through the state or territory's Medicaid program without a copayment, according to The Henry J. Kaiser Family Foundation. In the remaining five states, the cost for transportation ranges between 50 cents and $3.80.
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  • Q: What is the Medigap open enrollment period?

    A: The Medigap open enrollment period is a six-month period when interested parties can buy any Medigap policy provided in the state, even if the interested party has health problems. The open enrollment period occurs once for individuals who turn 65 and are enrolled in Medicare Part B, according to Medicare.gov.
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  • Q: Does Medi-Cal cover dental?

    A: Dental benefits became available again under Medi-Cal on May 1, 2014. Dental coverage for adults 21 years of age and older had been cut from Medi-Cal in 2009 due to budget shortfalls, although children continued to receive coverage.
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  • What is a medical "full code"?

    Q: What is a medical "full code"?

    A: According to the Huffington Post, "full code" is a hospital designation that means to intercede if a patient's heart stops beating or if the patient stops breathing. It is the opposite code of DNR/DNI, meaning "Do Not Resuscitate/Do Not Intubate."
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  • Q: Where can you sign up for MetLife Safeguard dental insurance?

    A: Individuals can sign up for MetLife SafeGuard dental insurance through their employers, according to Metropolitan Life Insurance Company. As of 2015, MetLife provides dental health maintenance organization plan benefits through SafeGuard Health Plans, Inc., in California and Florida. Coverage availability depends on which MetLife group dental benefits plans employers offer.
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  • Q: Can a family member register a dependent for Medicare?

    A: Medicare health benefits are available only to individuals, with no ability to add a dependent or additional beneficiaries, explains Michelle Andrews for The New York Times. Additionally, the Affordable Care Act provisions allowing children to stay on their parents’ insurance until age 26 do not apply to Medicare.
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  • Q: What is a utilization review?

    A: Utilization review is a process used by managed care plans. This is done to determine whether or not a patient is approved for medical care that has been recommended by a doctor, or that the patient themselves has requested. The focus of the review is on the medical necessity of the treatment.
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