醫療必要的健康照護服務是指為診斷、治療、預防或管理以下情況所需的服務： 危及生命 導致疾病或虛弱 造成急性痛苦 干擾正常活動 可能導致重大殘障 醫療必要服務還必須符合公認的醫療標準。 醫療必要的定義可能因州份和保險提供者而異： 聯邦醫療保險(Medicare) 將醫療必要服務定義為符合公認醫療標準，且為診斷或治療疾病、傷害或病症所需的服務 醫療補助計劃(Medicaid) 每個州對醫療補助計劃中的醫療必要服務都有其自己的定義 保險提供者 保險提供者根據證據來確定什麼是醫療必要的服務 醫療必要服務的例子包括： 流感疫苗、預防性篩檢、腎臟透析、輪椅、健康檢查、X光檢查、實驗室檢測以及心理健康服務。
「美国各州」醫療補助/白卡/👨🏼🏫2021申請須知 💁🏻♂️拜登新規 ★ STATE MEDICAID ENROLLMENT LINKS ★ Alabama Enrollment ☎ General Questions: 334-242-5000 ☎ Recipient Call Center: 800-362-1504 Alaska Enrollment ☎ Medicaid eligibility: 800-478-7778 ☎ Medicaid coverage or billing: 800-780-9972 ☎ TDD: Relay Alaska, 7-1-1 Enrollment ☎ Alaska Recipient Helpline toll free 800-780-9972 ☎ Eligibility helpline: 800-478-7778 American Samoa ☎ Medicaid Office: 684-699-4777 ☎ Department of Public Health: … Read more
Mrs. Burton is a retiree with substantial income. She is enrolled in an MA-PD plan and was disappointed with the service she received from her primary care physician because she was told she would have to wait five weeks to get an appointment when she was feeling ill. She called you to ask what she … Read more
Mrs. Chi is age 75 and enjoys a comfortable but not extremely high-income level. She wishes to enroll in a MA MSA plan that she heard about from her neighbor. She also wants to have prescription drug coverage since her doctor recently prescribed several expensive medications. Currently, she is enrolled in Original Medicare and a … Read more
Mr. Sinclair has diabetes and heart trouble and is generally satisfied with the care he has received under Original Medicare, but he would like to know more about Medicare Advantage Special Needs Plans (SNPs). What could you tell him? Question 13Select one: a. SNPs offer care from any doctor or hospital Mr. Sinclair would like … Read more
Mr. Barker enjoys a comfortable retirement income. He recently had surgery and expected that he would have certain services and items covered by the plan with minimal out-of-pocket costs because his MA-PD coverage has been very good. However, when he received the bill, he was surprised to see large charges in excess of his maximum … Read more
Ms. Gibson recently lost her employer group health and drug coverage and now she wants to enroll in a PPO that does not include drug coverage. What should you tell her about obtaining drug coverage? a. She can enroll in the PPO and if she decides that she wants drug coverage, she will be able … Read more
