Benefits Breakout Game

BenefitsBreakout

start

Use your health insurance knowledge to complete the mission and breakout.

THE MISSION

Solve the clue to unlock each round at the base. Answer each question correctly and complete all rounds to BREAKOUT! Headphones MUST be used with mission. Good Luck!

THE base

Find the key to DirectRx patient care/customer experience.

QUESTION 1/3

True

Traditionally medications are billed through a patient's pharmacy drug plan. However, nebulized medications can be billed through the medical (Part B) portion of Medicare which typically means lower, more cost effective options for patients.

False

QUESTION 2/3

False

Medicare Advantage and Medigap both refer to the same optional plan that Medicare patients can select.

True

QUESTION 3/3

False

Tricare is the uniformed service health care program for active duty service members, active duty family members as well as retirees and retiree family members.

True

THE base

This is strongly encouraged to help prevent COPD.

QUESTION 1/3

If the patient has secondary coverage

If insurance is active

Which of the following is determined during a Benefit Investigation (BI)?

The primary insurance

All of the above

QUESTION 2/3

Premiums and deductibles

Qualified Medicare Beneficiary (QMB) is a Medicare Savings Program administered by each state's Medicaid program. It helps people with Medicare who have limited income and assets pay ______________.

Premiums, deductibles, and coinsurances

Deductibles and coinsurances

QUESTION 3/3

Part A: Hospital

Which of the following parts of Medicare does DirectRx normally bill to?

Part B: Medical

Part D: Pharmacy

the base

DirectRx Difference: Average pick up is less than 12 seconds.

QUESTION 1/3

75%

Traditional Medicare covers ____% of health care costs.

80%

90%

QUESTION 2/3

Medicare Secondary

Medicare Part C is also known as.....

Medicaid

Medicare Advantage

QUESTION 3/3

December 31st to January 1st

When does a benefit year run to and from?

January 1 to December 31st

January 30th to December 1st

the base

DirectRx ensures lowest possible costs for patients

QUESTION 1/3

20/20

Benefit Investigation

This transaction is used to verify Medicare eligibility.

Coordination of Benefits

270/271

QUESTION 2/3

Medicare

Medicaid

What is the most commonly billed health insurance policy at DirectRx?

Commercial / Private

Funding Programs

QUESTION 3/3

2004 / 1991

1965 / 2003

Medicare started in ____ and Medicare Advantage started in ____

2000 / 2010

1995 / 2003

the base

Approximate percentage of DirectRx patients with Medicare/Medicare Advantage.

QUESTION 1/3

Medicaid

Medicaid-Medicare

This health insurance option is jointly funded by the federal government and individual states; it is operated at the state level which means that coverage and administration may vary greatly from state to state.

Traditional Medicare

Medicare Advantage

QUESTION 2/3

COPD Medications

Lung Health

DirectRx is the only specialty pharmacy in the United States that focuses on __________.

Nebulized Medications

Breathing Medications & Equipment

QUESTION 3/3

We proactively apply copay cards for commercial insurance.

We work with non-profit funding programs such as PAN, PAF, and HealthWell to assist with copays.

Which of the following is a DirectRx difference?

We have a dedicated team for completing Prior Authorizations.

All of the Above

Mission Complete

You've saved the base

START OVER?

Are you sure you want to go out?

You will lose progress

exit

back

MISSION FAILED

You've destroyed the base......

try again