Medicare & Medicaid

Medicare & Medicaid

Medical insurance programs administered by the U.S. federal government that provide health care coverage for the elderly (people over 65) and certain people and families with low incomes and resources.

Industry: Insurance

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Medicare & Medicaid

Initial enrollment questionnaire (IEQ)

Insurance; Medicare & Medicaid

A questionnaire sent to you when you become eligible for Medicare to find out if you have other insurance that should pay your medical bills before Medicare.

Ambulatory surgical centre

Insurance; Medicare & Medicaid

A place other than a hospital that does outpatient surgery. At an ambulatory (in and out) surgery center, you may stay for only a few hours or for one night.

Custodial care facility

Insurance; Medicare & Medicaid

A facility, which provides room, board, and other personal assistance services, generally on a long-term basis and which does not include a medical component.

Prepaid health plan

Insurance; Medicare & Medicaid

A prepaid managed care entity that provides less than comprehensive services on an at risk basis or one that provides any benefit package on a non-risk basis.

Medicare secondary payer

Insurance; Medicare & Medicaid

A statutory requirement that private insurers providing general health insurance coverage to Medicare beneficiaries pay beneficiary claims as primary payers.

Health insuring organisation

Insurance; Medicare & Medicaid

An entity that provides for or arranges for the provision of care and contracts on a prepaid capitated risk basis to provide a comprehensive set of services.

Research protocol

Insurance; Medicare & Medicaid

A document that outlines a strong research design, which clearly states the objectives, background, methods and the significance of the study being proposed.