Course Code: REL-PI-0-P43
Type: Online Course
Content Expiration Date: 2/28/2022
Explain health and drug coverage coordination.
Determine who pays first.
Identify where to get more information.
Section 1: Introduction A. Disclaimer B. About This Course C. Learning Objectives Section 2: Coordination of Benefits Overview A. Raul’s Medicare Mishap B. Coordination of Benefits Overview C. When Does Medicare Pay? D. When Medicare Is the Primary Payer E. Medicare Secondary Payer F. Benefits Coordination & Recovery Center G. Review H. Summary Section 3: Health Coverage Coordination A. Medicare and the Marketplace B. Medicare and Marketplace Coordination C. Important Retiree Coverage Considerations D. Possible Health Claims Payers E. Employer Group Health Plans F. Employer Group Health Plans (EGHP) (Continued) G. Non-Group Health Plans H. No-Fault Insurance I. Liability Insurance J. Workers’ Compensation K. Workers’ Compensation Medicare Set-Aside Arrangement (WCMSA) L. Federal Black Lung Benefits Program M. Consolidated Omnibus Budget Reconciliation Act (COBRA) N. Consolidated Omnibus Budget Reconciliation Act (COBRA) Coverage O. Veterans Affairs (VA) Coverage P. TRICARE for Life (TFL) Coverage Q. Review R. Summary Section 4: Medicare Part D Coordination of Benefits A. Coordination of Prescription Drug Benefits B. Possible Drug Coverage Payers C. Important Retiree Drug Coverage Considerations Contents D. Coordination of Benefits Resource Guide E. Review F. Summary Section 5: Conclusion A. Summary B. Course Contributor C. Resources D. References E. Acronyms F. Congratulations!
Centers for Medicare & Medicaid Services National Training Program
The core components of this training module were developed and approved by the Centers for Medicare & Medicaid Services National Training Program (NTP). The original CMS content was enhanced with the addition of interactive vignettes, brought to you by Relias Learning.
Disclosure: Centers for Medicare & Medicaid Services National Training Program has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
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Asynchronous/Online Distance Learning; please see certificate details for specifics on delivery format.
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