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QUESTION IMAGE

a physician who does not accept medicare and has signed an agreement to…

Question

a physician who does not accept medicare and has signed an agreement to be excluded from the medicare program is referred to as a(n) __________ provider.
nonparticipating
opt - out
participating
private
question 10 (2.5 points)
medicare __________ is a type of medigap insurance that requires enrollees to use a network of providers to receive full benefits, which may result in lower premiums for enrollees.
pace
plus
select

Explanation:

Brief Explanations
  • For the first question: An opt - out provider is a physician who does not accept Medicare and has signed an agreement to be excluded from the Medicare program. Non - participating providers may still bill Medicare (but in a different way than participating providers). Participating providers accept Medicare. Private is too general.
  • For the second question: Medicare SELECT is a type of Medigap insurance that requires enrollees to use a network of providers to receive full benefits, which can lead to lower premiums. PACE is a different program (Program of All - Inclusive Care for the Elderly). PLUS is not the correct term for this Medigap type.

Answer:

  • First question: B. opt - out
  • Second question: C. SELECT