If a patient has Anthem Blue Cross and Blue Shield while their spouse has Medicare Part A and B, which plan handles outpatient services?

Study for the Front Desk Patient Service Representative / Medical Patient Access (PSR/MPA) Test. Explore multiple-choice questions with explanations. Prepare for success in your exam!

In the scenario described, the patient has Anthem Blue Cross and Blue Shield, which is a private insurance plan, while the spouse is covered by Medicare Part A and Part B. Outpatient services are typically covered under Medicare Part B, which is designed to handle outpatient care, including physician visits, preventive services, and other outpatient procedures.

However, since the question specifically asks about which plan handles outpatient services for the patient who is enrolled in Anthem Blue Cross and Blue Shield, this plan would cover the outpatient services for that individual as it acts as their primary insurance. Anthem Blue Cross and Blue Shield provides various health benefits, including outpatient services, under its coverage policies.

In situations where there is dual coverage, such as with a spouse on Medicare, coordination of benefits would determine which plan pays first; however, in this case, the focus is on the individual with Anthem as the primary coverage. Thus, Anthem Blue Cross and Blue Shield is the correct answer regarding the patient's outpatient services.

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