Enrollment Periods
AEP
What is Oct. 15-Dec. 7?
Medicare Part A covers
What are Hospital, Skilled Nursing Facility, and Hospice benefits?
2 types of Medicare Part D benefits
What are Stand alone Part D and MAPD plans?
To be eligible to enroll in a MA plan, beneficiaries must
What is permanently reside in the service area of the plan, and be entitled to Part A and Part B
3 things not covered by Medicare Part A & B
What is Acupuncture, routine dental, dentures, cosmetic surgery, custodial care, hearing aids, orthopedic shoes, routine foot care, syringes and insulin pumps, routine eye care and glasses
This enrollment period is eligible 3 times per year (or quarterly)
What is SEP- MDE? (for Lis or Medicaid)
Medicare Part B premium (2022)
What is $170.10?
Another term for "Coverage Gap" phase of Medicare Part D
What is the Donut Hole?
4 additional benefits that can be gained by enrolling in a Medicare Advantage plan.
What is Hearing, Vision, Dental, Dentures, Chiropractic, Annual Physical exams, Over the counter drugs, Acupuncture?
Medicare Part B deductible for 2022
What is $233?
During MA-OEP, beneficiaries must have this, to be eligible for this enrollment period.
What is a MA or MAPD plan currently?
Eligibility for Medicare Part A and Part B
What is being 65 or older or be on disability for 24 months or more and a U.S. resident?
This ____ is a list of drugs covered by the plan, generally it consist of 4 tiers, which are...
What is a Formulary and Tier 1:Generic, Tier2: Preferred brand name, Tier 3: Non-preferred brand name and Tier 4: High cost or Specialty?
These SNPs are restricted to only individuals with a specific health condition, and this condition must be verified by a doctor within _____ days
What are C-SNPs, 60 days?
Prior to January 2021, Beneficiaries with this condition were not eligible to enroll in an MA plan
What is ESRD?
The difference between OEP and AEP
What is, AEP (Oct 15-Dec 7) is for anyone with Medicare to enroll into anything and OEP (Jan 1-Mar 31) is only for beneficiaries with current MA or MAPD plans to switch or go back to OG Medicare
Generally most people qualify for premium free Medicare
What is after working 40 quarter hours or (10 years)?
The amount needed to spend to reach the coverage gap in 2022
What is $4430?
When enrolling a beneficiary into a Dual eligible plan, this must be verified first
What is Medicaid level and eligibility?
Dual eligible refers to beneficiaries who are
What is Medicare - Medicaid eligible?
SEP DST eligibility
What is, live in a specific county and state where FEMA has declared an emergency, an election (enrollment) period was in effect during the FEMA emergency, and you weren’t able to enroll in a Medicare plan, or switch Medicare plans, during the incident period.
An individual has an income for the past 2 years that is more than $91,000 dollars. They may have to pay this....
What is Part D IRMAA?
The 4 levels of Medicare Part D coverage
What is deductible, Initial Coverage, Coverage Gap, and Catastrophic coverage?
Beneficiaries with PFFS plans must be aware that
What is have their doctor agree to accept the terms and conditions of the plan each and every time?
Cost Sharing for skilled nursing and rehab care covered under Original Medicare
What is $0 for days 1-20, $185.50 daily for days 21-100 and all cost days 101 and beyond?