Medicare Part A
Maximum Part A monthly premium
What is Part A is free with 40 Quarters of credits. Otherwise, beneficiary can pay as much as $499 per month in 2022
Late Enrollment Penalty 2022
$17.01 for each 12-month period the beneficiary had no Part B
A benefit offered under an MAPD plan that is not covered by Original Medicare
What is
-Vision
-Dental
-Acupuncture
Beneficiaries have ______ number of days to obtain creditable Part D coverage or may be penalized
What is 63 days?
Who is responsible for enrolling Railroad retirees into Medicare?
What is the Railroad Retirement Board
Services in which a beneficiary is admitted into the hospital
What is Inpatient Services?
Preventive Service
What is
Flu Shot
Annual Wellness exam, etc
1st opportunity that a beneficiary can join an MAPD plan?
What is during their IEP?
Total Part D deductible in 2023
What is $505.00
This open enrollment period allows beneficiaries who are part of a MAPD to change to another MAPD/PDP/Original Medicare. When does it occur?
What is the MA OEP which runs from Jan - March 31st annually
100 days per calendar year
What is Skilled Nursing Facility?
2022 Part B Premium
$170.10
The number of Part C plans are offered at MetroPlusHealth
What is 3.
Medicare Advantage, Medicare Platinum, and MetroPlus UltraCare
A program that will assist beneficiaries with their Part D expenses including monthly premiums, deductibles, co-pays and LEP
What is Extra Help?
An Original Medicare beneficiary may join a Medicare Advantage plan or leave a MA plan and return to Original Medicare during this time annually
What is AEP? Which runs from Oct 15th - Dec 7th
Certified 6 months or less to live
What is Hospice Care?
Part B Assistance Program
What is SLMB and QI programs?
MLTC plans offered at MetroPlusHealth
What is
MetroPlus MLTC
MetroPlus UltraCare
Catastrophic coverage co-pays in 2023
What is $4.15 for generics, $10.35 for Brand name medications or 5%. Whichever is higher
In 2022, the Conflict Free Enrollment and Evaluation Center stopped MLTC enrollments. Who is now responsible?
What is the New York Independent Assessor
Part A Assistance Program
What is QMB (Qualified Medicare Beneficiary) which helps pay for: Part A premiums and
Qualified Disabled Working Individual (QDWI) Program
Cost-Sharing percentage
Non-Covered MLTC service
What is
PCP services
Specialty office visits, etc.
National Base Premium in 2023?
What is $32.74
How long is the SEP for a beneficiary who loses Medicaid Eligibility?
What is 3 full months from the date the beneficiary is no longer eligible or notified, whichever is later.