Original Medicare - Ebony
This is also known as "Hospital Insurance".
What is Medicare Part A?
A request made for coverage of an uncovered medication.
A policy that covers the 20% of coinsurance/copayment & deductibles.
What is a Medigap?
or
What is Supplement Insurance?
The time period you initially become eligible for a Medicare Advantage plan.
What is Initial Enrollment Period (IEP)?
Lasting 2 times the number of years a beneficiary did not enroll.
What is the Part A enrollment penalty?
Part A and Part B provided through the government.
What is Original Medicare?
What is a Formulary?
The first 6 month window to enroll for a policy.
What is Initial Enrollment Period (IEP)?
Could result in disenrollment after a grace period (usually 2 months).
What is Premium non-payment?
Calculated as 1% of the premium for each month a beneficiary is not enrolled and/or covered.
What is Part D: Late Enrollment Penalty?
Covering: Emergency Room Services, Therapy, In-Patient Medications, and Out-Patient care.
What is Medicare Part B?
The process of trying approved medications before the approval of a medication not on a policy's formulary.
What is Step Therapy?
This plan covers the 20% copayment, Part A deductible & 80% of foreign travel medical fees.
What is Plan G?
Drug coverage under Medicare Advantage plans are considered to be.
What is Creditable?
2 programs that assist with payment of Late Enrollment Penalties
The part of Medicare that covers formally admitted in-patient hospital stays.
What is Part A?
The average amount of $4,600 needs to be met in order to be in this coverage phase.
What is a donut hole?
From October 15 through December 1st.
What is Annual Election Period (AEP)?
You are not eligible for a Medical Savings Account (MSA) if you receive this type of care.
What is Hospice Care?
An administrative process that allow the request of immediate/retroactive Medicare enrollment and elimination of the Part B penalty
What is Equitable Relief?
Qualify by: Emergency or disaster, misinformation from their employer, release from incarceration, end of Medicaid coverage, or exceptional circumstance
What is a Special Enrollment Period?
A change in location, change in contract with Medicare, or having severe or disabling condition; qualify you for this.
What is a Special Enrollment Period?
In addition to the 20% copayment, Part A deductible, and 80% foreign travel medical costs; it also covers the Part B deductible.
When CMS terminates a Medicare Advantage plan you are eligible for...
What is Special Enrollment Period (SEP)?
Can last either until you turn 65 or for the rest of your life.
What are Part B and Part D Late Enrollment Penalties?