Definitions
FEDERAL HEALTH INSURANCE PROGRAM AVAILABLE TO INDVIDUALS 65 AND OLDER
WHAT IS MEDICARE
WHEN DOES YOUR MEDICARE COVERAGE BEGIN?
THE FIRST OF YOUR BIRTHDAY MONTH OR THE FIRST OF THE MONTH PRIOR IF YOUR BIRTHDAY IS ON THE FIRST
WHO ASSISTS WITH APPLYING FOR MEDICARE PART A AND PART B
SOCIAL SECURITY
MAPD PLANS ARE CONSIDERED WHAT MEDICARE PART?
WHAT IS PART C
TRUE OR FALSE: IF I HAVE EMPLOYER SPONSORED COVERAGE, I HAVE TO APPLY FOR MEDICARE A AND B.
FALSE
COVERS ANNUAL WELLNESS VISITS, PREVENTATIVE SCREENINGS & VACCINES
HOW MANY MONTHS DO YOU HAVE TO APPLY FOR MEDICARE WHEN YOU TURN 65?
7 MONTHS TOTAL: 3 MONTHS PRIOR, YOUR BIRTHDAY MONTH, AND 3 MONTHS AFTER
COVERS INPATIENT HOSPITAL SERVICES
MEDIGAP PLANS DO NOT INCLUDED WHAT ADDITIONAL COVERAGE
PART D PRESCRIPTON DRUG COVERAGE
WHAT IS AN EXAMPLE OF A QUALIFYING SEP (SPECIAL ENROLLMENT PERIOD) EVENT?
MOVED, RETIRED/LOST COVERAGE, ETC
THE STATE GOVERNMENT REGULATES AND PROVIDES MEDICAL COVERAGE FOR LOW-INCOME INDIVIDUALS
HOW MANY ELECTION PERIODS ARE THERE? WHAT ARE THEY?
4 TOTAL: IEP, SEP, AEP, OEP
THE MONTHLY PREMIUM FOR PART B FOR 2022
WHAT IS $170.10
THIS PLAN WORKS SIMILIAR TO A PPO STYLE HEALTH PLAN
WHAT IS A MEDIGAP PLAN?
WHAT HAPPENS IF I FORGET TO CANCEL COVERED CALIFORNIA?
YOU MAY BE RESPONSIBLE FOR THE MONTHLY PREMIUMS AND/OR ASSISTANCE
THE LIST OF PRESCRIPTIONS COVERED UNDER A PART D PLAN
WHAT IS THE DRUG FORMULARY
THE ANNUAL ELECTION PERIOD OCCURS WHEN
OCTOBER 15TH - DECEMBER 7TH
HOW MANY WORK CREDITS (OR YEARS WORKED) DO YOU NEED TO QUALIFY FOR MEDICARE?
WHAT IS 40 CREDITS/10 YEARS
WHICH PLAN MAY REQUIRE A REFERRAL FROM A PCP TO SEE A SPECIALIST?
WHAT IS AN MAPD PLAN (MEDICARE ADVANTAGE)
TRUE OR FALSE: I CAN HAVE BOTH MEDI-CAL AND MEDICARE.
TRUE
A SERIES OF HEALTH QUESTIONS ASKED WHEN ENROLLING IN A MEDIGAP PLAN
IF I DIDN'T SIGN UP FOR MEDICARE A AND B AND CHOSE TO APPLY DURING OPEN ENROLLMENT, WHEN WILL MY MEDICARE START?
JULY 1ST
WHAT IS THE PART B LATE ENROLLMENT PENALTY?
UP TO 10% FOR EACH 12-MONTH PERIOD YOU COULD HAVE HAD PART B, BUT DIDN'T SIGN UP
WHAT ADDITIONAL BENEFITS ARE INCLUDED IN SOME MAPD PLANS
DENTAL, VISION, GYM MEMBERSHIP, OTC ALLOWANCE
WHAT IS THE BEST MEDICARE HEALTH PLAN FOR ME?
CONTACT US TO COMPARE YOUR OPTIONS AND SEE WHAT PLAN WORKS BEST FOR YOUR NEEDS