Medicare
Acronyms
Coverage
Costs
Plans
100

Who automatically qualifies for Medicare based on their age.

Who are individuals age 65 and older?

100
CMS
What are the Centers for Medicare and Medicaid Services?
100
Covers Antipsychotics, Antidepressants, Anticonvulsants, Immunosuppressants, Cancer Drugs, and HIV/AIDS drugs.
What is Medicare Part D?
100
The amount a member must pay out of pocket before their insurance will pay a claim.
What is the deductible?
100

Coordinated care plan that is owned and operated by hospitals and doctors and required to offer prescription drug coverage.

What is a Provider Sponsored Organization (PSO) plans?

200
These are the four parts of Medicare.
What are Parts A, B, C, and D?
200
SSA - Replacement Medicare cards are handled by them.
What is the Social Security Administration?
200
Covers Doctor's Services, Outpatient Medical and Surgical Services and Supplies, Durable Medical Equipment, Clinical Lab Services, Diabetes Supplies, Mental Health Care, X-rays, and MRIs.
What is Medicare Part B?
200
Premium will vary based on the individual's marital status and income. Most beneficiaries pay a standard monthly premium of $104.90
What is Medicare Part B?
200

Medicare-approved health insurance plans offered by private companies which generally offer additional benefits such as: hearing, dental, vision, and prescriptions drug coverage which are not offered by Original Medicare.

What are Medicare Advantage (MA) Plans or Medicare Part C?

300
These parts are considered original Medicare.
What are Parts A and B?
300
MA - Part C
What are Medicare Advantage Plans?
300

Long-term Care, Routine Dental Care, Dentures, Cosmetic Surgery, Vision and Hearing Aids.

What are services original Medicare doesn't cover or Services covered may be covered by MA Plan?

300
A fixed amount a member pays for a service, or a pre-determined pre-service required payment.
What is a co-pay?
300

A standardized policy sold by private insurance companies to help pay some of the health care costs that Original Medicare doesn't cover such as: deductibles, co-pays, or coinsurance.

What is Medicare Supplement Insurance or Medigap?

400
Individuals under age 65 qualify for Medicare if they have one of these.
What is a qualifying disability?
400
PPO
What is a Preferred Provider Organization?
400

Covers Inpatient Hospital Stays, Skilled Nursing Facility Care, Hospice Care, and Blood when furnished by a hospital or skilled nursing facility during a covered stay.

What is Medicare Part A?

400

After the Part A deductible of $1,484 has been fulfilled, this is the co-pay a member pays for Days 1-60 of a hospital stay.

What is $0?

400
Voluntary prescription drug coverage that is offered by private insurance companies, but managed by Medicare.
What are Medicare Part D Plans?
500
Having either of these two conditions automatically qualifies an individual for Medicare.
What are End-Stage Renal Disease (ESRD) and Amyotrophic Lateral Sclerosis (ALS)?
500
HMO
What are Health Maintenance Organizations?
500
Covers Annual "Wellness" Visit (one per 12 month period), Abdominal Aortic Aneurysm Screening, Bone Mass Measurement, Cardiovascular Disease Screenings, Flu Shots, Glaucoma Tests, Prostate Cancer Screening, Smoking Cessation, and Screening Mammograms.
What are Medicare Covered Preventative Services?
500

This is the coinsurance amount a member pays after the Part B deductible has been met.

What is 20%?

500

A two part health plan that combines a high-deductible insurance plan with a medical savings account that a beneficiary can use to pay for health care costs.

What is a Medicare Medical Savings Account (MSA) Plan?

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