Medicare Basics
Parts A,B,C,D
Enrollment & Eligibility
Costs & Coverage
Claims & Billing
100

This is the federal agency that administers Medicare.

What is CMS? (Centers for Medicare & Medicaid Services)

100

Part A is also referred to as this type of insurance

What is hospital insurance?

100

7-month period

What is the Initial Enrollment Period?

100

Most people pay this amount for Part A premiums.

What is $0?

100

The form that is sent to beneficiaries that summarizes the billed services

What is the MSN? (Medicare Summary Notice)

200

Medicare is primarily for people of this age and OLDER.

What is 65?

200

Part B typically covers these services?

What are doctor visits/medical/outpatient services?

200

The period that runs from October 15th- December 7th each year

What is the Annual Enrollment Period?

200

The benefit that Part B premiums are usually. deducted from

What is Social Security?

200

The 10-digit number that identifies a Medicare provider

What is the NPI? (National Provider Identifier)

300

You must have this type of federal disability benefit to be covered under Medicare if you are younger than 65

What is SSDI? (Social Security Disability)

300

Prescription coverage 

What is Part D?

300

Denying Part B without creditable coverage.

What is the Part B late enrollment penalty?

300

The amount that must be paid in order for Part B to pay 80%

What is the Part B deductible?

300

The document that is given to beneficiaries when a service may NOT be covered

What is an ABN? (Advance Beneficiary Notice)

400

The card every Medicare beneficiary will receive

What is the red, white, and blue Medicare card?

400

Medicare Advantage

What is Part C?

400

You must have these benefits in order for Medicare to automatically begin at 65

What are Social Security (Railroad Retirement) benefits?

400

Extra Help can reduce the costs for this Medicare part

What is Part D?


400

The claim form used by physicians when billing Medicare

What is the CMS-1500?

500

The year that Medicare was established.

What is 1965?

500

The amount of inpatient hospital days that are covered with coinsurance after the first 60 days

What are 30 days?

500

January 1st - March 31st

What is the Medicare Advantage Open Enrollment Period?

500

Private plans that supplement Original Medicare

What is Medigap?

500

Hospitals use this claim form

What is the UB-04?

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