Medicare Prepping
Throughout the U.S., a team of dedicated volunteers known as SHIP Counselors, provide free, personalized health insurance counseling to those eligible for Medicare.
A SHIP Counselor in Florida is known as...
What is...a SHINE Counselor?
(Serving Health Insurance Needs of Elders)
One of the three H's that Medicare Part A covers.
If you can name all three, you keep the one hundred points. If not, other teams can earn 100 points by naming all three.
What is...
Hospital
Hospice
Home Health services.
Medicare beneficiaries can be screened for these two types of financial assistance programs.
What is...
the Medicare Savings Program and the Extra Help or Low Income Subsidy program.
A Medicare Part C plan contracts with service providers that are considered a part of this...
What is...a Network?
SMP stands for:
A. Serving More People
B. Saving Medicare People
C. Senior Management Patrol
D. Senior Medicare Patrol
What is...D, the Senior Medicare Patrol!
The insurance used by U.S. citizens at least 65 years of age OR someone that is younger than 65 years of age and diagnosed with ESRD, ALS or are receiving Social Security Disability.
What is...Medicare?
If you need home health care, physical therapy or a visit with your doctor, the service provider will bill this Medicare part.
What is...Medicare Part B?
Annually, a Medicare beneficiary will be responsible for an initial out of pocket cost for Part B.
If you can name the 2025 out of pocket cost, you keep the 200 points. If not, another team can earn 200 points.
What is...the Medicare Part B deductible.
which is $257.00 for 2025.
Medicare Part C costs typically require 'this' when receiving health care services.
What is...a payment at time of service?
SMP does the following:
A. Drive around in unmarked vehicles looking for scammers signage to report.
B. Assist beneficiaries to prevent, detect and report health care fraud.
C. Assist Medicare beneficiaries monitor fraudulent activity at doctors offices.
D. None of the above.
What is...
B. Assist beneficiaries to prevent, detect and report health care fraud.
This enrollment period includes the 7mths surrounding your 65th birth month.
What is...the "initial enrollment period (IEP)!
Part C also known as Medicare Advantage Plans such as HMO, PPO, SNP are required to meet all of the basic parts of original Medicare but not all coverage will be the same.
You can enroll in these plan types by contacting Medicare, SHINE or this entity!
What is...a Private Insurance company?
When you are admitted to a SNF or a hospital, you hope to have this health insurance coverage to help pay the bill.
What is...Medicare Part A Hospital coverage?
Some Medicare Part C plans provide these types of benefits not necessarily covered by Medicare.
What are...benefits such as:
Hearing
Dental
Vision
What is/are the best way(s) to protect Medicare beneficiaries from Medicare fraud?
A. Contact the SMP if you have any questions or concerns about unusual activity.
B. Open and review the MSN/EOB for unusual or erroneous charges.
C. Do not give out PHI to unsolicited callers.
D. All of the above.
E. None of the above.
What is...D. All of the above.
A. Contact the SMP if you have any questions or concerns about unusual activity.
B. Open and review the MSN/EOB for unusual or erroneous charges.
C. Do not give out PHI to unsolicited callers.
If you do this in your lifetime, you will not have to pay a monthly premium for Part A Medicare Health Insurance.
What is...work 40 quarter hours?
You might use this Medicare part when visiting a pharmacy to fill and pay for a prescription.
Name both and you keep your 400 points, if not, another team can also earn 400 points.
What is...a Medicare Part C with Prescription Drug Coverage or a Stand alone Part D Prescription plan
In 2025, the annual maximum out of pocket prescription drug costs for Medicare beneficiaries is...
What is...$2,000?
A beneficiary enrolled in a Part C plan may have to pay these types of out of pocket costs.
You must name four to keep your $400 or another team may name all four and win the round.
What are...monthly premiums, deductibles, co-pays, co-ins, and maximum out of pocket costs.
If you are a caregiver and you notice your client has received a bunch of DME equipment that is not medically necessary for patient care, you should do this:
A. Mind your own business.
B. Utilize them for patient care.
C. Contact their Doctor's office to confirm the devices are medically necessary for patient care?
D. None of the above.
E. All of the above.
What is...
C. Contact their Doctor's office to confirm the devices are medically necessary for patient care?
This is the agency most people will contact to activate Medicare.
What is...the Social Security Administration?
Some people with Original Medicare will purchase this type of coverage to help pay their co-payments, coinsurance and deductibles not covered by Original Medicare Part A or B.
What is...a Medicare Supplement or Medigap Plan.
A Medicare beneficiary can avoid this if they enroll in the different parts of Medicare in a timely fashion.
What is...a penalty?
This is one advantage of an annual plan review for a Medicare Part C enrollee?
Name up to 4 & keep 500 points. If not, another team can name 4 and earn 500 points.
What are...
Ensuring providers are still in the network.
Covers current prescription needs,
Provides overview of maximum annual out of pocket costs,
Offers the extra benefits needed for care,
or anything else you can think of!!!
We must all do this to help ensure the pot of gold is not in jeopardy from scammers
Prevent, Detect & __________.
What is...Report?