Medicare Parts & Plans
This part of Medicare covers inpatient facility charges, skilled nursing services, Hospice care.
What is Medicare Part A?
This plan is primary for members age 65 or older covered by a group health plan entitled to Medicare with an employer with 20 or more employees.
What is the group health plan?
Sue Jones, employee at Bank turns 65 on May 5, 2020. She is retiring on 5/1/2020 and going on Medicare. Specify the number months of COBRA her husband Jim is entitled.
What is 36 months?
This type of coverage is considered creditable if the actuarial value of the coverage equals or exceeds the actuarial value of Medicare prescription drug coverage.
What is Creditable Coverage?
IBBP is considered creditable coverage for Medicare Part D Prescription Drug Plans.
This part of Medicare covers Doctor's services, including office visits and surgery, X-rays and labs.
What is Medicare Part B?
This plan is primary for a disabled member covered by a large group health plan with 100 or more employees.
What is the large group health plan?
Ed's wife, Margie turns 65 and chooses to drop her husband's group health plan to go to Medicare. Ed changes his coverage from Family to Single. Margie wants to know how many months of COBRA she can elect.
What is zero?
When Margie terminates her coverage voluntarily to go to Medicare, this is not a qualifying event for COBRA.
Helen is 66 years old and has Medicare Part A. Her job was recently terminated and she decided to take the 18 months of COBRA her employer offered to her. Explain what will happen when her COBRA ends and she decides to sign up for Medicare Part B?
What is she will have to pay a penalty for Part B?
COBRA is not considered active employer coverage.
This part of Medicare covers flu shots, pneumonia and Hepatitis B vaccines.
What is Medicare Part B
This plan is primary for members age 65 or older covered by a group health plan entitled to Medicare with an employer with less than 20 employees.
What is Medicare?
Termination of Employment, Death of an employee, Loss of dependent status, Reduction of hours, and divorce are examples of
What are COBRA qualifying events?
Mary is 65 years old and is thinking of signing up for Medicare Part A. She works for a bank that has over 20 employees and has a High Deductible Health Plan. What happens if Mary contributes to her HSA after she is enrolled in Medicare?
What is she could have a tax penalty?
This type of plan helps pay for health care costs and some services not covered by Medicare, such as Deductibles, copays and coinsurance.
What is a Medicare Supplement?
Ralph is 65 years old. He has Medicare Part A and COBRA. Name the plan that pays primary.
What is Medicare?
Ben turns 65 July 3, 2020. Ben is terminating his group health plan and going on Medicare Part A & B on July 1, 2020. He plans to continue working at the bank. Since his wife, April is 62 years-old, he wants to get COBRA coverage for her. Give the number of months that April can elect.
What is zero?
Since Ben continues to work, his wife, April is not eligible for COBRA.
Mary is on a High Deductible Health Plan and her employer has over 20 employees. Name the number of months should she stop her HSA contributions before she enrolls in Medicare?
What is 6 months?
This part of Medicare covers prescription drugs.
What is Medicare Part D?
Jay has End-Stage Renal Disease (ESRD) and a group health plan.
Medicare or Group Health Plan is primary the first 30 months of eligibility or entitlement to Medicare.
Medicare or Group Health Plan is primary after 30 months of eligibility or entitlement to Medicare.
What is Group Health Plan?
What is Medicare?
Sam turned 65 on 2/14/2019. He has decided to retire 2/1/2020. His wife, Julie (age 62) and his two children are eligible for COBRA. Indicate the number of months of COBRA coverage they can elect.
What is 24 months?
Since Sam retired within 18 months after he became entitled to Medicare, COBRA coverage for his wife and children would last 24 months (36 months minus 12 months).
Dave and Rose are traveling to Italy. What information should you share with them about their Medicare coverage?
What is Medicare does not cover services outside of the United States?