Part A
A person who has 30–39 Medicare qualified quarters of coverage will pay this monthly premium in 2025
What is $505
Monthly Part B premium
What is $174.70
$35
What is the maximum insulin copay
Portion of spending on covered Part D drugs made by the beneficiary or on their behalf by certain third parties
What are True Out-of-Pocket Costs (TrOOP)
This is the cost share amount for Home Health benefits after Part B deductible has been met
What is $0 cost share
Part B deductible
What is $240
Vision, Hearing, Dental, and/or Health and Wellness programs
What are benefits offered under Part C plans that are not covered by Original Medicare
The capped annual out-of-pocket cost beginning 2025
What is $2000
65+, ESRD, ALS or 24 months of SSDI
What are the qualifications for Medicare
Medicare Summary Notice
What is the report that beneficiaries receive every three months including information about services and supplies billed to Medicare
Other name for Part B
What is Medical Insurance
Anthem Blue Cross, Humana, Wellcare, Kaiser, Alignment
What are companies that offer MA plans
The State Assistance programs for Part D
What is LIS/Extra Help
October 15th - December 7th
What is the Annual Enrollment Period
The amount of cost share a beneficiary will have with no additional coverage.
What is 20%
Name at least three services that part B covers.
What is Doctor visits and treatments,Surgeon and Anesthetist fees, Physical and speech therapy, Diagnostic tests and X-rays, Emergency Room charges, Hospital outpatient clinic charges, non-self-administered drugs, lab test and radiology, ambulance charges, casts, splints and braces, artificial limbs, durable medical equipment, other medical supplies, except first aid items.
Medicare Prescription Payment Plan (MP3)
What is the program that allows people with Medicare Part D coverage to pay for their prescription drugs in monthly installments instead of paying the full cost at the pharmacy each time they fill a prescription.
HMO, PPO, PFFS
What are types of Medicare Advantage plans
Inpatient Hospital stay reserve days
What is 60
The facility that provides surgical services that do not require a hospital stay.
What is Ambulatory Surgical Center
Cures Act
What is the act that permitted ESRD beneficiaries to enroll in MA plans effective January 2021.
Part D deductible
What is $590
January 1st - March 31st
What is the Open Enrollment Period