Medicare Part A
How can you obtain Pt A if you haven't obtained premium free and are you going to pay a penalty?
f you aren’t eligible for premium-free Part A, and you don’t buy it when you’re first eligible, your monthly premium may go up 10%. You’ll have to pay the higher premium for twice the number of years you could have had Part A but didn’t sign up. For example, if you were eligible for Part A for 2 years but didn’t sign up, you’ll have to pay a 10% higher premium for 4 years.
What is the Annual deductible for 2023?
226
What is Medicare Advantage also known as?
C
What is the extra amount an individual may have to pay if they did not enroll into a Part D plan when they first became eligible?
Late Enrollment Penalty
What does the term "Guaranteed Renewable" mean?
As long the premiums are paid the policy can't be taken away.
If you didn’t automatically get premium-free Part A (for example, because you’re still working and not yet getting Social Security or Railroad Retirement Board (RRB) benefits), can you sign up for it anytime after you’re first eligible for Medicare?
Your Part A coverage will go back (retroactively) 6 months from when you sign up for Part A or apply for Social Security or RRB benefits, but no earlier than the first month you’re eligible for Medicare. Depending on how you become eligible for Part A, the retroactive period may be different.
Medicare uses the modified adjusted gross income reported on your IRS tax return from 2 years ago. This is used to determine what parts of Medicare will be affected. What are the parts?
IRMMA(B&D)
What additional services which Medicare does not cover that might be covered under and Advantage Plan?
What additional services which Medicare does not cover that might be covered under and Adsvantage Plan?
What is the amount that an individual must pay before their Part D plan starts paying on the medication?
Annual deductible
The SSA Act of 1935 was signed into legislation by what US President.
President Roosevelt
Is custodial care covered under PT A the same way as LTC ?
Neither
What are your options for Medicare(A&B) coverage if you're still working when you turn 65 and receiving SS benefits?
You can decline Pt b and sign your card and send it back to Medicare.
This period of time lets a beneficiary move from MA for the first time back to Medicare Supplement Insurance.
What is it?
Trial Right Period
Any Medicare Pt D plan has to have a certain number of medications in it's formulary, What does Medicare require?
2 in each therapeutic class.
This Medicare program was established to assist Medicare beneficiaries with cost reduction for premiums, deductibles and copays. What is it called?
MSP
How much does a Pt A hospitalization stay cost?
1600 deductible
During the first 12 months that you have Part B, this visit includes a review of your medical and social history related to your health. What is this called?
Annual Wellness Visit
This period occurs from Jan-Mar 31?
OEP
Medicare uses a specific resource to enhance the quality and safety of prescription drug use for beneficiaries, what is the resource called?
MUT's
How do you qualify for open enrollment for Medicare Part B if you had but dropped it?
Open enrollment always occurs anytime that you pick up B.
This timeframe allows a beneficiary unlimited number of opportunities for hospitalization confinement?
Benefit Period
If You aren’t eligible for a Special Enrollment Period to sign up for Medicare when that COBRA coverage ends. When should you enroll? How long do you have to enroll for coverage when health coverage is ending?
As soon as eligibility begins.
8 months(SEP)
Can you enroll in a 5 star MA plan during the AEP or OEP?
Continuous Enrollment
Can a beneficiary enroll between Oct-January for PT C&D?
No
This correspondence let's a beneficiary know about what services were administered in an outpatient setting.
MOON