Part A
This type of care is covered by Part A
Inpatient
This type of care is covered by Part B
Outpatient
The name of this type of coverage
Medicare Advantage Plan
These types of plans are covered by Part D
Prescription drug plans
This feature does not consider the health status of a client in enrollment
Guaranteed issue rights
The premium cost when you've worked at least 10 years and paid Medicare taxes
$0
Late enrollment penalty for each year that one did not have Part B
10%
Open enrollment period dates
January 1 through March 31
The late enrollment penalty percentage is this times the number of months without coverage
1%
This feature provides a client continuity of coverage as long as you pay your premium
Guaranteed Renewable Policy
Days you stay in a hospital longer than 90 days in a row
Reserve days
An oxygen tank, wheelchair, and insulin pumps
Durable medical equipment (DME)
The annual cap on healthcare spending
Maximum out-of-pocket (MOOP)
Program that administers Extra Help with premiums and cost-sharing assistance
Low-Income Subsidy (LIS) program
This CA rule allows the client to change their Medigap yearly
Birthday rule
Covers up to this many days of inpatient mental health care
190 days
Standard premium amount for 2025
$185
Local providers must be within a system that ensure beneficiary access to all covered services
In-network
Lower copayment: most generic prescription drugs
Tier 1
The period of time when an insurer accepts clients, regardless of health status
Underwriting holiday
Person will automatically be enrolled in Part A when they turn 65 with this type of retirement benefit
Railroad Retirement Benefits (RRB)
The coinsurance percentage for Part B
20%
This benefit of Part A is not included in Part C
Hospice care
List of covered prescription drugs
Formulary
These Medigap Plans cover Part B's excess charges
Plans F & G