Plans
Enrollment Periods
Coverage Basics
Scenarios
Costs & Penalties
100

This type of plan lets you see any doctor nationwide who accepts Medicare.  

What is Original Medicare with a Medigap plan?  

100

This period lasts 7 months and begins 3 months before your 65th birthday.

What is the Initial Enrollment Period?

100

This part of Medicare covers inpatient hospital stays.

What is Part A?

100

Ms. Green has limited income and needs help with prescription costs. This program can assist her.

What is Extra Help (Low-Income Subsidy)?

100

In 2025, this is the standard monthly premium for Part B.

What is $185.00?

200

This plan type may include extras like dental, vision, and hearing.

What is Medicare Advantage (Part C)?

200

This period from January 1 to March 31 allows Advantage members to switch plans.

What is the Medicare Advantage Open Enrollment Period?

200

This part of Medicare covers outpatient care and doctor visits.

What is Part B?

200

A client missed enrolling in Part B when first eligible. They now face this penalty.

What is a 10% premium increase for each 12-month period delayed?

200

In 2025, this deductible must be met before Part A begins covering hospital stays.

What is $1,676?

300

This standalone plan covers only prescription drugs.

What is Part D?

300

This enrollment window runs from October 15 to December 7 each year.  

What is the Annual Enrollment Period (AEP)?

300

This part of Medicare is also called Medicare Advantage.

What is Part C?  

300

Mr. Brown travels often and wants freedom to see any doctor nationwide. This combo works best for him.

What is Original Medicare with a Medigap plan?

300

After meeting the Part B deductible, Medicare pays this percentage of approved services.

What is 80%?

400

For those eligible before 2020, this Medigap plan was the most comprehensive.

What is Plan F?

400

This special type of enrollment is triggered by life events like moving or losing coverage.

What is a Special Enrollment Period (SEP)?

400

This part of Medicare covers prescription drugs and vaccines.
 

 What is Part D?

400

Mrs. Lopez takes 5 prescriptions and wants dental coverage. This plan type may suit her best.

What is Medicare Advantage (Part C)?

400

The Part D late enrollment penalty is calculated this way.

What is 1% of the national base premium for each uncovered month?

500

These two types of plans cannot be held at the same time.

What are Medigap and Medicare Advantage?

500

True or False: You can only enroll in Part D during AEP.

What is False?

500

Original Medicare does not cover these common services like dental and vision.

What are routine dental, vision, and hearing services?

500

Mr. Jones just turned 65 but has creditable employer coverage. He does not need to enroll in this part right away.

What is Part B?

500

IRMAA surcharges are determined by this factor.

What is income (MAGI)?

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