Medicare
Americans typically become eligible for Medicare at this age.
What is 65 years old?
Part C is also known as this.
What is Medicare Advantage?
This type of medical care is covered by Part D.
What is prescription drug coverage?
Standard premium amount for 2026.
What is $202.90?
When making a manual OB call you should do this.
What is queue it?
Original Medicare.
What are Parts A and B?
The two most common types of networks in a MAPD.
What are HMO and PPO?
Program that aids with Part D premiums, copays, and coinsurance.
What is Low-Income Subsidy (LIS) or Extra Help?
This government program can help lower premiums.
What is Medicaid?
The type of service we give on every single call.
What is green glove?
When you've worked at least 10 years and paid Medicare taxes.
What is premium-free Part A?
If a member loses Medicaid eligibility, they may qualify for this enrollment period.
What is a Special Election Period (SEP)?
You may need this from your doctor to get certain drugs covered by Part D.
What is prior authorization?
Qualifying for Medicare and Medicaid at the same time.
What is dual eligibility?
A list of tools, scripts, and resources can be found here.
What is CSTTKC?
This type of medical care is covered by Part B.
What is doctor's office visits, lab work, screenings, and outpatient hospital care?
This is the period immediately after turning 65 when you can sign up for a MAPD plan.
What is the Initial Enrollment Period (IEP)?
This is a list of covered prescription drugs.
What is a formulary?
The percentage of the Medicare-approved cost of your health care services that you’re expected to pay after you’ve paid your deductibles.
What is coinsurance?
This question is the first one you should ask while qualifying an enrolee.
What is do you make your own healthcare decisions?
This type of medical care is covered by Part A.
What is inpatient hospital care, skilled nursing facility care, hospice care, and certain home health services?
This benefit of Part A is not included in Part C.
What is hospice care?
If a drug is not covered you can request this from the plan.
What is a formulary exception?
Members can go from one MAPD to another during this period.
What is Open Enrollment Period (OEP)?
CST originated in this year.
What is 2024?