Medicare Part A
$458
What is Part A premium amount for 2020 if a beneficiary has less than 30 credits?
If you do not sign up for Part B during your initial enrollment period, you may have to pay a (BLANK) that’s added to your Part B premium due to late enrollment.
Lifetime Penalty/Part B Late Enrollment Penalty
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?
What is Late Enrollment Penalty?
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$1408.00
What is the Medicare Part A deductible?
Provides relief if you have suffered a financial hardship due to a government error, misrepresentation of program information, delay in Medicare Part B enrollment, premium collection, termination of entitlement, or local emergency or disaster.
Equitable Relief
Type of coordinated care plan that is required to provide all Medicare Part A and Part B covered services, except hospice care. It also typically require you to get a referral from your doctor to see another network provider.
What is Health Maintenance Organization (HMO) Plans
Certain situations that may allow you to join, switch, or disenroll from a plan.
What is Special Election Periods?
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What is Demo Compare?
Health care to prevent or detect illness at an early stage, when treatment is likely to work best. Examples of preventive services are Pap tests, flu shots, and screening mammograms.
What is Medicare Preventive Services?
Billing cycle code A means the premium payment is due the twenty-fifth of January, April, July, and October.
Billing cycle code B means the premium payment is due the twenty-fifth of February, May, August, and November.
Billing cycle code C means the premium payment is due the twenty-fifth of March, June, September, and December.
What are the 3 quarterly billing cycle codes
You have Medicare Part A and Part B,
You do not have end-stage renal disease,
You live in the plan’s service area, and
You are a US citizen or lawfully present in the United States.
What are the eligibility requirements for a Medicare Advantage Plan?
Enrollment period for people who are newly eligible for Medicare or are turning 65.
What is the Initial Enrollment Period?
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Social Security Administration or Railroad Retirement Board
Who enrolls you into Medicare?
3 months before, the month of and 3 months after a beneficiary's 65th birthday.
What is the Initial enrollment Period?
Medicare pays Medicare Advantage plans a set amount of money for each person with Medicare who is enrolled in the plan
What is Medicare Advantage Capitation Rates?
Any decision made by or on behalf of a Medicare drug plan regarding benefit payments
What is Coverage Determinations?
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Begins the day you're admitted as an inpatient in a hospital or skilled nursing facility. The benefit period ends when you haven't received any inpatient hospital care or skilled care in a skilled nursing facility for 60 days in a row.
Benefit Period
Form CMS-500
What is Medicare Premium Bill
This enrollment period allows anyone in a Medicare Advantage (MA) or Medicare Advantage prescription drug (MA-PD) plan to switch MA or MA-PD plans from January 1 to March 31 every year.
What is Medicare Advantage Open Enrollment Period?
Prescription vitamins and minerals,
Anorexia, weight loss, or weight gain drugs,
Drugs used to promote fertility,
Drugs used for the treatment of sexual or erectile dysfunction.
What are Part D Excluded Drugs?
Temporary
Long Term
Electronic
What are types of authorizations?