PART D
ELIGIBILITY
ENROLLMENT
FINANCIAL HELP
OTHER
100
1% of the national premium for every month that you could have had coverage and didn't
What is the Medicare Part D late enrollment penalty?
100
This is the age that may qualify a person to be eligible for Medicare
What is age 65
100
This enrollment period runs from October 15- December 7 2011
What is Annual Enrollment
100
The Extra Help program reduces the Part D premium, eliminates the Part D coverage gap (in many cases), and eliminates or reduces these
What are Part D copays
100
$13,440
What is the LIS resource limit for an unmarried individual?
200
Only when you have a Private Fee For Service(PFFS) Medicare Advantage plan without a Prescription Drug plan.
When can you have a stand alone Part D plan and a Medicare Advantage plan together?
200
A person who is age 65 or older and entitled to this may be eligible for Medicare
What are Social Security benefits
200
Drop your Medicare Advantage plan and return to Original Medicare and enroll in a Part D plan
What are you allowed to do between January 1 and midnight, February 14.
200
This is another name for the assistance that someone who qualifies for Extra Help receive
What is low income subsidy
200
The amount of your part D Deductible, your co-payments and the 55% Donut Hole discount on brand-name drugs but not your premiums.
What counts toward TROOP (true out of pocket costs)
300
When a plan receives an average rating of less that 3-stars for 3 years in a row.
When can a Part D plan loose it's online enrollment or be terminated?
300
If a person has this disease then he/she may be of any age to qualify for Medicare
What is End Stage Renal Disease (or kidney failure)
300
If you enroll in Part B late, then you may be subject to this, which is a fee added to your monthly premium, for as long as you have Medicare Coverage
What is a late enrollment penalty
300
$8,660 or $13,750
What are the resource limits for MSP for individuals and married couples?
300
Charge 15% more than Medicare allowable costs.
What may a doctor who does not take Medicare assignment do?
400
When a patient is here, their medications are dispensed every 14 days rather than 30.
Long-term care facility.
400
People with this disease are NOT required to have been receiving Social Security benefits for 24 months before becoming eligible for Medicare
What is Amyotrophic Lateral Sclerosis (Lou Gehrig's disease)
400
This is the Part B premium that most people who receive Medicare pay in 2015
What is $104.90
400
This agency is responsible for qualifying a person for Medicare and for qualifying a person for Extra Help
What is Social Security Administration
400
When you have had a minimum of 3 days in the hospital and you are also receiving skilled care such as nursing care or physical therapy.
When will Medicare Pay for Home Health Care
500
Traditionally this Medicare drug phase meant that a person had to pay 100% of the total cost of a drug, but due to Health Care Reform a person may pay only 45% of a brand drug
What is the coverage gap aka "donut hole"
500
If you are not eligible for these parts of Medicare then you will not be eligible for Part D
What is Part A or Part B
500
When you have had a Kidney transplant or before you develop End Stage Renal Disease
When can you be enrolled in a Medicare Advantage plan and have ESRD?
500
A copy of an Extra Help Notice award, a copy of the person's Medicaid card or documentation that show's medicaid status
What does a pharmacist need to confirm a person's eligibility for LI NET?
500
Some people mistakenly think this vaccine is covered by part B preventive services, but it is usually covered by the Part D plan.
What is the shingles vaccine?
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