Part A
What is Medicare Part A?
What is hospital insurance
What is Medicare Part B?
Medical insurance
What is the election period when you are first eligible for Medicare, you have a 7-month window to sign up for Part B
Initial Enrollment Period (IEP)
What is the amount you must pay for health care before Medicare begins to pay? These amounts can change every year.
A deductible
What does original Medicare consist of?
Part A and Part B
What does Part A cover?
Inpatient Care-- Skilled Nursing Facilities-- Hospice--SOME home health care
What is the premium for MOST Americans who enrolled in Medicare Part B?
What is $148.50
What is 3-1-3?
3 months before the month you become eligible, includes the month you turn 65/become eligible, and ends 3 months after the month you become eligible
A payment, often monthly, to an insurance plan that enables the individual to receive insurance coverage.
What is a premium
When do Medicare plans take effect?
First (1st) of the month
What is the Part A deductible?
What is $1,484
What does Part B cover? (Name 3)
What is outpatient care-- doctors office visits-- outpatient Medicare and surgical services-- diagnostic tests-- ambulatory surgery center-- durable medical equipment
How long does one have to enroll into Original Medicare with a Special Enrollment Period (SEP)? I.e. Losing their employer coverage
8 months
A fixed percentage paid by the beneficiary for the services provided
What is coinsurance
Medicare is health insurance for:
People 65 years and older-- people under 65 with certain disabilities-- people of any age with ESRD or ALS
What is the benefit period of the Part A deductible?
60 days post discharge from the hospital
What is the Part B co-insurance AND deductible?
20% and $203
If you didn’t sign up for Part B when you were first eligible, and you aren’t eligible for a Special Enrollment Period, you can sign up during the?
General Enrollment Period (GEP)
A fixed dollar amount paid by the beneficiary for the services provided
What is copayment (copay)
What must you be doing to be automatically enrolled into Medicare when you turn 65?
Collecting Social Security benefits
What are the qualifications to receive Part A for no premium?
What is if you have worked for 40 quarters or are married to a spouse for 10 years that worked the required 40 quarters
How much is the Part B penalty?
10% of the premium for each full 12-month period you could have had Part B but didn't
The General Enrollment Period is from _____ to ____ of each year.
January 1st-March 31st
A term used by Medicare to describe a non-Medicare health plan that is considered to be at least as good as the coverage offered by Original Medicare
What is Creditable Coverage
What is one way to sign up for Part B if you're not automatically enrolled?
Call 1-800-MEDICARE-- www.socialsecurity.gov and apply online-- Visit your local Social Security Office