Medicare Basic
What is the age most people become eligible for Medicare?
65
What is IEP?
Initial Enrollment Period
What does HMO stand for?
Health Maintenance Organization
Special Enrollment Period
What program helps low-income clients with drug cost?
What are the 4 parts of Medicare?
Part, A, B,C,D
What months make up AEP?
October 15th- December 7th
What does PPO Stand for?
Preferred Provider Organization
What does LIS mean?
Low-income subsidy
Do all part D plans cover the same drugs?
No, each plan had it's own formulary
What is the Standard Part B Premium for 2025?
$185
What months make up OEP?
January 1st- March 31st
What does D-SNP stand for?
Dual- Eligible Special Needs Plan
What is the full name for PDP?
Prescription Drug Plan
What is "creditable coverage for Part D?
Coverage (like employer or VA drug plans) that is as good or better than Medicare's standard drug coverage.
What is a deductible?
The amount you pay out-of-pocket before your plans covers the cost
What is a Special Enrollment Period?
Time outside of AEP when someone can change plan due to certain life events
Moving, Losing Medicaid, Weather disaster, Qualifying for Extra Help.. Ect.
What is a C-SNP?
Chronic Special Needs Plan- plan tailored specifically towards people who have a certain chronic condition.
What is MSP?
Medicare Savings Programs- A program that helps low-income Medicare beneficiaries pay premiums and other costs
What is Extra Help?
Help for people with limited income and resources to pay for Part D costs
How many months do you need to receive SSDI to automatically enroll in Medicare
24 months
Is there an SEP you can use for someone who has been affected by a natural disaster or emergency?
This plan type usually requires no referrals, often offers out- of network coverage, and can cost more
PPO
Who will clock out today first?
Ashley
What is the extra help income limit for an induvial?
$23,475