What's that Acronym?
This is the name of the time of year in which every Medicare recipient has an opportunity to select a new plan for 2025.
What is Annual Enrollment Period?
Hospital visits, skilled nursing facilities, and home health care are all covered through this part of Medicare.
What is Medicare Part A?
This type of coverage features low to no premiums and includes coverage for Part A, Part B, Part D plus extras.
What is a Medicare Advantage (Part C) plan?
The date people signing up for plans during AEP will start their new plans.
What is January 1st?
PRMs need to see every patient with this type of coverage at least one time during AEP to help protect them from coverage gaps.
What is Traditional Medicare (Part A+B)?
A major change in 2025 is that a patient will only qualify for this period if they move, if their LIS status changes, or if their Medicaid status changes.
What is Special Enrollment Period?
This part of Medicare is required to be seen as a patient at Oak Street Health.
What is Medicare Part B?
A dual-eligible Medicare Advantage plan should have this copay for all medical services.
What is $0?
People can choose a new Advantage plan for 2025 between these dates.
What is October 15th-December 7th?
Although happy to help, a PRM would need to connect a patient to one of these if they are wanting to choose a new plan for 2025.
What is an insurance agent?
This period is the last chance a patient has to change their mind and select a different plan for 2025.
What is Open Enrollment Period?
A patient on an Advantage plan who completes an appointment at Oak Street Health without being aligned may receive one of these.
What is a bill?
These plans offer good coverage, but are difficult for most people to afford with premiums ranging from $180-500/month on top of the Part B premium.
What is a Medicare Supplement (Medigap) plan?
People have the opportunity to change their mind about a plan until this date.
What is March 31st?
Patients receive over a dozen calls a day during AEP from agents trying to sign them up for Advantage Plans for 2025. Instead of talking to these agents on the phone, this would be a better option.
What is connecting to a local trusted insurance agent?
If a patient qualifies for this program offered by Social Security, they qualify for a Special Enrollment Period and will receive help with the cost of their prescription drugs.
What is the Limited Income Subsidy (Extra Help) program?
$34.70 is the average monthly premium for this part of Medicare.
What is Part D of Medicare?
This person should include a patient's medications, specialists, health conditions, financial needs, and current PCP when selecting a Medicare Advantage plan for 2025.
Dual eligible patients in 2024 were able to change their Medicare Advantage plans this often.
What is every quarter?
These patients need to meet with a local trusted insurance agent during AEP to ensure their medications are covered by their plan in 2025.
What is every patient?
This type of clinic is highly focused on lowering medical costs and creating healthy patient outcomes by being more hands on and patient focused than the typical Fee For Service (FFS) clinic.
What is a Managed Care Facility (or Value Based Care)?
There is no out of pocket maximum if this is your only coverage.
What is Medicare Part A+B?
Patients on a Medicare Advantage plan need to be this in order to receive services from a Managed Care Facility such as prescription refills, specialist referrals, office visits and access to other resources.
What is aligned?
Every 60 days, this will reset for traditional Medicare recipients.
What is the Medicare Part A deductible?
This is the 60 day deductible for Part A of Medicare and can leave Traditional Medicare patients at risk for HUGE out of pocket costs.
What is $1,632?