Supplements
•Pays after Medicare, for Medicare covered services
•No network; you can use with ANY provider that accepts Medicare
•Sold by private insurance companies licensed to sell policies in Minnesota
What is a Medigap policy?
Will also accept true medicare supplement.
Only available in 2019 in 21 counties.
What is a Cost plan?
This is where you apply for LIS.
What is Social Security?
Most people who are eligible for Medical Assistance will receive their MA benefits through a managed care program (health plan). This one is for beneficiaries over 65 and would like the plan with out drug coverage
What is and MSC+ (Minnesota Senior Care +)
Eligibility for this program is:
- Over age 65
-Require nursing home level of care
-Financially Eligible for MA
What is Elderly Waiver?
An example of this would be Senior Gold.
What is a select plan?
Currently enrollees with this disease are not eligible to enroll into medicare advantage or cost plans.
However exclusion ends in 2020
What is End-Stage Renal Disease (ESRD)?
The limit to how often a person with extra help could change.
What is quarterly?
Along with drug coverage a beneficiary will also receive a care coordinator
What is a MSHO (Minnesota Senior Health Options)
The number for the Senior LinkAge Line.
What is 1-800-333-2433
Beneficiaries with these are protected by federal law from medical underwriting (health screening).
What is Guaranteed Issue Rights?
With this health coverage, you may enroll into the plan's drug coverage or any stand alone prescription drug coverage.
What is a Cost plan?
That is the partial extra help deductible.
What is up to $85?
Is the only medicare savings program that covers part a and b premium, deductible and co-pays.
What is QMB (Qualified Medicare Beneficiaries)
The number of Minnesota Area Agencies on Aging.
What is 6?
Once you are enrolled into the program, you may suspend your medigap policy for up to 24 months while eligible.
What is Medical Assistance?
If you reach this, all other covered services will be covered at %100.
What is the out of pocket maximum?
It is is $35.78 in 2019.
What is the regional (mn) benchmark amount?
For this coverage:
- Must have started under 65
-Earn more than $65 a month
What is MA-EPD (Medical Assistance for Employed Persons with Disabilities)?
The application a person (who is eligible for medicare) uses to apply for medical assistance or any of the medicare savings program.
What is the Application for Certain Populations?
(DHS-3876)
Starting on Jan. 1,2020 new medigap policies will no longer cover this.
What is the part b deductible?
The names of the medicare advantage plans.
Name 3 out of 5 to get the credit
•Medicare Health Maintenance Organization (HMO)
•Medicare Health Maintenance Organization with Point of Service (HMO-POS)
•Medicare Preferred Provider Organization (PPO)
•Medicare Private Fee-for-Service (PFFS)
•Medicare Special Needs Plan (SNP)
Where the pharmacy should bill if the beneficiary does not have a plan but does have full LIS.
What is LI Net?
Option for an applicant whose income exceeds MA limits but who has high monthly medical expensives.
What is medical assistance with a spenddown?
This is considered a high deductible plan (supplement)
What is plan F?