Medicare Basics
This federal program is primarily for people 65+ or those with certain disabilities.
What is Medicare?
The 7-month window around turning 65 is called this.
What is the Initial Enrollment Period (IEP)?
This part covers outpatient care and doctor visits.
What is Part B?
Many Healthsprings plans include this benefit Original Medicare doesn't.
What are dental/Vision/hearing benefits?
A member wants lower copays, what feature should you hightlight?
What is a Medicare Advantage cost-sharing?
This Medicare part mainly helps cover hospital stays.
What is Part A?
This enrollment runs from Oct 15th-Dec 7th each year.
What is AEP?
Medicare Advantage is also know as this part.
What is Part C?
This tool helps confirm if a provide is covered.
What is the provider look up tool?
A client travels often, what plan feature matters most?
What is nationwide access/flexibility?
this card color proves a member has Original Medicare.
What is red, white, and blue?
this period allows members in MA Plans to switch plans once.
What is OEP?
Prescription drug coverage is included under this part.
What is Medicare Part D?
This amount is paid monthly for coverage.
What is a premium?
A disbetic seeks tailored benefits, what plan type fits best?
What is an SNP?
Medicare is NOT designed to cover this completely.
What are long-term care costs?
Losing credible coverage may qualify for this type of enrollment.
What is an SEP?
Combining hospital and medical coverage into one plan describes this option.
What is Medicare Advantage?
This is what a member pays before cost-sharing begins.
What is a deductible?
A member aske if there doctor is covered, what do you check?
What is the provider network?
This is the agency that runs Medicare.
What is CMS, (Center for Medicare and Medicaid Services)?
Switching from MA to Original Medicare is allowed during this period.
What is MA-OEP?
This option allows nation wide prodiver access with referrals.
What is Original Medicare?
The most a member pays annually for covered services.
What is MOOP?
A member wants drug coverage bundled in one plan, what do you recommend?
What is a MAPD?