Medicare
Money Talk
Coverage Types
MA Types
100

Federal health insurance program for eligible individuals.

What is Medicare?

100

$0 when 40 quarters have been worked.

What is Medicare Part A premium? 
100

State-run program that provides hospital and medical coverage for people with low income.

What is Medicaid?

100

Will not cover out of network care, unless there is an emergency.

What is an HMO?

200
Hospital Insurance 

What is Part A? 

200

$174.70

What is 2024 Part B monthly premium?

200

Considered a "provider" but it is not "health insurance".

What is the VA? 

200
Designed to provide care to individuals with special needs. 

What is a SNP? 

300

Medical Insurance

What is Part B? 

300

Varies by plan carrier. 

What are Medicare Advantage plan premiums?

300

Varies by state to help with prescription costs based on need.

What is SPAP?

300

Providers can refuse to accept the plan or a per-visit basis, so beneficiaries must call ahead of each appointment to confirm network participation for services needing rendered. 

What is PFFS?

400

Medicare Advantage

What is Part C? 

400

A set dollar amount paid per visit. 

What is a copay?

400

Program that helps Medicare beneficiaries with drug costs, premiums, deductibles & copays. 

What is LIS? 

400

Allows a beneficiary to select a PCP who manages access to other doctors, beneficiary can leave the network at a higher cost.

What is HMO-POS?

500

Coverage for prescribed medications.

What is Part D?

500

A fixed dollar amount that must be met before plan pays.

What is a deductible?

500

Health Policy selected and purchased by a company and offered to eligible employees & their dependents. 

What is Employer Coverage?

500
Beneficiaries have the freedom to choose doctors in and outside of the network without referrals.

What is a PPO?