Medicare Parts
This specific insurance covers the following: Inpatient hospital care - skilled nursing facility - hospice - certain home healthcare - automatic enrollment at 65 years of age
What is Part A - Hospital Insurance?
The Medicare option known for providing better quality, more coordinated care than Original Medicare.
What is Medicare Advantage?
The type of Medicare Advantage plan that allows flexibility for in and out-of-network coverage.
What is Medicare Advantage PPO Plan?
Customer Care Center has the same number for all Medicare plans.
False
BMA Plus Customer Care - (844)- 549-1859, TTY 711
BMA Prime Customer Care - (844)- 549-1857, TTY 711
Dual Customer Care - (877)-874-3930 TTY 711
The period of time each year, from October 15 - December 7, when members can change their Medicare plan.
Hint: Our Member Retention is preparing for these events happening the first week of October.
What is the Annual Election Period (AEP)?
This specific Medicare Plan coverage came into effect in 2006. These plans are managed by private companies - voluntary enrollment - must enroll directly with the plan, not CMS -
What is Part D - Prescription Drugs Plan?
The part of Medicare not included in Original Medicare often included in Medicare Advantage plans.
What is Medicare Part D - Prescription Drug Coverage?
The type of Medicare Advantage plan with a higher cost-share for care received out of network.
What is a PPO Plan?
The Center of Medicare and Medicaid (CMS) is the federal agency that manages Medicare.
What is True?
Not to be confused with AEP...
What is Open Enrollment Period (OEP)?
The part of Medicare commonly referred to as "premium-free".
What is Medicare Part A?
The parts of Medicare a beneficiary needs to have in order to enroll in a Medicare Advantage plan.
What is Medicare Part A and Part B?
The type of Medicare Advantage plan that offers lower premiums and cost sharing in exchange for staying in network.
What is a Medicare Advantage HMO plan?
The name of the Quality Bonus Program created by Medicare to rate performance of Medicare Advantage plans is the Medicare Value Rating System.
What is False?
It is called the Medicare Star Rating System.
The 7 month period surrounding beneficiary's 65th birthday when most people can enroll in Medicare.
What is the Initial Enrollment Period (IEP)?
What's the cost of Part A?
Most people get premium-free Part A.
Those who don't qualify for premium-free Part A may be able to buy it.
The approximate percentage of costs that Original Medicare does not cover.
What is 20%?
A Medicare Advantage - Prescription Drug plan that enrolls beneficiaries eligible for both Medicare and Medicaid.
What is D-SNP?
Dual-Eligible Special Needs Plan.
Medicare Advantage enrollments are projected to exceed 50% of all Medicare enrollments by 2030.
What is True?
The opportunity to change MA plan or PDP plan under special circumstances.
What is the Special Enrollment Period (SEP)?
The office that accepts Medicare enrollments.
What is the Social Security Administration?
The year Medicare was created.
What is 1965?
Name all Banner Medicare Advantage Plans.
BMA Prime (HMO), BMA Plus (PPO), Banner Dual (D-SNP), BMA Rx (PDP)
What is False?
President Lyndon B. Johnson signed them into law.
If a beneficiary did not sign up for Part A and Part B during Initial Enrollment Period, then they may qualify for ________?
What is Special Enrollment Period (SEP)?
Common "Special Reasons":
- beneficiary moved out of their current coverage area
- beneficiary recently retired and is coming from an employer group plan
- etc.