Medicare Parts A-D
covers hospice, hospitalizations, home healthcare
Medicare Part A
what is a joint federal and state program that help covers medical cost for some people with limited resources
medicaid
Original Medicare usually pays (?%) of allowable charges for a covered service after you meet your part b deductible
80%
An individual must be 65 or older in order to get medicare
False, some individuals can receive medicare if they have been deemed disabled by social security and was approved. Disability must be expected to last 12 months or longer and/or result in death
the amount you must pay for health care or prescriptions before Original Medicare, your Medicare Advantage plan, your Medicare drug plan, or your other insurance begins to pay
Deductible
must have medicare part a OR b
medicare part d-prescription drug
what is the program that helps people with limited income and resources lower or cut Part D cost.
Extra Help
The Medicare Part A inpatient hospital deductible that beneficiaries pay if admitted to the hospital will be
$1,600
Medicare covers long-term care, dental, eye exams, dentures, and hearing exams
false
what is the term for the cost of living adjustment
cola
10% penalty if you don't sign up when first eligible unless you were covered from work or had other creditable coverage
Medicare part b
what is a federal program that provides health insurance coverage to people ages 65 and older with permanent disabilities
what is medicare
Bonus question!!!
is there a premium for Original Medicare Part A
usually it is $0 if you or your spouse have satisfied the working credits requirements.
If the individual has to pay it would vary depending on their work history or their spouse's work history.
Mrs. Brown has diabetes and heart failure. She currently has medicare and medicaid. Can she enroll into a dual snp plan?
True, Yes Mrs. Brown can enroll into a dual snp plan due to her chronic conditions.
A list of prescription drugs covered by a prescription drug plan or another insurance plan offering prescription drug benefits
Formulary
all inclusive medicare plan that offers added value benefits
medicare part C-medicare advantage
term for someone who have both medicare and medicaid
what is dual eligible or medi-medi
what is the Original medicare part b Premium for 2023
$164.90 each month or higher depending on income
Approximately 11,000 people become eligible for Medicare everyday.
True
a period of time in which you pay higher cost sharing for prescription drugs until you spend enough to qualify for catastrophic coverage
Coverage Gap
accepted anywhere medicare is accepted
covers out of pocket cost of medicare covered services
medicare supplement or medigap
program that helps people with medicare pay for prescription drugs and lower the cost of medicare prescription drug coverage
Low income subsidy
what is the Original Medicare deductible for 2023
$226 annually
medicare is the payer of last resort
False, medicare is the primary payer. Medicaid is the payer of last resort
Many pharmaceutical companies, state programs, and non profit have
Drug Assistance programs or Pharmaceutical Assistance Programs