MEDICARE 101

Medicare 1

100

This is the age when you become eligible for Medicare benefits.

What is 65

200

Once you reach age 65, this eligibility reason is no longer valid.

What is disability?

300

This eligibility reason can coincide with age and/or disability at the same time.

What is ESRD? (end stage renal disease)

400

These two qualifications can never be active together, it will always be one or the other.

What is Age and Disability?

500

I am 32 on Medicare because of this reason

What is a qualifying disability

Medicare 2

100

An application where we confirm Medicaid number.

What is Think Agent

200

Application used to confirm LIS status.

What is MARX (CMS)?

300

This is what Medicare part B covers.

What is Outpatient care (medical). DME, Dr visits

400

I LOST PRESCRIPTION COVERAGE, I HAVE THIS AMOUNT OF DAYS BEFORE I AM PENALIZED BY MEDICARE

What is 63 days

500

October 15 - December 7 is known as this. 

What is AEP

MEDICARE 3

100

Medicare is overseen by this agency.

What is CMS

200

Application and tab used to obtain MBI number if member does not have their Medicare card.

What is Marx, under the Eligibility tab

300

SCOPE OF APPOINTMENT

Here at AETNA we offer a range of medicare products. Today you would like to discuss the PDP/MAPD. Not all plans may be available in your area. You are under no obligation to enroll, you do not have to provide any health related information unless it is needed for eligibility. Today's call will not affect your current or future medicare enrollment status, Nor will it automatically enroll you into a medicare plan. Do you agree to speak with me today to discuss our available products?

400

The three ways to qualify for Medicare benefits.

What is Age, Disability and ESRD/ASL?

500

These states utilize monthly LIS SEP by changing from DSNP to DSNP or PDP to PDP. 

What are KY, FL, VA and NJ

MEDICARE 4

100

The Medicare ID is also know by this abbreviation.

What is MBI

200

You must be on Social Security Disability for this long before being Medicare eligible. 

What is at least 24 months

300

I enrolled into a new MAPD in November and I am not happy, I want to return to my previous plan. 

What is OEP

400

Patient lost Medicare part B and was disenrolled from their MAPD, they are eligible to enroll into this. 

What is a PDP

500

SEP starting part B late due to exceptional circumstances ends at this time. 

What is 2 months after part B starts

Medicare 5

100

When a Medicare patient is dual eligible it means they also have these benefits.

What is Medicaid?

200

This is what Medicare part A covers.

What is Inpatient Care in hospitals, skilled nursing facilities, hospice care, and some home health services.

300

If a patient has Medicare and Medicaid, this is billed as primary. 

What is Medicare

400

Dual status code 04

What is SLMB+

500

I received a letter that my plan is terminating due to out of area, I need to a SEP

What is change in residence SEP