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ORIGINAL
PART C/ MA-MAPD
PART D/ PDP
MEDIGAP
ENROLLMENT
100
Covers inpatient hospital care, skilled nursing, hospice and home health care.
What is PART A
100
What you need to get certain services done or see different doctors, other than a primary
What is REFERRAL
100
This is the first phase of many prescription drug plans, prior to initial coverage.
What is DEDUCTIBLE
100
ALSO KNOWN AS MEDIGAP
What is MEDICARE SUPPLEMENT
100
7-month period that starts 3 months before the month you turn 65,the month of birthday and ends 3 months after your birth month.
What is INITIAL ENROLLMENT
200
Covers doctors, outpatient care, durable medical equipment and some preventative care.
What is PART B
200
Plan designed for individuals with chronic conditions
What is SPEACIAL NEEDS PLANS
200
A list of prescription drugs covered by a prescription drug plan.
What is FORMULARY
200
PLAN N COPAYMENT FOR SOME OFFICE VISITS
What is $20
200
Opportunity each year, between 10/15 - 12/7; to make changes to your Medicare Advantage or Medicare prescription drug coverage for the following year
What is ANNUAL ENROLLMENT PERIOD
300
PART A LATE ENROLLMENT PENALTY
What is PREMIUM MAY GO UP 10% FOR EVERY 12MO YOU DIDN'T PAY COVERAGE
300
Entity that takes over responsibility from Original Medicare to administer coverage
What is PRIVATE INSURANCE COMPANY
300
This addition to the monthly premium for late enrollment is called
What is LATE ENROLLMENT PERIOD
300
A POLICY THAT REQUIRE SPECIFIC HOSPITALS AND PROVIDERS
What is MEDICARE SELECT
300
These are examples of this: Loss of employer coverage / Move out of service area / 5-Star PDP/MA are all examples of
What is SPECIAL ENROLLMENT PERIOD
400
Hospital beds, blood sugar monitors, nebulizers, canes, crutches and wheelchairs
What is DURABLE MEDICAL EQUIMENT
400
These two plans are required before being eligible for a MAPD
What is PART A AND PART B
400
THE LATE ENROLLMENT PENALTY AMOUNT MAY INCREASE EACH YEAR
What is TRUE
400
YOU PAY MEDIGAP PREMIUM AND WHAT ELSE
What is PART B PREMIUM
400
Opportunity to leave MAPD and switch to Original Medicare; Jan 1 - Feb 14
What is MEDICARE ADVANTAGE DISENROLLMENT PERIOD
500
Part A Coinsurance (daily; per benefit period)
What is Days 1-60: $0 / Days 61-90: $322 / Days 91 and beyond(60 days): $644
500
WHEN CAN YOU CHANGE YOUR PROVIDER
What is ANYTIME
500
For a PDP or MAPD: The period of coverage, after the initial coverage period, that requires the highest share of the cost from the retiree.
What is COVERAGE GAP
500
COST STAY THE SAME
What is FALSE
500
SIGN UP PERIODS FOR ORIGINAL MEDICARE
What is INITIAL ENROLLMENT PERIOD, GENERAL ENROLLMENT PERIOD, SPECIAL ENROLLMENT PERIOD