this program helps you pay for Provides reduced or no premiums and deductibles and reduced copayments for prescription drugs.
Extra Help
where in (NGD) next generation desktop can you submit an Authorization
in the Authorizations view screen
This enrollment period allows anyone in a Medicare Advantage (MA) or Medicare Advantage prescription drug (MA-PD) plan to switch MA or MA-PD and when is it ?
Medicare Advantage open enrollment period (MA-OEP) Jan 1 - March 31
The standard Part B premium amount is for the year of 2025
2025 Premium Amount:2024 Premium Amount:
$185
Most people don’t pay for Medicare _because they or their spouse paid Medicare taxes while they were working. Three months of Medicare-covered employment earns one credit toward premium-free how many credits do they need to earn
Ten years of Medicare-covered employment earns 40 credits.
this program helps you pay for Part A premiums only. You also qualify for Extra Help to pay for your Medicare prescription drugs.
Qualified Disabled and Working Individual (QDWI)
There are 2 types of authorization: what are they ?
There are certain situations that may allow a beneficiary to enroll in, switch, or disenroll from a plan at other times.
Special election period (SEP)
If your modified adjusted gross income as reported on your tax return from 2 years ago is above a certain amount, you’ll pay the standard premium amount and an
income-related monthly adjustment amount, also known as an IRMAA
If you have to pay for Part A and you don’t enroll during your initial enrollment period or a special enrollment period, you might be charged a late enrollment penalty or premium surcharge of??
10%
this program helps pay for Part B premiums only. It also eliminates your Part B late enrollment penalty if you have one. You also qualify for Extra Help to pay for your Medicare prescription drugs.
Specified Low-Income Medicare Beneficiary (SLMB)
How long would you like the authorization to be effective and what are they?
To qualify for a Medicare advantage plan you need both
Part A and Part B
If you do not sign up for Part B during your initial enrollment period, you may have to pay a
lifetime penalty due to late enrollment(LEP)
Part A is for type of service ?
Medicare Part A helps cover inpatient hospital care when you’re admitted to the hospital as an inpatient and the hospital accepts Medicare.
this program helps pay for Part A and Part B premiums and other cost sharing for medical services (like deductibles, coinsurance, and copayments). It also eliminates your Part A or Part B late enrollment penalty if you have one. You also qualify for Extra Help to pay for your Medicare prescription drugs.
Qualified Medicare Beneficiary (QMB)
You can add an end date to an authorization from the person’s secure online Medicare.gov account. You can also submit written requests to revoke or remove authorizations to. What script is this?
Revoking or Removing Authorizations
is a type of coordinated care plan. HMO plans are required to provide all Medicare Part A and Part B covered services except hospice care. The main difference between an HMO plan and other plans is that if you need services that your doctor doesn’t offer, HMO plans typically require you to get a referral from your doctor to see another network provider. what is type of plan is this?
Health Maintenance Organization (HMO) Plans
The means that
the service may be preventive. And covered
A benefit period begins the day that you’re admitted to a hospital or skilled nursing facility and ends when you’ve been out of the facility for ?
60 Days in a row.
this program helps with Most medical costs and prescription drugs costs.
Medicaid
Remember that if the caller cannot pass disclosure or is not authorized, you can still perform any of the following actions:
A Medicare preferred provider organization plan, also known as a PPO plan, is a type of coordinated care plan that is offered by a private insurance company. In a PPO plan, you may pay less if you use doctors, hospitals, and other providers that are in the plan’s network. You may be required to pay more for services that you receive from doctors, hospitals, and other providers outside of the plan’s network. what type of plan is this?
Preferred Provider Organization (PPO) Plans
Your yearly Part B deductible applies to services you receive from January 1 through December 31 of each calendar year. How much is it for the year of 2025?
$257
Medicare pays part of the costs of inpatient hospital care for up to 90 days in a benefit period. After 90 days, you'll have to pay all costs unless you use your lifetime reserve days.
Lifetime Reserve Days