Premium
Costs & Coverage
MC & Others
Claims & Callers
100

Withholding your payments from your Social Security or Railroad Retirement benefit check.

Being billed directly.

What are the Medicare Advantage Plan Premium Payment Options?

100

It's a fixed amount of money that you pay for each service.

Your provider can request that you pay it at the time you receive service.

Medicare doesn’t cover it.

What is Coinsurance?

100

Pays only after MC pays. 

What Is Supplemental Insurance?

100

Someone intentionally falsifies information or deceives the MC program.

What is Fraud? 

200

If 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%.

What is Part A Premium Surcharge Late Enrollment Penalty?

200

$1,676

What is Part A Deductible?

200

The view tab to see MSPs. 

What is the Other Insurance View? 

200

Used my PII w/o my permission. 

What is Identity Theft?

300

This bill is due on or around the tenth of the month, and payments are due by the twenty-fifth of the same month. 

What is Monthly, Quarterly, and Annual Premium Bill Due Dates?

300

Colonoscopy - Diabetes Screening - Flu Shoot


What are Preventive Services?

300

Click Expanded Search button & enter claim # in the Claim # field.

How do I perform a search on the Claims view using the claim number?

300

Must be filed no later than one calendar year after the date of service.

What is Claim Filing and Processing Time Frames?

400

$285 & $518

What are Part A Premium Amounts?

400

The set amount bene pays for Part B med service or an item that a person with MC receives.

What Is the Medicare-Approved Amount?

400

DME

What is Durable Medical Equipment?

400

Limited income and resources.

What is Extra Help Income and Resource?

500

The beneficiary says that they did not sign up for Easy Pay, but the Premium Summary view shows that they are enrolled in Easy Pay.

What is a Reasons to Escalate to the ARC?

500

$257

What is Part B Deductible?

500

A feature where MC automatically sends claims to your supplemental Ins co. 

What is Crossover? 

500

Groups of health care experts who evaluate & improve health care people w/ MC receive.

What is Quality of Care Complaints?