Part A
What is Part A of Medicare?
Hospital
What is Part B of Medicare?
Medical(Doctors)
What is Part C of Medicare?
Medicare Advantage
What is Part D of Medicare?
Drugs
Another name for a Medicare Supplement?
Medigap
Name 2 things covered by Part A.
Inpatient Hospital, Skilled nursing, hospice, blood, & home health care
Name 2 things covered by Part B.
Doctor services, outpatient services, DME, preventative services, labs/imaging, drugs administered at facility, and ambulance
Name the 3 networks used for Part C.
HMO, HMOPOS, PPO
What are the three coverage stages for Part D.
Initial, Deductible, and Catastrophic
What are the 2 Plan letters that are the most popular?
G and N
What is the Part A Deductible for 2026?
$1736
What is the Part B deductible for 2026?
$283
True or False: Prior Authorizations are not required with Part C
False
What is the Part D deductible for 2026?
$615
What is the one thing not covered by Plan G?
Part B deductible
True or False: Everyone turning 65 receives Part A for free
False...it is only free for those who have worked their 40 quarters or if they are eligible through spouse if married 10 years or more
True or False: VA coverage is considered credible coverage for Part B and wont endure late enrollment penalties.
False...VA drug coverage is credible for Part D, VA medical is NOT considered credible
Name the 3 types of Special Needs Programs (SNP)
Dual, Chronic, and Institutional
What is the program through Social Security called that caps medications at specific cost if eligible based on your income and assets?
Extra Help or Low Income Subsidy (LIS)
True or False: Medicare Supplements come with the silver sneakers gym membership
False... some carriers offer discounts, silver sneakers are offered on MAPD
What are Lifetime Reserve Days?
After being in the hospital for 90 days, everyday used for the next 60 days can only be used once in their lifetime. After 150 days their paying out of pocket and only have 90 days of coverage if admitted again.
What is the Medicare allowable excess charge percentage Doctors can charge if they don't take Medicare assignment?
15%
What enrollment period is used for Part C ONLY?
OEP
What is the program offered by all Part D plans that spreads the annual deductible into monthly payments?
Medicare Prescriptions Payment Plan (MP3)
What 2 plan letters are no longer available if you are eligible for Medicare after 2020?
Plan F & C