Medicare Dual

General Medicare Studies

100

The Four Parts of Medicare 

Original Medicare A and B, MA, and PDP

200

This period occurs when you first become eligible for Medicare at age 65. This enrollment period includes a total of 7 months: the 3 months before the month you turn 65, the month of your sixty-fifth birthday, and the 3 months after the month you turn 65.

The initial enrollment

General Medicare Con't

100

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.

A benefit period

200

This list applet displays the date and dollar amount of each payment the beneficiary made that was posted to their account. This applet also shows you a breakdown of the dollar amounts that were applied to Part A, Part B, and Part D IRMAA

The Payment History

General Medicare Con't

100

If the caller still needs to pass disclosure, ask them to provide

4 of the following pieces of information:

• Required: Medicare number or Social Security number (SSN) or both
• Optional: The beneficiary’s full name, address (ZIP Code is not required), date of birth, Part A effective date, or Part B effective date

General Medicare Con't

100

Beneficiaries who have both Medicare and Medicaid, receive Supplemental Security Income (SSI), or participate in a Medicare savings program automatically receive Extra Help and are referred to as being

deem 

200

occurs when someone intentionally falsifies information or deceives the Medicare program. A common example of fraud is purposely billing Medicare for items or services that were never provided or received.

Fraud

300

may be about the operations, activities, or behavior of a Medicare Advantage plan, a Medicare Advantage prescription drug plan, or a Medicare prescription drug plan. A complaint is separate from concerns about coverage determinations, Extra Help, or late enrollment penalties.

A Complaint