Part A
January 1 through March 31
What is General Enrollment Period?
General Enrollment Period are for those people who did not enroll in Part A or B during their IEP or terminated their Part A or Part B benefits and want to re-enroll, may enroll in either or both Parts during the General Enrollment Period (GEP), which is January 1 to March 31 of each year. If you enroll during the GEP, your benefits will begin the first of the following month. You may have to pay the late enrollment penalty mentioned above.
Part B covers...
What is Medical?
outpatient medical services such as doctors' services, outpatient hospital care, laboratory tests, outpatient physical and speech therapy, some home health care, ambulance services, and some medical equipment and supplies.
Part C is also known as.
What is Medicare Advantage?
In many cases, you can only use doctors and other providers who are in the plan's network and service area.
What percentage does one pay when they're in the coverage gap?
What is 25%?
25% of the price of the drug. Medicare pays 75%
CHA
What is California Health Advocates?
Founded in 1997, California Health Advocates is the leading Medicare advocacy and education non-profit in California. We receive financial support from private and public organizations
Part A covers...
What is hospital?
Part A covers most in-patient hospital care, some in-patient skilled nursing facility care, some home health care, and hospice care.
2024 Part B deductible
What is $240?
Beneficiaries in Medicare Advantage plans do not pay the Part B annual deductible. Medigap Plans C and F coverage include the Part B annual deductible as a benefit.
What you must have for Part C
What is Part A & B?
Medicare Advantage is a Medicare-approved plan from a private company that offers an alternative to Original Medicare for your health and drug coverage. These "bundled" plans include Part A, Part B and usually Part D.
What are the four phases of Part D coverage?
Deductible Period, Initial Coverage, Coverage Gap and Catastrophic
2025 there will no longer be a coverage gap and out of pocket costs will be limited to $2000 in deductibles, copays and co-insurance. Zero-Cost Phase after that!
MOOP
What is Maximum Out Of Pocket?
The maximum out-of-pocket (MOOP) is an annual limit on your out-of-pocket costs for Medicare Advantage Plans. Once you reach this amount, you will not owe cost-sharing for Part A or Part B covered services for the remainder of the year. All Medicare Advantage Plans are required to set a maximum out-of-pocket.
40 or more of Social Security Credits
What is premium free Part A?
In 2024, people with 30-39 Social Security quarters may buy Part A and pay a monthly premium of $278 and those with fewer than 30 Social Security quarters may purchase Part A and pay a monthly premium of $505.
2024 Part B Premium
What is 174.70?
January 1 - March 31
What is MA-OE
Medicare Advantage Open Enrollment. You must have a Medicare Advantage plan during this enrollment period to change plans or to go back to Original medicare.
Part D
What is drug coverage?
CDA
What is the California Department of Aging?
Under the umbrella of the California Health and Human Services Agency, the California Department of Aging (CDA) administers programs that serve older adults, adults with disabilities, family caregivers, and residents in long-term care facilities throughout the State. These programs are funded through the federal Older Americans Act, the Older Californians Act, and through the Medi-Cal program.
2024 Part A deductible
What is $1632?
Part B penalty
What is 10% for every full 12 months?
If you don't sign up for Part B when you are first eligible, you may have to pay a late enrollment penalty. If you're allowed to sign up for Part B during a Special Enrollment Period, you usually don't pay a late enrollment penalty.
What is the $0 - $5 you pay when see your provider?
What is a copay?
The amount you pay as your share of cost for benefits after you pay any deductibles. A copayment is a fixed amount.
What is the name of the program that helps with prescriptions.
What is Extra Help?
Pays Part D premium, up to a state-specific benchmark amount, lowers costs of you prescriptions, gives you a SEP once a quarter during the first 9 months tp enroll or switch and eliminates any Part D penalty
CMS
What is Centers for Medicare and Medicaid Service?
CMS is the federal agency that provides health coverage to more than 160 million through Medicare, Medicaid, the Children's Health Insurance Program, and the Health Insurance Marketplace. CMS works in partnership with the entire health care community to improve quality, equity and outcomes in the health care system.
After meeting your Part A deductible, how many days will be covered in the hospital?
What is 1-60?
Days 1-60 Everything after deductible $1,632 deductible Days 61-90 Everything after copayment $408 per day copayment 60 Reserve Days¹ Everything after copayment $816 per day copayment Beyond 150 Days Nothing All costs for each day beyond 150 Days
Who covers preventative services
What is Part B?
Part B helps cover services from Dr and other healthcare providers, outpatient care, home health care and durable medical equipment (DME)
Most Medicare Advantage Plans include drugs.
True or False
True
Most plans do. If you want drug coverage when joining a plan, you must enroll into one that offers drug coverage. You can't join a separate Medicare drug plan.
2024 Part D maximum deductible
What is $545
Part D plans must include the minimum coverage that is set by law, but each plan may offer varying types of coverage.
SMP
What is Senior Medicare Patrol?
California SMP, and all SMPs around the country, empower and assist people with Medicare and Medicaid to avoid, detect, and report healthcare fraud. We work to both protect beneficiaries and help preserve the integrity of the Medicare and Medicaid programs by recovering and avoiding the billions of dollars typically lost to healthcare fraud each year.