Original Medicare
Enrollment Periods
Medicare Advantage
Medicare Supplement Insurance
100

This helps cover inpatient care in hospitals, skilled nursing facilities, hospice care, and home health care. 

What is Part A (Hospital Insurance)?

100

A member can first sign up for Part A and/or Part B during the 7-month period that begins 3 months before the month you turn 65 and ends 3 months after the month you turn 65.

What is the Initial Enrollment Period (IEP)

100

Medicare-approved plans offered by private companies that must follow rules set by Medicare.

What is Medicare Advantage (MA) Plan?

100

Medicare Supplement Insurance policies are also referred to as.

What is Medigap policies?

200

This helps cover services from doctors and other health care providers, outpatient care, durable medical equipment, and preventive services.

What is Part B (Medical Insurance)?

200

These dates (October 15 to December 7) represent what?

What is Open Enrollment Period (OEP) or Annual Enrollment Period (AEP)?

200

This plan only offers in network (INET) services.

What is Health Maintenance Organization (HMO) Plan?

200

With Medigap, you pay a ____ to a private insurance company in addition to the monthly Part B premium you pay to Medicare.

What is a monthly premium?

300

This helps cover the cost of prescription drugs including shots and vaccines.

What is Part D (Drug coverage)?

300

These dates January 1 to March 31 represent what?

What is the General Enrollment Period (GEP) or Open Enrollment Period (OEP)?

300

This plan offer an out-of-network benefit for some or all covered benefits for a higher copayment or coinsurance. 

What is HMO Point-of-Service (HMOPOS)?

300

Medicare covers 80% of the cost. Medigap covers what percentage?

What is 20%?

400

This part is premium free in most scenarios.

What is Part A?

400

If a member moves or loses other insurance coverage, they may be able to join, switch, or drop a Medicare Advantage Plan during this. 

What is a Special Enrollment Period (SEP)?

400

This plan provides benefits and services to people with specific diseases, certain health care needs, or who also have Medicaid coverage.

What is a Special Needs Plan (SNP) or Dual Special Needs Plan (D-SNP)?

400

A medigap plan is paired with what type of insurance plan?

What is Original Medicare?

500

If you aren’t eligible for premium-free Part A, and you don’t buy it when you’re first eligible, your monthly premium may go up 10%.

What is the Part A late enrollment penalty (LEP)?

500

From January 1 to March 31 if a member is in a Medicare Advantage Plan they can only do what with their plans?

What is switch plans? Switch to MA Plan or Drop MA and return to Original Medicare. 

500

A program offered in many states that allows people who otherwise need a nursing home-level of care to remain in the community, like a home, apartment, or other appropriate setting.

What is Program of All-inclusive Care for the Elderly (PACE)?

500

Medicare Supplement Insurance is open for enrollment when?

What is all year round?