Medicare Part A
What is Hospital Insuance
What is Medicare Part A known as?
What is the surcharge for Medicare P D?
It depends on IRMMA.
Will a beneficiary have to disenroll by Jan 1st for a new plan or will it be done automatically by Medicare ?
Automatically
What is the extra amount an individual mayhave topay if they did not enrollinto a Part D plan when they first became eligible?
Late Enrollment Penalty
What is the name for a secondary insurance plan that picks up where Medicare ends?
Medigap Insurance
When must the ANOCH letter must be received by?
Sep 30th
At what age do you have to be to qualify for Medicare ?
18
Where do you find the EOC?
Call the company and request it.
If a beneficiary is dual eligible will he/she be auto enrolled into a drug plan?
Yes if they do not enroll during the AEP
When could a person opt out of a Medicare Part D plan?
If they have Credible Coverage
What services are not covered by Medicare Part A?
Medicare Preventive Services.
How long do you have to enroll under a delayed Pt B enrollment under Medicare Advantage, 30, 60, 90, 120 days?
90 Days
Under what scenario are you guaranteed issue for MA?
Never
What is the period called when the co-pays on a Part D Plan may be higher called?
Donut Hole or Coverage Gap
Which part of Medicare would cover Durable Medical Supplies?
Medicare Part B
What plan is paired with a stand alone PPO/HMO?
None
What is the period of time called that runs from 3 months prior tot he month you turn 65 to 3 months after the month you turn 65?
Initial enrollment Period
What part of Medicare must an individual have in order to have a Medicare Advantage Plan?
Medicare Part A and B
What is the name of the list of medications that a Part D plan covers?
Formulary
What is the normal age that a person would be eligible for Medicare?
Age 65
What is the time frame between days 1 and days 60 called when admitted tothe hospital?
Benefit Period
What is the amount Medicare Part B normally pays for a Medicare approved service.
80%
When is the Annual Open Enrollment Period for a Medicare Advantage Plan?
October 15 to December 7
Does the 1% penalty apply to full subsidy?
No
Does Medigap enrollment have the same time frame as the OEP ?
No