Medicare Basics
What is the 2026 Part B premium?
$202.90
What Enrollment period is used for someone turning 65?
Initial Enrollment Period (IEP)
Another name for Medicare Supplement
Medigap
Another name for Medicare Advantage
Part C or Managed Care Plan
What is the 2026 Part D cap limit for out of pocket costs for prescriptions?
$2,100
What Part of Medicare covers inpatient care, skilled nursing, and hospice care?
Part A
What enrollment period is from October 15-December 7?
Annual Enrollment Period(AEP)
What platform is used to quote Supplements and what platform is used to enroll?
Quote:Agent Xcelerator
Enroll: Carriers Portal
What platform is used to quote and enroll Medicare Advantage plans?
Sunfire
What drug stage was discontinued in 2025?
Gap (Donut Hole)
True or False: You can have both a Medicare Supplement and Medicare Advantage Plan at the same time.
False
Name 2 enrollment periods that can be used anytime throughout the year.
5 star plans, Disaster SEP, Chronic, Change in Medicaid/LIS status, Moved service areas, Loss of credible coverage.
What two Supplement Plans are NOT available unless you turned 65 before 2020?
Plans C & F
True or False: You need referrals to see specialists if you're enrolled in a PPO
False
What are the 3 Drug stages?
Deductible, Initial, and Catastrophic
What is NOT covered by Medicare?
Long Term Care
What enrollment period is for Medicare Advantage ONLY?
Open Enrollment Period (OEP)
True or False: Medicare Supplements come with drug coverage
False...you have to add a standalone Part D coverage
What type of plan works best for someone with both Medicare and Medicaid?
Dual Special Needs (DSNP)
True or False: VA coverage is considered credible coverage for part d and won't get a late enrollment penalty if they enroll in part d after they turn 65.
True
What does IRMAA stand for and what two parts of Medicare does it effect?
Income Related Monthly Adjustment Amount
Part B & D
What enrollment period is for the first time enrolling into a Medicare Advantage Plan, that gives a 12 month period to go back to Supplement no health questions asked?
12 month Trial Right Period SEP
What Supplement Plan has potential for copays at doctor and Emergency room?
Plan N
What carrier in our area has three 5 star plans for 2026?
Devoted
What program through Social Security helps lower drug costs based on income and assets?
Extra Help/Low Income Subsidy (LIS)