Medicare Prepping
This enrollment period includes the 7mths surrounding your 65th birth month.
What is the Initial Enrollment Period (IEP)?
One of the three H's that Medicare Part A covers.
If you can name all three, you keep the one hundred points. If not, other teams can earn 100 points if they can name the other two.
What is
Hospital
Hospice
Home Health services.
Medicare beneficiaries can be screened for these two financial assistance programs.
What is the Medicare Savings Program and the Extra Help program.
A Medicare Part C plan contracts with, aka, 'service providers.'
What is a Network?
While helping a client in the field, the client shares they are financially struggling to eat or get transportation to their doctors appointment; pay for services or prescription drugs; and are confused about recent billing. You would refer this client to:
What is the Elder Helpline - 1-800-963-5337?
OR
What is Elder Options at 800-262-2243?
A commonly known tax paid by every employee into a social insurance program. Typically seen deducted on your pay stub.
What is the Medicare tax?
If you need home health care, physical therapy or a visit with your doctor, the service provider will bill this Medicare part.
What is Medicare Part B?
Annually, a Medicare beneficiary will be responsible for an initial out of pocket cost for Part B.
If you can name the 2025 out of pocket cost, you keep the 200 points. If not, another team can earn 200 points.
What is the Medicare Part B deductible.
which is $257.00 for 2025.
Medicare Part C costs typically require 'this' when receiving health care services.
What is payment at time of service?
Throughout the U.S., a team of dedicated volunteers known as SHIP Counselors, provide free, personalized health insurance counseling to those eligible for Medicare.
You can call SHIP Counselors in Florida which are known as this...
What is a SHINE Counselor?
(Serving Health Insurance Needs of Elders)
If you do this in your lifetime, you will not have to pay a monthly premium for Part A Medicare Health Insurance.
What is work 40 quarter hours?
Part C also known as Medicare Advantage Plans such as HMO, PPO, SNP are required to have the same coverage as original Medicare. You can enroll in this plan type by contacting Medicare, SHINE or this entity!
What is with a Private Insurance company?
When you are admitted to a SNF or a hospital, you hope to have this health insurance coverage to help pay the bill.
What is Medicare Part A Hospital coverage?
Some Medicare Part C plans provide these types of benefits not necessarily covered by Medicare.
What are benefits such as:
Hearing
Dental
Vision
You will contact this organization to activate your Medicare Part A & Part B.
Who is the Social Security Administration (SSA)?
The insurance used by U.S. citizens at least 65 years of age OR someone that is younger than 65 years of age and diagnosed with ESRD, ALS or receiving Social Security Disability Insurance.
What is Medicare?
You might use this Medicare part when visiting a pharmacy to fill a prescription.
Name both and you keep your 400 points, if not, another team can also earn 400 points.
What is Medicare Part C with Prescription Drug Coverage or Part D Prescription plan
The 2025 annual maximum out of pocket prescription drug costs for Medicare beneficiaries.
What is $2,000?
Part C plan beneficiaries may have these types of costs. You must name four.
Monthly premiums, deductibles, co-pays, co-ins, maximum out of pocket costs.
To find out if the test, service/procedure or item is covered by your Medicare health insurance, you may want to visit this website.
What is Medicare.gov?
To earn 500 points, you must name all 5 items:
1. Name the 3 parts of Medicare.
2. If you purchase this, it will supplement out of pocket costs for two of the three parts of Medicare.
3. If you enrolled in this part, it may offer extra benefits like dental, vision, and hearing.
What is Medicare Part A, B & D?
What is a Medigap plan?
What is a Medicare Advantage Plan aka Medicare Part C?
Some people with Original Medicare will purchase this type of coverage to help pay their co-payments, coinsurance and deductibles not covered by Medicare Part A or B.
What is a Medicare Supplement or Medigap Plan.
A Medicare beneficiary can avoid this if they enroll in the different parts of Medicare in a timely fashion.
What is a penalty?
This is one advantage of an annual plan review for a Medicare Part C enrollee?
Name up to 4 & keep your 500 points. If not, another team can name 4 and earn 500 points.
Ensuring providers are still in the network.
Current prescription coverage.
Maximum annual out of pocket costs.
Monthly premium costs.
or anything else you can think of!!!
We must all do this to help ensure the pot of gold is not in jeopardy from thieves.
Prevent, Detect & __________.
What is Report?