Definitions
Health insurance for people 65 and older, any age with certain disabilities, or with end stage renal disease
What is Medicare?
Original Medicare
Medicare Advantage Plan
LTC
What is long-term care?
This is a benefit that is not covered by Medicare or Medicare Advantage plan.
I am one free service offered by Medicare
1 yearly physical exam
Depression screening
Skilled home health care
Hospice services (not including rx)
I am the portion of Medicare that pays for prescription drug coverage
Medicare Part D
*Either with a Medicare Prescription Drug Plan or some Medicare Advantage Plans have prescription druge coverage
Medicare Part A is known as
What is hospital insurance
Medicare Part A, B and D make up traditional Medicare, while Part C or Medicare Advantage encompases hospital, medical and prescription coverage.
A type of health insurance plan that usually limits coverage to care from doctors who work for or contract with the plan. It generally won't cover out-of-network care except in an emergency
Health Maintenance Organization- HMO
Items such as oxygen equipment and supplies, wheelchairs, walkers and hospital beds ordered by a doctor to be use in the home
What is durable medical equipment (DME)?
DME supplies must be enrolled in Medicare for you to order through their shop
You paid $170.10 per month in 2022 but will now pay $164.50 per month in 2023
What is the Medicare Part B Monthly Premium
I pick up the 20% that Original Medicare does not cover
What is Medigap or secondary insurance insurance
Plans, coverage and cost vary by state
Additional services that are not covered under traditional Medicare but MIGHT be covered under a Medicare Advantage Plan
What are dental, hearing aid, and vision services
Every year from October 15th- December 7th when all people with Medicare can change their Medicare health plans and prescription drug coverage for the following year to better meet their needs
What is Medicare Open Enrollnment
SNF
Skilled nursing facility
*Bonus 100 points if you can name the SNF on OLBV campus*
I am one FREE services offered by Medicare
1 yearly physical exam
Hospice care services (rx not included)
Yearly depression screening
Skilled home health care
I am a Medicare program to help people with limited income and resources pay for Medicare prescription drug costs
What is Extra Help?
This happens every year from January 1st- March 31st
What is the Medicare Advantage Open Enrollnment Period for 5-star Medicare Advantage Plans
Exams, shots, lab tests, screenings, counseling and education to help you take care of your own health
What are preventative benefits?
IEP
Initial enrollnment period
The $200 per day rate for days 21-100 but is covered by your Medigap insurance plan
What is the skilled nursing daily rate. In 2022, this cost was $194.50 per day
I signed Medicare into law on July 30th, 1965
Who is Lyndon B. Johnson
Traditional Medicare, Aetna, Humana PPO Plans, Medical Mutual, United Health Care, Buckeye, CareSource, and TriCare for Life.
What is accepted health insurance at Fairmount Health Center?
•Our preferred insurance is traditional Medicare with a supplement versus Medicare Advantage Plans.
•In general, traditional Medicare provides greater comprehensive benefits for our residents.
Approval that you must get from a Medicare Advantage Plan before the plan will cover services such as skilled nursing or outpatient therapy.
What is a preauthorization?
OSHIIP
Ohio Senior Health Insurance Information Program
Agency of trained volunteers who provide education to consumers about Medicare, Medicare prescription drug coverage (Part D), Medicare Advantage options, Medicare supplement insurance, long-term care insurance, and other health insurance matters
I cost between $5.10- 109.20 a month
What is Medicare Part D monthly premium costs
I am the office that enrolls you into Medicare
What is the social security office
or if you are looking to change plans, your social workers office :)
We are trained OSHIIP volunteers, who can assist residents in reviewing the best Medicare Plans for them
What is OLBV Social Workers Katie Cooper and Rebecca Kilkenney