Parts of Medicare
Covers doctor outpatient visits
What is Part B
Deductable
This is paid monthly for plan.
Premium
AAR
Ask, Acknowledge, Reassure
AR
Authorized Representative
Covers Inpatient hospital stays
What is part A
You may have this if you do NOT have part D when you are eligible
LEP (Late Enrollment Penalty)
This is the most you will pay for the plan year.
OOP (Out-of-pocket max)
State your call opening
Thank you for calling UHC. My name is _____. With whom do I have the pleasure of speaking to.
PDP
Primary Care Physician
Medicare Advantage Plans
What is Part C
TROOP
True Out Of Pocket
A fixed amount that you pay each time you receive a covered service
Copay
First and Last Name, DOB AND one of the following:
Member ID OR HICN Number OR complete address
MAPD
Medicare Advantage Prescription Drug plan
Covers drugs
What is part D
The category of what drugs are listed in the formulary.
Tiers
Helps pay some or all Medicare Part D premiums, deductibles, copays and coinsurance for those who qualify.
LIS (Low Income Subsidy)
Who hangs up first
Advocate
PFFS, PPO, HMO, SNP
Private-Fee-For-Service
Preferred Provider Organization
Health Maintenance Organization
Special Needs Plan
You need this to have part D
What is part A and B
!!!DAILY DOUBLE!!!
The 4 stages of drug coverage
Initial
Coverage Gap
Catastrophic
An amount you may be required to pay as your share for the cost of a covered service.
Coinsurance
HIPAA, AAR, Connection
AAR, Connection, HIPAA
CAP
Computer, Application, Phone