Pre-FFA Medicare Basics Flashcards
(18 cards)
What does Part A cover?
Hospital Room
What does Part B cover?
Medical Services
What does Part D cover?
Drug prescriptions
What does a Supplement or Medigap cover?
The 20% that Part B does not cover
Which Medicare plan typically comes with additional benefits such as dental. vision, gym, etc?
Medicare Advantage
What does Medicare use to calculate your updated Premiums for Parts B & D?
Modified Adjusted Gross Income from 2 years ago
In what cases can you appeal the raised premium for Parts B & D?
Major life events, such as retirement, working very different hours, divorce, widowhood, etc.
What is the Part A deductible when you go to the hospital?
$1,676 for your first 60 days
How many days does Traditional Medicare cover your stay at a Skilled Nursing Facility?
Your first 20 days
What types of things are covered by Part B?
Doctor visits, Physicians’ fees, Cancer Treatments, Diagnostic testing, Durable Medical Equipment, Non Self Administered Medications
What is the Part B deductible when you seek care?
$257 per year
What plan has an Annual Notice of Change sent out?
Medicare Advantage
When is the Initial Enrollment Period for new Medicare plan holders?
7 month time frame
3 months prior to 65th birthday month
3 months after 65th birthday month
What is the Part B premium?
$185 per month
What type of Medicare plan can require Medical Underwriting?
Medicare Supplement aka Medigap
What type of Medicare plan includes a Network?
Medicare Advantage Plans, particularly HMOs & PPOs
Which Medicare plan is also referred to as “All in one” Medicare plan?
Medicare Advantage
Which Medicare plan is Prior Authorization more prevalent in?
Medicare Advantage
