Medicare- Ahip Training

Eligibility for Medicare - Answer- - Over 65 - Be disabled - Have permanent kidney failure What is not taken into consideration for eligibility? - Answer- individual income individuals with higher income pay - Answer- higher premiums individuals with lower income may qualify - Answer- for additional benefits What are the ways for individuals to receive Medicare coverage - Answer- Direct from federal government and through private health plans most outpatient Medicare drug benefits are through - Answer- private company Part A of Medicare - Answer- helps pay for care in a hospital or skilled nursing facility or for care from a home health agency or hospice Part B Medicare - Answer- supplemental includes a broad range of coverage ( Physician care, drugs administered by physician, vaccines and IV Meds) Part C (Medicare Advantage) - Answer- regulates and authorizes Medicare advantage plans, which must cover (A & B) Benefits Part D Medicare - Answer- Prescription drug coverage ( Must be covered by A&B) also must live in covered area Part E Medicare - Answer- Miscellaneous Programs Including: Medicare cost plans (Cover A & B Benefits) Are Medicare cost plans offered in all states? - Answer- no, they are only offered in a limited number of states, mostly rural areas Medicare supplement plans are also called - Answer- Medigap Original medicare ( A&B) can be combined with - Answer- Medicare supplement plan and/or Medicare Prescription drug plan Eligibility for A&B - Answer- -Must be 65 yrs. old or be under 65 with certain disabilities including all who get benefits from ss or railroad retirement board for 24 months Us citizens or aliens legally residing in the US for _____ yrs. are eligible - Answer- 5 continuous years