Molina Medicare 101 Terms
Medicare Advantage Plan - ✔️✔️Part C which combines Part A&B may include, or be
able to add, Part D. Medicare Advantage plans often offer additional benefits such as
vision and dental.
Is not available to people with End-Stage Renal Disease
Special Enrollment Period (SEP) - ✔️✔️Most people don't qualify for SEP.
Must have a group health plan coverage based on active, current employment of you or
your spouse. Those with SEP can enroll or dis-enroll every month if they so choose
How to qualify for Medicare - ✔️✔️Must be 65 years or older
If under 65 with certain disabilities:
-Lateral Sclerosis
-End Stage Renal Disease
4 parts of Medicare - ✔️✔️Part A - Hospital services
Part B - Outpatient services
Part C - Combination of A & B
Part D - Prescription drug coverage
Part A - ✔️✔️Hospital Insurance. This is for inpatient services.
-Inpatient hospital care
-Skilled Nursing Facility (SNF) care
-Blood(inpatient)
-Inpatient non- religious non-medical health care institutions
-Home Health Care
-Hospice Care
Part B - ✔️✔️Outpatient services such as doctor's office appointments, including lab
services, some supplies and Durable Medical Equipment (DME).
Part C - ✔️✔️Medicare Advantage Plan like HMO/ PPO includes Part A, Part B and
sometimes also includes Part D coverage.
Part D - ✔️✔️Medicare Prescription Drug Coverage.
Medicare Coverage Choices - ✔️✔️Original Medicare (just part A & B) or a Medicare
Advantage Plan (which includes A & B and often other benefits).
Original Medicare - ✔️✔️Part A and Part B can add on Medigap and or Part D
(prescription drug coverage)
Medicare Advantage Plan - ✔️✔️Part C which combines Part A&B may include, or be
able to add, Part D. Medicare Advantage plans often offer additional benefits such as
vision and dental.
Is not available to people with End-Stage Renal Disease
Special Enrollment Period (SEP) - ✔️✔️Most people don't qualify for SEP.
Must have a group health plan coverage based on active, current employment of you or
your spouse. Those with SEP can enroll or dis-enroll every month if they so choose
How to qualify for Medicare - ✔️✔️Must be 65 years or older
If under 65 with certain disabilities:
-Lateral Sclerosis
-End Stage Renal Disease
4 parts of Medicare - ✔️✔️Part A - Hospital services
Part B - Outpatient services
Part C - Combination of A & B
Part D - Prescription drug coverage
Part A - ✔️✔️Hospital Insurance. This is for inpatient services.
-Inpatient hospital care
-Skilled Nursing Facility (SNF) care
-Blood(inpatient)
-Inpatient non- religious non-medical health care institutions
-Home Health Care
-Hospice Care
Part B - ✔️✔️Outpatient services such as doctor's office appointments, including lab
services, some supplies and Durable Medical Equipment (DME).
Part C - ✔️✔️Medicare Advantage Plan like HMO/ PPO includes Part A, Part B and
sometimes also includes Part D coverage.
Part D - ✔️✔️Medicare Prescription Drug Coverage.
Medicare Coverage Choices - ✔️✔️Original Medicare (just part A & B) or a Medicare
Advantage Plan (which includes A & B and often other benefits).
Original Medicare - ✔️✔️Part A and Part B can add on Medigap and or Part D
(prescription drug coverage)
