Molina Medicare Terms questions and answers graded A+

What is Medicare - health insurance for people How to qualify for Medicare - 65 and older Under 65 with certain disabilities: Lateral Sclerosis End Stage Renal Disease Who runs Medicare - Administer Program Social Security Railroad 4 parts of Medicare - Part A Part B Part C Part D Part A - Hospital Insurance Part B - Medical Insurance Part C - Medicare Advantage Plan like HMO/ PPO includes Part A, Part B and sometime Part D coverage Part D - Medicare Prescription Drug Coverage Available for ppl w/ medicareMedicare Coverage Choices - Original Medicare & Medicare Advantage Plan Original Medicare - Part A and Part B can add on Medigap, Part D prescription Medicare Advantage Plan - Part C that combines Part A&B may include or be able to add Part D 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 Benefit Period - measures for SNF Services begin the day you first receive inpatient care ends when not in hospital/SNF 60 days in a row pay part A deductible for each benefit period Medi-gap - Medicare Supplement Insurance sold by private insurance Fills gaps in Original Medicare deductibles, co-insurance, copayments All plans with same letter Enrolling in Medicare when it Not Automatic - you need to enroll with Social Security or visit your local office When to enroll in Medicare - 7 months begins 3 months before 65 birthday includes month of birthday 3 months after birthdayGeneral enrollment period - For people who didn't sign up for Part B or Premium Part A Original Medicare Part A Hospital Insurance Coverage - -Inpatient hospital care -Inpatient skilled nursing facility (SNF) care -Blood(inpatient) -Inpatient non- religious non medical health care institutions -Home Health Care -Hospice Care Cost For SNF - $0 for the first 20 days of each benefit period $157.50 per day for 21-100 of each benefit period all cost for each day after day 100 in a benefit period Medicare Part B Coverage - doctor services outpatient medical and surgical services supplies clinical lab test Part B Yearly Deductible - What you pay in Original Medicare 147.00