Molina Medicare 101 Terms- Questions
and Answers| Latest Update
Skilled Nursing Benefit Period This period begins the day you first receive inpatient care
and ends when you are not in hospital/Skilled Nursing Facility (SNF) 60 days in a row. The
member must pay the part A deductible for each benefit period
Medi-gap Medicare Supplement Insurance, sold by private insurance companies.
This coverage fills gaps in Original Medicare such as deductibles, co-insurance and co-payments.
The member must pay their Part B premium to qualify to purchase Medi-gap insurance.
Enrolling in Medicare when it Not Automatic You need to enroll with Social Security
1-800-772-1213 or visit your local office.
Initial Enrollment Period There is a 7 month window, which begins 3 months before 65
birthday, and extends 3 months after birthday month.
Qualifications for Part D Must have Part A and or Part B
Must live in the plan's service area
Can't be incarcerated
Medicare vs. The Health Insurance Marketplace Medicare isn't part of the Insurance
Marketplace.
If you have Medicare, you are covered don't need to shop for insurance on the Marketplace.
The Marketplace doesn't offer Medi-gap or Part D plans.
It's against the law for someone who knows the member has Medicare to sell them a
Marketplace plan.
and Answers| Latest Update
Skilled Nursing Benefit Period This period begins the day you first receive inpatient care
and ends when you are not in hospital/Skilled Nursing Facility (SNF) 60 days in a row. The
member must pay the part A deductible for each benefit period
Medi-gap Medicare Supplement Insurance, sold by private insurance companies.
This coverage fills gaps in Original Medicare such as deductibles, co-insurance and co-payments.
The member must pay their Part B premium to qualify to purchase Medi-gap insurance.
Enrolling in Medicare when it Not Automatic You need to enroll with Social Security
1-800-772-1213 or visit your local office.
Initial Enrollment Period There is a 7 month window, which begins 3 months before 65
birthday, and extends 3 months after birthday month.
Qualifications for Part D Must have Part A and or Part B
Must live in the plan's service area
Can't be incarcerated
Medicare vs. The Health Insurance Marketplace Medicare isn't part of the Insurance
Marketplace.
If you have Medicare, you are covered don't need to shop for insurance on the Marketplace.
The Marketplace doesn't offer Medi-gap or Part D plans.
It's against the law for someone who knows the member has Medicare to sell them a
Marketplace plan.
