Upload File

medicare

14
Medicare Presented by: Manidipa

Upload: rakesh-m

Post on 18-Aug-2015

6 views

Category:

Health & Medicine


1 download

Report

TRANSCRIPT

Page 1: Medicare

MedicarePresented by: Manidipa

Page 2: Medicare

INTRODUCTIONMedicare coverageOriginal Medicare PlanMedicare Supplement Insurance (Medigap)Medicare Advantage and other Medicare plansMedicare prescription drug coverageMedicaid and Medicare Savings Programs

Page 3: Medicare

What Is Medicare?A health insurance program for

People 65 years of age and olderPeople under age 65 with certain disabilitiesPeople with End-Stage Renal Disease (ESRD)

Administered by Centers for Medicare & Medicaid Services (CMS)

Enrollment by Social Security Administration (SSA) or Railroad Retirement Board (RRB)

Page 4: Medicare

Applying for MedicareApply 3 months before age 65

Don’t have to be retiredContact the Social Security Administration

Enrollment automatic if receiving Social Security or Railroad Retirement benefits

Page 5: Medicare

Medicare

Medicare Basics

Part AHospital Insurance

Part BMedical Insurance

Prescription Drug Coverage (Part D)

Page 6: Medicare

Medicare Coverage BasicsPart A Inpatient hospital

care Skilled nursing careHome health care

Hospice care

Part B Doctors’ services and outpatient care

Preventive services Diagnostic testsSome therapiesDurable medical

equipment

Part D Outpatient prescription drugs

Page 7: Medicare

Medicare Part AMost people receive Part A premium freePeople with less than 10 years of Medicare-

covered employmentCan still get Part A

Will pay a premiumFor information about Part A entitlement

Call SSA1-800-772-1213TTY users call 1-800-325-0778

Page 8: Medicare

MedigapHealth insurance policy

Sold by private insurance companiesMust say “Medicare Supplement Insurance”Covers “gaps” in the Original Medicare Plan

Deductibles, coinsurance, copaymentsDoes not work with Medicare Advantage

PlansUp to 12 standardized plans A – L

Except in Massachusetts, Minnesota, Wisconsin

So people can compare easily

Page 9: Medicare

How Medigap WorksPeople can buy a Medigap policy

Within 6 months of enrolling in Part BMust be age 65 or older

If they lose certain kinds of health coverageThrough no fault of their own

If they leave MA Plan under certain circumstances

Whenever the company will sell them oneMonthly premiumGenerally go to any doctor or specialist

Page 10: Medicare

Medicare Advantage PlansHealth Maintenance Organization (HMO) Plans

Some have Point-of-Service optionPreferred Provider Organization (PPO) Plans

Regional PPOs new in 2006Private Fee-for-Service (PFFS) PlansSpecial Needs PlansMedicare Medical Savings Account (MSA) Plans

New in 2007

Page 11: Medicare

Eligibility for MA Plans

Live in plan’s service areaEntitled to Medicare Part AEnrolled in Medicare Part B

Continue to pay Part B premiumMay also pay monthly premium to plan

Don’t have ESRD at enrollmentSome exceptions

Page 12: Medicare

Medicare Prescription Drug CoverageCoverage began January 1, 2006Available to all people with Medicare Provided through

Medicare Prescription Drug PlansMedicare Advantage and other Medicare plansSome employers and unions

Page 13: Medicare

MedicaidJoint Federal and state program

For some people with limited income and resources

If eligible, most health care costs coveredEligibility determined by stateApplication processes varyOffice names vary

Social ServicesPublic AssistanceHuman Services

Page 14: Medicare

MEDICARE PHYSICIAN CHANGES - medtronic.com · MEDICARE PHYSICIAN CHANGES EFFECTIVE JANUARY 1, 2017 ... Medicare National Payment Rates for CRHF Therapies ... Medicare Coverage

CENTERS FOR MEDICARE & MEDICAID SERVICES Medicare You …

Medicare Managed Care Manual - Centers for Medicare

Medicare and Your Medicare Rights

Producer 2017 Handbook - smsteam.net · Medicare supplement plans aren’t Original Medicare or a Medicare Advantage plan because they’re not a way to get Medicare benefits. Medicare

Medicare State Operations Manual - Centers for Medicare

Large Print Edition 2018 - Empower Medicare Supplementsempowermedicaresupplement.com/wp-content/uploads/... · 6 — Section 1: Medicare Basics What's Medicare? Medicare is health

MEDICARE 101 BASICS · MEDICARE 101 BASICS Y0020_20_17102PRES_C_01302020. Medicare Topics After This Training, you will : 1. Understand the Four Parts of Medicare 2. Learn Medicare

Medicare, Medicare Advantage, and BCBS U

Exhibit 1. “Medicare Extra” Benefits vs. Current Medicare Benefits Current Medicare benefits*“Medicare Extra” Deductible Hospital: $1024/benefit period

The Truth About Medicare and Medicare Supplements

Medicare & the Medicare Modernization Act of 2003

CENTERS FOR MEDICARE & MEDICAID SERVICES Medicare You/media/Files... · CENTERS FOR MEDICARE & MEDICAID SERVICES & Medicare. Y. ou. 2012. This is the official U.S. government . Medicare

Medicare and Medicare Advantage - California … - Medica… · Medicare Basics and Medicare Advantage Medicare 2 •The federal health insurance program for people age 65 and over,

Working with Medicare Coordination of Medicare and

2008 formulary - UnitedHealthcare® Medicare Solutions - Medicare

Medicare Advantage Medicare Supplement Plans

Medicare Claims Processing Manual - Centers for Medicare

1 1 Medicare. 2 2 Four Parts of Medicare: Medicare Part A – Hospital Insurance Medicare Part B – Medical Insurance Medicare Part C – Medicare Advantage

Medicare 101 Christian Reformed Church. June, 2012 2 Medicare 101 Introduction to Medicare Original Medicare Plan Medicare Supplement Insurance (Medigap)

MEDICARE ADVANTAGE PLANS: MEDICARE COSTS IN 2007

Medicare 101 understanding medicare final

Medi-Cal Handbook Medicare Coverage 30. Medicare Coverage · Medicare Coverage 30. Medicare Coverage 30.1 Medicare - Part A & Part B 30.1.1 Overview Medicare is a federal health insurance

Best Medicare Coverage With Medicare Supplement Plans

Module 11 Medicare Advantage and Other Medicare Health Plans · Module 11 – Medicare Advantage and Other Medicare Health Plans Section Objectives Define Medicare Advantage (MA)

2015 Medicare Product Medicare Advantage - … Medicare Product Medicare Advantage 1 . ... • What is a Special Needs Plan? • Medicare “Part C” Medicare Advantage Program Basics

Medicare Supplement vs Medicare Advantage

2016 Medicare Nuclear Medicine Reimbursement Information Medicare Reimbursement Guide.pdf · 2016 Medicare Reimbursement Information Lantheus Medical Imaging 4 2016 Medicare Reimbursement

Medicare Advantage Plans & Other Medicare Plans

Medicare Disproportionate Share Hospital - Centers for Medicare

CENTERS FOR MEDICARE & MEDICAID SERVICES Medicare You · CENTERS FOR MEDICARE & MEDICAID SERVICES & Medicare. Y. ou. 2012. This is the official U.S. government . Medicare handbook:

Medicare Marketing Guidelines - Home - Centers for Medicare

Getting Medicare right. - Medicare Rights Center - Medicare and … · Getting Medicare benefits Original Medicare Traditional program Accepted by most doctors and hospitals in the

The Truth About Medicare and Medicare Supplements

Medicare 101 Module 1B. Medicare 101 9/18/20152 Medicare 101 Introduction to Medicare Original Medicare Medicare Supplement Insurance (Medigap) Medicare