Medicare Benefits. As of 2012, approximately 50 million people were Medicare beneficiaries.

Size: px
Start display at page:

Download "Medicare Benefits. As of 2012, approximately 50 million people were Medicare beneficiaries."

Transcription

1 Medicare Benefits

2

3 Medicare is the federal health insurance program for people age 65 and older, and those of all ages with certain disabilities, End-Stage Renal Disease (ESRD), or Lou Gehrig s disease (ALS). To be eligible for Medicare, a person or their spouse must have worked for at least 10 years in Medicare-covered employment and be a citizen or permanent resident of the United States. For certain chronic diseases or disabilities, a person must have worked for five out of the ten years prior to becoming disabled or sick. Medicare has been designed by federal regulation to encourage people to sign up as soon as they become eligible. Many government assistance plans also require Medicare enrollment when a person becomes eligible. Additionally, private individual and family insurance plans (not group coverage) may automatically end when a person reaches age 65. Medicare may be combined with group coverage, in some cases. As of 2012, approximately 50 million people were Medicare beneficiaries. 1

4 Medicare Parts Medicare coverage is broken down into various parts that cover different health care services. Medicare Part A, which is funded by the Hospital Insurance Trust Fund, covers inpatient hospital care, as well as skilled nursing facility care, home health visits and hospice care. Part A is premium-free for most people, but beneficiaries share in the costs through deductibles and co-insurance. Medicare Part B is funded by the Supplementary Medical Insurance Trust Fund, and it covers doctors visits, outpatient care and related medical and health services. It is available by voluntary enrollment to individuals age 65 and over or who are disabled. Part B beneficiaries pay an annual deductible and, in most cases, a 20 percent copayment. Beneficiaries who do not sign up within 7 months of becoming eligible may incur a permanent 10 percent increase in their premium for every year enrollment is deferred. Medicare Part D is also funded by the Supplementary Medical Insurance Trust Fund. Medicare contracts with private plans to provide prescription drug coverage, either as a stand-alone prescription drug plan or as part of Medicare Advantage (Part C). A person with either Part A alone, or Part A and Part B, is eligible for Part D. Part D plan members 2

5 pay a premium, pharmacy co-payments and, in many cases, a deductible. Part D plans may be available through employer-sponsored group insurance plans for those known as working aged Medicare beneficiaries, and for veterans through the Department of Veterans Affairs. As of September 2012, 32 million people were enrolled in Part D plans. Medicare Part C, also called Medicare Advantage, is an alternative Medicare program offered through private insurance companies to provide single-package coverage for Parts A and B health care (other than hospice care in some cases), and, in most cases they also offer Part D. Some Part C plans may also include vision, hearing, dental and health and wellness programs. Medicare Advantage members pay one premium and varying co-payments for services. A beneficiary must have Parts A and B before they can enroll in a Medicare Advantage Plan. Each year, beneficiaries have a chance to make changes to their coverage. From January 1 February 14, they can leave their Medicare Advantage plan and switch back to Traditional Medicare. During the Annual Enrollment Period (AEP), which happens during the fourth quarter of each year (the dates vary by year), beneficiaries can enroll in Part C from Traditional Medicare or switch their Medicare Advantage plan provider. As of 2012, 13.1 million people, about 25 percent of Medicare beneficiaries, were enrolled in Part C. Extra Help The Extra Help program helps low-income beneficiaries pay for Medicare Part D prescription drug premiums. To be eligible for Extra Help, an individual can earn no more than $16,755 in yearly income ($22,695 for a married couple) and have no more than $13,070 ($26,120 for a married couple) in resources. People who automatically qualify for Extra Help include beneficiaries with full Medicaid coverage, beneficiaries in a state Medicaid program that pays for their Part B premiums and beneficiaries who receive Supplemental Social Security Income (SSI) benefits. Medigap Medigap plans, also known as supplemental health insurance plans, are provided by private insurance companies to cover some of the cost-sharing obligations beneficiaries have in Medicare. Medigap plans pay for co-payments and deductible gaps that are not covered by Traditional Medicare. There is a six-month Medigap open enrollment period that begins the day Part B coverage starts for an individual beneficiary. During this period, insurance companies can neither deny nor increase premiums due to medical history. After this six-month period, however, insurance companies may either deny coverage or increase premiums. There were 9.8 million Medicare beneficiaries enrolled in Medigap coverage as of

6 Medicare Enrollment Periods There are four enrollment periods for Medicare Parts A and B: initial enrollment; special enrollment for working aged and working disabled; special enrollment for volunteers; and the transfer enrollment period for people enrolled in Part C. 1. Initial Enrollment The Initial Enrollment Period (IEP) occurs when a person reaches age 65. The IEP is seven months long, and includes the beneficiary s birthday month, the three months before, and the three months after. During the IEP, a beneficiary can enroll in Part A, Part B, Part D or Part C. If someone signs up during the last three months, the start date will be delayed by one to two months. If someone misses their entire IEP, they may sign up during an annual general enrollment period, which takes place between January 1 and March 31 each year. If they enroll in Part B after their IEP, there is a permanent penalty of 10 percent added to their premium for every year they defer enrollment after their IEP ends. 2. Special Enrollment If someone is over age 65 and working (known as the working aged) and has employer-sponsored coverage (but not COBRA), they may be able to delay enrolling in Part B until they no longer have that insurance. To avoid the lifetime penalty for missing the IEP, they require a letter from their employer stating that the employer s insurance is credible to (as good as) Medicare. The person then has an 8-month Special Enrollment Period (SEP) in which to sign up for Part B. People who are considering this option are advised to confirm eligibility of their employer s plan as credible with Social Security and to document the date, time, name of the representative they speak with and information provided. 3. Transfer from Part C to Traditional Medicare Beneficiaries who have Medicare Advantage (Part C) and wish to leave their plan and re-enroll in Traditional Medicare can do so each year between January 1 and February 14. They also have until February 14 to join a Medicare prescription drug plan (Part D). Coverage begins the first day of the month following enrollment. Beneficiaries with Disabilities Beneficiaries with disabilities who are under age 65 will qualify for Medicare through Social Security Disability Insurance (SSDI). These beneficiaries will automatically be enrolled in Parts A and B after they have received disability benefits from Social Security or particular disability benefits from the Railroad Retirement Board (RRB) for 24 months. 4

7 There are three criteria to qualify for SSDI: 1. The person must be unable to do the work he or she did before; 2. The person must be unable to adjust to other work because of the medical condition; and 3. The disability has lasted or is expected to last at least a year or result in death. In addition, a person must have worked and paid into Medicare for five out of the ten years prior to becoming disabled and must have a medical condition that meets the disability criteria. Once someone is approved for SSDI, which provides financial assistance, there is a five-month waiting period before they receive monthly SSDI income benefits, followed by another 24 months before Medicare benefits begin. Beneficiaries with End-Stage Renal Disease (ESRD) and Lou Gehrig s Disease (ALS) People diagnosed with ESRD or ALS are exempt from the 24-month waiting period required for those with other disabilities to qualify for Medicare. ESRD is defined as the loss of kidney function so severe that a person cannot live without dialysis or a kidney transplant. Amyotrophic lateral sclerosis (ALS), also known as Lou Gehrig s disease, is a neurodegenerative disease that affects nerve cells in the brain and the spinal cord, causing loss of the ability to initiate and control muscle movement. 5

8 To qualify for Medicare because of ESRD, a beneficiary must have kidneys that no longer function and needs dialysis or a kidney transplant; and meet one of these three requirements: 1. The person has worked the required amount of time under Social Security (Soc. Sec.), the Railroad Retirement Board (RRB) or as a government employee; 2. The person qualifies for or is receiving Social Security or RRB benefits; or they are the spouse or dependent child of a person who meets this criteria; or 3. If the person has other coverage, Medicare will pay the amount remaining after the primary carrier pays. To enroll in Medicare, people with ESRD must call or visit a Social Security Office to enroll in both Part A and Part B in order to receive full Medicare benefits. The Part B premium $99 in 2012 is either taken out of the beneficiary s Social Security or RRB payments, or is billed every three months. For people with ALS, Part A and Part B coverage will begin automatically the month disability benefits begin. If ESRD is the reason a person is eligible for Medicare, their coverage ends 12 months after the last month of dialysis or 36 months after the month in which a kidney transplant is received. Coverage can be extended if a beneficiary begins dialysis again, receives a kidney transplant within 12 months of ending dialysis or receives a second kidney transplant within 36 months after the first one. Medicare spent $9.5 billion in 2010 on outpatient dialysis services for beneficiaries with ESRD. Dual Eligibles Dual eligible beneficiaries are eligible for both Medicare and Medicaid. Medicaid covers services not covered by Medicare, such as dental, long-term care and eyeglasses. It also helps cover Medicare s premiums and cost-sharing requirements, such as deductibles and co-payments. Since Medicaid coverage varies by state, the services covered for dual eligible beneficiaries vary as well. There are about 9 million dual eligible people, comprising 21 percent of Medicare and 15 percent of Medicaid beneficiaries. Medicare spends nearly 1.8 times, or nearly double, the amount of money on dual eligible beneficiaries than on other beneficiaries. 6

Medicare Factsheet What is Medicare? Original Medicare (Part A and Part B) Medicare Advantage Plan (Part C) Prescription Drug Plans (Part D),

Medicare Factsheet What is Medicare? Original Medicare (Part A and Part B) Medicare Advantage Plan (Part C) Prescription Drug Plans (Part D), Medicare Factsheet If you are enrolled in Medicare, you do not need to do anything with Covered California. If you have Medicare you are covered. No matter how you receive your Medicare benefits, whether

More information

Understanding Medicare Enrollment Periods

Understanding Medicare Enrollment Periods TIP SHEET Understanding Medicare Enrollment Periods Revised November 2011 Knowing when you can get Medicare can sometimes be confusing. This tip sheet is designed to help you learn more about enrollment

More information

Welcome to Medicare! Module 1A

Welcome to Medicare! Module 1A Welcome to Medicare! Module 1A Welcome to Medicare Introduction to Medicare Original Medicare Plan Medicare Supplement Insurance (Medigap) Medicare Advantage and other Medicare plans Medicare prescription

More information

Understanding Medicare Enrollment Periods

Understanding Medicare Enrollment Periods TIP SHEET Understanding Medicare Enrollment Periods Revised September 2009 Medicare can sometimes seem like a confusing maze of requirements and deadlines. This tip sheet is designed to help you navigate

More information

What is Medicare? The Different Parts of Medicare

What is Medicare? The Different Parts of Medicare Medicare and You The Different Parts of Medicare A Medicare Part A Hospital Insurance Inpatient care at hospitals, skilled nursing facility*, hospice and home health care. What is Medicare? Medicare is

More information

Contact Social Security

Contact Social Security Medicare Contact Social Security Visit our website Our website, www.socialsecurity.gov, is a valuable resource for information about all of Social Security s programs. At our website you also can: Apply

More information

Medicare Factsheet. September 2, 2015 Page 1 of 6

Medicare Factsheet. September 2, 2015 Page 1 of 6 Medicare Factsheet If you are enrolled in Medicare, you do not need to do anything with Covered California. If you have Medicare you are covered. No matter how you receive your Medicare benefits, whether

More information

Medicare and Employer-Based Coverage T he Basics

Medicare and Employer-Based Coverage T he Basics Medicare and Employer-Based Coverage T he Basics What is Medicare? A federal health insurance program Run by the Centers for Medicare and Medicaid Services (CMS) Benefit decisions controlled by the U.S.

More information

Understanding Medicare Enrollment Periods

Understanding Medicare Enrollment Periods TIP SHEET Understanding Medicare Enrollment Periods Revised February 2011 Knowing when you can get Medicare can sometimes be confusing. This tip sheet is designed to help you learn more about enrollment

More information

What s Medicare? What are the different parts of Medicare?

What s Medicare? What are the different parts of Medicare? Revised June 2014 What s Medicare? Medicare is health insurance for: People 65 or older People under 65 with certain disabilities People of any age with End-Stage Renal Disease (ESRD) (permanent kidney

More information

A Guide to Understanding Medicare Benefits

A Guide to Understanding Medicare Benefits Private Wealth Management Products & Services A Guide to Understanding Medicare Benefits Medicare is a social insurance program created under the Social Security Act of 1965 as signed by President Lyndon

More information

Medicare Basics: Frequently Asked Questions

Medicare Basics: Frequently Asked Questions TIP SHEET Information Partners Can Use on: Medicare Basics: Frequently Asked Questions As of October 2006 What is Medicare? Medicare is health insurance for people age 65 or older, under age 65 with certain

More information

Medicare and People with Disabilities: An Overview

Medicare and People with Disabilities: An Overview FACT SHEET Medicare and People with Disabilities: An Overview (I-001) p. 1 of 5 Medicare and People with Disabilities: An Overview This fact sheet provides basic information on Medicare for people with

More information

Contacting Social Security Visit our website www.socialsecurity.gov Call our toll-free number 1-800-772-1213 1-800-325-0778

Contacting Social Security Visit our website www.socialsecurity.gov Call our toll-free number 1-800-772-1213 1-800-325-0778 Medicare Contacting Social Security Visit our website Our website, www.socialsecurity.gov, is a valuable resource for information about all of Social Security s programs. At our website you also can: Apply

More information

Employer Insurance & Medicare

Employer Insurance & Medicare Employer Insurance & Rights Center The Rights Center is a national, notfor-profit consumer service organization that works to ensure access to affordable health care for older adults and people with disabilities

More information

Medicare Basics and Medicare Advantage

Medicare Basics and Medicare Advantage Medicare Basics and Medicare Advantage Medicare The federal health insurance program for people age 65 and over, some disabled people under 65 years of age, and people with End-Stage Renal Disease (permanent

More information

Medicare Enrollment Periods

Medicare Enrollment Periods FACT SHEET Medicare Enrollment Periods (A-008) p. 1 of 5 Medicare Enrollment Periods There are certain periods when you can join, change or drop the different parts of Medicare (A, B, C, and D). In other

More information

CENTERS FOR MEDICARE & MEDICAID SERVICES. Enrolling in Medicare Part A & Part B

CENTERS FOR MEDICARE & MEDICAID SERVICES. Enrolling in Medicare Part A & Part B CENTERS FOR MEDICARE & MEDICAID SERVICES Enrolling in Medicare Part A & Part B The information in this booklet was correct when it was printed. Changes may occur after printing. Visit www.medicare.gov

More information

HEALTH INSURANCE OPTIONS FOR PEOPLE ON MEDICARE DUE TO DISABILITY

HEALTH INSURANCE OPTIONS FOR PEOPLE ON MEDICARE DUE TO DISABILITY HEALTH INSURANCE OPTIONS FOR PEOPLE ON MEDICARE DUE TO DISABILITY io n a He Pro gram Seniors SHIIP lth at Ins urance Inform North Carolina Department of Insurance Seniors Health Insurance Information Program

More information

U.S. Railroad Retirement Board www.rrb.gov MEDICARE. For Railroad Workers and Their Families

U.S. Railroad Retirement Board www.rrb.gov MEDICARE. For Railroad Workers and Their Families U.S. Railroad Retirement Board www.rrb.gov MEDICARE For Railroad Workers and Their Families U.S. Railroad Retirement Board Mission Statement The Railroad Retirement Board s mission is to administer retirement/survivor

More information

Medicare 101 What is the difference between Medicare and Medicaid? What is Medicare Part A? What is Medicare Part B? What is Medicare Part C?

Medicare 101 What is the difference between Medicare and Medicaid? What is Medicare Part A? What is Medicare Part B? What is Medicare Part C? Medicare 101 What is the difference between Medicare and Medicaid? Medicare is a national health insurance program administered by the federal government that provides health insurance coverage to most

More information

Medicare and People with End Stage Renal Disease (ESRD)

Medicare and People with End Stage Renal Disease (ESRD) FACT SHEET Medicare and People with End Stage Renal Disease (ESRD) (I-002) p. 1 of 7 Medicare and People with End Stage Renal Disease (ESRD) If you have end stage renal disease (ESRD) or permanent kidney

More information

The Pennsylvania Insurance Department s. Your Guide to Choosing a MEDIGAP POLICY. Understanding Medigap

The Pennsylvania Insurance Department s. Your Guide to Choosing a MEDIGAP POLICY. Understanding Medigap Your Guide to Choosing a MEDIGAP POLICY Understanding Medigap Medigap is private health insurance designed to help pay healthcare costs that aren t covered by Medicare. Each Medigap plan covers different

More information

Faculty Alabama State Health Insurance Assistance Program and Medicare 101

Faculty Alabama State Health Insurance Assistance Program and Medicare 101 Faculty Alabama State Health Insurance Assistance Program and Medicare 101 Susan Segrest Community Based Services Division Chief Central Alabama Aging Consortium A Training on Basic Medicare and the Alabama

More information

Enrolling in Medicare

Enrolling in Medicare Enrolling in Medicare If you are getting ready to enroll in Medicare, this booklet is for you. This official government booklet tells you the following: What Medicare is and what it covers How and when

More information

What s Medicare? What are the different parts of Medicare?

What s Medicare? What are the different parts of Medicare? Revised June 2015 What s Medicare? Medicare is health insurance for: People 65 or older People under 65 with certain disabilities People of any age with End-Stage Renal Disease (ESRD) (permanent kidney

More information

Medicare Made Clear. Helping your employees and volunteers understand Medicare.

Medicare Made Clear. Helping your employees and volunteers understand Medicare. Medicare Made Clear Quick Reference Guide Helping your employees and volunteers understand Medicare. Medicare helps nearly 50 million older and disabled Americans save on their health care expenses. But

More information

Medicare and Medicaid: What You Need to Know

Medicare and Medicaid: What You Need to Know Medicare and Medicaid: What You Need to Know This program is sponsored by the Nevada Aging and Disability Services Division and is presented by the Access to Healthcare Network and Nevada Geriatric Education

More information

08/19/2015. Understanding Medicare Enrollment Periods. Session Objectives. Lesson 1 Medicare Enrollment Overview

08/19/2015. Understanding Medicare Enrollment Periods. Session Objectives. Lesson 1 Medicare Enrollment Overview Understanding Medicare Enrollment Periods Information for those who counsel people with Medicare August 2015 Session Objectives This session will help you explain enrollment periods for Medicare Parts

More information

What is a Medicare Advantage Plan?

What is a Medicare Advantage Plan? CENTERS FOR MEDICARE & MEDICAID SERVICES What is a Medicare Advantage Plan? A Medicare Advantage Plan (like an HMO or PPO) is a way to get your Medicare benefits. Unlike Original Medicare, in which the

More information

Michigan Medicare/Medicaid Assistance Program (MMAP) MPCA - October 2015

Michigan Medicare/Medicaid Assistance Program (MMAP) MPCA - October 2015 Michigan Medicare/Medicaid Assistance Program (MMAP) MPCA - October 2015 MMAP The Michigan Medicare/Medicaid Assistance Program (MMAP) is a free service that helps Medicare beneficiaries make informed

More information

MEDICARE BASICS WHAT TO KNOW AND WHAT TO EXPECT WITH MEDICARE

MEDICARE BASICS WHAT TO KNOW AND WHAT TO EXPECT WITH MEDICARE MEDICARE BASICS WHAT TO KNOW AND WHAT TO EXPECT WITH MEDICARE AGENDA What is original Medicare? The A, B, C, and D s of Medicare Enrollment periods Medicare Advantage star rating system Where you can find

More information

MEDICARE. Understanding the basics of the Medicare Program.

MEDICARE. Understanding the basics of the Medicare Program. MEDICARE 101 Understanding the basics of the Medicare Program. Table of Contents 01. 05. 13. 17. 25. 29. The History of Medicare What is Medicare? Who is Eligible? Medigap Plans Medicare Advantage (MA)

More information

Medicare has four components, Part A, Part B Part C and Part D:

Medicare has four components, Part A, Part B Part C and Part D: Medicare What is Medicare? Medicare is a National Health Insurance Program for people 65 years of age and older Certain persons with disabilities under the age of 65 People with end stage renal disease

More information

What You Need to Know About SSDI and Medicare

What You Need to Know About SSDI and Medicare 1 What You Need to Know About SSDI and Medicare Tai Venuti, MPH Adrienne Muralidharan April 18, 2012 Welcome 2 Today we ll cover: History of SSDI SSDI process Evaluating spinal/musculoskeletal claims Awards

More information

Medicare Explained (For the rest of us!) A plain English version

Medicare Explained (For the rest of us!) A plain English version Produced by & Not affiliated with any Government Agency A Brief History of Medicare Medicare is a national social insurance program, administered by the U.S. federal government since 1965, that guarantees

More information

(800) 827-9990. HealthMarkets.com

(800) 827-9990. HealthMarkets.com (800) 827-9990 HealthMarkets.com Contents 4 Medicare: What is it? 6 Diving into Medicare Parts 9 Medicare Supplement Insurance: Medigap 11 How to Pick a Medicare Policy 12 Enrolling in Medicare 16 Special

More information

Understanding Medicare

Understanding Medicare Understanding Medicare When you think about income streams in retirement, Medicare may not initially come to mind. But it is an important part of most retirees "golden years." Medicare covers many health

More information

Choosing A Medigap Policy

Choosing A Medigap Policy Choosing A Medigap Policy 2002 Guide To Health Insurance For People With Medicare For People in the Original Medicare Plan This Guide has easy steps to help you buy Medicare Supplement Insurance. Developed

More information

BayCrest Insurance Services, 1275 S. Winchester Blvd., B, San Jose, CA 95128 Allan S. Eckmann. Medicare 2014

BayCrest Insurance Services, 1275 S. Winchester Blvd., B, San Jose, CA 95128 Allan S. Eckmann. Medicare 2014 BayCrest Insurance Services, 1275 S. Winchester Blvd., B, San Jose, CA 95128 Allan S. Eckmann What is Medicare? Medicare 2014 Medicare is a Health Insurance Program for: * People age 65 or older * People

More information

Medicare 2014. Medicare 101 Agenda

Medicare 2014. Medicare 101 Agenda Medicare 2014 What s Important in 2014 Medicare 101 Agenda What is Medicare? How do I enroll? When can I sign up? What if I am still working? What does Medicare cost? Let s talk about Medicare Coverage

More information

Solutions for Today Flexibility for Tomorrow.

Solutions for Today Flexibility for Tomorrow. Solutions for Today Flexibility for Tomorrow. Medicare Products and Services For More Information call our Senior Care Specialist, Raun Lynch at 856.380.5079 Or visit us on the web at www.cbdi-inc.com

More information

SHICK Senior Health Insurance Counseling For Kansas. Medicare Options

SHICK Senior Health Insurance Counseling For Kansas. Medicare Options SHICK Senior Health Insurance Counseling For Kansas Medicare Options What is Medicare? Federal health insurance that covers some medical costs if you: Are age 65 or over Are under age 65 with some disabilities

More information

Supplementing Medicare: Your Rights to Purchase a Medigap Policy

Supplementing Medicare: Your Rights to Purchase a Medigap Policy FACT SHEET Supplementing Medicare: Your Rights to Purchase a Medigap Policy (B-005) p. 1 of 5 Supplementing Medicare: Your Rights to Purchase a Medigap Policy This fact sheet describes your rights to purchase

More information

Overview of Health Insurance Options for Medicare-Eligible Members

Overview of Health Insurance Options for Medicare-Eligible Members Overview of Health Insurance Options for Medicare-Eligible Members The following pages offer general descriptions of the types of plans offered to CTPF retirees who are eligible for and maintain active

More information

About to Retire: Preparing for Medicare Patient Financial Services Agenda Medicare Enrollment Covered Services Medicare-covered covered Preventive Services Agenda, continued Advance Beneficiary Notice

More information

How Medicare Works. Helping you make the most of Medicare. MedicareBlue SM Rx (PDP) S5743_101415_B02_RE Internal Approval 11/12/2015

How Medicare Works. Helping you make the most of Medicare. MedicareBlue SM Rx (PDP) S5743_101415_B02_RE Internal Approval 11/12/2015 How Medicare Works Helping you make the most of Medicare 2016 MedicareBlue SM Rx (PDP) S5743_101415_B02_RE Internal Approval 11/12/2015 About Medicare Whether you re new to Medicare or want a refresher,

More information

Getting Started with Medicare Beginning Medicare Training

Getting Started with Medicare Beginning Medicare Training Getting Started with Medicare Beginning Medicare Training This Medicare Counselor Training program was developed under a grant from UnitedHealthcare through a joint project with the National Association

More information

2006 Choosing a Medigap Policy:

2006 Choosing a Medigap Policy: CENTERS FOR MEDICARE & MEDICAID SERVICES 2006 Choosing a Medigap Policy: A Guide to Health Insurance for People With Medicare This official government guide can help you Learn what a Medigap (Medicare

More information

CENTERS for MEDICARE & MEDICAID SERVICES. Enrolling in Medicare Part A & Part B

CENTERS for MEDICARE & MEDICAID SERVICES. Enrolling in Medicare Part A & Part B CENTERS for MEDICARE & MEDICAID SERVICES Enrolling in Medicare Part A & Part B The information in this booklet describes the Medicare Program at the time this booklet was printed. Changes may occur after

More information

MEDICARE General Information

MEDICARE General Information MEDICARE General Information Who is eligible for Medicare? A worker who has earned 40 credits provided he/she is paying Medicare tax on those earning. You earn one credit for every $920 you earn If you

More information

I wanted to understand the Medicare program basics. This presentation really helped.

I wanted to understand the Medicare program basics. This presentation really helped. Welcome to Medicare 101! I wanted to understand the Medicare program basics. This presentation really helped. What is Medicare? What benefits does Medicare cover? What benefits doesn t Medicare cover?

More information

Medicare 101 Guide Your Guide to Medicare Basics

Medicare 101 Guide Your Guide to Medicare Basics Medicare 101 Guide Your Guide to Medicare Basics Y0013_16_MEDGUI Accepted 11232015 bcbstmedicare.com Get More from Your Medicare This guide helps you understand how Medicare s different parts work and

More information

Answer: A description of the Medicare parts includes the following:

Answer: A description of the Medicare parts includes the following: Question: Who is covered by Medicare? Answer: All people age 65 and older, regardless of their income or medical history are eligible for Medicare. In 1972 the Medicare program was expanded to include

More information

Supplementing Medicare: Your Rights to Purchase a Medigap Policy

Supplementing Medicare: Your Rights to Purchase a Medigap Policy FACT SHEET Supplementing Medicare: Your Rights to Purchase a Medigap Policy (B-005) p. 1 of 6 Supplementing Medicare: Your Rights to Purchase a Medigap Policy This fact sheet describes your rights to purchase

More information

Medicare: Who, What, When, Where

Medicare: Who, What, When, Where Medicare: Who, What, When, Where 1. Who administers Medicare? The Centers for Medicare and Medicaid Services (CMS), a part of the Department of Health and Human Services (HHS), administers the Federal

More information

Making the most of Medicare

Making the most of Medicare Making the most of Medicare S5743_102714_K04_RE Internal Approval 10/27/2014 Today s Topics What is Medicare Who s eligible Medicare coverage Options to fill coverage gaps When you can enroll Finding the

More information

DEVELOPED BY EQUIP FOR EQUALITY UNDER A GRANT PROVIDED BY THE ILLINOIS DEPARTMENT ON AGING

DEVELOPED BY EQUIP FOR EQUALITY UNDER A GRANT PROVIDED BY THE ILLINOIS DEPARTMENT ON AGING DEVELOPED BY EQUIP FOR EQUALITY UNDER A GRANT PROVIDED BY THE ILLINOIS DEPARTMENT ON AGING PUBLIC BENEFITS Medicare Overview This is an overview of the Medicare program. The information applies to people

More information

Agenda. Medicare Basics Parts of Medicare What is a Medicare Advantage Plan? How do Medicare Advantage Plans work?

Agenda. Medicare Basics Parts of Medicare What is a Medicare Advantage Plan? How do Medicare Advantage Plans work? Agenda Medicare Basics Parts of Medicare What is a Medicare Advantage Plan? How do Medicare Advantage Plans work? Cost sharing, networks and eligibility MCHCP and Medicare Advantage Advantage? What is

More information

Medicare, VA Health Benefits and TRICARE: What You Need to Know

Medicare, VA Health Benefits and TRICARE: What You Need to Know Medicare, VA Health Benefits and TRICARE: What You Need to Know MMW Coalition Webinar July 31, 2015 AgeOptions 2015. All rights reserved. Who We Are: MMW Leadership AgeOptions Area Agency on Aging (AAA)

More information

Medicare Resources. A brief guide to sources of help and advice to make your Medicare experience more pleasant.

Medicare Resources. A brief guide to sources of help and advice to make your Medicare experience more pleasant. Medicare Resources A brief guide to sources of help and advice to make your Medicare experience more pleasant. 1 What is Medicare? The Medicare program is a federal system of health and hospital insurance

More information

Your complimentary Medicare Guidebook

Your complimentary Medicare Guidebook Learn Protect Assess Enroll Your complimentary Medicare Guidebook About this Guidebook If you or someone you care for is new to Medicare or will be soon, this Guidebook will help make Medicare easier to

More information

Chapter 5. Medicare Parts A, B, C, and D

Chapter 5. Medicare Parts A, B, C, and D INTRODUCTION In this chapter we will discuss the federal Medicare program. Enacted in 1965, the Medicare program is Title XVIII of the Social Security Act. Medicare is a federal health program that provides

More information

CENTERS FOR MEDICARE & MEDICAID SERVICES

CENTERS FOR MEDICARE & MEDICAID SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES 2016 Welcome to Medicare! Medicare is health insurance for people 65 or older, under 65 with certain disabilities, and any age with End-Stage Renal Disease (ESRD)

More information

It s Time for Medicare

It s Time for Medicare It s Time for Medicare med-waageinbook-1214 Medicare What you need to know. You re turning 65. Or you re already 65 and getting ready to retire and lose your healthcare coverage. You re almost ready for

More information

MAP TO MEDICARE. H2461 101314 T01 CMS Accepted 10/21/2014 S5743 101414 K01 MN CMS Accepted 10/21/2014

MAP TO MEDICARE. H2461 101314 T01 CMS Accepted 10/21/2014 S5743 101414 K01 MN CMS Accepted 10/21/2014 2015 MAP TO MEDICARE H2461 101314 T01 CMS Accepted 10/21/2014 S5743 101414 K01 MN CMS Accepted 10/21/2014 MAP TO MEDICARE What is Medicare?...1 Part A: Hospital coverage...2 Part B: Medical coverage....3

More information

Social Security. www.socialsecurity.gov

Social Security. www.socialsecurity.gov Social Security www.socialsecurity.gov History of Social Security Programs 1935 Retirement Insurance 1939 Survivors Insurance 1956 Disability Insurance 2 Other Programs 1965 Medicare Program 1972 Supplemental

More information

Choosing a Medigap Policy: A Guide to Health Insurance for People with Medicare

Choosing a Medigap Policy: A Guide to Health Insurance for People with Medicare CENTERS FOR MEDICARE & MEDICAID SERVICES 2009 Choosing a Medigap Policy: A Guide to Health Insurance for People with Medicare This official government guide has important information about the following:

More information

MEDICARE 101 A Webinar presented by Keenan & Associates and Kaiser Permanente

MEDICARE 101 A Webinar presented by Keenan & Associates and Kaiser Permanente MEDICARE 101 A Webinar presented by Keenan & Associates and Kaiser Permanente Sylvia Weathers Service Consultant Keenan & Associates Nancy C. Voltero Retiree Programs Consultant Kaiser Permanente License

More information

Welcome to Kaiser Permanente

Welcome to Kaiser Permanente Welcome to Kaiser Permanente Presenting Medicare 101 and Kaiser Permanente Senior Advantage (HMO) Fresno Unified School District Yolanda Smith Retiree Consultant September 2014 Basics of Medicare What

More information

What s a Medicare Advantage Plan?

What s a Medicare Advantage Plan? Revised April 2015 What s a Medicare Advantage Plan? You can get your Medicare benefits through Original Medicare, or a Medicare Advantage Plan (like an HMO or PPO). If you have Original Medicare, the

More information

Choosing a Medigap Policy:

Choosing a Medigap Policy: CENTERS FOR MEDICARE & MEDICAID SERVICES 2010 Choosing a Medigap Policy: A Guide to Health Insurance for People with Medicare This official government guide has important information about the following:

More information

Your complimentary Medicare Guidebook

Your complimentary Medicare Guidebook Learn Protect Assess Enroll Your complimentary Medicare Guidebook Learn Original Medicare... 4 Medicare Prescription Drug Coverage.............. 6 Medicare Supplement Insurance... 8 Medicare Advantage...

More information

Choosing a Medigap Policy: A Guide to Health Insurance for People with Medicare

Choosing a Medigap Policy: A Guide to Health Insurance for People with Medicare CENTERS FOR MEDICARE & MEDICAID SERVICES 2013 Choosing a Medigap Policy: A Guide to Health Insurance for People with Medicare This official government guide has important information about: What is a Medicare

More information

Choosing a Medigap Policy: A Guide to Health Insurance for People with Medicare

Choosing a Medigap Policy: A Guide to Health Insurance for People with Medicare CENTERS FOR MEDICARE & MEDICAID SERVICES 2014 Choosing a Medigap Policy: A Guide to Health Insurance for People with Medicare This official government guide has important information about: Medicare Supplement

More information

Medicare Made Clear Answer Guide

Medicare Made Clear Answer Guide Medicare Made Clear Answer Guide Y0066_100820_113217 File & Use 08252010 Medicare can be confusing. How do you find the best options to fit your needs? This guide has some answers that may be helpful.

More information

Health insurance options for people with disabilities

Health insurance options for people with disabilities Health insurance options for people with disabilities Brought to you by: Washington State Office of the Insurance Commissioner Table of Contents Introduction Consumers with disabilities who are NOT eligible

More information

Choosing a Medigap Policy: A Guide to Health Insurance for People with Medicare

Choosing a Medigap Policy: A Guide to Health Insurance for People with Medicare CENTERS FOR MEDICARE & MEDICAID SERVICES 2011 Choosing a Medigap Policy: A Guide to Health Insurance for People with Medicare This official government guide has important information about the following:

More information

Medicare At A Glance. State Health Insurance Assistance Program (SHIP)

Medicare At A Glance. State Health Insurance Assistance Program (SHIP) 2015 Medicare At A Glance Indiana 2015 State Health Insurance Assistance Program (SHIP) Who runs the Medicare Program? The Centers for Medicare & Medicaid Services (CMS) is the Federal agency that runs

More information

Complex Case Scenarios Preventing Gaps in Health Care Coverage Mini-Series: Transitioning from Employer-Sponsored Coverage to Other Health Coverage

Complex Case Scenarios Preventing Gaps in Health Care Coverage Mini-Series: Transitioning from Employer-Sponsored Coverage to Other Health Coverage Complex Case Scenarios Preventing Gaps in Health Care Coverage Mini-Series: Transitioning from Employer-Sponsored Coverage to Other Health Coverage Center for Consumer Information and Insurance Oversight

More information

Understanding Medicare Fundamentals

Understanding Medicare Fundamentals Understanding Medicare Fundamentals A Healthcare Cost Planning Overview By Mark J. Snodgrass & Pamela K. Edinger JD July 7, 2012 Money Tree Software, Ltd. 2430 NW Professional Dr. Corvallis, OR 98330 2012

More information

Getting started with Medicare.

Getting started with Medicare. Getting started with Medicare. Medicare Made Clear TM Get Answers: Medicare Education Look inside to: Understand the difference between Medicare plans Compare plans and choose the right one for you See

More information

Choosing a Medigap Policy:

Choosing a Medigap Policy: CENTERS FOR MEDICARE & MEDICAID SERVICES 2015 Choosing a Medigap Policy: A Guide to Health Insurance for People with Medicare This official government guide has important information about: Medicare Supplement

More information

Guide to Medicare MEDICARE BASICS. Presented by

Guide to Medicare MEDICARE BASICS. Presented by Guide to Medicare MEDICARE BASICS Presented by 14 Medicare Basics What Is Medicare? Medicare is health insurance for the following: People 65 or older People under 65 with certain disabilities People of

More information

Medicare, Social Security & Health Savings Accounts for Active Employees

Medicare, Social Security & Health Savings Accounts for Active Employees Medicare, Social Security & Health Savings Accounts for Active Employees ORNL Benefits October 2015 ORNL is managed by UT-Battelle for the US Department of Energy Table of Contents Health Savings Accounts

More information

A KPS Federal Plan. Medicare

A KPS Federal Plan. Medicare A KPS Federal Plan Medicare Covers most of your out of pocket medical expenses! Medicare & KPS FEHB Guide Page 1 Table of Contents Page Medicare & You 3 Facts about Medicare 4 Medicare & the KPS Federal

More information

Prescription Drug Plan (PDP)

Prescription Drug Plan (PDP) Prescription Drug Plan (PDP) Blue Shield of California Medicare Rx Plan (PDP) Evidence of Coverage Effective January 1, 2015 Blue Shield of California is a PDP with a Medicare contract. Enrollment in Blue

More information

MEDICARE 101. Medicare 101. presented by Fairfax County s Virginia Insurance Counseling and Assistance Program (VICAP) 2015. Medicare 101 6/9/2015 1

MEDICARE 101. Medicare 101. presented by Fairfax County s Virginia Insurance Counseling and Assistance Program (VICAP) 2015. Medicare 101 6/9/2015 1 MEDICARE 101 presented by Fairfax County s Virginia Insurance Counseling and Assistance Program (VICAP) 2015 6/9/2015 1 What Is Medicare? A health insurance program for people 65 years of age and older

More information

STEPPING INTO MEDICARE. Invaluable help from the name you know and trust Blue Cross and Blue Shield of Illinois

STEPPING INTO MEDICARE. Invaluable help from the name you know and trust Blue Cross and Blue Shield of Illinois STEPPING INTO MEDICARE Invaluable help from the name you know and trust Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Illinois offers a great array of plans that pick up where Medicare

More information

Health insurance options for people with disabilities

Health insurance options for people with disabilities Health insurance options for people with disabilities Table of Contents Introduction 1 Consumers with disabilities who are NOT eligible for Medicare 3 Buying health insurance 3 Disability-related programs

More information

Your Medicare Health Benefits and Services and Prescription Drug Coverage as a Member of Molina Medicare Options Plus HMO SNP

Your Medicare Health Benefits and Services and Prescription Drug Coverage as a Member of Molina Medicare Options Plus HMO SNP January 1 December 31, 2015 Evidence of Coverage: Your Medicare Health Benefits and Services and Prescription Drug Coverage as a Member of Molina Medicare Options Plus HMO SNP This booklet gives you the

More information

2015 National Training Program. Session Objectives. Lesson 1 Introduction to Medigap. Medicare Program Overview Medigap Overview

2015 National Training Program. Session Objectives. Lesson 1 Introduction to Medigap. Medicare Program Overview Medigap Overview 2015 National Training Program Module 3 Medigap (Medicare Supplement Insurance) Policies Session Objectives This session should help you Explain what Medigap policies are Recognize key Medigap terms Relate

More information

Securing Health Insurance for the Retirement Journey MANAGING RETIREMENT DECISIONS SERIES

Securing Health Insurance for the Retirement Journey MANAGING RETIREMENT DECISIONS SERIES Securing Health Insurance for the Retirement Journey MANAGING RETIREMENT DECISIONS SERIES PEOPLE ARE LIVING LONGER in retirement than ever. Maintaining good health will help make those years vibrant. So

More information

Welcome to: Medicare and Social Security 101. Presented by: WGA s Retiree Solutions Team and WGA s Compliance Practice

Welcome to: Medicare and Social Security 101. Presented by: WGA s Retiree Solutions Team and WGA s Compliance Practice Welcome to: Medicare and Social Security 101 Presented by: WGA s Retiree Solutions Team and WGA s Compliance Practice Introducing the webcast presenters: Alyssa Martin, Speaker Vice President Member of

More information

Virginia Medigap Policies Premium Comparison Guide

Virginia Medigap Policies Premium Comparison Guide Virginia Medigap Policies Premium Comparison Guide Prepared by Commonwealth of Virginia State Corporation Commission This consumer s Guide should be used for educational purposes only. Nothing in this

More information

Thank you... 1 www.bcbsga.com WPADVBR005M(11)-GA 20550WPSENMUB_004_G 9/11

Thank you... 1 www.bcbsga.com WPADVBR005M(11)-GA 20550WPSENMUB_004_G 9/11 Thank you... for your interest in our Medicare Supplement plans. We designed them to help you stay healthy and keep your medical costs down. It s why they are so popular. You get an added layer of security,

More information

www.booneinsuranceassociates.com Copyright by BIA 1 MEDICARE MADE SIMPLE BIA 1/14/2016 Boone Insurance Associates Education Guide: New

www.booneinsuranceassociates.com Copyright by BIA 1 MEDICARE MADE SIMPLE BIA 1/14/2016 Boone Insurance Associates Education Guide: New www.booneinsuranceassociates.com Copyright by 1 MEDICARE MADE SIMPLE Boone Insurance Associates Education Guide: New Today s Agenda 2 About Introduction & History of Medicare Medicare Parts A, B, C, D

More information

Getting started with Medicare.

Getting started with Medicare. Getting started with Medicare. Medicare Made Clear TM Get Answers: Medicare Education Look inside to: Understand the difference between Medicare plans Compare plans and choose the right one for you See

More information

Celebrating 65 (SM) Your Road to Retirement

Celebrating 65 (SM) Your Road to Retirement Celebrating 65 (SM) Your Road to Retirement TABLE OF CONTENTS What is........................ 2 In this Brochure................................. 3 Making Sense of Social Security....................

More information

Getting started with Medicare.

Getting started with Medicare. Getting started with Medicare. Look inside to: Learn about Medicare Compare plans and choose the right one for you See if you qualify for financial help Learn how to enroll in Medicare if you plan on working

More information