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    Medicare 101   use for testing Medicare 101 use for testing Presentation Transcript

    • An Introduction to Medicare
    • Medicare – Overview
    • Who is Eligible for Medicare
    • Medicare is an Alphabet Soup!
      G
      H
      L
      E
      K
      D
      F
      M
      B
      I
      A
      N
      D
      C
      J
      C
      A
      B
    • Original Medicare Part A - CoverageInpatient Facility Services
      Medicare Part A
    • Original Medicare Part A – Does Not Cover
    • OriginalMedicare Part A – Premiums
    • OriginalMedicare Part A – WhatYou PayPer Benefit Period
      Days 1-60
      Total: $1,132
      Days 61-90
      Total: $9,622
      ($283.00)
      Days 91-150
      Total: $43,582
      ($566.00)
      *What you pay based on 2011 amounts
    • Original Medicare Part A – Benefit Period
    • Outpatient & Physician Services
      Original Medicare Part B - Coverage
      Medicare Part B
    • Original Medicare A & B: Does Not Cover
      You Pay 100%
    • Original Medicare Part B - Premiums
      .
    • Original Medicare Part B – What You Pay
    • Original Medicare Part B - Cost Sharing
      *Assumes $162 deductible has already been paid
    • Original Medicare – Provider Compensation
    • Medicare Supplement Insurance Provides coverage for the “gaps” in Medicare
      Medigap Policies
    • Medigap Policies – Basic Plan- ”A”
    • Medigap Policies – Do Not Cover
    • Medigap Policies – Premiums & Other Costs
      ** note that while these policies are guaranteed renewable,
      the premium amounts can be increased as you age
    • Medigap Policies – Keep in Mind
    • Medicare Part C = Medicare Advantage Plans
      Medicare Advantage
    • Medicare Part C / Medicare Advantage
    • Medicare Part C / Medicare Advantage Premiums
    • Medicare Part C / Medicare Advantage What To Watch For
    • Medicare Part C / Medicare AdvantageAdditional Benefits Medicare Advantage Plans May Offer
    • Medicare Part D = Prescription Drug Coverage
      Medicare Part D
    • Medicare Part D / Prescription Drugs
      2011 Standard Medicare Benefit Design
      Deductible
      Patient pays 100% of the bill until the total reaches
      $310
      Initial Coverage Period
      Patient pays Copayor Coinsurance until the totalof what the plan & patient pay equals $2840
      Coverage Gap
      Patient pays 100% of the bill until the total out of pocket reaches $4550
      Catastrophic Coverage
      Patient pays 5% or a small Copay until year ends
    • Medicare Part D / Prescription Drugs Options for Coverage
    • Medicare Part D / Prescription Drugs What To Watch For
    • Medicare Part D /Prescription Drugs Assistance
    • Initial Medicare Enrollment Periods
      • 7 month window: Any time from 3 months before you become eligible for Medicare until 3 months after your eligibility month
    • Ongoing Medicare Enrollment Periods
    • Medicare Review
    • Medicare Review
    • Medicare Review
    • Medicare Review
    • Medicare Review
    • Moral of the Story
    • References & Resources
    • QUESTIONS?
    • This presentation has been brought to you by: