This document provides an overview of Medicare including eligibility, coverage under Parts A, B, C, and D, costs, and supplemental plans. Original Medicare has inpatient coverage under Part A but beneficiaries pay deductibles and coinsurance. Part B covers outpatient services and providers are reimbursed fee-for-service. Medicare Advantage plans provide all Medicare benefits and may offer extra benefits for a monthly premium. Part D prescription drug plans have a standard benefit design including a deductible, coverage gap, and catastrophic coverage. The document also reviews enrollment periods and offers resources for additional information.

1. An Introduction to Medicare

2. Medicare – Overview

3. Who is Eligible for Medicare

4. Medicare is an Alphabet Soup!GHLEKDFMBIANDCJCAB

5. Original Medicare Part A - CoverageInpatient Facility Services Medicare Part A

6. Original Medicare Part A – Does Not Cover

7. OriginalMedicare Part A – Premiums

8. OriginalMedicare Part A – WhatYou PayPer Benefit PeriodDays 1-60Total: $1,132Days 61-90Total: $9,622($283.00)Days 91-150Total: $43,582($566.00)*What you pay based on 2011 amounts

9. Original Medicare Part A – Benefit Period

10. Outpatient & Physician ServicesOriginal Medicare Part B - CoverageMedicare Part B

11. Original Medicare A & B: Does Not Cover You Pay 100%

12. Original Medicare Part B - Premiums.

13. Original Medicare Part B – What You Pay

14. Original Medicare Part B - Cost Sharing*Assumes $162 deductible has already been paid

15. Original Medicare – Provider Compensation

16. Medicare Supplement Insurance Provides coverage for the “gaps” in MedicareMedigap Policies

17. Medigap Policies – Basic Plan- ”A”

18. Medigap Policies – Do Not Cover

19. Medigap Policies – Premiums & Other Costs** note that while these policies are guaranteed renewable, the premium amounts can be increased as you age

20. Medigap Policies – Keep in Mind

21. Medicare Part C = Medicare Advantage PlansMedicare Advantage

22. Medicare Part C / Medicare Advantage

23. Medicare Part C / Medicare Advantage Premiums

24. Medicare Part C / Medicare Advantage What To Watch For

25. Medicare Part C / Medicare AdvantageAdditional Benefits Medicare Advantage Plans May Offer

26. Medicare Part D = Prescription Drug CoverageMedicare Part D

27. Medicare Part D / Prescription Drugs2011 Standard Medicare Benefit DesignDeductiblePatient pays 100% of the bill until the total reaches$310Initial Coverage Period Patient pays Copayor Coinsurance until the totalof what the plan & patient pay equals $2840Coverage GapPatient pays 100% of the bill until the total out of pocket reaches $4550Catastrophic Coverage Patient pays 5% or a small Copay until year ends

28. Medicare Part D / Prescription Drugs Options for Coverage

29. Medicare Part D / Prescription Drugs What To Watch For

30. Medicare Part D /Prescription Drugs Assistance

31. Initial Medicare Enrollment Periods7 month window: Any time from 3 months before you become eligible for Medicare until 3 months after your eligibility monthOngoing Medicare Enrollment Periods

33. Medicare Review

34. Medicare Review

35. Medicare Review

36. Medicare Review

37. Medicare Review

38. Moral of the Story

39. References & Resources

40. QUESTIONS?

41. This presentation has been brought to you by: