An Introduction to Medicare <br />
Medicare – Overview <br />
Who is Eligible for Medicare<br />
Medicare is an Alphabet Soup!<br />G<br />H<br />L<br />E<br />K<br />D<br />F<br />M<br />B<br />I<br />A<br />N<br />D<b...
Original Medicare Part A - CoverageInpatient Facility Services <br />Medicare Part A<br />
Original Medicare Part A – Does Not Cover<br />
OriginalMedicare Part A – Premiums<br />
OriginalMedicare Part A – WhatYou PayPer Benefit Period<br />Days 1-60<br />Total:  $1,132<br />Days 61-90<br />Total:  $9...
Original Medicare Part A – Benefit Period<br />
Outpatient & Physician Services<br />Original Medicare Part B - Coverage<br />Medicare Part B<br />
Original Medicare A & B:  Does Not Cover <br />You Pay 100%<br />
Original Medicare Part B - Premiums<br />.<br />
Original Medicare Part B – What You Pay<br />
Original Medicare Part B - Cost Sharing<br />*Assumes $162 deductible has already been paid<br />
Original Medicare – Provider Compensation<br />
Medicare Supplement Insurance Provides coverage for the “gaps” in Medicare<br />Medigap Policies<br />
Medigap Policies – Basic Plan- ”A”<br />
Medigap Policies – Do Not Cover<br />
Medigap Policies – Premiums & Other Costs<br />** note that while these policies are guaranteed renewable, <br />the premi...
Medigap Policies – Keep in Mind<br />
Medicare Part C = Medicare Advantage Plans<br />Medicare Advantage<br />
Medicare Part C / Medicare Advantage <br />
Medicare Part C / Medicare Advantage  Premiums  <br />
Medicare Part C / Medicare Advantage What To Watch For<br />
Medicare Part C / Medicare AdvantageAdditional Benefits Medicare Advantage Plans May Offer<br />
Medicare Part D = Prescription Drug Coverage<br />Medicare Part D <br />
Medicare Part D / Prescription Drugs<br />2011 Standard Medicare Benefit Design<br />Deductible<br />Patient pays 100% of ...
Medicare Part D / Prescription Drugs  Options for Coverage<br />
Medicare Part D / Prescription Drugs What To Watch For<br />
Medicare Part D /Prescription Drugs Assistance<br />
Initial Medicare Enrollment Periods<br /><ul><li>7 month window:   Any time from 3 months before you become eligible for M...
Medicare Review<br />
Medicare Review<br />
Medicare Review<br />
Medicare Review<br />
Medicare Review<br />
Moral of the Story<br />
References & Resources<br />
QUESTIONS?<br />
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Medicare 101 use for testing

  1. 1. An Introduction to Medicare <br />
  2. 2. Medicare – Overview <br />
  3. 3. Who is Eligible for Medicare<br />
  4. 4. Medicare is an Alphabet Soup!<br />G<br />H<br />L<br />E<br />K<br />D<br />F<br />M<br />B<br />I<br />A<br />N<br />D<br />C<br />J<br />C<br />A<br />B<br />
  5. 5. Original Medicare Part A - CoverageInpatient Facility Services <br />Medicare Part A<br />
  6. 6. Original Medicare Part A – Does Not Cover<br />
  7. 7. OriginalMedicare Part A – Premiums<br />
  8. 8. OriginalMedicare Part A – WhatYou PayPer Benefit Period<br />Days 1-60<br />Total: $1,132<br />Days 61-90<br />Total: $9,622<br />($283.00)<br />Days 91-150<br />Total: $43,582<br />($566.00)<br />*What you pay based on 2011 amounts<br />
  9. 9. Original Medicare Part A – Benefit Period<br />
  10. 10. Outpatient & Physician Services<br />Original Medicare Part B - Coverage<br />Medicare Part B<br />
  11. 11. Original Medicare A & B: Does Not Cover <br />You Pay 100%<br />
  12. 12. Original Medicare Part B - Premiums<br />.<br />
  13. 13. Original Medicare Part B – What You Pay<br />
  14. 14. Original Medicare Part B - Cost Sharing<br />*Assumes $162 deductible has already been paid<br />
  15. 15. Original Medicare – Provider Compensation<br />
  16. 16. Medicare Supplement Insurance Provides coverage for the “gaps” in Medicare<br />Medigap Policies<br />
  17. 17. Medigap Policies – Basic Plan- ”A”<br />
  18. 18. Medigap Policies – Do Not Cover<br />
  19. 19. Medigap Policies – Premiums & Other Costs<br />** note that while these policies are guaranteed renewable, <br />the premium amounts can be increased as you age<br />
  20. 20. Medigap Policies – Keep in Mind<br />
  21. 21. Medicare Part C = Medicare Advantage Plans<br />Medicare Advantage<br />
  22. 22. Medicare Part C / Medicare Advantage <br />
  23. 23. Medicare Part C / Medicare Advantage Premiums <br />
  24. 24. Medicare Part C / Medicare Advantage What To Watch For<br />
  25. 25. Medicare Part C / Medicare AdvantageAdditional Benefits Medicare Advantage Plans May Offer<br />
  26. 26. Medicare Part D = Prescription Drug Coverage<br />Medicare Part D <br />
  27. 27. Medicare Part D / Prescription Drugs<br />2011 Standard Medicare Benefit Design<br />Deductible<br />Patient pays 100% of the bill until the total reaches<br />$310<br />Initial Coverage Period <br />Patient pays Copayor Coinsurance until the totalof what the plan & patient pay equals $2840<br />Coverage Gap<br />Patient pays 100% of the bill until the total out of pocket reaches $4550<br />Catastrophic Coverage <br />Patient pays 5% or a small Copay until year ends <br />
  28. 28. Medicare Part D / Prescription Drugs Options for Coverage<br />
  29. 29. Medicare Part D / Prescription Drugs What To Watch For<br />
  30. 30. Medicare Part D /Prescription Drugs Assistance<br />
  31. 31. Initial Medicare Enrollment Periods<br /><ul><li>7 month window: Any time from 3 months before you become eligible for Medicare until 3 months after your eligibility month</li></li></ul><li>Ongoing Medicare Enrollment Periods<br />
  32. 32.
  33. 33. Medicare Review<br />
  34. 34. Medicare Review<br />
  35. 35. Medicare Review<br />
  36. 36. Medicare Review<br />
  37. 37. Medicare Review<br />
  38. 38. Moral of the Story<br />
  39. 39. References & Resources<br />
  40. 40. QUESTIONS?<br />
  41. 41. This presentation has been brought to you by:<br />

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