Medicaid and Medicare blind spots Flashcards
(16 cards)
When is the Initial Enrollment Period for Medicare?
7 months around age 65 (3 before, month of, 3 after).
Timeline: —3—65—3—
What is the penalty for late enrollment in Medicare Part B?
10% premium hike per year late.
$ ↑ 10%
When is the Annual Enrollment Period for Medicare Part D?
Oct 15 – Dec 7 yearly.
Calendar: [Oct 15 → Dec 7]
What is the Medigap open enrollment period?
6 months after Part B at 65.
65 → 6 mo
What does Medicare Part B cover?
Doctor visits, outpatient, equipment.
doctor, bed, wheelchair
What is NOT covered by Medicare Part B?
Custodial care (e.g., bathing help).
X helping hands
What is the ‘donut hole’ in Medicare Part D?
Gap with higher drug costs.
hole = $
Difference between participating and non-participating providers?
Participating: Take Medicare rate. Non-participating: +15%.
✓ vs +15%
Which Medicare Advantage plan requires a provider network?
HMO.
⚬—⚬—⚬ (HMO)
How many lifetime reserve days in Medicare Part A?
60 days, one-time use.
60 (1x)
What is the Medicaid look-back period?
5 years for assets.
What is the maximum number of days Medicare Part A covers in a skilled nursing facility per benefit period?
100 days
[Admission] — 100 days —> [Benefit Period Ends]
What do Long-Term Care Partnership Programs protect?
Assets
[Shield]
|
[$ Assets]
What is the annual deductible for Medicare Part B in 2021?
$203
[Deductible]
|
$203
Which Medigap plan is considered the basic plan?
Plan A
[Plan]
[ A ]
What is a Benefit Period in Medicare Part A?
The period from hospital admission to 60 days after discharge
[Admission] –> [Hospital Stay] –> [Discharge] – 60 days –> [Period Ends]
