Medicareinteractive.org

Medicare Interactive

Medicare Interactive (MI) is a free and independent online reference tool to help people with Medicare navigate the complex world of health insurance.

Actived: Tuesday Jan 12, 2021

URL: https://www.medicareinteractive.org/

Insurance CE Courses - Medicare Interactive for Insurance

Details: Help your policyholders navigate the Medicare maze. This 17-section intensive course provides access to the complete MI Pro curriculum to give you in-depth knowledge of the rules and regulations regarding Medicare – everything from Medicare coverage options, coordination of benefits, and Late Enrollment Penalties to IRMAA, the appeals process, and available assistance programs.

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Coordinating Medicare with Other Types of Insurance

Details: These sections explain how Medicare coordinates with other kinds of insurance to cover care, and how to maximize coverage. Coordination of benefits basics. Overview of other types of insurance. Primary and secondary payers. When Medicare is primary and secondary. Creditable drug coverage.

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Primary Insurance - Medicare Interactive

Details: Primary Insurance. Primary Insurance is health insurance that pays first on a claim for medical and hospital care. In most cases, Medicare is your primary insurer. See also, Secondary Insurance. « Back to Glossary Index

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When Medicare is primary and secondary - Medicare Interactive

Details: 1 Liability insurance only pays on liability-related medical claims. 2 VA benefits and Medicare do not work together . Medicare does not pay for any care provided at a VA facility, and VA benefits typically do not work outside VA facilities.

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Making Part B enrollment decisions with FEHB retiree

Details: Whether to enroll in Part B or use FEHB as primary coverage is a personal decision, based on your individual circumstances. You should look at the costs and benefits of each insurance plan and make the choice that’s best for you. Questions to consider include: Which forms of insurance do your providers take?

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How to enroll in Medicare if you missed your Initial

Details: Know the differences in coverage through job-based insurance if you are Medicare-eligible due to age versus disability. General Enrollment Period. The GEP takes place January 1 through March 31 of each year. During this period you can enroll in Medicare Part B. Enrolling during the GEP means your coverage will start on July 1.

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Changing Part D plans - Medicare Interactive

Details: In most cases, you can only make changes to your Medicare Part D prescription drug coverage during Fall Open Enrollment (October 15 through December 7). Your new coverage begins January 1 of the following year. You can change plans as many times as you need during Fall Open Enrollment, and your last choice takes effect January 1.To avoid enrollment problems, it is usually a good idea to make

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Home health covered services - Medicare Interactive

Details: If you qualify for the home health benefit, Medicare covers the following: . Skilled nursing services: Services performed by or under the supervision of a licensed or certified nurse to treat your injury or illness.. Services you may receive include injections (and teaching you to self-inject), tube feedings, catheter changes, observation and assessment of your condition, management and

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The 30-month coordination period for people with ESRD

Details: If you do not have other insurance, ESRD Medicare will pay primary as soon as you enroll; The 30-month coordination period begins when eligibility for ESRD Medicare begins, even if you haven’t signed up for ESRD Medicare yet.

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Requesting a tiering exception - Medicare Interactive

Details: If your Part D plan is covering your drug but your copayment is expensive, it could be that the medication is on a high tier. Part D plans use tiers to categorize prescription drugs. Higher tiers are more expensive and have higher cost-sharing amounts. Each plan sets its own tiers, and plans may change their tiers from year to year.

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Medicare coverage for those who live permanently outside

Details: Before you move abroad, make sure to explore your options for health coverage in whichever country you may reside. Once you are a resident of certain foreign countries, you may qualify for national health insurance, or you may be able to buy private health insurance. Get specifics about this coverage to ensure that coverage will be adequate and

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Six things to know about Fall Open Enrollment - Medicare

Details: Fall Open Enrollment is the time of year when you can change your Medicare coverage. You can: Join a new Medicare Advantage Plan or stand-alone prescription drug plan (Part D) plan; Switch between Original Medicare with or without a Part D plan and Medicare Advantage; Listed below are six things to keep in mind while you are choosing your Medicare coverage.

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Medigap costs - Medicare Interactive

Details: When you are choosing a Medigap policy, it is best to look at policies from a range of insurance companies, especially if you’ve already decided on a particular standardized policy. Policies with the same letter name offer the same benefits, but premiums can vary from company to company. For example: Policy A bought from company 1 has the same benefits as Policy A bought from company 2, but

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Health Insurance - Medicare Interactive

Details: Health insurance can also be administered by private companies that offer individual policies, group health plans, and supplemental insurance. Medicare Advantage Plans and Medicare private drug plans (Part D) are examples of government-sponsored health insurance that is administered by private companies.

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Retiree insurance and Medicare - Medicare Interactive

Details: Bookmarks Bookmark your favorite courses and answers for quick reference. Toolkits Access exclusive toolkits full of useful fliers, infographics, presentations, and more to help you navigate complex Medicare topics.

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Enrolling in Medicare with retiree insurance - Medicare

Details: Retiree insurance is a form of health coverage an employer may provide to former employees. Retiree insurance almost always pays second to Medicare.This means you need to enroll in Medicare to be fully covered. Some retiree policies require you to sign up for Parts A and B once you become Medicare-eligible.

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Medicare coverage when living abroad - Medicare Interactive

Details: Decisions about Medicare enrollment can be complicated if you live outside the United States. Living outside the U.S. means you do not live in the 50 states, the District of Columbia, Puerto Rico, the Virgin Islands, Guam, American Samoa, or the Northern Mariana Islands.

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Medicare Advantage eligibility for people with ESRD

Details: Beginning in 2021, people with End-Stage Renal Disease (ESRD) can enroll in Medicare Advantage Plans. Medicare Advantage Plans must cover the same services as Original Medicare but may have different costs and restrictions. However, Medicare Advantage Plans cannot set cost-sharing for either outpatient dialysis or immunosuppressant drugs higher than would be the beneficiary responsibility

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Introduction to health insurance - Medicare Interactive

Details: Your insurance pays most of the cost first, and then you pay the remaining cost. The amount that you pay is either a copayment (a fixed amount) or a coinsurance (a percentage of the cost of the service). Medicare is a type of health insurance administered by the federal government.

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Course 1: Health Insurance Terms - Medicare Interactive

Details: This course marks the beginning of your journey in navigating the world of Medicare.First you will become familiar with health insurance terms and concepts that are essential to understanding Medicare. You will use this vocabulary to access and describe more complicated topics as we move through the MI Pro core curriculum.

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Job-based insurance when you are disabled - Medicare

Details: Job-based insurance is insurance offered by an employer or union for current employees and family members. Job-based insurance allows you to delay Medicare enrollment.However, you may want to enroll in Medicare depending on whether your job-based insurance pays primary or secondary.In most cases, you should only delay Part B if your job-based insurance is the primary payer (meaning it pays

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Secondary Insurance - Medicare Interactive

Details: Secondary Insurance. Secondary insurance is health insurance that covers your health care after the primary insurance on a claim for medical or hospital care. It usually pays for all or some of the costs that the primary insurer did not cover, but may not cover services not covered by the primary insurer.

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How Medicaid works with Medicare - Medicare Interactive

Details: Medicaid can provide secondary insurance: For services covered by Medicare and Medicaid (such as doctors’ visits, hospital care, home care, and skilled nursing facility care), Medicare is the primary payer.Medicaid is the payer of last resort, meaning it always pays last. When you visit a provider or facility that takes both forms of insurance, Medicare will pay first and Medicaid may cover

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Federal Employee Health Benefits (FEHB) basics - Medicare

Details: Federal Employee Health Benefit (FEHB) plans cover current and retired government employees. They are administered by the Office of Personnel Management (OPM).. FEHB plans can be either Health Maintenance Organizations (HMOs) or Fee-for-service (FFS) plans. HMOs have networks of providers, and you must usually see in-network providers to be sure services are covered.

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Medicare coverage during incarceration - Medicare Interactive

Details: Incarceration can affect your Medicare coverage (you are incarcerated if you are in prison, jail, or otherwise in the custody of penal authorities). If you had Medicare before your arrest, you will remain eligible for the program while you are incarcerated. However, Medicare generally will not pay for your medical care.

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Medicare Savings Program income and asset limits

Details: Life insurance with a cash value of less than $1,500; Some states may exclude other types of assets as well. For states with MSP asset limits, these limits must be at least as high as the asset limit for Extra Help. Extra Help is the federal program that helps with Part D prescription drug costs if you meet the income and asset requirements

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Health Savings Accounts (HSAs) and Medicare - Medicare

Details: If you work for an employer with fewer than 20 employees, you may need Medicare in order to have primary insurance, even though you will lose the tax advantages of your HSA. This is because health coverage from employers with fewer than 20 employees pays secondary to Medicare. If you work at this kind of employer and fail to enroll in Medicare

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Retiree insurance and Medicare coordination - Medicare

Details: Retiree insurance is almost always secondary to Medicare, meaning it pays after Medicare and may provide coverage for Medicare cost-sharing, like deductibles, copayments, and coinsurance.Deciding whether to keep retiree coverage after you enroll in Medicare is a personal one that depends on your costs and anticipated health care needs.

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Workers’ compensation and Medicare - Medicare Interactive

Details: Workers’ compensation is a state-administered program that pays for health care and other claims for job-related injuries. If you have Medicare and file for workers’ compensation, workers’ compensation pays primary for any care related to your accident or injury.. If workers’ compensation does not make a decision about paying your health care bills within 120 days, Medicare may make

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Medigap overview - Medicare Interactive

Details: Medigaps are health insurance policies that offer standardized benefits to work with Original Medicare (not with Medicare Advantage).They are sold by private insurance companies. If you have a Medigap, it pays part or all of certain remaining costs after Original Medicare pays first. Medigaps may cover outstanding deductibles, coinsurance, and copayments.

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Job-based drug coverage and Part D - Medicare Interactive

Details: Even if your drug coverage is not creditable, you may want to keep it as a form of secondary insurance, and enroll in a Part D plan as primary insurance.Having secondary insurance may help lower the cost of Part D-covered drugs when you are in the coverage gap (donut hole).Contact your plan to learn whether it coordinates with Part D coverage.

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Primary and secondary payers - Medicare Interactive

Details: When you have Medicare and another type of insurance, Medicare will either pay primary or secondary for your medical costs.. Primary insurance pays first for your medical bills.; Secondary insurance pays after your primary insurance.. Usually, secondary insurance pays some or all of the costs left after the primary insurer has paid (e.g., deductibles, copayments, coinsurances).

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Job-based insurance when you turn 65 - Medicare Interactive

Details: Job-based insurance is insurance offered by an employer or union for current employees and family members. Job-based insurance allows you to delay Medicare enrollment.However, you may want to enroll in Medicare depending on whether your job-based insurance pays primary or secondary.In most cases, you should only delay Part B if your job-based insurance is the primary payer (meaning it pays

› Verified 9 days ago

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COBRA and Medicare coordination - Medicare Interactive

Details: Medicare is your primary insurance, and COBRA is secondary. You should keep Medicare because it is responsible for paying the majority of your health care costs. COBRA is typically expensive, but it may be helpful if you have high medical expenses and your plan covers your Medicare cost-sharing or offers other needed benefits.

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Medigap purchasing details: enrollment periods, guaranteed

Details: Be sure to call your State Health Insurance Assistance Program (SHIP) or State Department of Insurance to ask about state-specific Medigap rights. Open enrollment period. Generally, the best time to enroll in a Medigap policy is during your open enrollment period.

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Retiree coverage and Part D - Medicare Interactive

Details: Some retiree insurance plans offer prescription drug coverage. If your retiree insurance offers creditable drug coverage and you prefer it to Part D, you can delay Part D enrollment without penalty.. Even if your retiree drug coverage is not creditable, you may want to keep it if you have high drug costs.

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TRICARE for Life (TFL) basics - Medicare Interactive

Details: TRICARE is a health insurance program provided by the federal government to active duty and retired military personnel and their family members. There are many different TRICARE programs. TRICARE for Life (TFL), a program for Medicare-eligible military retirees and their dependents, acts as a supplement to Medicare.. TFL typically covers your Medicare cost-sharing (deductibles, coinsurances

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Retiree Insurance - Medicare Interactive

Details: Retiree insurance is health insurance provided by employers to former employees who have retired. Retiree insurance always pays secondary to Medicare. See also: Supplemental […]

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What insurances pay primary to Medicare? - Medicare

Details: Dear Marci, I have Medicare Part A and Part B, but I also have another health insurance policy from my current job. How does Medicare work with my other coverage, and do I need to tell my doctor if I have more than one type of insurance? - Cole (Lafayette, CO)

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Enrolling in Medicare with job-based insurance - Medicare

Details: Special Enrollment Periods (SEPs) are periods of time outside normal enrollment periods where you can enroll in health insurance.They are typically triggered by specific circumstances. The Part B SEP starts when you have coverage from current work (job-based insurance) and you are in your first month of eligibility for Part B.It ends eight months after you lose coverage from current employment

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Making Part B enrollment decisions with VA benefits

Details: If you chose not to enroll in Medicare and to keep your VA coverage, you will not have health insurance for facilities outside the VA health system. Some choose to enroll in Medicare Part A because it’s premium-free but turn down Part B because of the additional monthly premium.

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Creditable drug coverage - Medicare Interactive

Details: Creditable drug coverage is, on average, as good as or better than the basic Part D benefit.You should receive a notice from your employer or plan around September of each year, informing you if your drug coverage is creditable.

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Original Medicare appeals if your care is ending

Details: If you are receiving care from a hospital, skilled nursing facility (SNF), Comprehensive Outpatient Rehabilitation Facility (CORF), hospice, or home health agency and are told that Original Medicare will no longer pay for your care (meaning that you will be discharged), you have the right to a fast (expedited) appeal if you do not believe your care should end.

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How to switch Medicare Advantage Plans or switch from

Details: Typically, you can only enroll in a different Medicare Advantage Plan or switch between Original Medicare and Medicare Advantage during specific times each year. Make sure to enroll in a timely manner to avoid gaps in coverage when using these enrollment periods.. Fall Open Enrollment Period: You can make a number of changes to your Medicare coverage during Fall Open Enrollment (also known as

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Medigaps in New York State - Medicare Interactive

Details: In New York State, all Medicare beneficiaries are eligible for continuous open enrollment for Medigap policies. This means insurance companies: Must sell you a Medigap policy at any time, no matter your age or health status; Cannot deny you coverage or charge you more because of your health status

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Coinsurance - Medicare Interactive

Details: Coinsurance. The coinsurance is the portion of the cost of care you are required to pay after your health insurance pays. Usually, it is a percentage of an approved amount.In Original Medicare, the coinsurance is usually 20 percent of Medicare’s assignment. « Back to Glossary Index

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Questions to ask before joining a Medicare Advantage Plan

Details: Job-based insurance and Medicare; Retiree insurance and Medicare; Related Courses. Level 1: Medicare Basics - Course 3: Medicare Options; Level 2: Medicare Coverage Rules - Course 5: Medicare Advantage Plans

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Transition drug refills - Medicare Interactive

Details: A transition refill, also known as a transition fill, is typically a one-time, 30-day supply of a drug that you were taking: Before switching to a different Part D plan (either stand-alone or through a Medicare Advantage Plan); Or, before your current plan changed its coverage at the start of a new calendar year

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VA drug coverage and Part D - Medicare Interactive

Details: Veterans Affairs (VA) benefits offer creditable drug coverage.This means that if you are enrolled in VA drug coverage, you can delay Medicare Part D enrollment without incurring a late enrollment penalty (LEP).Be sure to compare the costs and benefits of Part D and your VA drug coverage to decide which best suits your needs.

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