Medicare Basics: Parts A, B, and D

Questions and Answers

Match the following Medicare parts with their primary coverage:

Medicare Part A = Includes hospice care Medicare Part B = Covers preventive services Medicare Part D = Covers prescription medications

Match the Medicare parts with their premium requirements:

Medicare Part A = May have deductibles and coinsurance Medicare Part B = Requires a monthly premium Medicare Part D = Requires a monthly premium

Match the Medicare eligibility criteria with their descriptions:

65 years or older = Normal eligibility age for Medicare Under 65 with disabilities = Eligibility under specific conditions End-Stage Renal Disease = Eligibility regardless of age Legal residents = Must reside in the U.S. for at least five years

Match the enrollment periods with their definitions:

Initial Enrollment Period = Includes the month of 65th birthday Annual Enrollment Period = October 15 to December 7 each year Special Enrollment Period = Available under certain conditions Signup and view all the answers

Match the Medicare coverage aspects with their details:

Medicare Part D = Helps cover the cost of prescription medications Medicare Part A = Covers skilled nursing facility care Deductibles and coinsurance = Typically 20% after Part B deductible Enrollment Periods = Must not miss designated times to avoid penalties Signup and view all the answers

Match the following aspects of Medicare with their characteristics:

Eligibility = Must be at least 65 years old Medicare Part B = Covers outpatient care Medicare Part A = Includes home health care Medicare Part D = Offered through private insurance companies Signup and view all the answers

Match the following Medicare parts with their types of care covered:

Medicare Part A = Hospice care Medicare Part B = Doctor visits Medicare Part D = Prescription drug coverage Signup and view all the answers

Match the following Medicare coverage terms with their descriptions:

Coinsurance = A percentage of costs after deductible Deductible = Amount you pay before coverage starts Premium = Monthly amount paid for Medicare Enrollment Period = Specific time for signing up for Medicare Signup and view all the answers

Study Notes

Medicare Basics

Medicare Parts A and B

Medicare Part A (Hospital Insurance)
- Covers inpatient hospital stays, skilled nursing facility care, hospice care, and some home health care.
- Most people do not pay a premium if they or their spouse paid Medicare taxes for at least 10 years.
- Deductibles and coinsurance may apply for services.
Medicare Part B (Medical Insurance)
- Covers outpatient care, preventive services, doctor visits, and some home health care.
- Requires a monthly premium; the amount may vary based on income.
- Deductibles and coinsurance apply, typically 20% of the Medicare-approved amount after meeting the deductible.

Medicare Part D

Prescription Drug Coverage
- Offered through private insurance companies approved by Medicare.
- Helps cover the cost of prescription medications.
- Requires a monthly premium, with costs varying by plan.
- Enrollment during Initial Enrollment Period, Annual Enrollment Period, or Special Enrollment Period.

Eligibility and Enrollment

Eligibility
- Must be 65 years or older, or under 65 with certain disabilities, or any age with End-Stage Renal Disease (ESRD) or Amyotrophic Lateral Sclerosis (ALS).
- U.S. citizens or legal residents residing in the U.S. for at least five years.
Enrollment
- Initial Enrollment Period: Begins three months before turning 65, includes the month of 65th birthday, and ends three months after.
- Annual Enrollment Period: October 15 to December 7 each year; can make changes to coverage.
- Special Enrollment Period: Available under certain conditions (e.g., loss of other coverage).
Important Considerations
- Failing to enroll during designated periods may result in late enrollment penalties.
- Coverage options should be reviewed annually to ensure they meet health needs.

Medicare Parts A and B

Part A (Hospital Insurance): Covers inpatient stays, skilled nursing facilities, hospice, and some home health services.
Premiums: Most individuals qualify for premium-free Part A if at least 10 years of Medicare taxes were paid.
Cost Sharing: May entail deductibles and coinsurance for various services.
Part B (Medical Insurance): Covers outpatient care, preventive services, doctor visits, and select home health care.
Premium Requirement: A monthly premium is required, varying based on income level.
Cost Sharing: Generally includes a deductible followed by 20% coinsurance of the Medicare-approved amount after the deductible is met.

Medicare Part D

Prescription Drug Coverage: Provided through private insurers approved by Medicare.
Cost Assistance: Helps pay for prescription medications, includes a monthly premium that varies by plan.
Enrollment Periods: Enrollment can occur during the Initial Enrollment Period, Annual Enrollment Period, or a Special Enrollment Period.

Eligibility and Enrollment

Eligibility Criteria: Individuals must be 65+, or under 65 with specific disabilities, or of any age with End-Stage Renal Disease (ESRD) or Amyotrophic Lateral Sclerosis (ALS).
Residency Requirement: Must be U.S. citizens or legal residents living in the U.S. for at least five years.
Enrollment Periods:
- Initial Enrollment Period: Starts three months before turning 65, includes the birthday month, and ends three months after.
- Annual Enrollment Period: Occurs each year from October 15 to December 7, allowing changes to coverage.
- Special Enrollment Period: Available under specific conditions, such as losing other health coverage.
Important Considerations:
- Missing enrollment periods may incur late enrollment penalties.
- Regularly review coverage options annually to ensure they align with health needs.

Description

This quiz covers the essential details of Medicare, focusing on Parts A, B, and D. Understand the coverage options, costs, and eligibility requirements associated with each part. Test your knowledge on how Medicare supports healthcare needs.