Medicare 101

  1. How is Medicare funded?
    • Payroll taxes from general fund
    • Part B premiums
  2. What is Part A? What is Part B?
    • A=Hospital Services
    • B= Outpatient or Medical Services
  3. In 1960 funded by ____________?

    In 2020 funded by ______________?
    5.1 people

    2.6 people
  4. SNP stands for ____________?
    Special Needs Premium.
  5. Part C =

    Part D =
    Advantage Plans

    RX Plans
  6. Part A does not cover ___________?
    Private rooms unless medically necessary.
  7. Part A Day 1 - Days 60. What are the costs?
    $1,340 deductible for each period. 
  8. Part A: how many quarters necessary to not pay a premium?
    40 quarters or 10 years full-time.
  9. Days 61 - 90, what are the costs?
    $335 per day
  10. Days 91 - 150 what is the cost?
    $670 co-insurance per day.
  11. Days 150 and beyond what are the costs?

    Is there a MOOP?
    The beneficiary bears 100% of the cost.

    • No MOOP
  12. What causes an auto disenrollment?
    If enrolled in a Medicare HMO, PPO, PFFS, no SAPDP.
Author
DebC
ID
341040
Card Set
Medicare 101
Description
General Info
Updated