Types of Medicare Advantage Plans - PPO, HMO, MSA, Cost Plan, PFFS
Medicare-Medicaid plans - Serve both Medicare and Medicaid individuals. Include Part
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D coverage. Individuals sometimes referred to as dual eligibles
Medicare Cost Plan - Type of Medicare health plan. Have Part B to enroll. Can join
anytime plan is accepting new members. A non network provider will can charge higher
coinsurances and deuctibles. Different enrollment/disenrollment periods apply. Can get
Part D Rx coverage if available, or apply for a separate PDP.
Medicare Entitlement/Enrollment - Part A & Part B - Individuals with ESRD may sign up
at anytime. Date on which coverage begins is the fourth month after dialysis begins.
Medicare Enrollment Period - Individuals who do not enroll in Part B when first eligible
can enroll during a General Enrollment Period, Jan 1st to Mar 31st each year. Coverage
begins July 1st of that year.
Medicare Enrollment Period - Group Health Coverage - Individuals who have group
health coveage through employer may enroll in Part A and/or Part B anytime while on
group coverage during a Special Enrollment Period. Occurs during the 8 month period
following last month of group coverage.
Medicare Part A Premium - Free if worked 40 quarters of your life and paid Medicare
taxes. Premium is $240.00 for individuals or spouses who paid Medicare taxes for 30 -
39 quarters. Premium is $437.00 for less than 30 quarters.
Medicare Part A Penalty - Don't enroll in Part A when fist eligible, will pay a late penalty
of up to 10% unless enroll during a Special Enrollment Period.
Medicare Part B Premium - In 2019, the standard monthly premium is $135.50 or higher
depending on income. Deducted from S.S. check or Railroad Retirement check. Do not
enroll when first eligible, premium is increased 10% for each 12 month period not
enrolled. Deductible for 2019 is $185.00
Part C Medicare Advantage plans - Entiled to benefits under Part A AND enrolled in
Part B. [Show Less]