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Medicare Maze

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Medicare Maze Sarah M Taylor, CEA FCS Objectives What is Medicare? Enrollment Medicare Part A Medicare Part B Questions??? What is Medicare? Health insurance program ... – PowerPoint PPT presentation

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Title: Medicare Maze


1
Medicare Maze
  • Sarah M Taylor, CEA FCS

2
Objectives
  • What is Medicare?
  • Enrollment
  • Medicare Part A
  • Medicare Part B
  • Questions???

3
What is Medicare?
  • Health insurance program for
  • People 65 years of age and older
  • Some people with disabilities
  • People with End-stage Renal Disease
  • Administered by Centers for Medicare Medicaid
    Services (CMS)
  • Enrollment handled by the Social Security
    Administration or Railroad Retirement Board

4
Initial Enrollment
  • 7 month window
  • When does Medicare start?
  • Birthday on 1st of the month
  • Automatic if already receiving SS or RR benefits

5
Delayed Enrollment
  • What if I continue to work?
  • Employer group policy.
  • Part A at 65
  • Enroll in Part B when quit working or employer
    coverage ends
  • 8 month window to enroll

6
Medicare Part A- Hospital
  • Coverage
  • Days 1-60
  • 1132deductible
  • Days 61-90
  • 283 per day coinsurance
  • Lifetime Reserve Days 91-150
  • 566 per day coinsurance
  • Also covers Home Health Hospice

7
Medicare Part B- Medical
  • 115.40 Premuim for those new in 2011
  • 162 deductible in 2011
  • Medicare pays 80 coinsurance
  • Beneficiary pays 20 coinsurance
  • 15 excess charge

8
Medicare Part B- Services
  • Physician
  • Durable Medical Equipment
  • Ambulance
  • Outpatient Hospital Charges
  • Blood Deductible First 3 Pints
  • Lab Services
  • Mental Health Services

9
Part B- Preventative Services
  • Welcome to Medicare Physical Exam
  • Cardiovascular Screening
  • Breast Cancer Screening
  • Cervical Vaginal Cancer
  • Colorectal Cancer Screening
  • Prostate Cancer Screening
  • Smoking Cessation

10
Part B- Preventative Services
  • Shots
  • Flu
  • Pneumonia
  • Hepatitis B
  • Bone Mass Measurements
  • Diabetes Screening
  • Medical Nutrition Therapy
  • Glaucoma Tests

11
How Do I Fill The Gaps?
  • Employer
  • Tri-Care
  • State or Federal Government Employees
  • Standardized Supplemental Insurance
  • Medicare Advantage Plans

12
Medicare Part D
  • Initial Enrollment Period
  • 7 months
  • Annual Coordinated Election Period
  • October 15 to December 7
  • Special Enrollment Period
  • Anytime lose creditable coverage (employer
    coverage)

13
Choosing a Plan
  • Cost
  • Deductible
  • Premium
  • Copays
  • Coverage
  • Convenience

14
Upcoming Medicare Classes
  • Medicare Options
  • December 14 _at_ 530 p.m. Haysville Senior Center
  • February 6 _at_ 530 p.m. Sedgwick County Extension
    4-H Hall
  • Please call 660-0127 to register

15
Contact Information
  • Sarah Taylor
  • Sedgwick County Extension
  • 316-660-0100 ext. 0117
  • staylor1_at_ksu.edu
  • Sedgwick.ksu.edu
  • Shickinajiff.wordpress.com

16
Acknowledgments
  • Medicare You 2011
  • medicare.gov
  • cms.hhs.gov
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