making the most of medicare
play

Making the most of Medicare NOT FDIC INSURED MAY LOSE VALUE NO BANK - PowerPoint PPT Presentation

Dec 13, 2023 •140 likes •445 views

& BCBS Nebraska Sponsor Making the most of Medicare NOT FDIC INSURED MAY LOSE VALUE NO BANK GUARANTEE NOT A DEPOSIT NOT INSURED BY ANY FEDERAL GOVERNMENT AGENCY First Westroads Bank, Inc. is not affiliated with Lincoln Financial

  1. & BCBS Nebraska Sponsor Making the most of Medicare NOT FDIC INSURED ı MAY LOSE VALUE ı NO BANK GUARANTEE NOT A DEPOSIT ı NOT INSURED BY ANY FEDERAL GOVERNMENT AGENCY First Westroads Bank, Inc. is not affiliated with Lincoln Financial Advisors Corp. Mike Beacom & Brian Kelly are registered representatives of Lincoln Financial Advisors Corp. > Securities and investment advisory services offered through Lincoln Financial Advisors Corp., a broker/dealer (member SIPC) and a registered investment advisor. Insurance offered through Lincoln affiliates and other fine companies. CRN-934967-052814 > You may want to consult a legal or tax advisor regarding this information as it relates to your personal circumstances. Neither Lincoln Financial Advisors nor its representatives offer legal or tax advice. This information is effective January 1 through December 31, 2011. 2 2014

  2. Making the most of Medicare

  3. Today’s Presenter Matthew Leonard Manager, Consumer Sales Blue Cross and Blue Shield of Nebraska This information is effective January 1 through December 31, 2011. 2014 4

  4. Today’s topics: >What is Medicare? > Who’s eligible? >Medicare coverage >Options to fill coverage gaps >When you can enroll >Finding the right plan >Additional help and resources This information is effective January 1 through December 31, 2011. 2014 5

  5. What is Medicare >Enacted by Congress in 1965, Original Medicare is a health insurance program >Original Medicare has two parts – Medicare Part A and Medicare Part B >The Medicare Modernization Act of 2003 added prescription drug coverage known as Medicare Part D >Medicare is administered by the Centers for Medicare & Medicaid Services (CMS) This information is effective January 1 through December 31, 2011. 2014 6

  6. Who’s eligible > Must be United States citizen or permanent legal resident who has resided in the United States for five continuous years and are: – Age 65 or older and eligible to receive Social Security OR – Under age 65, permanently disabled and have received Social Security disability benefits for at least two years – Diagnosed with end-stage renal disease (ESRD) This information is effective January 1 through December 31, 2011. 2014 7

  7. Medicare coverage choices Prescription + Medical Drugs Original Prescription Medicare Medicare Drug Plan Advantage Medicare Medicare Medicare Advantage + Supplement Cost Plans Prescription Drugs This information is effective January 1 through December 31, 2011. 2014 8

  8. Original Medicare Benefits: Part A > Coverage for: – Inpatient hospital care and services – Skilled nursing facility care – Home health care – Hospice care > Premium: Generally, no cost to beneficiary > Hospital deductible: $1,216 (per benefit period-2014) – Days 1-60 covered in full after deductible – You pay $304 per day for days 61-90 – You pay $608 per day for additional 60 lifetime reserve days This information is effective January 1 through December 31, 2011. 2014 9

  9. Original Medicare Benefits: Part A (continued) > Skilled nursing covered up to 100 days after a 3-day hospital stay – Days 1-20 covered in full, no deductible – You pay $152.00 per day for days 21-100 > Hospice care covered if provided in Medicare-certified facility > Medicare-approved home health care covered in full This information is effective January 1 through December 31, 2011. 2014 10

  10. Original Medicare Benefits: Part B > Coverage for outpatient care and services as well as durable medical equipment > Premium: $104.90 - $335.70 per month > Annual deductible: $147.00 > After you pay the deductible, you pay 20% and Medicare pays 80% for most covered services > Preventive care: – Medicare will cover a one-time routine physical exam within the first 12 months that you are enrolled in Part B coverage (“Welcome to Medicare”) – An annual physical exam including lab tests – Certain screenings and immunizations at $0 cost This information is effective January 1 through December 31, 2011. 2014 11

  11. Original Medicare Benefits: Part B (continued) >Doctor services, including hospital, clinic, office or home visits >Diagnostic X-rays, lab tests, radiation therapy >Medical supplies and services including durable medical equipment >Outpatient diagnosis or treatment services, including ambulatory surgical centers This information is effective January 1 through December 31, 2011. 2014 12

  12. Original Medicare Benefits: Part B (covered) >Ambulance transportation >Outpatient rehabilitation including physical, speech and occupational therapy >Unlimited home health visits when ordered by a doctor This information is effective January 1 through December 31, 2011. 2014 13

  13. What Original Medicare doesn’t pay for: > Deductibles and coinsurance > Most outpatient prescription drugs > Charges for inpatient hospital and skilled nursing days beyond Medicare’s limits > Services deemed not medically necessary or not allowed by Medicare > Most care received outside of the U.S. This information is effective January 1 through December 31, 2011. 2014 14

  14. Medicare plan options >Medicare supplement plans (Medigap) >Medicare Advantage plans >Medicare Cost plans >Generally, you will pay an additional monthly plan premium for these products This information is effective January 1 through December 31, 2011. 2014 15

  15. Options to fill coverage gaps: Medicare supplement plans > Medicare supplement  or Medigap  plans help pay for some of the “gaps” that Medicare doesn’t cover > Different Medicare supplement plans are offered in different states This information is effective January 1 through December 31, 2011. 2014 16

  16. Options to fill coverage gaps: Medicare supplement plans (continued) > Premiums may change each year > Benefits usually don’t change each year > No longer cover outpatient prescription drugs > Regulated by each state, not Medicare > Must have both Medicare Part A and Part B coverage to be eligible to enroll in a Medigap policy This information is effective January 1 through December 31, 2011. 2014 17

  17. Options to fill coverage gaps: Medicare supplement plans (continued) > Best time to buy is during initial Medicare supplement plan open enrollment period – First six months of Part B enrollment – After open enrollment, may have medical underwriting > If in a Medigap plan, can try a Medicare Advantage plan for first time and return to Medigap plan within 12 months without providing health history This information is effective January 1 through December 31, 2011. 2014 18

  18. This information is effective January 1 through December 31, 2011. 19

  19. Dental Essentials This information is effective January 1 through December 31, 2011. 2014 20

  20. When you can enroll > Age 65 and/or when you apply for Social Security benefits > Enrollment in Part A is usually automatic when you apply for Social Security > You must choose to enroll in Part B and Part D – enrollment is not automatic > If you’re under 65 and have received Social Security or Railroad Retirement disability benefits for 24 months This information is effective January 1 through December 31, 2011. 2014 21

  21. When you can enroll (continued) > Medicare Advantage Disenrollment Period (MADP) or Annual Disenrollment Period (ADP) – Held each year from January 1-February 14 – Specific opportunity to switch coverage from Medicare Advantage to Original Medicare and a Prescription Drug Plan > Medigap Open Enrollment – No health history required if you enroll within the first 6 months of your enrollment in Part B > Special Election Period (SEP) – Offered to beneficiaries who meet specific eligibility criteria This information is effective January 1 through December 31, 2011. 2014 22

  22. Finding the right plan >How much are you comfortable paying in premiums each month? >How much do you want to share in the cost of services? >Do you want additional health coverage and/or a prescription drug plan? Or is Original Medicare enough coverage? This information is effective January 1 through December 31, 2011. 2014 23

  23. Finding the right plan (continued) >Do you plan to move out of state? >Is it important that your benefits remain the same each year? >Are you familiar with the companies who offer the product(s) you want? Choose a company you have faith in. This information is effective January 1 through December 31, 2011. 2014 24

  24. Finding the right plan (continued) >Do you want to continue seeing your current doctor? Do other providers you use accept the plan? >What about access to doctors and hospitals? Some provider networks are extensive and include providers in nearby states or across the country. This information is effective January 1 through December 31, 2011. 2014 25

  25. Finding the right plan (continued) > Do you travel? Plans vary in their travel benefits and the length of time you’ll be covered. How often you travel and for how long should be considered. This information is effective January 1 through December 31, 2011. 2014 26

Recommend

Accountable Care Collaborative: Medicare-Medicaid Program (ACC:MMP) Making Medicare and Medicaid

Accountable Care Collaborative: Medicare-Medicaid Program (ACC:MMP) Making Medicare and Medicaid

Accountable Care Collaborative: Medicare-Medicaid Program (ACC:MMP) Making Medicare and Medicaid work better together for our clients 1 Colorado Department of Health Care Policy and Financing Departments Mission: Improving health care

540 views • 43 slides
MEDICARE BASICS Welcome to Medicare Presented by the Aging & Disability Resource Center of

MEDICARE BASICS Welcome to Medicare Presented by the Aging & Disability Resource Center of

MEDICARE BASICS Welcome to Medicare Presented by the Aging & Disability Resource Center of Central Wisconsin Last updated: 12/9/2019 What are the parts of Medicare? Medicare A Medicare B Medigap Policy Medicare D Medicare C + 1

375 views • 15 slides
Original A/B Medicare and Medicare Advantage Part C or Medicare Advantage Whats The

Original A/B Medicare and Medicare Advantage Part C or Medicare Advantage Whats The

Original A/B Medicare and Medicare Advantage Part C or Medicare Advantage Whats The Advantage?!? Daniel Bailey, FSA, MAAA ACUMEN ACTUARIAL 1 Overview Medicare in 2018 ~55.5 mil Medicare beneficiaries ( benes ): ~84% are

865 views • 29 slides
MEDICARE PREPARATION Topics Understanding Medicare Enrolling in Medicare Working

MEDICARE PREPARATION Topics Understanding Medicare Enrolling in Medicare Working

MEDICARE PREPARATION Topics Understanding Medicare Enrolling in Medicare Working past age 65 Medicare and your state health insurance Split households Private Part C and Part D plans Resources MEDICARE

723 views • 29 slides
The Medicare Tsunami Bigger than Medicare Set Asides Stronger than the Medicare

The Medicare Tsunami Bigger than Medicare Set Asides Stronger than the Medicare

The Medicare Tsunami Bigger than Medicare Set Asides Stronger than the Medicare Secondary Payer Act Faster than the end of the recession A Tsunami you can plan for 1 2 Outline Medicare Eligibility

611 views • 20 slides
Welcome to Kaiser Permanente Presenting Medicare 101 and the Kaiser Permanente Medicare health

Welcome to Kaiser Permanente Presenting Medicare 101 and the Kaiser Permanente Medicare health

Welcome to Kaiser Permanente Presenting Medicare 101 and the Kaiser Permanente Medicare health plan Terri Lynn Retiree Solutions Manager VEBA Post 65 Basics of Medicare 2 What Is Medicare? Medicare is a federally funded health

435 views • 20 slides
Medicare: Parts A and B and Donna McCormick Medicare Advocacy Project Medicare Greater

Medicare: Parts A and B and Donna McCormick Medicare Advocacy Project Medicare Greater

Medicare: Parts A and B and Donna McCormick Medicare Advocacy Project Medicare Greater Boston Legal Services Advantage Elder Benefits Training June 2020 A national health insurance program established in 1965. Looks and acts

581 views • 34 slides
Your New Medicare Card Information for People With Medicare 2018 1 What does the new

Your New Medicare Card Information for People With Medicare 2018 1 What does the new

Your New Medicare Card Information for People With Medicare 2018 1 What does the new Medicare Card look like? It has your Name New Medicare number Dates that Medicare Part A and Medicare Part B coverage started It

87 views • 8 slides
Welcome to Kaiser Permanente Presenting Medicare 101 and the Kaiser Permanente Medicare health

Welcome to Kaiser Permanente Presenting Medicare 101 and the Kaiser Permanente Medicare health

Welcome to Kaiser Permanente Presenting Medicare 101 and the Kaiser Permanente Medicare health plans Terri Lynn Retiree Solutions Manager WELCOME - Grossmont-Cuyamaca Community College > District What Is Medicare? Medicare is a

594 views • 17 slides
PacificSource Medicare v PacificSource Medicare 2019 Plan Changes Medicare The service

PacificSource Medicare v PacificSource Medicare 2019 Plan Changes Medicare The service

PacificSource Medicare v PacificSource Medicare 2019 Plan Changes Medicare The service area has expanded to include Clackamas, Multnomah, and Washington counties and Clark County, Washington. Now $0 copay for Silver& Fit

534 views • 15 slides
Whats in Store for Medicare? May 24, 2017 The 24 th Princeton Conference Possible Medicare

Whats in Store for Medicare? May 24, 2017 The 24 th Princeton Conference Possible Medicare

Whats in Store for Medicare? May 24, 2017 The 24 th Princeton Conference Possible Medicare Changes: Impact on Beneficiaries, Payers, and the Federal Budget Tricia Neuman, Sc.D. Director, Program on Medicare Policy, Kaiser Family Foundation

432 views • 12 slides
Medicare Parts Part A is for inpatient hospital expenses. Free as a part of Social Security.

Medicare Parts Part A is for inpatient hospital expenses. Free as a part of Social Security.

Christopher C. Dee, CLU Your Go-To-Guy for Health Insurance Medicare - Parts to the Puzzle 2019 2019 Medicare Handbook https://www.medicare.gov/pubs/pdf/10050-Medicare-and-You.pdf Medicare Parts Part A is for inpatient hospital expenses.

453 views • 14 slides
CRFB.org Types of Medicare Expansion Medicare Buy-In/Eligibility Change A Public Option

CRFB.org Types of Medicare Expansion Medicare Buy-In/Eligibility Change A Public Option

CRFB.org Types of Medicare Expansion Medicare Buy-In/Eligibility Change A Public Option (Medicare for Some) Medicare for All (Comprehensive Single-Payer) CRFB.org How Much Would Medicare for All Cost? Depends on what you mean by

431 views • 10 slides
Medicare doesnt have to be complicated Medicare 101 Casanova Ins Discover the benefits of

Medicare doesnt have to be complicated Medicare 101 Casanova Ins Discover the benefits of

Medicare doesnt have to be complicated Medicare 101 Casanova Ins Discover the benefits of getting Medicare with: What is Medicare? Medicare is health insurance for people 65 or older, people under 65 with certain disabilities, and people

673 views • 33 slides
Health Insurance and Retirement Kaiser, CoreSource, and Medicare Medicare Basics Any

Health Insurance and Retirement Kaiser, CoreSource, and Medicare Medicare Basics Any

Health Insurance and Retirement Kaiser, CoreSource, and Medicare Medicare Basics Any retiree is eligible to enroll in Medicare at age 65 Once you are 65 and retired you are required to enroll in Medicare to keep your lifetime medical

435 views • 25 slides
Medicare and Medicaid Overview and Comparison History and Description Medicare and Medicaid

Medicare and Medicaid Overview and Comparison History and Description Medicare and Medicaid

Medicare and Medicaid Overview and Comparison History and Description Medicare and Medicaid were enacted in 1965. Medicare (Title XVIII of the Social Security Act) extended coverage to nearly all Americans aged 65 or older and those

319 views • 7 slides
Medicare Diabetes Prevention Program (MDPP) Expanded Model: Opportunities for Medicare Shared

Medicare Diabetes Prevention Program (MDPP) Expanded Model: Opportunities for Medicare Shared

Medicare Diabetes Prevention Program (MDPP) Expanded Model: Opportunities for Medicare Shared Savings Program (MSSP) Accountable Care Organizations (ACO) to Get Involved Centers for Medicare & Medicaid Services (CMS) Center for Medicare and

338 views • 21 slides
Significant Medicare Health Plan Changes Coming! Special Guest Speaker: Christy Namvar Medicare

Significant Medicare Health Plan Changes Coming! Special Guest Speaker: Christy Namvar Medicare

Significant Medicare Health Plan Changes Coming! Special Guest Speaker: Christy Namvar Medicare Specialist Direct Line: 612.436.3703 Email: Cnamvar@advisornet.com Agenda For Today BACK TO THE BASICS OF MEDICARE What is Medicare? Who is

438 views • 25 slides
Medicare Plus Blue Group PPO We have the solution. 1 What is Medicare Advantage? Plans

Medicare Plus Blue Group PPO We have the solution. 1 What is Medicare Advantage? Plans

Medicare Plus Blue Group PPO We have the solution. 1 What is Medicare Advantage? Plans offered by private insurance companies that contract with The Centers for Medicare and Medicaid Services (CMS). The insurers contract with the

480 views • 9 slides
Medicare Conditional Payment and Medicare Advantage Plan Reconciliation Processes Techniques to

Medicare Conditional Payment and Medicare Advantage Plan Reconciliation Processes Techniques to

Presenting a live 90-minute webinar with interactive Q&A Medicare Conditional Payment and Medicare Advantage Plan Reconciliation Processes Techniques to Minimize Repayment Obligations and Maximize Medicare Refunds After a Liability

1.23k views • 50 slides
Mutual of Omaha Medicare Supplements Jason Weber Sales Director, Medicare Supplement Mutual of

Mutual of Omaha Medicare Supplements Jason Weber Sales Director, Medicare Supplement Mutual of

Mutual of Omaha Medicare Supplements Jason Weber Sales Director, Medicare Supplement Mutual of Omaha Medicare Projected Enrollees Medicare Decision Tree Your Clients Are Buying a Commodity Product Our Company Founded in 1909 A mutual

640 views • 26 slides
Welcome to Kaiser Permanente Presenting Medicare 101 and Kaiser Permanente Senior Advantage (HMO)

Welcome to Kaiser Permanente Presenting Medicare 101 and Kaiser Permanente Senior Advantage (HMO)

Welcome to Kaiser Permanente Presenting Medicare 101 and Kaiser Permanente Senior Advantage (HMO) Fresno Unified School District Yolanda Smith Retiree Consultant September 2014 Basics of Medicare What is Medicare? Medicare is a

497 views • 18 slides
MACRA MEDICARE ACCESS AND CHIP REAUTHORIZATION ACT OF 2015 HISTORY OF MEDICARE Enacted with

MACRA MEDICARE ACCESS AND CHIP REAUTHORIZATION ACT OF 2015 HISTORY OF MEDICARE Enacted with

MACRA MEDICARE ACCESS AND CHIP REAUTHORIZATION ACT OF 2015 HISTORY OF MEDICARE Enacted with Social Security Act 1965 Omnibus Budget Reconciliation Act of 1990 (OBRA 90) Balanced Budget Act of 1997 2003 Medicare Prescription Drug

653 views • 18 slides
National Medicare Education Program (NMEP) Meeting Centers for Medicare & Medicaid Services

National Medicare Education Program (NMEP) Meeting Centers for Medicare & Medicaid Services

National Medicare Education Program (NMEP) Meeting Centers for Medicare & Medicaid Services Office of Communications September 20, 2018 New Medicare Card Information for Partners & Stakeholders Julie Franklin Integrated

737 views • 44 slides

More recommend