Course 1: Health Insurance Terms

This course marks the beginning of your journey in navigating the world of Medicare. First you will become familiar with health insurance terms and concepts that are essential to understanding Medicare. You will use this vocabulary to access and describe more complicated topics as we move through the MI Pro core curriculum. Terms and concepts we’ll cover include premiums, deductibles, coinsurances, copayments; distinctions between private and public health insurance; the three categories of providers for Original Medicare; differences between in-network and out-of-network for Medicare Advantage Plans; non-doctor types of health care providers; differences between hospital inpatients and outpatients; kinds of Medicare-covered therapy and types of care; and important notices that Medicare beneficiaries will receive before or after receiving a health care service or item.

After taking this course, you will be able to:

  • Understand common health insurance terms
  • Use those terms to talk about Medicare with clients, patients, and loved ones

This course contains the following features:

  • Interactive activities and knowledge quizzes
  • Automatic course bookmarking so learners can continue where they left off
  • Review tests at the end of every course – 80% or higher mark to pass the course and download a certificate of completion
  • Educational content vetted by a team of national experts at Medicare Rights Center
  • Closed captioning
  • An array of printable supplementary tools and fliers

Course 2: Medicare Overview

Medicare is a complex and evolving program. This course provides a basic introduction to this health insurance program for individuals 65 and older and people with certain disabilities, with a look into the different parts of the program. You’ll learn how Medicare can be administered publicly (Original Medicare) or privately (Medicare Advantage) and explore program eligibility rules for individuals due to age or disability, including coverage for individuals with ALS and End-Stage Renal Disease. We’ll also review the roles of the Social Security Administration and the Centers for Medicare & Medicaid Services, and see how the Medicare and Medicaid programs can work together.

After taking this course, you will be able to:

  • Understand Medicare’s history and background
  • Explain the basics of Medicare
  • List the different parts of Medicare, and discuss rules for what makes someone eligible for Medicare
  • Discuss the main differences between Medicare and another government-run program, Medicaid

This course contains the following features:

  • Interactive activities and knowledge quizzes
  • Automatic course bookmarking so learners can continue where they left off
  • Review tests at the end of every course – 80% or higher mark to pass the course and download a certificate of completion
  • Educational content vetted by a team of national experts at Medicare Rights Center
  • Closed captioning
  • An array of printable supplementary tools and fliers

Special Topics Module: Medicare and Hospital Care Transitions

This Special Topics Module discusses hospital transitions for Medicare beneficiaries. Through the module’s three courses, you will learn about the landscape that people with Medicare and their families must navigate when transitioning out of a hospital stay to a skilled nursing facility, back home, or to a hospice facility. You will learn how you and your colleagues can help ease these transitions. All three module courses contain information about federal and New York State Medicare requirements for patient admission and discharge. You also will learn about Medicare’s recommendations and best practices for helping ensure positive health outcomes for your patients. Each course contains important tips for professionals, as well as teaching materials that can assist patients in understanding Medicare’s coverage of hospital stays.

Special Topics

Special Topics courses address specific Medicare topics in detail. These courses will help you develop expertise in popular Medicare subject areas, such as the annual Medicare Fall Open Enrollment Period, effects of the Affordable Care Act (ACA) on Medicare, and Medicare coverage of specialty services. These courses are offered for single purchase, so that you can tailor your selections to your specific needs. Keep in mind that the Special Topics section of Medicare Rights University continues to grow, so please check back to find new courses. Please also feel free to let us know of new courses that could help you in your work.

Level 4: Other Insurance and Assistance Programs

This level provides advanced students with in-depth information on how Medicare works with other types of insurances, and how to navigate enrollment into low-income assistance programs. Throughout advanced MRU Level 4 courses, you will learn about Medicare coordination of benefits and how to screen Medicare beneficiaries for low-income assistance programs.

Level 3: Appeals and Penalties

This level offers students more familiar with Medicare the information and skills needed to assist Medicare beneficiaries in appealing denials of coverage and navigating issues related to Medicare premium penalties. Throughout advanced MRU Level 3 courses, you will learn more about the different types of Medicare appeals and the steps necessary to successfully navigate the appeals process.

Course 4: Medicare Enrollment Periods

This course focuses on important Medicare enrollment periods, which are times during the year when an individual can sign up for Medicare for the first time or make changes to existing Medicare coverage. We will also review the penalties that one can incur for not enrolling in Medicare when first eligible, underscoring the importance of making timely Medicare decisions and helping individuals consider their coverage options. Enrollment periods covered in this course include the Initial Enrollment Period, General Enrollment Period, Special Enrollment Period, and Fall Open Enrollment Period.

After taking this course, you will be able to:

  • Differentiate between first-time enrollment periods and times during the year when individuals can change their existing coverage
  • Understand when an individual may have a Special Enrollment Period
  • Identify circumstances under which an individual may incur a late enrollment penalty

This course contains the following features:

  • Interactive activities and knowledge quizzes
  • Automatic course bookmarking so learners can continue where they left off
  • Review tests at the end of every course – 80% or higher mark to pass the course and download a certificate of completion
  • Educational content vetted by a team of national experts at Medicare Rights Center
  • Closed captioning
  • An array of printable supplementary tools and fliers

Course 1: Medicare Part A (Hospital Insurance)

In this course, you will learn about the coverage and costs under Original Medicare Part A, also known as hospital insurance. You will learn about key areas of Part A coverage: inpatient hospital care, skilled nursing facility care, home health care, and hospice care. We’ll also explore cost components for Part A, including what constitutes premium-free Part A for beneficiaries or their spouses based on work history, what determines a benefit period and how the Part A deductible applies to each period, and how coinsurances may apply for Part A-covered services, depending on what type of service is received.

After taking this course, you will be able to:

  • Identify the services Part A covers
  • Understand when Part A will cover those services
  • Explain the three Part A costs: premiums, deductibles, and coinsurances

This course contains the following features:

  • Interactive activities and knowledge quizzes
  • Automatic course bookmarking so learners can continue where they left off
  • Review tests at the end of every course – 80% or higher mark to pass the course and download a certificate of completion
  • Educational content vetted by a team of national experts at Medicare Rights Center
  • Closed captioning
  • An array of printable supplementary tools and fliers