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Original Medicare enrollment
Course 1: Original Medicare Appeals
$20.00 for 1 year
A person with Medicare will file different types of appeals depending on the type of service they receive and the type of coverage they have. In this course, we will talk about Original Medicare appeals, which beneficiaries may file if they are denied a health care service or item and think that it should be covered. You will learn about the five steps of filing a standard appeal and also how to file an expedited appeal for hospital and non-hospital care.
SKU: level_3-course_1
Categorías: Courses, Level 3: Appeals and Penalties
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Course 2: Medicare and Hospital Discharge Planning
$10.00 for 1 year Start CourseThis course reviews the hospital discharge process for Medicare beneficiaries, and the role of health care providers in this process. We will outline Medicare’s requirements for discharge evaluations and discharge plans, and discuss how to help patients effectively implement their plans. -
Course 3: Medicare Part D (Prescription Drug Benefit)
$20.00 for 1 year Start CourseThis course addresses Medicare Part D, the part of Medicare that covers most outpatient prescription drugs either through a stand-alone Part D plan or included in a Medicare Advantage Plan. You will learn how each Part D plan covers different drugs on its formulary, take a closer look at the drugs Part D and Part B cover, and find out which drugs are excluded from Medicare coverage. The course also details the cost structure of Part D plans, particularly the way premiums, deductibles, and copay/coinsurance amounts can vary, depending on the plan. We provide detailed explanations and examples to illustrate the four different phases of Part D coverage in any given calendar year: the deductible phase, the initial coverage period, the donut hole or coverage gap, and catastrophic coverage. We will also explore common coverage restrictions, including prior authorization, quantity limits, and step therapy. Finally, we’ll introduce Medicare Plan Finder, an online tool that helps individuals compare and find a Part D plan that works for them. -
Medicare and End-Stage Renal Disease (ESRD)
$20.00 for 1 year Start CourseThis course provides information on Medicare for individuals with End-Stage Renal Disease (ESRD). ESRD Medicare has different rules than Medicare due to age or disability, and this course highlights those distinctions. In this course, you will learn about the eligibility, enrollment, and coverage rules for ESRD Medicare. The course also details the 30-month coordination period for ESRD Medicare beneficiaries. During this 30-month coordination period, there are specific rules regarding coordination of benefits for individuals with ESRD Medicare and employer coverage. Additionally, you will learn about coverage of ESRD treatments and immunosuppressant drugs. Finally, the course explores how Medicare Advantage plans, Part D plans, Medigap policies, and Health Insurance Marketplace plans work for individuals with ESRD Medicare. -
Course 1: Medicare Part A (Hospital Insurance)
$20.00 for 1 year Start CourseIn 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.