topics
Original Medicare enrollment
Course 2: Medicare and Hospital Discharge Planning
$10.00 for 1 year
This 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.
SKU: stm-course_2
Categorías: Courses, Special Topics Module: Medicare and Hospital Care Transitions
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Course 3: Medicare Part D Appeals
$20.00 for 1 year Start CourseThis course guides you through the Medicare Part D appeals process, which is the same whether a person has a stand-alone Part D plan (PDP) or a Medicare Advantage Plan with prescription drug coverage (MAPD). We will review the reasons beneficiaries might want to appeal, including the drug they need is not covered by their plan, the drug is covered but there are coverage restrictions on the drug, or the drug is covered but they want to request a tiering exception in order to pay a lower copay. You will learn the specifics of the first pre-appeal step, and then we will detail the five levels of appeal within both standard and expedited timeframes. You will gain valuable tips to help people with Medicare move effectively through the appeal process, such as how to properly complete paperwork and how to enlist a doctor to support your appeal. -
Medicare Coverage of Durable Medical Equipment (DME)
$20.00 for 1 year Start CourseThis course provides important information on Medicare coverage of Durable Medical Equipment, or DME. In this course, you will become familiar with the definition of DME, according to Medicare rules. You will also learn Medicare coverage requirements that individuals must follow in order for Medicare to pay for DME they need. Additionally, you will learn about coverage rules for renting, buying, fixing, and replacing DME. Finally, the course will introduce you to the differences between Original Medicare and Medicare Advantage coverage of DME. -
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. -
Level 4: Other Insurance and Assistance Programs
$80.00 for 1 year