Level 1: Medicare Basics

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• Course 2: Medicare Part B (Medical Insurance)

  $20.00 for 1 year Start Course
  In this course, you will learn about the coverage and costs under Original Medicare Part B, also known as medical insurance. You will learn about key areas of Part B coverage: outpatient care, doctors’ services, preventive care, home health care, and durable medical equipment. We’ll also explore how the Centers for Medicare & Medicaid Services set the Part B premium and deductible each year. Finally, we’ll talk about how copays/coinsurances vary depending on the type of service a beneficiary receives and whether the provider is a participating, non-participating, or opt-out provider.

• Course 1: Health Insurance Terms

  $0.00 for 1 year Start Course
  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.

• Course 3: Medicare Part D Appeals

  $20.00 for 1 year Start Course
  This 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 Course
  This 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.