Level 2: Medicare Coverage Rules

Productos relacionados

• Course 3: Medicare and Post-Hospital Care

  $10.00 for 1 year Start Course
  This course covers Medicare costs and coverage of post-hospital care, namely outpatient therapy services, skilled nursing facility care, home health care, and hospice care that a patient might receive post-discharge. You will learn how Original Medicare and Medicare Advantage plans cover each type of care.

• Course 3: Medicare and Medicaid

  $20.00 for 1 year Start Course
  In this course, you will learn about the Medicaid program in more detail and how it affects lower-income Medicare beneficiaries. We will explore the basics of Medicaid, including eligibility and state-specific rules. Specifically, you will find out how individuals can qualify for Medicaid in some states by taking advantage of a Medicaid spend-down, participating in a trust program, or enrolling through the Medicaid Buy-In program. You will learn about Medicaid coverage, including mandatory and optional benefits, and go into detail about Institutional Medicaid and Medicaid waiver programs for beneficiaries who need long-term care. The course will also introduce MAGI (Modified Adjusted Gross Income) Medicaid, including Medicaid for expansion populations under the Affordable Care Act (ACA), available to individuals with higher income limits than traditional Medicaid. You will also find out how individuals transition from MAGI Medicaid to Medicare and possible outcomes.

• Level 3: Appeals and Penalties

  $80.00 for 1 year

• Medicare and End-Stage Renal Disease (ESRD)

  $20.00 for 1 year Start Course
  This 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.