Level 4: Other Insurance and Assistance Programs

Productos relacionados

• Level 1: Medicare Basics

  $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.

• 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 3: Medicare Part D (Prescription Drug Benefit)

  $20.00 for 1 year Start Course
  This 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.