Special Topics Module: Medicare and Hospital Care Transitions

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• Course 1: Medicare and Hospital Care

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  This course discusses Medicare coverage of hospital care, focusing on the difference between inpatient and outpatient hospital stays. You will learn how Original Medicare and Medicare Advantage plans cover inpatient and outpatient stays, and why it is important for patients to understand this difference.

• Level 2: Medicare Coverage Rules

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• Course 3: Medicare Options

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  In this course, you will learn how to make an informed decision about Medicare coverage, first by learning the two different ways that Medicare benefits are offered: through Original Medicare administered directly through the federal government and through Medicare Advantage Plans offered by private insurance companies that contract with the federal government. We will talk about the broad categories of care, program costs, and excluded services under Original Medicare, and then see how Medicare Advantage Plans must cover all the same services, but may do so with different costs, restrictions, and additional benefits. You will also learn about Medigap supplemental policies and public benefits available to help those with lower incomes afford care.

• Course 2: Medicare Part B (Medical Insurance)

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  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.