Many beneficiaries have questions about late enrollment penalties and Medicare Income-Related Monthly Adjustment Amounts (IRMAA), and this course will help people with Medicare avoid penalties wherever possible. You will learn that penalties are incurred if individuals do not enroll in Medicare Parts A, B, and/or D when they are first eligible to do so, and we will explore how these penalties may be eliminated. The course reviews all key IRMAA considerations: what IRMAA is, when it must be paid and who is likely to pay it, and how to appeal or request a new initial determination if there is disagreement with Social Security’s IRMAA decision.
Courses
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Show/hide description Course 4: Medicare Late Enrollment Penalties and IRMAA Length: 55 minutes
Preview Course -
One-Year Subscription
$80.00 Add to cart -
Show/hide description Course 1: Medicare and Employer Insurance Length: 50 minutes
Preview CourseCoordination of benefits is the term used to describe how Medicare works with other kinds of insurance, including employer insurance and Medicaid. In this course, you will learn about the coordination of benefits rules for current and former employer coverage, including COBRA, retiree coverage, and Federal Employee Health Benefits (FEHB). You will find out if Medicare pays primary or secondary to different employer-related insurance, depending on the number of employees and whether individuals are eligible for Medicare due to age or disability. You will also gain valuable knowledge about various enrollment-related consequences and considerations for beneficiaries who delay their Medicare enrollment.
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Show/hide description Course 2: Medicare and Other Insurance Length: 35 minutes
Preview CourseThis course explores coordination of benefits rules for military and non-employer insurance, as well as other types of insurance a beneficiary may have. We will address TRICARE, TRICARE for Life, and Veterans Affairs (VA) benefits, and see how each coordinates—or does not coordinate—with Medicare. This course also includes discussions of liability insurance, no-fault insurance, and workers’ compensation, including information about how all of these pay primary or secondary to Medicare. We will also discuss what happens when Medicare makes a conditional payment and the steps involved in the conditional payment recovery process. Finally, we will take a look at long-term care insurance, dental insurance, and Health Insurance Marketplace plans and what must happen when an individual with Marketplace coverage becomes Medicare-eligible.
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Show/hide description Course 3: Medicare and Medicaid Length: 55 minutes
Preview CourseIn 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.
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Show/hide description Course 4: Medicare Assistance Programs Length: 45 minutes
Preview CourseIn this course, we will address the various federal and state programs available to help beneficiaries pay for their Medicare costs: Medicare Savings Programs, including the Qualifying Individual (QI), Specified Low-Income Medicare Beneficiary (SLMB), and Qualified Medicare Beneficiary (QMB) programs; Extra Help; Medicare’s Limited Income Newly Eligible Transition program (LI NET); State Pharmaceutical Assistance Programs (SPAPs); and Patient Assistance Programs (PAPs). You will find out how each of these programs works and the Medicare costs each is designed to help cover. You will also learn more about the Medicare Improvements for Patients and Providers Act (MIPPA) of 2008, which helps ensure that beneficiaries who apply for one benefit are screened for and, where possible, enrolled in other programs for which they might be eligible.
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One-Year Subscription
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Show/hide description Medicare and End-Stage Renal Disease (ESRD) Length: 1 hour 15 minutes
$20.00 Add to cartThis 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.
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Show/hide description Medicare Coverage of Durable Medical Equipment (DME) Length: 40 minutes
$20.00 Add to cartThis 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.
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Show/hide description Medicare Fall Open Enrollment Length: 20 minutes
$10.00 Add to cartThis course provides an overview of Medicare Fall Open Enrollment, the time of year during which people with Medicare can make changes to their existing Medicare coverage. In this course, you will gain a better understanding of Medicare Fall Open Enrollment, learn about the important changes people with Medicare can make during this time, and find out how to most effectively take action to meet your health care needs.
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Show/hide description Medicare Assistance Programs in New York Length: 1 hour 15 minutes
$20.00 Add to cartThe information in this course applies to New York State only. For information about Medicare assistance programs on a national level, refer to Level 4, Course 4: Medicare Assistance Programs. This Special Topics Course provides detailed information about how Medicare beneficiaries in New York State can qualify for and enroll in programs to help save them money on their Medicare costs. You will learn how to screen and help clients apply for the Medicare Savings Program (MSP), Extra Help, and Elderly Pharmaceutical Insurance Coverage (EPIC).
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One-Year Subscription
$25.00 Add to cart -
Show/hide description Course 1: Medicare and Hospital Care Length: 50 minutes
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.
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Show/hide description Course 2: Medicare and Hospital Discharge Planning Length: 55 minutes
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.
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Show/hide description Course 3: Medicare and Post-Hospital Care Length: 55 minutes
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.