Resource
Table of Contents
Choosing a Medigap Policy (2017)
Compensation Rate Adjustments Training
Extra Help Continued Asssistance
Low-Income Subsidy (LIS) Resource and Cost Sharing Limits
Medicaid to Medicare Consumer Flyer
2017 Medicare A, B, C, D Overview
Medicare Coverage of Advance Care Planning
Medicare Premiums, Deductibles, and Cost-Sharing Amounts
Medicare Savings Programs Coverage and Eligibility
2016 Medicare Supplement Insurance Premium Comparison
Part D LIS Eligibility and Benefits Chart
Understanding Medicare Enrollment Periods
What To Do When You Receive an Allegation From a Health Plan
Appointment Checklist
- Scope
- Materials
- Plan Presentation
- Clearly State and Explain
- Plans with Prescription Drug Coverage
- Review with the Beneficiary
- At the close of the appointment
Choosing a Medigap Policy (2017)
- Medicare Supplement Insurance (Medigap) policies
- What Medigap Policies cover
- Your rights to buy a Medigap policy
- How to buy a Medigap policy
CMS Appeals
- Filing an appeal if you have Original Medicare
- Filing an appeal if you have a Medicare Advantage Plan or other Medicare health plan
- Filing an appeal when you have Medicare prescription drug coverage
- Where to get help with your questions
Compensation Rate Adjustments Training
Enrollment Calendar 11 X 8
The National Center for Benefits Outreach and Enrollment has created a Key enrollment period calendar. A good reference for members and agents.
External Standard of Conduct
Extra Help Continued Assistance
Low-Income Subsidy (LIS) Resource and Cost Sharing Limits
The attached memorandum provides guidance on:
- resource limits for for individuals qualify for the low-income subsidy
- announces the maximum co-payments will pay as enrollees of Medicare prescription drug plans in 2016.
MAGI Medicaid to Medicare FAQ
Transitioning to Medicare from MAGI Medicaid through the Marketplace. What are the FAQ’s, find out here.
Managed Care Flow Chart
Medicare Managed Care (Part C – Medicare Advantage) Flow Chart
Managed Care Flow Chart
Medicare Managed Care (Part C – Medicare Advantage) Flow Chart
Medicare Cost
The attached link provides the following:
- Medicare Part A (Hospital Insurance) Costs
- Medicare Part B (Medicare Insurance) Costs
- Medicare Advantage Plans (Part C) and Medicare Prescription Drug Plans (Part D) Premiums
- Part D Monthly Premium
Medicare Coverage of Advance Care Planning
Medicare will begin to cover Advance Care Planning beginning in 2016:
Medicare Premiums, Deductibles, and Cost-Sharing Amounts
Click the link below for the:
- Premiums
- Deductibles
- Cost-Sharing Amounts
Medicare Savings Programs Coverage and Eligibility
Click here to learn more about the Medicare Savings Programs Coverage and Eligibility.
Part D LIS Eligibility and Benefits Chart
Click here to learn more about the Medicare Savings Programs Coverage and Eligibility.
Proposed Med Supp 2020
Click on the link below to learn about:
- What Plans will be available on or After January 1, 2020?
- April 14, 2015, Legislation passes the “doc-fix” bill
- Beginning in 2018 the new law will raise premiums for higher income enrollees
- In 2020 plans will no longer be allowed to offer coverage of the Medicare Part B deductible
- Plans purchased before 2020 will still be available for deductible coverage
Sample Retention Letter
Understanding Medicare Enrollment Periods
Click on the link below to learn about:
- How to get Medicare Part A and Part B
- When to contact Social Security to sign up for Part A and Part B
- When to sign up for Medicare Advantage (Part C) or Medicare Prescription Drug Coverage (Part D)
- When enrollment periods happen for Part C and Part D
- Special enrollment periods for Part C and Part D
What To Do When You Receive an Allegation From a Health Plan
What to do when you receive an Allegation from a health plan
Interested in #hashtag? Click here for more information.