Medicare Eligibility Verification – pVerify

FIND THE RIGHT MEDICARE PLAN!

WHAT IS MEDICARE AND WHO RUNS IT? People age 65 and older People under age 65 with disabilities People of any age with End-Stage Renal Disease

(ESRD) (permanent kidney failure requiring dialysis or a kidney transplant) Centers for Medicare & Medicaid Services (CMS)

administers program – Social Security Administration (SSA) enrolls most individuals Railroad Retirement Board enrolls railroad retirees

WHAT ARE PARTS OF MEDICARE? There are four parts of Medicare they are as follow  Part A (Hospital Insurance)  Part B (Medical Insurance)  Part C (Medicare Advantage Plans like

HMOs, PPOs)  Part D (Medicare Prescription drug

Coverage)

MEDICARE ENROLLMENT  Automatic enrollment for those receiving

– Social Security – Railroad Retirement  Initial Enrollment Period

– 3 months before 65th birthday – 25th month of disability benefits  If not automatically enrolled

– Social Security – Railroad Retirement Board

WHAT ARE THE ADVANTAGES OF MEDICARE PLANS?

 Medicare Advantage plans cover everything

Medicare Part A and Part B cover  All Medicare Advantage plans have out of pocket maximums  You can switch Medicare Advantage plans if you’re not happy with your plan  Your out-of-pocket costs may be easier to calculate with a Medicare Advantage plan

CONCLUSION

 Medicare is a health insurance program  Medicare doesn’t cover all of your health care

costs  You have choices in how you get coverage  There are programs for people with limited

income and resources  Decisions affect type of coverage you get

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