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Departments & Programs,UW Medical Foundation,Patient Resources,Social Work Services Quick Guide,Social Work Manual,Financial

Medicare

Medicare - Departments & Programs, UW Medical Foundation, Patient Resources, Social Work Services Quick Guide, Social Work Manual, Financial

Focus

Medicare is health insurance for people:

Medicare Alphabet Explained:

Medigap plans are Medicare supplement policies

Delaying Medicare Part B: If clients do not take Part B when they were first eligible for Medicare, they may sign up only during the General Enrollment Period (with the exception of people who qualify for the Special Enrollment Period). The General Enrollment Period runs from January 1 through March 31 of each year. Coverage is then effective the next July 1st. The cost of their Part B may go up 10% for each 12-month period that they could have had Part B but did not take it, and they will have to pay this extra amount as long as they have Part B, except in special cases.

Delaying Medicare Part D: If clients do not take Part D when they were first eligible, they may only sign up during the “annual coordination election period”, which is November 15th to December 31st of each year. If they did not have “creditable coverage” (coverage at least as good as Medicare D) via another insurance plan, they will incur a 1% penalty per month that they didn’t sign up.

Medicare D Low Income Subsidy: One option for those struggling with drug costs is to have a Low Income Subsidy applied to their existing prescription account. Depending on a variety of factors (not the least of which is actual income) a member of an existing plan may have their premium paid for all or in part and will have a reduced copay for their medication. To request a review for subsidy contact the Social Security Administration at (800) 772-1213.

Level Deductible Generic Copay Brand Copay Specialty Copay Catastrophic Coverage
1 0 2.15 5.35 15% $0 copays on all meds
2 0 1.00 3.10 15% $0 copays on all meds
3 0 0 0 0 0
4 $53 max 15% 15% 15% 2.15 Generic & $5.35 Brand copays

Resources

Medicare: 1-800-MEDICARE

ADVANTAGE PLANS (HMO)

Affordable Care Act

CMS Regional Offices

Data.Medicare.gov

Eligibility

HSA and Medicare

Medicare B Premium Cost

Medicare Caregiver Information

Medicare D Costs

MEDICARE D AND EGHP

Medicare D Extra Help

Medicare and The Health Care Exchange

Medicare Suffixes

Medicare Supplier Directory

Medigap (Medicare Supplemental) Insurance

Same Sex Marriage and Medicare

Tricare and Medicare

Who Pays First?