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Understanding Medicare Step by step H35281634 w
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What is Medicare? Medicare is the Largest Health Insurance Provider
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Who Qualifies for Medicare? Individuals age 65+ who qualify Individuals under age 65 with disabilities Individuals under age 65 with End-Stage Renal Disease (ESRD)
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Four Parts of Medicare Part APart BPart D Medicare Advantage Part C
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Part A / Hospital Insurance Part A inpatient hospital skilled nursing hospice home health
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Part B / Medical Insurance doctor visits outpatient surgery immunizations lab tests medical equipment ambulance monthly premium Part B Late Enrollment Penalty
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Original Medicare Part BPart A Original Medicare +
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Part D / Prescription Drug Coverage Prescription Drug Coverage private carrier monthly premium Part D
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Added to your monthly premium Penalty applies if 63+ days without creditable coverage Part D / Late Enrollment Penalty
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Part C / Medicare Advantage Part DPart BPart A Routine Care Wellness Programs Part C / Medicare Advantage ++++
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Supplemental Insurance Original Medicare Part A + B Part D Prescription Drug Plan Includes Parts A + B Most Include Part D
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Original Medicare Part BPart A Deductibles 80/20
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+ Supplement Plan Original Medicare Copayment Coinsurance Deductible
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+ + Supplement Plan Original Medicare Part BPart A 1 Part D 1 1 2 3 $ Bill ID Card $ Bill ID Card $ Bill ID Card Deductibles 80/20
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Part C / Medicare Advantage Maximum Out-Of-Pocket Limit This limit does not apply to your monthly plan premium or Part D prescription drug costs. Part DPart BPart A Routine Care Wellness Programs ++++ Financial Protection
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Signing up for Medicare Step by step
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? Original Medicare Medicare Eligibility Part BPart A
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Medicare Eligibility Age 65+ U.S. citizen or permanent legal resident Eligible for Social Security or Railroad Retirement benefits Under Age 65 Entitled to Social Security disability benefits Have End-Stage Renal Disease (ESRD)
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Initial Enrollment Period Retired or Retiring soon and turning 65 65
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Part B Part A
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Initial Enrollment Period Month of Enrollment JanFebMarchAprilMayJuneJuly Coverage Begins Apr 1stApr 1stApr 1stMay 1st June 1stJuly 1stAug 1st
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Enroll any time you are covered by employer’s or union’s plan Special Enrollment Period [ Still Working and Turning 65 ]
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Special Enrollment Period COBRA and retiree health plans do not qualify
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General Enrollment Period Sign up
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General Enrollment Period Sign up No coverage
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Part C / Medicare Advantage
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Initial Coverage Election Period (ICEP) Initial Coverage Election Period (ICEP) for Part C 65
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? Part B Part A
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Annual Election Period Sign up for Medicare Advantage Plan / Part C or switch from one Medicare Advantage Plan to another [ Already Enrolled ]
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Special Enrollment Period
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Enroll within two months from the date employment or health coverage ends.
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Special Enrollment Period Qualifying Events Lose your employer coverage Qualify for Extra Help for your Part D prescription drugs Have both Medicare and Medicaid Move out of your Plan’s service area Live in an institution (such as a nursing home)
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Part B art D Questions? We’re here to help. Or, visit connecticare.com/medicare Call ConnectiCare toll-free at 1-877-224-8221 (TTY/TDD 1-800-842-9710) seven days a week, from 8 a.m. to 8 p.m. ConnectiCare, Inc. is an HMO/HMO-POS plan with a Medicare contract. Enrollment in ConnectiCare depends on contract renewal. © 2016 ConnectiCare, Inc. & Affiliates
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