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35 Cards in this Set
- Front
- Back
- 3rd side (hint)
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Age a person can start receiving retirement benefits |
Age 62 |
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Age a person can start receiving medicare benefits |
Age 65 |
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Medicare Part A |
Inpatient hospital care is free for individuals entitled to Social Security with this plan. Covers a large portion otherwise |
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Medicare Part A Expenses |
Pay a deductible and they'll pay everything else for days 1-60. Day 61-90 you pay a daily co-pay. |
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Skilled Nursing Facility Care (Part A) Days |
Day 1-20 - Medicare pays 100% of approved charges.
Day 21-100 - Medicare pays, but patient is responsible for daily co-payment |
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Home Health Care (Part A) |
Post hospital stay that pays for an unlimited number of home visits as medically necessary if patient is confined at home |
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Hospice (Part A) |
End of life care/for terminally ill |
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Medicare Part B Expenses |
Pays 80% of the approved amount of medical expenses |
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Medicare Part B |
Covers anything done to you: doctor visits, tests, medical equipment and home healthcare |
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Medicare Part C |
Gives Medicare beneficiaries the opportunity to enroll in private healthcare plans and receive all Medicare services, including Part A and Part B, from a private provider |
Medicare Advantage |
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Medicare Part D |
Insurance program that charges a monthly fee in exchange for prescription drug coverage |
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Medicaid |
Welfare health care program for financially needy people |
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Spend Down |
Spending your extra income on medical bills before medicaid will pay you |
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Healthy New York |
A state-sponsored plan that provides health insurance to the uninsured |
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Workers Compensation Definition |
A plan for on the job accident/sickness only |
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Workers Compensation Information |
Information must be posted in the workplace where it can clearly be seen |
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Workers Compensation Income Benefits
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Following a 7 day waiting period, pays up to 66.6 (2/3) gross monthly earnings with a max. $3,200/month |
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New York State Disability |
Pays disability benefits for eligible employees who lose their wages because off the job injury or illness |
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Tricare |
Health care for active duty members |
Military |
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Health Savings Accounts (HSAs) |
An account created for individuals who are covered under high-deductible health plans (HDHPs) to save for medical expenses that HDHPs do not cover |
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Flexible Spending Account (FSAs) |
An account that allows employees to contribute a portion of their regular earnings to pay for qualified expenses, such as medical expenses or dependent care expenses |
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Age Widows can begin receiving retirement benefits |
Age 60 or age 50 if they are totally disabled |
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Credits needed to work to receive retirement benefits |
40 work credits |
Fully insured status |
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End Stage Renal Disease |
If employee is covered under group coverage, primary coverage is group for first 30 months, medicare is secondary |
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Specified co-payment |
Daily co-pay |
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Donut Hole |
Beneficiary pays 25% of cost. Prescription plan pays 75%. Beneficiary pays 100% after coverage price has been exhausted |
Medicare Part D |
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Social Security Disability Benefits (SSDI) |
Totally & permanently disabled for at least 5 months |
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Medicare Part A reserve days |
Limited to 60 days lifetime and are non-renewable |
Only occurs to days 91-150 |
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Psychiatric Care |
Limited to 190 lifetime days of inpatient care |
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Medicare Part A Benefit Period |
Begins upon admission and ends 60 days after hospital discharge |
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Skilled Nursing Facility Care (Part A) |
Shares nursing home costs for up to 100 days if medically necessary |
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Medicare Part B responsibilities of the insured |
1. Annual deductible 2. 20% of all approved amounts 3. First 3 pints of blood |
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Medicare Part B Open Enrollment |
January 1 - March 31 each year Coverage begins on July 1st of that year |
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Workers Compensation Medical Benefits |
Pays all medical bills (unlimited) |
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NYS Disability Benefit Payment |
Pays half of your pay (Max $170/week) for no more than 26 weeks |
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