What Is Medicare Part B Deductible?

What Is Medicare Part B Deductible?

The Medicare Part B Deductible is the amount you pay each year before the insurance company starts paying for health care. The amount of the Part B Deductible is $185.00 for 2011 and is subject to change yearly.

Generally, the amount of the annual Part B Deductible increases each year. The amount of the Part B Deductible will be the same for all beneficiaries.

What is the Medicare Part B Premium?

The Medicare Part B Premium is the amount you pay each month for your Medicare Part B coverage. The amount of the Medicare Part B Premium varies depending on your income and other factors. For 2011, the Part B Premium is $99.90.

What is the Medicare Part D Premium?

The Medicare Part D (Prescription Drug) Premium is the amount you pay each month for your prescription drug coverage under Medicare Part D. The amount of the Medicare Part D premium varies depending on your income and other factors. For 2011, the Part D Premium is $32.00.

To pay the Part B Premium, we will send you an invoice each year. The invoice is typically mailed around the first of each month and is due by the 10th of each month.

If you have questions regarding this information, please contact the Health Insurance Specialist Office at (800) 228-6737.

Medicare Part A

What is Medicare Part A?

Medicare Part A is Hospital Insurance. It helps pay for inpatient hospital stays, skilled nursing facility care, home health care, hospice care, and some preventative services.

Who is eligible for Medicare Part A?

You are eligible for Medicare Part A if you meet all three of the following requirements:

You are a U.S. citizen or meet certain stipulations;

You are over age 65 (or under age 65 and permanently disabled); and

You or your spouse have worked long enough (i.e. at least 10 years) and recently enough (i.e. in the last 15 years) to qualify for Social Security or Railroad Retirement or Railroad Retirement Survivor's benefits.

What is the cost of Medicare Part A?

Medicare Part A is free (if you are eligible).

What is the Medicare Part B deductible?

The Medicare Part B deductible is the amount you pay each year before the insurance company starts paying for health care. The amount of the Part B Deductible is $185.00 for 2011 and is subject to change yearly.

Medicare Part C

What is Medicare Advantage?

Medicare Advantage is a type of Medicare health plan that provides Medicare covered services and is paid for by Medicare. These plans may provide a full range of health benefits, including prescription drug coverage and may be offered by different kinds of organizations. These organizations include health maintenance organizations (HMOs), preferred provider organizations (PPOs), private fee-for-service plans (PFFS), and Special Needs Plans (SNPs), and are known as Medicare Advantage organizations.

There are strict guidelines in place for Medicare Advantage Organizations who want to offer Medicare Advantage plans. Before a Medicare Advantage Organization is approved by Medicare to offer Medicare Advantage plans, the organization must be able to meet the standards set by the Centers for Medicare & Medicaid Services (CMS). These standards include:

Honesty and Integrity

The organization and its employees are honest and trustworthy in their business practices; they keep their promises, follow the law, and treat customers fairly.

The organization and its employees are honest and trustworthy in their business practices; they keep their promises, follow the law, and treat customers fairly. Financial Integrity

The organization and its employees do not waste or misuse the Medicare funds and do not give or accept bribes or kickbacks.

The organization and its employees do not waste or misuse the Medicare funds and do not give or accept bribes or kickbacks. Compliance with Law

The organization and its employees obey federal and state laws and regulations governing the Medicare program.

The organization and its employees obey federal and state laws and regulations governing the Medicare program. Sound Policies and Procedures

The organization's business practices are carried out in a legal, responsible, and careful manner. The organization has written policies and procedures for running its business.

The organization's business practices are carried out in a legal, responsible, and careful manner. The organization has written policies and procedures for running its business. Effective Oversight

The organization has policies and procedures to make sure that its employees and agents follow Medicare's rules and regulations. The organization has policies and procedures to make sure that its insurance company or HMO members have access to care without unreasonable delay.

The organization has policies and procedures to make sure that its employees and agents follow Medicare's rules and regulations. The organization has policies and procedures to make sure that its insurance company or HMO members have access to care without unreasonable

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