Making Sense of Medicare

Overview and Insight Into One of the Longest-Running Federal Programs

$8.00 + your state filing fee
4 Credit Hours

This course favors health insurance agents but is applied as general credit for all agents.

COURSE DIFFICULTY

INTERMEDIATE
This course covers the following topics:
  • Provide students with a well-rounded understanding of the Medicare program – including its history and updates through the years.
  • Look in depth at the four distinct parts – Medicare Part A, B, C and D – and review the benefits, deductibles and co-pays, benefits period, exclusions, requirements, and more
  • Examine the communication and marketing guidelines and compensation requirements for Medicare providers, as well as walk through a few scenarios that potential enrollees may face when choosing the best Medicare program for them.

Summary

This course is designed to provide students with a well-rounded understanding of the Medicare program – including its history and updates through the years. We’ll also look in depth at the four distinct parts – Medicare Part A, B, C and D – and review the benefits, deductibles and co-pays, benefits period, exclusions, requirements and more. We’ll also examine the communication and marketing guidelines and compensation requirements for Medicare providers, as well as walk through a few scenarios that potential enrollees may face when choosing the best Medicare program for them. Since Medicare is a significant part of the American health care delivery system, producers who work with seniors on providing these services and products must become familiar with its benefits and limitations. The required understanding for those who market Medicare Advantage and Part D plans specifically is even more critical.

Outline

1. Introduction

  • 1.1 Medicare Overview
  • 1.2 Purpose of the Course
  • 1.3 A Brief History
  • 1.4 Medicare Spending and Financing
  • 1.5 Medicare Parts A and B: The Basics
  • 1.6 The Advent of Medicare Advantage and Medicare Part D
  • 1.7 Quality, Safety and Oversight
  • 1.8 Summary
  • Chapter 1 Quiz

2. Medicare Part A

  • 2.1 Medicare Part A: Hospital Benefits
  • 2.2 Hospital Deductibles and Copay
  • 2.3 Skilled Nursing Facility (SNF) Care
  • 2.4 Home Health Care
  • 2.5 Hospice Care
  • 2.6 Additional Part A Services
  • 2.7 Provider Claim Filing and Medicare Benefit Summary Notice: Part A
  • 2.8 Summary
  • Chapter 2 Quiz

3. Medicare Part B

  • 3.1 Medicare Part B: Medical Benefits
  • 3.2 Premiums, Deductibles and Coinsurance
  • 3.3 Covered Services and Exclusions
  • 3.4 Assignment Payment Method
  • 3.5 Delayed Enrollment in Medicare Part B
  • 3.6 Summary
  • Chapter 3 Quiz

4. Medicare Part C

  • 4.1 Medicare Part C: Medicare Advantage
  • 4.2 Health Maintenance Organizations (HMOs)
  • 4.3 Preferred Provider Organizations (PPOs)
  • 4.4 Private Fee-For-Service Plans (PFFS)
  • 4.5 Special Needs Plans (SNPs)
  • 4.6 Medical Savings Accounts (MSAs)
  • 4.7 Summary
  • Chapter 4 Quiz

5. Medicare Part D

  • 5.1 Medicare Part D: Prescription Drug Plans
  • 5.2 Eligibility and Enrollment
  • 5.3 Minimum Standards
  • 5.4 Coverage
  • 5.5 Prescription Plan Options
  • 5.6 Summary
  • Chapter 5 Quiz

6. Medicare Supplement Plans (Medigap)

  • 6.1 Overview
  • 6.2 Standard Medicare Supplement Plans
  • 6.3 Enrollment
  • 6.4 Renewal
  • 6.5 Comparison with Medicare Advantage Plans
  • 6.6 Summary
  • Chapter 6 Quiz

7. CMS Communication and Marketing Guidelines and Regulations

  • 7.1 Medicare Communication and Marketing Guidelines
  • 7.2 General Marketing Requirements
  • 7.3 Additional Marketing Activities and Prohibited Practices
  • 7.4 Agent/Broker Activities, Oversight and Compensation Requirements
  • 7.5 Helping Your Client Choose the Right Plan
  • 7.6 Client Scenarios
  • 7.7 Summary
  • Chapter 7 Quiz

Exam

  • Final Exam

FAQ

Q: What should I expect from this online course?

A: We use a unique system to help you learn the material easily. Our online courses present you with information in large type that is easy to read. We highlight key items in gray and quiz you after each chapter to make sure you are learning critical information. You may review the material as much as you want before taking your required online, multiple-choice exam. Passing the exam proves your proficiency in that subject to your state’s governing authority.

Q: Can I print my online course materials and test questions?

A: According to the state authority, it is not permissible to print or download any course material or exam questions. However, you are free to access all online courses from our website anytime.

Q: How long does it take to complete an online course?

A: The time required to complete an online course varies from student to student, but it roughly approximates the number of credit hours awarded for the course. You must pass an online, multiple-choice exam. Passing the exam proves your proficiency in that subject to your state’s governing authority.