Medicare Questions and Answers |
Latest Update | 2024/2025 | Correct &
Verified
How can someone access Medicare benefits if they are not a U.S. citizen but have legal
residency?
Legal residents who have lived in the U.S. for at least five continuous years can qualify for
Medicare at age 6...
Medicare Questions and Answers |
Latest Update | 2024/2025 | Correct &
Verified
How can someone access Medicare benefits if they are not a U.S. citizen but have legal
residency?
✔✔Legal residents who have lived in the U.S. for at least five continuous years can qualify for
Medicare at age 65, provided they meet other eligibility criteria.
What does it mean to "dual-eligible" for Medicare and Medicaid?
✔✔Being dual-eligible means that an individual qualifies for both Medicare and Medicaid, often
helping with out-of-pocket Medicare costs like premiums, deductibles, and coinsurance.
What is the Medicare "donut hole"?
✔✔The donut hole is a coverage gap in Medicare Part D where beneficiaries must pay a larger
portion of their prescription drug costs until they reach the catastrophic coverage level.
How often can you change your Medicare Advantage or Part D plan?
1
,✔✔You can change your Medicare Advantage or Part D plan during the Annual Enrollment
Period (October 15–December 7) or during the Medicare Advantage Open Enrollment Period
(January 1–March 31).
What is a "Medicare Savings Program"?
✔✔A Medicare Savings Program helps people with limited income pay for premiums,
deductibles, and coinsurance for Medicare Part A and Part B.
How does the Medicare Advantage plan differ from Medicare Supplement (Medigap)?
✔✔Medicare Advantage is an alternative to Original Medicare, offered by private insurers, while
Medigap works alongside Original Medicare to help cover out-of-pocket costs like deductibles
and coinsurance.
What does Medicare Part A cover in a skilled nursing facility?
✔✔Medicare Part A covers skilled nursing facility care when the patient has been hospitalized
for at least three days and requires skilled care like physical therapy or nursing services.
What is the primary purpose of the Medicare Part D coverage?
2
, ✔✔Medicare Part D provides prescription drug coverage, helping beneficiaries pay for the cost
of medications through private insurance plans.
What happens if a person doesn’t sign up for Medicare Part B when they’re first eligible?
✔✔If you don't sign up for Medicare Part B when first eligible, you may face a late enrollment
penalty that increases your monthly premium for as long as you have Part B.
What is the role of the Centers for Medicare & Medicaid Services (CMS)?
✔✔CMS manages and oversees the Medicare and Medicaid programs, ensuring beneficiaries
have access to quality care, and ensuring compliance with regulations and policies.
How does the Medicare "Initial Enrollment Period" work?
✔✔The Initial Enrollment Period is a 7-month window around your 65th birthday, during which
you can enroll in Medicare. It starts three months before your 65th birthday and ends three
months after.
What type of coverage does Medicare provide for hospice care?
✔✔Medicare covers hospice care for terminally ill beneficiaries who choose comfort care rather
than curative treatments, including pain management, counseling, and support for caregivers.
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