Medicare Options & Coverage Rules
Estimated Time: 4 hours
$69.00
Earn 40 Points for Completing
With our courses, you don’t have to be shackled to failure or pass scores. They are designed to make your recertification experience easy. This interactive course, organized into topic-specific modules, expands on baseline Medicare knowledge and elaborates on specific coverage rules for Medicare Parts A, B, C, and D. You will develop a better understanding of Medicare enrollment periods and Medicare coverage rules and learn important differences between Original Medicare and Medicare Advantage Plans. Includes 35 Supplemental Fact Sheets that provide important information and can be downloaded and kept as a reference. Topic-specific modules include: Module 1 - Medicare Part A (Hospital Insurance),
Module 2 - Medicare Part B (Medical Insurance), Module 3 - Medicare Part D (Prescription Drug Benefit), Module 4 - Medigaps, Module 5 - Medicare Advantage Plans. Worth 8 PDCs (SHRM) and 8 CEUs (HRCI General Credits).
Credits
8 CEUs
8 PDCs
Learning Objectives
- *Updated in 2020
- Identify what services Part A covers
- Understand when Part A covers those services
- Explain Part A costs: premiums, deductibles, and coinsurances
- Identify what services Part B covers
- Understand when Part B covers those services
- Explain Part B costs: premiums, deductibles, and coinsurances
- Identify which types of drugs Part D does and does not cover
- Explain coverage restrictions that Part D plans can place on covered drugs
- Understand Part D costs and coverage throughout the year
- Use Plan Finder to choose a drug plan
- Explain what a Medigap is
- Determine when the beneficiary has the right to buy a Medigap
- Identify the different types of Medigap plans
- Explain how Medicare Advantage is different from Original Medicare
- Identify the different types of Medicare Advantage Plans
- Understand the basics of what Medicare Advantage Plans cover and at what costs
- Discuss how and when to file a formal complaint or grievance
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HRCI: VTR is a recognized provider of recertification credits. HR Certification Institute® preapproved this program for 8 credits toward aPHR™, PHR™, PHRca™, SPHR™, GPHR™, PHRi™, and SPHRi™ recertification.
SHRM: VTR is recognized by SHRM to offer SHRM-CP or SHRM-SCP professional development credits (PDCs). This program is valid for 8 PDCs. For more information about certification or recertification, please visit shrmcertification.org.