Medicare Glossary

Open Enrollment Period

What is the Medicare Open Enrollment Period? During the Medicare Open Enrollment Period (OEP), Medicare Advantage and Medicare Part D...

Medicare-Approved Amount

What Does Medicare Approved Amount Mean? A Medicare-approved amount is what Medicare will pay for a covered service. Healthcare providers...

Special Enrollment Period

What are Medicare Special Enrollment Periods? Special Enrollment Periods (SEPs) allow beneficiaries to change their Medicare Advantage plans or Medicare...

General Enrollment Period

What is the Medicare General Enrollment Period? Medicare’s General Enrollment Period (GEP) allows beneficiaries to enroll in Medicare Part A...

Enrollment Periods

What are the Medicare Enrollment Periods? Enrollment periods are designated time periods to enroll or disenroll from the various parts...

Medicare Part B Premium

What is the Medicare Part B Premium? The Medicare Part B premium is the monthly charge beneficiaries pay for their...

Income Related Monthly Adjustment Amount (IRMAA)

What is IRMAA? Income Related Monthly Adjustment Amount (IRMAA) is a Medicare Part B and Medicare Part D premium surcharge...

Lifetime Reserve Days

What are Lifetime Reserve Days? Medicare Part A covers up to 90 days of inpatient care per benefit period. Beneficiaries...

Medicare Part A

What is Medicare Part A? Medicare Part A is hospital coverage for Medicare beneficiaries. It covers inpatient care in hospitals...

Medicare Part A Premium

What is the Medicare Part A Premium? Most beneficiaries get Medicare Part A benefits (inpatient coverage) premium-free based on the...

Dual-Eligible

What is a Dual-Eligible Person? Dual-eligible individuals are those who receive both Medicare and Medicaid benefits. It includes beneficiaries enrolled...

Annual Wellness Visit

What is the Medicare Annual Wellness Visit? Medicare’s annual wellness visit is a free preventative care service covered under Medicare...

What is a Medicare Advantage Special Needs Plan (SNP)?

A Special Needs Plan is a type of Medicare Advantage plan available to beneficiaries with specific financial, health, or institutional...

Qualified Medicare Beneficiary Program

The Qualified Medicare Beneficiary (QMB) program is one of four Medicare Savings Programs that assist low-income beneficiaries with their costs...