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Casework: Medicare Enrollment (Part A, Part B, & Part D) & the Inflation Reduction Act (IRA)

Discover Medicare eligibility requirements for people who immigrate to the U.S., including premium cost and late enrollment penalty possibilities.  (Fictional Character: Mr. Santos)

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Casework: Medicare & People Leaving Incarceration

Many federal benefits are paused during a period of incarceration. Review how the suspension in Social Security benefits impacts Medicare eligibility and coverage during incarceration and possible resolutions after release.

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Casework: Medicare Coverage for Ambulance Transportation

Explore situational and documentation requirements to better understand Medicare’s coverage of Ambulance transportation, like for an emergency request and for a hospital transfer. (Fictional Character: Mr. Greene)

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2024 Casework Scenarios

This packet contains seven worksheets depicting possible scenarios related to the Medicare program. Select here to view the description for each scenario and the option to download them individually.

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Casework: Medicare & Skilled Nursing Facility (SNF) Stays Beyond 100 Days

Explore Medicare’s coverage requirements for inpatient care in a SNF, including what happens after a stay exceeds the 100-day benefit period limit. (Fictional Character: Mrs. Drummond)

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Casework: Losing Enrollment in a Medicare Savings Program (MSP) & State Buy-in

Review the consequences of losing enrollment in a Medicare Savings Program and what an individual can do to request reinstatement of state buy-in. (Fictional Character: Mr. Patel)

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Casework: Medicare Savings Programs

For people covered by a Qualified Health Plan in the Health Insurance Marketplace®, cost-saving possibilities can change when you become eligible for Medicare.

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Casework: Medigap Enrollment & Guaranteed Issue Rights

Medicare Supplement Insurance often helps with out-of-pocket costs associated with Medicare. Explore protections and options for coverage in the event a Medigap insurer goes out of business. (Fictional Character: Ms. Andrews)

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