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CMS Product Ordering Website
This resource provides partners with instructions on setting up an account and ordering CMS products for free on the Product Ordering Website.
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Need Help Adding Pharmacies & Drugs to Your Medicare Account?
This Medicare Plan Finder resource gives step-by-step instructions for adding drugs and pharmacies while logged into Medicare Plan Finder.
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What’s New in Medicare Plan Finder (2024)
A look at 5 improvements to Medicare.gov/plan-compare to help you make the most of your plan search.
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Job Aid: 2025 Medicare Amounts
Summarizes the 2025 Medicare cost amounts for Part A (Hospital Insurance), Part B (Medical Insurance), and Part D (Prescription Drug Coverage).
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Ready to choose a Medicare Plan?
This Medicare Plan Finder resource helps people with Medicare know what to consider when shopping for health and drug plans.
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Shop for Plans Using Your Medicare Account
This Medicare Plan Finder resource helps people with Medicare learn how to create an account and why it’s important.
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2024 Medicare OEP Bootcamp - Day 1
Medicare Plan Finder basics and user tips, 2024 Plan Finder updates, and information about the Medicare Prescription Payment Plan.
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2024 Medicare OEP Bootcamp - Day 2
Includes Medicare OEP overview and general program updates, 1-800-MEDICARE overview and activities, OEP media outreach campaigns, SHIP overview and Virtual Counseling Toolkit, Medicare account experience, and marketing updates.
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Medicare Prescription Payment Plan Partner Policy Q&A
This resource includes answers to various Medicare Prescription Payment Plan Partner Policy questions.
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New Special Enrollment Periods (SEPs) for Dually Eligible and Extra Help-eligible Individuals
New! Effective January 1, 2025, the quarterly Dual/LIS SEP will sunset. It will be replaced by a new Dual/LIS SEP that will allow dually eligible and LIS-only eligible individuals to elect a standalone prescription drug plan (PDP) in any month. In addition, effective January 1, 2025, a new Integrated Care SEP will allow full-benefit dually eligible individuals to elect an integrated dual eligible special needs plan (D-SNP) in any month to align coverage with a Medicaid managed care organization.
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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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Different paths to Medicare
Explains the paths to signing up for Medicare. Some are automatically enrolled, while others must actively sign-up.
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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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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: 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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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 & 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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Health Insurance Marketplace® Basics
Health Insurance Marketplace® Basics: Find Health Options that Meet Your Needs & Fit Your Budget,” explains the Marketplace and other health coverage options.
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eMedicare: Improving Compare Tools
Explains Care Compare and shows you an improved redesign of the 8 existing compare tools into a single user-friendly interface with quality, price, volume, and other data, which will be available on Medicare.gov when we launch it in late summer 2020. Recorded August 24, 2020.
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Provider Data Catalog (PDC) Webinar
The PDC will better serve stakeholders who access quality, price, and volume data sets like those currently found on data.Medicare.gov. This webinar shows the improved portal, which will be available on data.CMS.gov when it’s launched in late summer 2020. Recorded August 10, 2020.
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Medicaid y el Programa de Seguro Médico para Niños
Este módulo explican Medicaid, CHIP y las consideraciones para quienes tienen tanto Medicare como Medicaid.
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Cobertura de medicamentos usando Medicare (Medicare Part D Prescription Drug Coverage)
Este módulo, “Cobertura de Medicare para Medicamentos Recetados”, explican la cobertura de medicamentos recetados de Medicare.
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Derechos y Protecciones de Medicare
El módulo “Derechos y Protecciones de Medicare” explica los derechos, las protecciones y los procesos de apelaciones para personas inscriptas en Medicare.
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Job Aid: 2025 Medicare Appeals Processes
Compares the 2025 appeals processes for Medicare Part A and Part B (Fee-for-Service), Medicare Advantage
(Part C), and Medicare Drug (Part D).
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Job Aid: Medicare Part C and Part D Enforcement Actions
This information is intended to help State Health Insurance Assistance Program (SHIP) counselors and others who help people with Medicare explain plan enforcement actions while using the Medicare Plan Finder (MPF).
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Job Aid: 2024 Medicare Savings Program (MSP)
An overview of Medicare Savings Programs (MSP). Includes monthly income limits and the Medicare costs covered.
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Job Aid: 2025 Standard Drug Costs
The 2025 Medicare standard drug costs, including benefit parameters and Extra Help co-payments (2024 costs included for comparison).
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Job Aid: Web Resources
Tips for resources that are found on CMS’s and other government websites.
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Medicare & Tax-Favored Health Programs
Explains tax-favored health programs and basic information about how those programs work with Medicare.
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2025 Getting Started with Medicare
Provides a basic overview of the Medicare Program—Part A, Part B, Medigap Policies, Part C, Part D, the Federally-facilitated Health Insurance Marketplace, and Medicaid.
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Coordination of Benefits
Explains the rules that govern the payers‘ responsibility when people have Medicare and certain other types of health and/or prescription drug coverage.
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Coordinación de Beneficios
Este módulo, "Coordinación de beneficios (COB)", se explican las diferentes responsabilidades de pago para personas que tienen Medicare y otros tipos de cobertura médica o de medicamentos recetados.
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Medicare Advantage and Other Medicare Health Plans
Provides a comprehensive overview of Medicare Advantage Plans. It also includes a detailed lesson on marketing guidelines and the ways health plans may or may not market their plans.
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Medicare Advantage y otros planes de salud de Medicare
Explica las opciones del plan de salud de Medicare a diferencia de Medicare Original.
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Medicare and Other Programs for People With Disabilities
Provides an overview of eligibility and enrollment for Social Security programs and Medicare; and summarizes and explains options for people with disabilities and/or limited income and resources.
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Medicare y otros programas para personas con discapacidades
En este módulo de capacitación, se explican Medicare y otros programas para personas con incapacidades.
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Medicare and Medicaid Fraud and Abuse Prevention
Explains Medicare and Medicaid fraud, waste, and abuse prevention, detection, reporting, and recovery.
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Prevención de Fraudes, Derroches y Abusos contra Medicare y Medicaid
Este Módulo explica la prevención de fraudes, derroches y abusos contra Medicare y Medicaid.
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Drug Coverage When Using Medicare
Provides basic information about Medicare prescription drug coverage, benefits and costs, eligibility and enrollment, extra help, comparing and choosing plans, and coverage determinations and appeals.
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Drug Coverage under Different Parts of Medicare
Provides an overview of drug coverage under Medicare Part A (Hospital Insurance), Medicare Part B (Medical Insurance), Medicare Advantage Plans with prescription drug coverage, and Medicare Prescription Drug Plans.
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Medicare for People with End-Stage Renal Disease
Explains the Medicare Program for people with End-Stage Renal Disease (ESRD), like eligibility and enrollment, coverage, and health plan options. Also provides additional sources of information.
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Medicare para personas con enfermedad renal en etapa final
Este módulo de capacitación explica la cobertura de Medicare para personas con enfermedad renal en etapa final (end-stage renal disease, ESRD).
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Medicare Supplemental Insurance (Medigap) Policies
Provides insight on how Medigap policies work with Medicare, what the policies cover and how they are structured, and when to buy a Medigap policy.
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Pólizas del Seguro Suplementario de Medicare
Este módulo de capacitación de Medigap analizan cómo funcionan las pólizas de Medigap con Medicare, qué cubren las pólizas de Medigap, cómo están estructuradas y cuándo se debe comprar una póliza de Medigap.
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Medicare Rights & Protections
Explains the rights and protections afforded to someone enrolled in Original Medicare, a Medicare Advantage Plan, another Medicare health plan, or a Medicare Prescription Drug Plan.
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Medicaid & the Children’s Health Insurance Program
Provides an overview of Medicaid and the Children’s Health Insurance Program's (CHIP), eligibility, benefits, and administration. Also includes state help information for Medicare-Medicaid enrollees.
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Marketplace to Medicare: What You Can Expect
Marketplace to Medicare: What You Can Expect focuses on the Health Insurance Marketplace® (sometimes called the “Marketplace” or “Exchange”) and what people with Medicare need to know.