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.

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).

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.

Compares the 2025 appeals processes for Medicare Part A and Part B (Fee-for-Service), Medicare Advantage
(Part C), and Medicare Drug (Part D).

Summarizes the 2025 Medicare cost amounts for Part A (Hospital Insurance), Part B (Medical Insurance), and Part D (Prescription Drug Coverage).

An overview of Medicare Savings Programs (MSP). Includes monthly income limits and the Medicare costs covered.

Tips for resources that are found on CMS’s and other government websites.

The 2025 Medicare standard drug costs, including benefit parameters and Extra Help co-payments (2024 costs included for comparison).