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MI Presentation

Part A 

20%는 사보험 입니다. 

M101

CHK List  by Mi 

Part A coverage -Hospital Care

  • inpatient care in a Hospital

  • skilled nursing facility care

  • inpatient care in a skilled nursing facility (not LTC)

  • hospice care

  • home health care

Your cost in Original Medicare 

  • $1,484 deductible each benefit period

  • day 1-60 $0 coinsurance each benefit period 

  • day 61-90 $371 per day coinsurance each benefit period

  • day 90 and beyond $742 co insurance (up to 60 days over your lifetime reserve day)

  • beyond lifetime reserve day /pay all costs

  • 입원  치료 (최대 150 일)

Medicare Tax Credit for 2021

  •  if  you paid medicare tax for less than 0-30 quarters

    •  Your  Part A premium is $471.00

  •  if you paid madecare tax for 30-39 quarters

  •  Your  Part A premium is $259.00

Skilled Nursing Facility Your cost in Original Medicare

  • day 1-20 $0 coinsurance each benefit period 

  • day 21-100 $185.00 per day coinsurance each benefit period 

  • day 101-beyond pay all costs

Long Term Care Facility Your cost in Original Medicare

  • day 1-60 $1,484 deductible 

  • day 61-90 $371 each day

  • day 90 and beyond $742 co insurance (up to 60 days over your lifetime reserve day)

  • beyond lifetime reserve day /pay all costs

Part B

original medicare  공제액 (2021)

Deductible  (2021 년에는 $ 203)을 지불하고, 공제액이 충족 된 후에 대부분의 파트 B 보험 적용 서비스에서 20 % 공동 보험금을 납부합니다.

  • 임상연구 Clinical Service

  • 구급차서비스 Ambulance Service

  • 내구성 의료장비(DME)

  • 정신건강 Mental Health

  • 수술전에 다른 의견을 얻는다 Getting a second opinion before Surgery

  • 제한된 외래 처방약 Limited outpatient prescription drugs

Preventive Service 

  • 복부 대 동맥류 선별검사

  • 골밀도검사 및 상담

  • 알코올 남용 검사 및 상담

  • 심혈관 질환 검사

  • 자궁경부암 및 질암검진

  • 대장암 검진

  • 우울증 검사

  • 당뇨검사

  • 녹내장검사

  • B형 & C형 간염 검사 

  • 에이즈 검사

  • 폐암 검사

  • 유방암 검사

  • 비만 검사 및 상담

  • 전립선암 검사 

  • 주사/ 독감예방 주사, B형간염 예방주사, 폐렴 구균주사

  • 담배사용중지 상담

  • 매년 "웰니스" 방문

Part B Premium 납부 방법  premium $148.50 (under tax bracket 12%)

  • ​Medicare Easy Pay에 등록해서 매달 20일에 자동 이체할수있다.

  • Credit Card or ebit Card 로 할경우 / payment coupon 에 사인해서 우편으로 발송 해야 한다.

  • Check 이나 Money order로 페이한다. 

   Medicare Premium Collection Center

             PO Box 790355

             St. Louis, MO 63179-0355

65세가 되었는데도 Part D에 가입하지 않으면 

평생 standard premium($33.37 in 2022)의 1%에 해당되는 벌금을 매달 내야 합니다.

​

Not by A & B

Not Covered by Medicare Part A and B

  • Acupuncture

  • Routine Dental Care/Dentures

  • Cosmetic Surgery

  • Custodial Care

  • Health Care while traveling outside the US-exceptions apply

  • Hearing Aids

  • Orthopedic(정형외과) shoes (with limited exceptions)

  • Outpatient prescription drugs (this is covered under Part D)

  • Routine foot care 

  • Routine eye care and eyeglasses

  • Some screening tests and labs

  • Vaccines, except as previously listed (those not covered under Part B are covered under Part D)

  • Syringes(주사기) and insulin unless used with an insulin pump (this is covered under Part D)

Other Part B

  • Ambulance services

  • Ambulatory surgical center fees

  • Blood

  • Cardiac(심장) rehabilitation–for certain situations

  • Chiropractic services–for limited situations

  • Clinical research studies – some costs of certain care in approved studies

  • Defibrillator (implantable automatic)

  • Diabetic supplies

  • Durable medical equipment – restricted to certain suppliers in some areas

  • Emergency room services

  • Eyeglasses after cataract surgery – limits apply

  • Foot exams and treatment for certain diabetics

  • Hearing and balance exams (no hearing aids)

  • Home health services in certain situations

  • Kidney dialysis and disease education – certain situations

  • Mental health care (outpatient) – limits apply

  • Occupational and physical therapy – limits apply

  • Pulmonary(폐) rehabilitation for COPD

  • Prosthetic(보철)/Orthotic items

  • Second surgical opinions

  • Speech-language pathology(병상) services

  • Telehealth(컴퓨터화상) services in some rural areas

  • Tests like X-rays, MRIs, CT scans

  • Transplant physician services and drugs

Medigap

  • sold by private insurance company 

  • Turning age 65 and signing up for Part B triggers a 6-month Medigap open enrollment period 

  • Turning age 65 /no pre existing condition called a Guaranteed issue right.

  • apply Birthday Rule.

  • Some states have guarantee issue for Medicare beneficiaries under age 65.

Most Medigap plans pay for some or all of the following costs: 

Part A 

  • Part A Coinsurance and Hospital benefits

  • Part A Deductible

  • Coverage for 365 Additional Hospital days when Medicare coverage ends.

  • Hospice Care Coinsurance or Co-payment.

  • Skilled Nursing Facility Care Coinsurance.

Part B

  • Part B Coinsurance or Co-payment.

  • Part B Deductible (F plan only)

  • Part B Excess Charges

  • Blood(First 3 pints) (also under part A)

Other 

  • Foreign Travel Emergency not covered by Medicare

  • Non-Medicare-covered Preventive Service

http://www.cms.gov/medigap

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Call 

Tel : 714-989-6723  , 

       213-999-9003 ,

         909-919-8100

Email 

mipark123@gmail.com

Schedule an Appointment

Mon - Fri : 9am- 5pm

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