Durable Medical Equipment Official Definition: “CMS defines Durable Medical Equipment (DME) as Medical equipment that is ordered by a doctor for use in the home. These items must be reusable, such as walkers, wheelchairs, or hospital beds. DME is paid...
Skilled Nursing Facility Official Definition: “CMS defines a Skilled Nursing Facility as a facility (which meets specific regulatory certification requirements) which primarily provides inpatient skilled nursing care and related services to patients who...
Dual Eligible Beneficiary Official Definition: “CMS defines Dual Eligible Beneficiaries as persons who are entitled to Medicare (Part A and/or Part B) and who are also eligible for Medicaid.” – www.medicare.gov [Medi-Care-Eez]...
Extra Help for Prescription Drugs Official Definition: “CMS defines Extra Help as a Medicare program to help people with limited income and resources pay Medicare prescription drug program costs, like premiums, deductibles, and coinsurance.”...
Late Enrollment Penalty Official Definition: “CMS defines a Late Penalty as an amount added to your monthly premium for Part B or a Medicare drug plan (Part D) if you don’t join when you’re first eligible. You pay this higher amount as long...
General Election Period Official Definition: “CMS defines the General Enrollment Period (GEP) is January 1 through March 31 of each year. If you enroll in Premium Part A or Part B during the General Enrollment Period, your coverage starts on July...
