Nursing: Medicare Interactive Pro: Level II - Medicare Coverage Rules

Select a State to view hours and price
About the Course

This interactive course, organized into topic-specific courses, expands on baseline Medicare knowledge and elaborates on specific coverage rules for Medicare Parts A, B, C, and D. You will develop a better understanding of Medicare enrollment periods and Medicare coverage rules and learn important differences between Original Medicare and Medicare Advantage Plans.  Includes 35 Supplemental Fact Sheets that provide important information and can be downloaded and kept as a reference. Topic-specific courses include:
  • Course 2.1: Medicare Part A (Hospital Insurance)
  • Course 2.2: Medicare Part B (Medical Insurance)
  • Course 2.3: Medicare Part D (Prescription Drug Benefit)
  • Course 2.4: Medigaps
  • Course 2.5: Medicare Advantage Plans

Learning Outcomes:
Upon completion of the course, the learner will be able to:
  • Identify what services Part A covers.
  • Understand when Part A covers those services.
  • Explain Part A costs: premiums, deductibles, and coinsurances.
  • Identify what services Part B covers.
  • Understand when Part B covers those services.
  • Explain Part B costs: premiums, deductibles, and coinsurances.
  • Identify which types of drugs Part D does and does not cover.
  • Explain coverage restrictions that Part D plans can place on covered drugs.
  • Understand Part D costs and coverage throughout the year.
  • Use Plan Finder to choose a drug plan.
  • Explain what a Medigap is.
  • Determine when the beneficiary has the right to buy a Medigap.
  • Identify the different types of Medigap plans.
  • Explain how Medicare Advantage is different from Original Medicare.
  • Identify the different types of Medicare Advantage Plans.
  • Understand the basics of what Medicare Advantage Plans cover and at what costs.
  • Discuss how and when to file a formal complaint or grievance.

Medicare Rights Center

The Medicare Rights Center is a national, nonprofit consumer service organization that works to ensure access to affordable health care for older adults and people with disabilities through counseling and advocacy, educational programs, and public policy initiatives. Since 1989, the organization has been helping people with Medicare understand their rights and benefits, navigate the Medicare system and secure the quality health care they deserve. Medicare Rights is the largest and most reliable independent source of Medicare information and assistance in the United States.

About the Nurse Reviewer: 
Susan Sportsman, PhD, RN, ANEF, FAAN

Susan Sportsman, PhD, RN, ANEF, FAAN builds upon 40 years of experience as a clinician, educator, and consultant to provide nursing professionals with expert guidance and consultation in the areas of nursing education, health care policy, and leadership development. Dr. Sportsman has worked as a medical- surgical and psychiatric nurse in hospitals and in the community, has been a teacher and an administrator in both services and education, and has consulted for a broad spectrum of colleges and universities throughout North America. Most recently she served as Director of Consulting Services in Elsevier’s Education Division. Prior to that, she held positions as Dean of the College of Health Science and Human Services at Midwestern State University, Associate Dean of Nursing at Texas Tech University, and Vice President, Mental Health Programs at Harris Methodist Health System.

Find Medicare Interactive Pro: Level II - Medicare Coverage Rules - N33557 in your state

  • Alabama
  • Alaska
  • Arizona
  • Arkansas
  • California
  • Colorado
  • Connecticut
  • Delaware
  • Florida
  • Georgia
  • Hawaii
  • Idaho
  • Illinois
  • Indiana
  • Iowa
  • Kansas
  • Kentucky
  • Louisiana
  • Maine
  • Maryland
  • Massachusetts
  • Michigan
  • Minnesota
  • Mississippi
  • Missouri
  • Montana
  • Nebraska
  • Nevada
  • New Hampshire
  • New Jersey
  • New Mexico
  • New York
  • North Carolina
  • North Dakota
  • Ohio
  • Oklahoma
  • Oregon
  • Pennsylvania
  • Rhode Island
  • South Carolina
  • South Dakota
  • Tennessee
  • Texas
  • Utah
  • Vermont
  • Virginia
  • Washington
  • Washington DC
  • West Virginia
  • Wisconsin
  • Wyoming