Nursing: Medicare Interactive Pro: Level IV - Other Insurance and Assistance Programs

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About the Course

This interactive course, organized into topic-specific courses, provides advanced learners with in-depth information on how Medicare works with other types of insurances, and how to navigate enrollment into low-income assistance programs. You will learn about Medicare coordination of benefits and how to screen Medicare beneficiaries for low-income assistance programs.  Includes 19 Supplemental Fact Sheets that provide important information and can be downloaded and kept as a reference. Topic-specific courses include:
  • Course 4.1: Medicare and Employer Insurance
  • Course 4.2: Medicare and Other Insurance
  • Course 4.3: Medicare and Medicaid
  • Course 4.4: Medicare Assistance Programs

Learning Outcomes:
Upon completion of the course, the learner will be able to:
  • Explain what coordination of benefits means and differentiate between primary and secondary insurance.
  • Determine when beneficiary’s current employee insurance pays primary or secondary to Medicare.
  • Understand how retiree insurance, COBRA insurance, and Federal Employee Health Benefits (FEHB) coordinate with Medicare.
  • Advise beneficiaries about when they may or may not want to delay Medicare enrollment.
  • Understand how military benefits coordinate with Medicare, including TRICARE, TRICARE for Life, and Veterans Affairs (VA) Benefits.
  • Explain how liability insurance, no-fault insurance, and workers’ compensation work with Medicare.
  • Discuss the basics of long-term care and dental insurance.
  • Recognize how Health Insurance Marketplaces may affect Medicare beneficiaries.
  • Explain what Medicaid is and what makes someone eligible.
  • Understand how to apply for Medicaid.
  • Discuss the services Medicaid covers.
  • Help beneficiaries’ transition among different types of Medicaid.
  • Discuss Medicare Savings Programs and how to screen for them.
  • Understand the federal Extra Help drug subsidy.
  • Seek out state-specific assistance programs.
  • Help beneficiaries apply for an array of programs.

About the Author:
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.

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