Below is a list of terms commonly used in the Medicare enrollment process: 2025

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The 837P (Professional) is the standard format used by health care professionals and suppliers to transmit health care claims electronically. The Form CMS-1500 is the standard paper claim form to bill Medicare Fee-For-Service (FFS) Contractors when a paper claim is allowed.
Which is a characteristic of Medicare enrollment? Eligible individuals are automatically enrolled, or they apply for coverage. A Medicare benefit period is defined as beginning the first day of hospitalization and ending when? The patient has been out of the hospital for 60 consecutive days.
Employer Group Health Plan Insurance (EGHP) If your retiree employer group health insurance plan (EGHP) coverage includes prescription drug coverage that is as good as or better than Medicare Part D plan, you just need to enroll in Medicare Parts A and B prior to your 65th birthday.
You are eligible for Medicare if you are a citizen of the United States or have been a legal resident for at least 5 years and: You are age 65 or older and you or your spouse has worked for at least 10 years (or 40 quarters) in Medicare-covered employment.
With a Medicare Advantage Plan, you may have coverage for things Original Medicare doesnt cover, like fitness programs (gym memberships or discounts) and some vision, hearing, and dental services (like routine checkups or cleanings).
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Medicare is federal health insurance for anyone age 65 and older, and some people under 65 with certain disabilities or conditions. Medicaid is a joint federal and state program that gives health coverage to some people with limited income and resources.

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