An Overview of Medicare and Retiree Medical Presented
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An Overview of Medicare and Retiree Medical Presented at the Pacific Region Retiree Gathering May 26, 2008 www. pfizerplus. com
Medicare Eligibility www. pfizerplus. com
Medicare Parts A, B and D www. pfizerplus. com
How to Enroll in Medicare Social Security Administration (1 -800) 772 -1213 www. Medicare. gov www. pfizerplus. com
Medicare Part A – Hospital Insurance Helps pay for: • Care in hospitals as an inpatient • Critical access hospitals (small facilities that give limited outpatient and inpatient services to people in rural areas) • Skilled nursing facilities (not custodial or long-term care) • Hospice care • Some health care www. pfizerplus. com
Medicare Part B – Medical Insurance Helps pay for: • Doctors' services • Outpatient hospital care • Other medical services that Part A doesn't cover, such physical and occupational therapy, some health care and supplies deemed medically necessary by a physician www. pfizerplus. com
Medicare Coordination Example Enrolled in Medicare Parts A and B Total Hospital & Doctors Charges $22, 000 Less Amount Paid By Medicare $19, 503 Pfizer Plan Coverage $ Retiree’s Portion (includes deductible & out-of-pocket max) 497 $ 2, 000 www. pfizerplus. com
Medicare Coordination Example Enrolled in Medicare Part B Total Hospital & Doctors Charges $22, 000 Less Amount Paid By Medicare $19, 503 Pfizer Plan Coverage (Plan pays as if $ 497 enrolled in Part B) Retiree’s Portion (includes deductible & out-of-pocket max) and the portion Part B $ 2, 000 would have covered www. pfizerplus. com
Medicare Coordination Example NOT Enrolled in Medicare Part B Total Hospital & Doctors’ Charges $22, 000 Retiree pays Part A deductible $ Hospital Outpatient & Physician costs (Part B eligible expenses) Pfizer Plan Coverage (Plan pays as if $ 7, 000 $ 992 0 enrolled in Part B) Retiree’s Portion (includes deductible & out-of-pocket max) $ 7, 000 www. pfizerplus. com
Retiree Medical and Medicare Coordination of Benefits To receive the maximum benefits available under your Pfizer-sponsored retiree medical coverage you, your spouse or other qualified adult should enroll both Medicare Part A and Part B. www. pfizerplus. com
Q&A www. pfizerplus. com