FAQ-Page
Skilled nursing care and therapy services provided on a daily basis in a skilled
nursing facility. Examples of skilled nursing facility care include physical therapy
or intravenous injections that can only be given by a physical therapist or a
registered nurse.
Source: Medicare and You 2027 Medicare Handbook
A nursing facility with the staff and equipment to give skilled nursing care and,
in most cases, skilled rehabilitative services and other related health services.
Source: Medicare and You 2027 Medicare Handbook
An area you must live in for the plan to accept you as a member. For plans that
limit which doctors and hospitals you may use, it’s also generally the area where
you can get routine (non-emergency) services. Plans can, and in some cases
must, disenroll you if you move outside their service area.
Source: Medicare and You 2027 Medicare Handbook
A facility that provides emergency department service, observation care, and
certain other specified outpatient medical and health services to patients that
generally stay less than 24 hours.
Source: Medicare and You 2027 Medicare Handbook
A written order from your primary care doctor for you to visit a specialist or get
certain medical services. Without a referral, your plan may not pay for services
from a specialist.
Source: Medicare and You 2027 Medicare Handbook
The doctor you go to first for most health problems. They may talk with other
doctors and health care providers about your care and refer you to them.
Source: Medicare and You 2027 Medicare Handbook
An amount you may be required to pay as your share of the cost for benefits after you pay any deductibles. A copayment is a fixed amount, like $30.
Source: Medicare and You 2027 Medicare Handbook
An amount you may be required to pay as your share of the cost for benefits after you pay any deductibles. Coinsurance is usually a percentage (for example, 20%).
Source: Medicare and You 2027 Medicare Handbook
Click a topic to expand to see all related FAQs.
01 General
Skilled nursing care and therapy services provided on a daily basis in a skilled
nursing facility. Examples of skilled nursing facility care include physical therapy
or intravenous injections that can only be given by a physical therapist or a
registered nurse.
Source: Medicare and You 2027 Medicare Handbook
A nursing facility with the staff and equipment to give skilled nursing care and,
in most cases, skilled rehabilitative services and other related health services.
Source: Medicare and You 2027 Medicare Handbook
An area you must live in for the plan to accept you as a member. For plans that
limit which doctors and hospitals you may use, it’s also generally the area where
you can get routine (non-emergency) services. Plans can, and in some cases
must, disenroll you if you move outside their service area.
Source: Medicare and You 2027 Medicare Handbook
A facility that provides emergency department service, observation care, and
certain other specified outpatient medical and health services to patients that
generally stay less than 24 hours.
Source: Medicare and You 2027 Medicare Handbook
A written order from your primary care doctor for you to visit a specialist or get
certain medical services. Without a referral, your plan may not pay for services
from a specialist.
Source: Medicare and You 2027 Medicare Handbook
The doctor you go to first for most health problems. They may talk with other
doctors and health care providers about your care and refer you to them.
Source: Medicare and You 2027 Medicare Handbook
An amount you may be required to pay as your share of the cost for benefits after you pay any deductibles. A copayment is a fixed amount, like $30.
Source: Medicare and You 2027 Medicare Handbook
An amount you may be required to pay as your share of the cost for benefits after you pay any deductibles. Coinsurance is usually a percentage (for example, 20%).
Source: Medicare and You 2027 Medicare Handbook
02 Medicare
Skilled nursing care and therapy services provided on a daily basis in a skilled
nursing facility. Examples of skilled nursing facility care include physical therapy
or intravenous injections that can only be given by a physical therapist or a
registered nurse.
Source: Medicare and You 2027 Medicare Handbook
A nursing facility with the staff and equipment to give skilled nursing care and,
in most cases, skilled rehabilitative services and other related health services.
Source: Medicare and You 2027 Medicare Handbook
An area you must live in for the plan to accept you as a member. For plans that
limit which doctors and hospitals you may use, it’s also generally the area where
you can get routine (non-emergency) services. Plans can, and in some cases
must, disenroll you if you move outside their service area.
Source: Medicare and You 2027 Medicare Handbook
A facility that provides emergency department service, observation care, and
certain other specified outpatient medical and health services to patients that
generally stay less than 24 hours.
Source: Medicare and You 2027 Medicare Handbook
A written order from your primary care doctor for you to visit a specialist or get
certain medical services. Without a referral, your plan may not pay for services
from a specialist.
Source: Medicare and You 2027 Medicare Handbook
The doctor you go to first for most health problems. They may talk with other
doctors and health care providers about your care and refer you to them.
Source: Medicare and You 2027 Medicare Handbook
An amount you may be required to pay as your share of the cost for benefits after you pay any deductibles. A copayment is a fixed amount, like $30.
Source: Medicare and You 2027 Medicare Handbook
An amount you may be required to pay as your share of the cost for benefits after you pay any deductibles. Coinsurance is usually a percentage (for example, 20%).
Source: Medicare and You 2027 Medicare Handbook
03 Affordable Care Marketplace
Skilled nursing care and therapy services provided on a daily basis in a skilled
nursing facility. Examples of skilled nursing facility care include physical therapy
or intravenous injections that can only be given by a physical therapist or a
registered nurse.
Source: Medicare and You 2027 Medicare Handbook
A nursing facility with the staff and equipment to give skilled nursing care and,
in most cases, skilled rehabilitative services and other related health services.
Source: Medicare and You 2027 Medicare Handbook
An area you must live in for the plan to accept you as a member. For plans that
limit which doctors and hospitals you may use, it’s also generally the area where
you can get routine (non-emergency) services. Plans can, and in some cases
must, disenroll you if you move outside their service area.
Source: Medicare and You 2027 Medicare Handbook
A facility that provides emergency department service, observation care, and
certain other specified outpatient medical and health services to patients that
generally stay less than 24 hours.
Source: Medicare and You 2027 Medicare Handbook
A written order from your primary care doctor for you to visit a specialist or get
certain medical services. Without a referral, your plan may not pay for services
from a specialist.
Source: Medicare and You 2027 Medicare Handbook
The doctor you go to first for most health problems. They may talk with other
doctors and health care providers about your care and refer you to them.
Source: Medicare and You 2027 Medicare Handbook
An amount you may be required to pay as your share of the cost for benefits after you pay any deductibles. A copayment is a fixed amount, like $30.
Source: Medicare and You 2027 Medicare Handbook
An amount you may be required to pay as your share of the cost for benefits after you pay any deductibles. Coinsurance is usually a percentage (for example, 20%).
Source: Medicare and You 2027 Medicare Handbook
It is calculated on your current year’s approximated Adjusted Gross Income.
There are two main reasons people choose the ACA: 1) These plans cover pre-existing conditions. 2) You can receive a substantial premium subsidy.
Yes, anyone can enroll in an Affordable Care Act plan. You can enroll during Open Enrollment which is November 1st through January 15th. You can also qualify for a Special Enrollment Period outside of Open Enrollment when you have a qualifying life event (For example, marriage, new baby, loss of insurance, etc.) All Affordable Care Act plans are HMO provider networks.
FAQ-Page
Skilled nursing care and therapy services provided on a daily basis in a skilled
nursing facility. Examples of skilled nursing facility care include physical therapy
or intravenous injections that can only be given by a physical therapist or a
registered nurse.
Source: Medicare and You 2027 Medicare Handbook
A nursing facility with the staff and equipment to give skilled nursing care and,
in most cases, skilled rehabilitative services and other related health services.
Source: Medicare and You 2027 Medicare Handbook
An area you must live in for the plan to accept you as a member. For plans that
limit which doctors and hospitals you may use, it’s also generally the area where
you can get routine (non-emergency) services. Plans can, and in some cases
must, disenroll you if you move outside their service area.
Source: Medicare and You 2027 Medicare Handbook
A facility that provides emergency department service, observation care, and
certain other specified outpatient medical and health services to patients that
generally stay less than 24 hours.
Source: Medicare and You 2027 Medicare Handbook
A written order from your primary care doctor for you to visit a specialist or get
certain medical services. Without a referral, your plan may not pay for services
from a specialist.
Source: Medicare and You 2027 Medicare Handbook
The doctor you go to first for most health problems. They may talk with other
doctors and health care providers about your care and refer you to them.
Source: Medicare and You 2027 Medicare Handbook
An amount you may be required to pay as your share of the cost for benefits after you pay any deductibles. A copayment is a fixed amount, like $30.
Source: Medicare and You 2027 Medicare Handbook
An amount you may be required to pay as your share of the cost for benefits after you pay any deductibles. Coinsurance is usually a percentage (for example, 20%).
Source: Medicare and You 2027 Medicare Handbook




