Working with Older Adults Certificate Program

FEDERAL AND STATE PROGRAMS FOR RETIREMENT AND HEALTH CARE

Chapter 20: Medicare

Chapter 21: Medicaid and Older Adults

Chapter 22: Social Security and SSI

Chapter 23: Veterans Benefits

LEARNING OBJECTIVES

Chapter 20: Medicare

  · Explain common misperceptions about Medicare coverage.

· Identify the groups eligible for Medicare and when and how they enroll.

· Describe Medicare Parts A,B,C, and D.

· Contrast the benefits and out-of-pocket costs of Parts A and B.

· Provide examples of what Medicare covers and does not cover.

· Contrast the four main options for supplementing Medicare.

· Explain how Medigap insurance complements Original Medicare.

· Discuss how Part D works with other parts of Medicare.

· Tell where to report suspected Medicare fraud and abuse and marketing violations.

· Explain the Medicare appeals process.

Chapter 21: Medicaid and Older Adults

· Identify the main differences between Medicaid and Medicare.

· Explain Medicaid’s role in providing long-term care services and supports.

· Discuss Medicaid’s eligibility rules.

· Recognize the multiple meanings of spend-down.

· Describe the Medicaid application process.

· Discuss how spousal income rules affect Medicaid eligibility for married couples.

· Explain how the look-back period affects Medicaid eligibility.

· Tell how states recover the cost of Medicaid benefits.

Chapter 22: Social Security and SSI

· Identify the eligibility criteria for retirement benefits.

· Discuss the benefits available for spouses, dependents and survivors.

· Explain factors to consider when choosing the best time to retire.

· Tell how working while receiving benefits affects benefit amounts and taxes.

· Discuss the eligibility criteria for Social Security Disability insurance.

· Identify the requirements for Supplemental Security Income.

Chapter 23: Veterans Benefits

· Recognize older adults who may be eligible for VA benefits.

· Identify the types of VA benefits programs.

· Discuss the net worth and income requirements for pension benefits.

· Identify the benefits programs based on service-connected disabilities.

· Describe burial and memorial benefits.

· Explain the claims process and required documents for VA benefits.

· Compare key aspects of VA pension and Medicaid long-term care benefits.