Скачать или смотреть Plan Types, Benefits & Enrollment Rules (AHIP 2026)

Learn everything you need to know about Medicare Advantage (Medicare Part C) in this complete Module 2 training video. This lesson breaks down how MA plans work, who can enroll, what benefits they offer, and how they coordinate with prescription drug coverage.

Perfect for insurance agents, brokers, Medicare learners, and anyone preparing for Medicare certification.

What You’ll Learn in Module 2

✔️ How Medicare Advantage plans work and what they cover
✔️ Eligibility rules, costs, premiums, and MOOP limits
✔️ HMO, PPO, PFFS, and MSA plan differences
✔️ What Special Needs Plans (SNPs) are and who qualifies
✔️ How Medicare Advantage works with Part D drug plans
✔️ Employer/Union MA plan options (EGWPs & direct contracts)
✔️ Dual-eligible rules and integrated care models
✔️ Appeals, grievances, and enrollee protections

Topics Covered:
Medicare Advantage Overview
Coordinated Care Plans (HMOs, PPOs, POS)
Special Needs Plans (C-SNP, D-SNP, I-SNP)
Private Fee-for-Service (PFFS) plans
Medicare MSA plans
Employer/Union MA plans
Eligibility, costs, and MOOP
Prescription drug coordination (MAPD & PDPs)
Other Medicare plan types (PACE, Cost Plans, MMPs)
Appeals, grievances, and beneficiary rights

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00:00 - Introduction
02:23 - Medicare Advantage Plans Overview
04:55 - Coordinated Care Plans
08:11 - Special Needs Plans (SNPs)
14:04 - Private Fee-for-Service Plans
18:10 - Medical Savings Account Plans
20:54 - Employer/Union MA Plans
22:29 - Eligibility, Costs, & Benefits
26:38 - MA & Prescription Drugs
28:29 - Other Types of Plans
31:06 - Enrollee Protections, Appeals, & Grievances
34:01 - Review