Module 6 Instructor Notes



Centers for Medicare & Medicaid Services

National Medicare Training Program

Instructor Information Sheet

Module 6

Medicare Entitlement Because of ESRD or Disability

Module Description

This module focuses on those beneficiaries entitled to Medicare because of End-Stage Renal Disease or a disability. It will provide in-depth information on eligibility, benefits, Medicare Advantage options, Medigap guaranteed issue rights, and legislative changes affecting these two populations.

Session Topics

Lesson A: Medicare Coverage for People with End-Stage Renal Disease

• Overview

• Eligibility and enrollment

• Coverage

• Health plan options

• Information sources

Lesson B: Medicare Entitlement Because of a Disability

• Overview

• Eligibility and enrollment

• Health plan choices

• Information sources

Target Audience

This module is designed for presentation to trainers and other information givers. Pages 67-83 contain detailed information and may not be appropriate for some audiences.

Time Considerations

The module consists of two lessons of 43 and 40 PowerPoint slides, respectively, with corresponding speaker’s notes. It can be presented in about 1 hour per lesson. Allow approximately 20 more minutes at the end of each lesson for discussion, and questions and answers.

References

• 2003 CMS Statistics, CMS Publication No. 034445, June 2003

• Work Incentives For People with Disabilities (Red Book), SSA No. 64-030, February 2004

• Benefits for Children with Disabilities, SSA Publication No. 05-10026, August 2001

• Disability Benefits, Publication No. 05-10029, February 2003

• Disability Evaluation Under Social Security (Blue Book), Publication No. 64-039, January 2003

• How Worker’s Compensation And Other Disability Payments May Affect Your Benefits, SSA Publication No. 05-10018, January 2004

• If You Are Blind or Have Low Vision...How We Can Help, SSA Publication No.05-10052, March 2004

• Medicare Coverage of Kidney Dialysis and Transplant Services, CMS Publication 10128

• Online Social Security Handbook,

• Supplemental Security Income, Publication No. 05-11000, April 2003

Working While Disabled—How We Can Help, SSA Publication No. 05-10095, January 2004.

• disability (updated July 21, 2003)

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