Medicare Options & Coverage Rules

Est. Study Time: 5 hours
8 CEUs
8 PDCs


This interactive course, organized into topic-specific modules, expands on baseline Medicare knowledge and elaborates on specific coverage rules for Medicare Parts A, B, C, and D. You will develop a better understanding of Medicare enrollment periods and Medicare coverage rules and learn important differences between Original Medicare and Medicare Advantage Plans. Includes 35 Supplemental Fact Sheets that provide important information and can be downloaded and kept as a reference. Topic-specific modules include: Module 1 - Medicare Part A (Hospital Insurance), Module 2 - Medicare Part B (Medical Insurance), Module 3 - Medicare Part D (Prescription Drug Benefit), Module 4 - Medigaps, Module 5 - Medicare Advantage Plans. Worth 8 PDCs (SHRM) and 8 CEUs (HRCI General Credits).
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Learning Objectives

  • *Updated in 2020
  • Identify what services Part A covers
  • Understand when Part A covers those services
  • Explain Part A costs: premiums, deductibles, and coinsurances
  • Identify what services Part B covers
  • Understand when Part B covers those services
  • Explain Part B costs: premiums, deductibles, and coinsurances
  • Identify which types of drugs Part D does and does not cover
  • Explain coverage restrictions that Part D plans can place on covered drugs
  • Understand Part D costs and coverage throughout the year
  • Use Plan Finder to choose a drug plan
  • Explain what a Medigap is
  • Determine when the beneficiary has the right to buy a Medigap
  • Identify the different types of Medigap plans
  • Explain how Medicare Advantage is different from Original Medicare
  • Identify the different types of Medicare Advantage Plans
  • Understand the basics of what Medicare Advantage Plans cover and at what costs
  • Discuss how and when to file a formal complaint or grievance

How do I earn credits with VTR Learning?

Earning credits with VTR Learning is easy. Simply purchase one of our self-paced courses and complete it within a year. Afterward, you will be given a certificate of completion, which contains a code to submit to your certifying organization.

Can I earn free credits?

Yes, you can! For each organization we serve, we offer at least one free course, which can be found at the top of the Shop page. Once you have completed a course, whether free or paid, your certificate of completion will be available under “My Courses”.

How quickly do I receive my credits after completing a course?

Immediately! Once you have completed a course, you will have access to your certificate of completion/activity ID to submit to your organization to redeem your credits.

How long do I have to complete my course?

You have one year after beginning your course to complete it. After that year, your course will close automatically and no progress will be permitted.

What happens if I fail my course?

Your course will reset and you will be allowed to retake the course until you have met the passing requirements.

Do I earn a certificate of completion?

If you are looking to recertify with HRCI, SHRM, APA, and NASBA/AICPA, we offer a certificate of completion that can be used to redeem continuing education credit with these organizations. However, our courses are not accredited stand-alone and are not a certification in any way.

HRCI: VTR is a recognized provider of recertification credits. HR Certification Institute® preapproved this program for 8 credits toward aPHR™, PHR™, PHRca™, SPHR™, GPHR™, PHRi™, and SPHRi™ recertification.

SHRM: VTR is recognized by SHRM to offer SHRM-CP or SHRM-SCP professional development credits (PDCs). This program is valid for 8 PDCs. For more information about certification or recertification, please visit