Medicare Terms – I

In-Network

This means we have a contract with a doctor or other health care provider. We negotiate reduced rates with network providers to help you save money. Network providers won’t bill you for the difference between their standard rate and their contracted rate. All you pay is your coinsurance or copay, along with any deductible.

Initial Coverage Limit

This is a set amount of drug costs. They include what you pay, plus what your plan pays. When you reach the initial coverage limit, you enter the coverage gap (donut hole), and the terms of your benefits change.

Initial Coverage Stage

This is the stage after you have met your deductible (if it applies) and before your total drug costs have reached the initial coverage limit. Total drug costs include what you have paid and what your plan has paid.

Initial Enrollment Period (IEP)

This period lasts for seven months. It centers on the event that qualifies you for Medicare. For most people, that event is your 65th birthday. Also see Medicare Initial Enrollment Period.

Inpatient

Being admitted to the hospital. 

Inpatient Rehabilitation Facility

A hospital, or part of a hospital, that provides an intensive rehabilitation program to inpatients.

Income-Related Monthly Adjustment Amount (IRMAA)

It is an amount you may pay in addition to your Part B or Part D premium if your income is above a certain level.

Medicare uses the modified adjusted gross income reported on your IRS tax return from 2 years ago.