The Medicare.gov website has general information about Medicare including information about who’s eligible, how to sign up, how much Medicare costs and the different types of Medicare. You’ll be able to access step-by-step instructions for filing an appeal if Medicare isn’t paying for something you think is a covered benefit. You’ll also find instructions on how to file a complaint if you’re not satisfied with the quality of care or services you’ve received from a Medicare provider or health plan.
How to Get Help With Medicare Decisions
The options and choices available to Medicare beneficiaries today can be overwhelming. In addition to original Medicare (Part A and B) that has been around for 49 years, you also have the option of enrolling in a Part D prescription drug plan and a supplemental (Medigap) policy — both of which are sold by private insurance companies. Or, a Medicare Advantage plan which covers health care, prescription drugs and extra services all in one. These plans, which are also sold by private insurers, are generally available through HMOs and PPOs. To help you figure out the Medicare plans for you, there are a variety of services and tools available today depending on how much help you need. Here are several to get you started.
Get Help Paying for Medicare
Whether you are eligible for financial assistance depends on your income. This includes money you get from retirement benefits or other income you report on your taxes. Your assets, like property other than your house, are considered, too.
Medicare News and Information
During the Medicare open enrollment period, which runs from October 15 to December 7 each year, beneficiaries can enroll in a plan that provides Part D drug coverage, either a stand-alone prescription drug plan (PDP) as a supplement to traditional Medicare, or a Medicare Advantage drug plan (MA-PD), which provides all Medicare-covered benefits including drugs.
Medicare and Medicaid Help
For Medicare recepients who are researching whether a specific procedure is covered, there is the Coverage Issues Manual. The manual addresses coverages issues for clinical trials, medical procedures, supplies, diagnostic services, prosthetic devices, and nursing services. Medicaid Expansion State by State discussion provided by Coverage Counts Many low-income adults could gain access to Medicaid “a state-based health program” through a provision in the Affordable Care Act health reform law. Each state determines who is eligible for health care under Medicaid; in most states, people who qualify must have a low income and be under the age of 18, pregnant or have specific diseases. The health reform law gives each state the option to expand Medicaid coverage and include all people who earn less than 133 percent of the federal poverty level; Currently, the costs of Medicaid coverage are split evenly between states and the federal government. Under the expansion, the federal government will reimburse at least 90 percent of states’ Medicaid costs. Medicare Primer This booklet is designed to familiarize individuals with the Medicare program with an emphasis on prescription coverage and utilization. The primer contains: