Medicare Blog

how not to mess medicare

by Tess Raynor Published 2 years ago Updated 1 year ago
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Here are some tips on how to tackle the Medicare red tape mess: 1. Know What You’re Worth If you’re having trouble getting through Medicare red tape, it may be because your claim is considered too low-value by the government.

Full Answer

How do I stop Medicare from calling me?

How to Stop Medicare Phone Calls First, you’ll want to be sure to add your telephone number to the Federal Trade Commission’s Do Not Call List. To register, call from the phone which you want on the Do Not Call list. The phone number is 1-888-382-1222.

Is it a scam when you get a call from Medicare?

Medicare will never call you to update your information or give you a new ID card. If anyone calls to collect your information, don’t provide it to them. A phone call like this is a scam. What Can a Scammer do With Your Medicare Number?

Do you need an insurance agent to fix Medicare mistakes?

Many who don’t have an insurance agent on their policies are left to fix these Medicare mistakes on their own. Here’s a few of the most common Medicare mistakes we’ve seen over the years so that you can avoid them.

How do I block Medicare spam calls?

If you have a smartphone, you can install a call blocker. You can choose to have any phone number not in your contact list go directly to voicemail. Spammers found a niche in claiming to be Medicare, so if you get a call from a person saying they’re with Medicare, you can guarantee its spam.

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Why are Medicare plans so confusing?

Medicare can seem confusing because they have tried to develop a system to accomodate a variety of lifestyles and financial situations across the country. In addition, they work to give Medicare beneficiaries as many options as possible when they move or if their health or financial conditions change.

What they don't tell you about Medicare?

'Medicare Part A covers hospital stays' What they don't tell you: There's either a deductible or daily copay. And if the hospital hoodwinks you into being “under observation,” rather than formally admitting you, your costs are going to be even higher. If you're in Original Medicare, Part A covers hospital stays.

What can disqualify you from receiving Medicare?

You have Lou Gehrig's disease, also known as amyotrophic lateral sclerosis (ALS), which qualifies you immediately; or. You have permanent kidney failure requiring regular dialysis or a kidney transplant — and you or your spouse has paid Social Security taxes for a specified period, depending on your age.

What are two major problems with respect to the future of Medicare?

Financing care for future generations is perhaps the greatest challenge facing Medicare, due to sustained increases in health care costs, the aging of the U.S. population, and the declining ratio of workers to beneficiaries.

How much money can you have in the bank if your on Medicare?

4. How to Qualify. To find out if you qualify for one of Medi-Cal's programs, look at your countable asset levels. As of July 1, 2022, you may have up to $130,000 in assets as an individual, up to $195,000 in assets as a couple, and an additional $65,000 for each family member.

Does Medicare look into your bank account?

Medicare plans and people who represent them can't do any of these things: Ask for your Social Security Number, bank account number, or credit card information unless it's needed to verify membership, determine enrollment eligibility, or process an enrollment request.

Will I lose Medicare if I start working?

Under this law, how long will I get to keep Medicare if I return to work? As long as your disabling condition still meets our rules, you can keep your Medicare coverage for at least 8 ½ years after you return to work.

What are the income limits for Medicare 2021?

In 2021, the adjustments will kick in for individuals with modified adjusted gross income above $88,000; for married couples who file a joint tax return, that amount is $176,000. For Part D prescription drug coverage, the additional amounts range from $12.30 to $77.10 with the same income thresholds applied.

How much does Medicare cost at age 62?

Reaching age 62 can affect your spouse's Medicare premiums He can still receive Medicare Part A, but he will have to pay a monthly premium for it. In 2020, the Medicare Part A premium can be as high as $458 per month.

Will Medicare ever go away?

Medicare is not going bankrupt. It will have money to pay for health care. Instead, it is projected to become insolvent. Insolvency means that Medicare may not have the funds to pay 100% of its expenses.

What happens when Medicare runs out in 2026?

The trust fund for Medicare Part A will be able to pay full benefits until 2026 before reserves will be depleted. That's the same year as predicted in 2020, according to a summary of the trustees 2021 report, which was released on Tuesday.

Is Medicare running out of money?

A report from Medicare's trustees in April 2020 estimated that the program's Part A trust fund, which subsidizes hospital and other inpatient care, would begin to run out of money in 2026.

How old do you have to be to set up a Medicare account?

You can do this at any time, even if Medicare is not on the horizon. To set up an account, you must: be at least 18 years old. have a Social Security number, and.

What were Helena's mistakes?

Helena committed three mistakes that wreaked havoc on her enrollment. Now, you can learn from her story. 1. Waiting until the last minute. Medicare is intimidating. Some keep putting it off, just as they might do with a root canal. In the past, they would rush down to their local Social Security office at the last minute ...

Why did Helena miss the deadline?

During the process of establishing a my Social Security account , the government will verify information in its system against the information you submit. This was likely the reason Helena missed her deadline. After the system locked her out, it took considerable effort to connect with a Social Security agent. Finally, she learned that her current name did not match the one in Social Security’s records. After her divorce in 2009, Helena changed her name.

Is Medicare enrollment a life event?

Medicare enrollment is a very important life event. You don’t want to make mistakes that will haunt you forever. But, given the complexity of today’s Medicare, with its various timelines, different options and a multitude of plans, mistakes can happen.

Did Helena make a mistake?

Helena made a mistake when she kept postponing enrollment. Don’t be like her; take the necessary steps as soon as you are eligible. Those turning 65 who will need Medicare should enroll during the first month of their Initial Enrollment Period (IEP). Helena could have started the process in May.

Can Social Security make Medicare difficult?

Some issues with Social Security can create problems when enrolling in Medicare. getty. If your time for Medicare enrollment is approaching, just imagine being shut out when you try. That’s a real possibility and it happens more frequently than it should. Here’s a real-life, sad story.

Is Social Security closed in 2020?

However, since March 17, 2020, all local Social Security offices have been closed to the public. Even before that, years of budget cuts have led to long waits for customer service.

Medicare Post-Enrollment Errors to Prevent

Here are a few of the most famous Medicare errors that we’ve seen over the years and how to prevent them from occurring.

Failing to Pay Premiums for Your Part B

Many individuals today work well past the age of 65. Because they still have working jobs, most of these individuals defer their Social Security income benefits. Although, in that case, Medicare does not subtract your Part B premiums from your Social Security check; they give you a quarterly invoice instead.

Presenting the Incorrect ID Card to Your Provider – Part 1

This one has multiple variants of Medicare’s simple errors. You will show your initial Medicare card (and Medigap card) to your provider at the time of service if you have selected Medicare as your primary coverage.

Presenting the Incorrect ID Card to Your Provider – Part 2

The second version of “ID card errors” that we frequently see happening is that applicants show their Medicare card for drug-related expenses, or vice versa, their Part D card for non-drug-related expenses.

Paying Your Part B Deduction to Your Insurer Before Medicare Has Processed the Claim

In 2020, Medicare Part B has a deductible of $198. In most years, this goes up a little bit. There are some common plans for Medigap, such as Plan G and Plan N, where you agree to pay the annual deductible for Part B.

Wishful Thought From Preventive Treatment

There is a range of excellent preventive care benefits for Medicare that are entirely covered. Medicare rewards you for 100% of them. This covers cardiovascular disease, diabetes, and aneurysm screenings. Popular cancer tests include colonoscopy, mammograms, and testing for lung cancer.

Failure to Check Your Annual Adjustment Notice

We run a series of webinars about the upcoming Annual Election Cycle for our current customers every year here in the fall. All our existing customers are invited, and we advertise it ahead of time via email. The explanation that we’re giving so far is easy. People forget what they’re supposed to do under their drug plan each year.

Aggressive or threatening tactics

Fraudulent sellers of Medicare plans may call many times throughout the day, leave numerous voice mails, or call you back even after you hang up.

Unsolicited phone calls

Medicare scammers may pretend to work for the government or claim to represent legitimate insurance companies. They can even change their caller identification information to make it look like they are calling from your local Medicare office.

Identity verification

Fake "identity verification" scams are an easy way for criminals to get your Social Security number, full name, home address, and other information that enables them to steal your identity. Sometimes they even ask for a credit card number for verification purposes, as a way to access your financial accounts.

Email solicitations

A few simple design tools can make an email look like it came from Medicare or an insurance provider. Scammers can even spoof Medicare email addresses, or redirect you to a web page that looks identical to the real Medicare page.

Mail solicitation

While some Medicare plans and service providers may contact you through the mail, many scammers also send fake plan documents. Rather than directly responding using the contact information listed in direct mailings, research plans on the Medicare page or on your preferred Medicare Advantage insurer's website.

Door-to-Door Sales

Insurance agents cannot show up at your house to sell you a plan without an appointment. This means that a door-to-door solicitor offering to sell you a plan is likely a scammer. Do not give them personal information or allow them into your home.

Medicare Advantage

Regarding “ Tomlinson: There's a big problem with Medicare Advantage ,” (Aug. 23): Chris Tomlinson nailed it in pointing out that Medicare Advantage plans do not deliver for the American people.

District Attorney

Regarding “ Editorial: How Harris County prosecutors are trying to stop Houston's crime wave ,” (Aug. 22): It’s about time that the Chronicle acknowledged the district attorney’s cry for more help. There is a known backlog of cases that are definitely crippling our D.A.’s office. It seems that D.A.

Focus on the COVID filtration devices

Regarding “ Grieder: Rick Perry's pitch for COVID-zapping filtration devices was a bit much ,” (Aug. 25): Erica Grieder’s article is a great example of the useless rambling called journalism that we citizens receive each day.

What to do if you think Medicare is calling you?

If you think the call is from Medicare, hang up and call them back at the national number. Then, if it was one of them, they can help you. However, if Medicare isn’t attempting to reach you, then you avoid a spammer trying to steal your information. Telemarketing calls attempt to commit fraud and theft.

How to report a fraudulent call to Medicare?

How to Report a Medicare Call. You can report a fraudulent call from someone claiming they worked for Medicare by going to the FTC Complaint Assistant. You can help protect yourself from fraudulent activities by never offering credit card or personal information to anyone.

How to protect yourself from robocalls?

If this is your case, you might consider downloading an application to your cell phone that can help safeguard you from robocalls. When a robocall strikes your phone, be sure to never speak to them. By responding, you’re telling the spammers that your phone number is active. Immediately file a complaint with the FTC.

How long after you register for Do Not Call list can you get spam calls?

Also, register both your cell phone and home phone to put an end to the calls. If you find you’re still getting spam calls 31 days after you register with the Do Not Call list, file a complaint. If you have a smartphone, you can install a call blocker.

Is a robocall the same as a doctor's appointment?

Not all robocalls are the same. Often, doctors’ offices will use a robocall to remind you of a doctor’s appointment. Keep this in mind when listening to a robocall. Not all robocalls are harmful, but about 40% of them are spam, and that’s why making reports is essential.

Can you get information from Medicare if you have Social Security?

When enrolling in Medicare, you should be aware that neither Social Security nor Medicare calls you to get information. Should any issue arise in which Medicare or Social Security needs any information from you, they’ll ALWAYS send you a letter to notify you. If you’re getting too many spam phone calls, you might want to get on ...

Will Medicare call you?

Medicare will never call you! Medicare may need information from you or may need to reach you; but, they’ll NEVER call. You’ll get a letter that will notify you of the necessary information that Medicare needs. Long story short, if the calls you’re receiving claim to be from Medicare, it’s a spam call.

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