Medicare Blog

questions to ask medicare when you have cancer

by Sasha Schoen Published 2 years ago Updated 1 year ago
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What type of cancer do I have? What is the stage of my cancer? Has it spread to other areas of my body? Will I need more tests before treatment begins? Which ones? Which types of doctors do I need to see for my cancer treatment?

Full Answer

What questions should I ask my doctor about my cancer diagnosis?

Just be sure to think about what you'd like to know right now, and tell your doctor if you would like a little information or a lot. What type of cancer do I have? What is my exact diagnosis?

Is it hard to choose a Medicare plan for people with cancer?

Choosing a Medicare plan, however, can be very challenging. Because costs are so high, it’s especially important for people with cancer to understand how plans cover care and treatment.

What are the questions to ask when new to Medicare?

Questions to ask when new to Medicare 1 What are the basics? Medicare is a complex program and can sometimes be confusing. ... 2 What are your coverage options? ... 3 Should you enroll in Part D? ... 4 Are you eligible for programs that help lower Medicare costs? ... 5 What resources exist to help you navigate Medicare? ...

Does a cancer diagnosis affect Medicare enrollment?

Having a cancer diagnosis adds an additional layer to consider. Before making any enrollment decisions, it’s important to do your research and understand how Medicare is structured. The U.S. government’s Medicare website offers helpful information.

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Can you get on Medicare if you have cancer?

The good news is that you're eligible for Medicare. Choosing a Medicare plan, however, can be very challenging. Because costs are so high, it's especially important for people with cancer to understand how plans cover care and treatment.

What are good questions to ask about Medicare?

Use this guide to consider your options when preparing to enroll in Medicare or after you have already enrolled.What are the basics? ... What are your coverage options? ... Should you enroll in Part D? ... Are you eligible for programs that help lower Medicare costs? ... What resources exist to help you navigate Medicare?

What percentage of cancer treatment does Medicare cover?

80 percentMedicare covers cancer treatment prescribed by a doctor who accepts Medicare. Medicare pays 80 percent of what your care provider bills for prescribed, approved cancer treatments. You're responsible for 20 percent of the billed amount until you hit your annual deductible.

What to ask when you have been diagnosed with cancer?

Cancer diagnosisWhat type of cancer do I have? What is my exact diagnosis?Where is the cancer located? Has it spread?·What is my prognosis?

How do I get Medicare answers?

Do you have questions about your Medicare coverage? 1-800-MEDICARE (1-800-633-4227) can help. TTY users should call 1-877-486-2048.

How do I contact Medicare?

(800) 633-4227Centers for Medicare & Medicaid Services / Customer service

How Much Does Medicare pay for chemo?

Medicare Part B usually covers 80% of outpatient cancer-related services, such as radiation therapy and chemotherapy, after a $203 deductible. The insured person is responsible for paying the remaining 20% of the costs.

Does Medicare pay for chemo treatments?

Medicare covers chemotherapy if you have cancer. Part A covers inpatient hospital stays, care in a skilled nursing facility, hospice care, and some home health care. covers it if you're a hospital inpatient. Part B covers certain doctors' services, outpatient care, medical supplies, and preventive services.

Does Medicare cover radiation treatment for cancer?

Medicare Part A generally covers radiation cancer treatment for hospital inpatients. Medicare Part B covers radiation therapy for outpatients of patients in freestanding clinics. Medicare Advantage plans also generally cover radiation.

What are some good questions to ask an oncologist?

7 Key Questions to Ask Your OncologistWhere and when do you recommend getting a second opinion? ... What can I do to preserve my fertility? ... Is a clinical trial right for me? ... What should I do if I'm simply having trouble coming to grips with my diagnosis? ... What is the goal of my treatment? ... What will my treatment cost?More items...•

What happens when you get diagnosed with cancer?

The results of a biopsy, blood tests, physical exams, and imaging tests (x-rays or scans), along with any problems the cancer is causing, are used to decide which treatment options might be best for you. Your doctor may also talk with other experts to get their opinions.

How soon do you start chemo after diagnosis?

Most people want to start treatment right away. They worry that the extra time taken to do tests or make decisions will take up precious time that could be spent fighting the cancer. Cancer treatment should start very soon after diagnosis, but for most cancers, it won't hurt to wait a few weeks to begin treatment.

Why are some cancer patients anxious?

Some patients are anxious if they don't have enough information. Other people get stressed or feel overwhelmed by too much information. No matter which type of cancer patient you are, asking your health care team the right questions about your disease and cancer treatment can play an important part in managing your care.

How to improve communication with your doctor?

Improve communication with your doctor by doing the following: Write down your questions before your appointment.

What happens if you don't pay Medicare?

But, if you don’t pay the premium on a Medicare Advantage or Medigap plan, they can drop you. Also, if you don’t pay your Part D premium, the drug plan can drop you. Usually, they give multiple notices before the plan terminates your policy.

How many classes of drugs does Medicare cover?

There are many drugs covered under Medicare. Plus, every plan must cover the six protected classes. If you have medications that need coverage, use the Medicare plan finder tool to identify the policy that will cover your medications.

What is Medicare Part C?

Medicare Part C is a Medicare Advantage plan. These plans sometimes have a $0 per month premiums, and many of them include Part D drug coverage. However, there are some pitfalls to Medicare Advantage plans that you need to know before signing up.

What is a medicaid supplement?

A Medigap plan is a supplemental option for Medicare. Medigap plans are also Medicare Supplement plans; these policies fill the gaps in Medicare. So, when Medicare would otherwise charge you 20% or a deductible, the Medicare Supplement could instead pick up the bill.

Does Medicare pay less if you have a low income?

The cost of Medicare depends on many things. Those with a low income will likely pay less than the standard amount and may qualify for Medicare and Medicaid. Those with a higher income will likely pay more for Part B; this is called the Part B Income Related Monthly Adjustment Amount.

Is Medicare mandatory?

Of course, Medicare isn’t mandatory, so you can choose whichever option makes the most sense for your situation. You can also always consult your benefits administrator at the office where you work to identify your options.

How much does Medicare pay for cancer treatment?

You will pay this until you reach the plan’s out-of-pocket maximum. That maximum can be as high as $6,700 per calendar year within the network and even higher out-of-network.

What happens if you spend $5,100 on Medicare?

Once you spend $5,100 out of your own pocket, you’re considered to have catastrophic coverage, and the amount you pay for your drugs will decrease. If you meet certain income qualifications, there are programs that can help pay your Medicare premiums.

How much is Medicare Part A deductible?

For Medicare Part A, the inpatient deductible for hospital admissions will be $1,364 in 2019. Once your total payments equal this amount, you will not have to pay if you are hospitalized again. For Part B, patients must first pay an annual deductible of $185. After that, Medicare pays for 80% of all costs of any outpatient care you receive ...

Why do Medicare Advantage plans deny care?

It may be that prior authorization rules are a reason that sicker Medicare Advantage patients are more likely to dis-enroll in their plans than healthier people.

How much does Medicare pay for outpatient care?

After that, Medicare pays for 80% of all costs of any outpatient care you receive and you must pay the remaining 20%. (Many people with Medicare buy supplemental insurance, also called Medigap insurance, to cover their out-of-pocket costs under Part B.)

Why is it important to understand Medicare landscape?

Because costs are so high, it’s especially important for people with cancer to understand how plans cover care and treatment. The Medicare Landscape. Original Medicare. Medicare coverage, provided by the government, includes Parts A and B, which pay a large portion of the costs of inpatient care (visits that require hospital admission) ...

When do you change your Medicare Advantage plan?

After the initial 3 months, you must stay enrolled in the plan for the rest of the calendar year. The Annual Election Period in the fall is the most common time to change your Medicare Advantage plan. This period runs from October 15th to December 7th each year.

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