Medicare Blog

what agency do you talk to about medicare

by Helena Kilback Published 2 years ago Updated 1 year ago
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Locate a Medicare office near you and learn how to utilize Medicare services online or over the phone. The Centers for Medicare and Medicaid

Medicaid

Medicaid in the United States is a federal and state program that helps with medical costs for some people with limited income and resources. Medicaid also offers benefits not normally covered by Medicare, including nursing home care and personal care services. The Health Insurance As…

Services (CMS

Centers for Medicare and Medicaid Services

The Centers for Medicare & Medicaid Services, previously known as the Health Care Financing Administration, is a federal agency within the United States Department of Health and Human Services that administers the Medicare program and works in partnership with state government…

)
oversees and manages Medicare, and the Social Security Administration (SSA) works with CMS to help enroll Medicare beneficiaries.

The State Survey Agency
State Survey Agencies oversee health care facilities that participate in the Medicare and/or Medicaid programs.

Full Answer

How do I talk to a real person at Medicare?

For specific billing questions and questions about your claim, medical records, or expenses, log into MyMedicare.gov, or call us at 1-800-MEDICARE (1-800-633-4227). TTY users call 1-877-486-2048.

How is Medicare managed by the government?

Medicare is managed by the Centers for Medicare & Medicaid Services (CMS). The Social Security Administration works with CMS by enrolling people in Medicare. Am I eligible? To find out when you are eligible, you need to answer a few questions and learn how to calculate your premium. If you are eligible, learn about the enrollment period.

Where can I get help with Medicare questions?

Medicare.gov Live Chat is available 24 hours a day, 7 days a week, except some federal holidays. For questions about your claims or other personal Medicare information, log into (or create) your secure Medicare account , or call us at 1-800-MEDICARE (1-800-633-4227).

How do I find a doctor who accepts Medicare?

You can also find more information online about how to find a physician near you who accepts Medicare. Fortunately, many of the services offered by a Medicare office – such as Medicare enrollment – can also be performed online or over the phone, so you may not even have to leave your house to get the Medicare help you need.

What is a medicaid supervisor?

What to do if your plan refuses to cover a service?

About this website

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What agency regulates Medicare?

The federal agency that oversees CMS, which administers programs for protecting the health of all Americans, including Medicare, the Marketplace, Medicaid, and the Children's Health Insurance Program (CHIP).

Do I automatically get Medicare when I turn 65?

Yes. If you are receiving benefits, the Social Security Administration will automatically sign you up at age 65 for parts A and B of Medicare. (Medicare is operated by the federal Centers for Medicare & Medicaid Services, but Social Security handles enrollment.)

What is the role of CMS?

The Centers for Medicare and Medicaid Services (CMS) provides health coverage to more than 100 million people through Medicare, Medicaid, the Children's Health Insurance Program, and the Health Insurance Marketplace.

What is the phone number to contact Medicare?

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

What documents do I need to apply for Medicare?

What documents do I need to enroll in Medicare?your Social Security number.your date and place of birth.your citizenship status.the name and Social Security number of your current spouse and any former spouses.the date and place of any marriages or divorces you've had.More items...

Do I need to contact Social Security when I turn 65?

Is it automatic when I turn 65? To enroll in Medicare, most people need to contact Social Security directly. Do this before your 65th birthday to avoid a lapse in health coverage.

Is CMS the same as Medicare?

The Centers for Medicare and Medicaid Services (CMS) is a part of Health and Human Services (HHS) and is not the same as Medicare. Medicare is a federally run government health insurance program, which is administered by CMS.

Who is the head of Medicare?

On Tuesday, the Senate confirmed Chiquita Brooks-LaSure as the new administrator of the Centers for Medicare and Medicaid Services (CMS). She becomes the first Black woman to head the agency that administers health care for more than 100 million Americans, including and especially seniors.

How is Medicare regulated?

The Social Security Administration (SSA) oversees Medicare eligibility and enrollment.

How do I contact my local Medicare office?

1-800-MEDICARE (1-800-633-4227) For specific billing questions and questions about your claims, medical records, or expenses, log into your secure Medicare account, or call us at 1-800-MEDICARE.

Does Medicare have local offices?

Does Medicare Have Local Offices? Medicare does not have local offices.

Do you automatically get Medicare with Social Security?

You automatically get Medicare because you're getting benefits from Social Security (or the Railroad Retirement Board). Part B covers certain doctors' services, outpatient care, medical supplies, and preventive services.

Medicare Eligibility, Applications, and Appeals

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Voluntary Termination of Medicare Part B

You can voluntarily terminate your Medicare Part B (medical insurance). It is a serious decision. You must submit Form CMS-1763 to the Social Secur...

Medicare Prescription Drug Coverage (Part D)

Part D of Medicare is an insurance coverage plan for prescription medication. Learn about the costs for Medicare drug coverage.EligibilityPrescript...

Replace Your Medicare Card

You can replace your Medicare card in one of the following ways if it was lost, stolen, or destroyed:Log into your MyMedicare.gov account and reque...

Medicare Coverage Outside the United States

Medicare coverage outside the United States is limited. Learn about coverage if you live or are traveling outside the United States.Original Medica...

Nursing Home Complaint Form - Medicare

Improving Nursing Home Compare: Standardized Complaint Form Report – October 12, 2010 3. Please provide as much information as possible including the date, time, how

Reporting problems in a skilled nursing facility | Medicare

If you have a problem at the skilled nursing facility (SNF), talk to the staff involved. For example, if you have a problem with your care, talk to the nurse or Certified Nurse Assistant (CNA).

How can I complain about poor medical care I received in a hospital?

While you are in the hospital: If possible, first bring your complaints to your doctor and nurses.Be as specific as you can and ask how your complaint can be resolved. You can also ask to speak to a hospital social worker who can help solve problems and identify resources.

Nursing Home Incident Reporting Manual

2 Incidents resulting in serious bodily injury must be reported within two hours after forming the suspicion. All other incidents must be reported within 24 hours. The facility must have policies and procedures that comply with this law.

Medicare Eligibility, Applications, and Appeals

Find information about Medicare, how to apply, report fraud and complaints.

Voluntary Termination of Medicare Part B

You can voluntarily terminate your Medicare Part B (medical insurance). It is a serious decision. You must submit Form CMS-1763 ( PDF, Download Adobe Reader) to the Social Security Administration (SSA). Visit or call the SSA ( 1-800-772-1213) to get this form.

Medicare Prescription Drug Coverage (Part D)

Part D of Medicare is an insurance coverage plan for prescription medication. Learn about the costs for Medicare drug coverage.

Replace Your Medicare Card

You can replace your Medicare card in one of the following ways if it was lost, stolen, or destroyed:

Medicare Coverage Outside the United States

Medicare coverage outside the United States is limited. Learn about coverage if you live or are traveling outside the United States.

Do you have a question?

Ask a real person any government-related question for free. They'll get you the answer or let you know where to find it.

Phone

For specific billing questions and questions about your claims, medical records, or expenses, log into your secure Medicare account, or call us at 1-800-MEDICARE.

1-800-MEDICARE (1-800-633-4227)

For specific billing questions and questions about your claims, medical records, or expenses, log into your secure Medicare account, or call us at 1-800-MEDICARE.

Take advantage of your state's one-on-one counseling program

If you have a complicated question about Medicare, or just want some help talking through your options, you should take advantage of the free one-on-one counseling available through your state's State Health Insurance Assistance Program (SHIP)

See all our Medicare information

We've collected the information you need to manage your Medicare benefits. How to sign up for the first time. How to decide between Medicare Advantage and Medigap. How to pick the best Advantage or prescription drug plan.

What is the number to call Medicare?

The official phone number for Medicare is 1-800-MEDICARE (1-800-633-4227), TTY 1-877-486-2048. You may call Medicare 24 hours per day, 7 days per week, and help is available in both English and Spanish. Check the status on a claim that has been filed on your behalf.

What is Medicare office?

A Medicare office is the place to manage your benefits. Locate a Medicare office near you and learn how to utilize Medicare services online or over the phone. The Centers for Medicare and Medicaid Services (CMS) oversees and manages Medicare, and the Social Security Administration (SSA) works with CMS to help enroll Medicare beneficiaries.

What is SSA.gov?

Learn more about Medicare. SSA.gov is a great resource to learn more about the Medicare program by reviewing a number of free publications.

How do I apply for medicare?

Where do I go to apply for Medicare? 1 Your local Social Security office#N#Use the instructions above to locate your nearest Social Security office. 2 Online computer#N#Go to www.SocialSecurity.gov and follow the instructions to enroll in Medicare. 3 Over the phone#N#Call Social Security at 1-800-772-1213 (TTY 1-800-325-0778) to enroll in Medicare over the phone.

Where is the CMS office?

You can get help with your Medicare questions by contacting or visiting this office. The CMS headquarters is in Woodlawn, Maryland, and regional CMS offices are located in Washington, D.C., Boston, New York, Philadelphia, Atlanta, Chicago, Dallas, Kansas City, Denver, San Francisco and Seattle.

Can you replace a lost Medicare card?

Replacing a lost or stolen Medicare card. Medicare fraud can happen as a result of a lost or stolen card, so be sure to call if you lose your Medicare card. You may also speak to someone in person regarding your Medicare eligibility or enrollment by visiting your local Social Security office.

Complaints about the quality of your care

Contact your Beneficiary and Family Centered Care Quality Improvement Organization (BFCC-QIO) for complaints about the quality of care you got from a Medicare provider.

note

For questions about a specific service you got, look at your Medicare Summary Notice (MSN) or log into your secure Medicare account . You can file an appeal if you disagree with a coverage or payment decision made by one of these:

What is a medicaid supervisor?

The director of nursing. The administrator. Your doctor. The Medicare and/or. Medicaid. A joint federal and state program that helps with medical costs for some people with limited income and resources.

What to do if your plan refuses to cover a service?

However, if you have a complaint about a plan's refusal to cover a service, supply, or prescription, you file an appeal. procedure for complaints. If your problem isn't resolved, follow the facility's grievance procedure. You may also want to bring the problem to the resident or family council.

What is a medicaid supervisor?

The director of nursing. The administrator. Your doctor. The Medicare and/or. Medicaid. A joint federal and state program that helps with medical costs for some people with limited income and resources.

What to do if your plan refuses to cover a service?

However, if you have a complaint about a plan's refusal to cover a service, supply, or prescription, you file an appeal. procedure for complaints. If your problem isn't resolved, follow the facility's grievance procedure. You may also want to bring the problem to the resident or family council.

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