Medicare Blog

what are the medicare questions

by Kim Breitenberg Published 2 years ago Updated 1 year ago
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If you . . . Contact . . .
Want to: Enroll in Medicare Part A (Hos ... Social Security 1-800-772-1213 TTY: 1-80 ...
Have a Medicare Prescription Drug Plan, ... Your plan or policy The phone number and ...
Have railroad retirement benefits and wa ... The Railroad Retirement Board Your local ...
Want to report changes to insurance that ... Benefits Coordination & Recovery Center ...

Here are some of the most common Medicare questions and answers.
  • How Do I Know What Medicare Coverage Is Right For Me?
  • How Much Does Medicare Cost?
  • What Do I Do About Medicare If I Work Past Age 65?
  • How Can I Get Dental and Vision Coverage with Medicare?
  • What's the Difference Between a Medicare Advantage HMO and PPO?

Full Answer

How do I call Medicare with questions?

Call 1-800-MEDICARE. 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). TTY users can call 1-877-486-2048. Phone numbers and websites for organizations in your state. What state do you live in? ...

What questions does Medicare ask?

Frequently-asked questions about Medicare. New FAQs. Today's Medicare Poll. Are you confident that you’re enrolled in the Medicare Part D coverage for 2022 that will give you the best value for your money? Yes, I've already comparison shopped and selected the best option.

Who can I call about Medicare questions?

How to find important information about Medicare

  • Call your insurance company. These phone numbers are for reaching some of the most popular Medicare insurance providers.
  • Write to insurance companies. You may write your insurance companies with questions that you have about your coverage. ...
  • Online. ...

Who can answer Medicare questions?

GRAND RAPIDS, Mich., Oct. 20, 2021 /PRNewswire/ -- West Michigan Seniors who are aging into Medicare or want to review their options for 2022 can attend a comprehensive virtual seminar from the comfort of their own home.

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What questions are asked when signing up for 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 are the 3 requirements for Medicare?

Be age 65 or older; Be a U.S. resident; AND. Be either a U.S. citizen, OR. Be an alien who has been lawfully admitted for permanent residence and has been residing in the United States for 5 continuous years prior to the month of filing an application for Medicare.

How do I get answers to Medicare questions?

You can visit shiptacenter.org to get the phone number, or call 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048.

What are the 4 types of Medicare?

There are four parts of Medicare: Part A, Part B, Part C, and Part D.Part A provides inpatient/hospital coverage.Part B provides outpatient/medical coverage.Part C offers an alternate way to receive your Medicare benefits (see below for more information).Part D provides prescription drug coverage.

Do I automatically get Medicare when I turn 65?

You automatically get Medicare when you turn 65 Part A covers inpatient hospital stays, skilled nursing facility care, hospice care, and some home health care. Part B covers certain doctors' services, outpatient care, medical supplies, and preventive services.

How do I know if I am eligible for Medicare?

You are eligible for Medicare if you are a citizen of the United States or have been a legal resident for at least 5 years and: You are age 65 or older and you or your spouse has worked for at least 10 years (or 40 quarters) in Medicare-covered employment.

Why do doctors not like Medicare Advantage plans?

If they don't say under budget, they end up losing money. Meaning, you may not receive the full extent of care. Thus, many doctors will likely tell you they do not like Medicare Advantage plans because private insurance companies make it difficult for them to get paid for their services.

Why am I getting so many phone calls about Medicare?

Medicare will never call or come to your home uninvited to sell products or services. SSA representatives may call Medicare beneficiaries if they need more information to process applications for Social Security benefits or enrollment in certain Medicare Plans, but, again, this is rare.

Do you automatically get Medicare with Social Security?

If you are already getting benefits from Social Security or the RRB, you will automatically get Part A and Part B starting on the first day of the month when you turn 65. If your birthday is on the first day of the month, Part A and Part B will start the first day of the prior month.

What will Medicare not pay for?

In general, Original Medicare does not cover: Long-term care (such as extended nursing home stays or custodial care) Hearing aids. Most vision care, notably eyeglasses and contacts. Most dental care, notably dentures.

Whats the difference between Medicare Part A and B?

Part A is hospital coverage, while Part B is more for doctor's visits and other aspects of outpatient medical care. These plans aren't competitors, but instead are intended to complement each other to provide health coverage at a doctor's office and hospital.

What is Medicare Plan G and F?

Plans F and G are known as Medicare (or Medigap) Supplement plans. They cover the excess charges that Original Medicare does not, such as out-of-pocket costs for hospital and doctor's office care. It's important to note that as of December 31, 2019, Plan F is no longer available for new Medicare enrollees.

Who is entitled to Medicare in Australia?

You can enrol in Medicare if you live in Australia and you're any of these: an Australian citizen. a New Zealand citizen. an Australian permanent resident.

What are the 4 phases of Medicare Part D coverage?

Throughout the year, your prescription drug plan costs may change depending on the coverage stage you are in. If you have a Part D plan, you move through the CMS coverage stages in this order: deductible (if applicable), initial coverage, coverage gap, and catastrophic coverage.

Do you automatically get Medicare with Social Security?

If you are already getting benefits from Social Security or the RRB, you will automatically get Part A and Part B starting on the first day of the month when you turn 65. If your birthday is on the first day of the month, Part A and Part B will start the first day of the prior month.

What is the eligibility criteria for Medicaid?

To participate in Medicaid, federal law requires states to cover certain groups of individuals. Low-income families, qualified pregnant women and children, and individuals receiving Supplemental Security Income (SSI) are examples of mandatory eligibility groups (PDF, 177.87 KB).

How Do I Know What Medicare Coverage Is Right For Me?

The answer to this may be easy to say but maybe not as easy to do. You need to understand your personal health care needs and choose Medicare coverage to help meet them. For example, if you take prescription drugs right now, when you get Medicare, you need to make sure you get Part D prescription drug coverage through either a stand-alone Part D plan or a Medicare Advantage plan.

When does Medicare coverage stay in place?

Your Medicare coverage choices will stay in place year after year unless you change your plan. This ensures that your coverage continues, but even if a plan renews, the plan benefits and costs may still change each year. It’s a good idea to review your Medicare choices every year during the Medicare Annual Enrollment Period each fall, which runs Oct. 15 – Dec. 7.

How Much Does Medicare Cost?

You will likely pay the Part B premium to Medicare. Beyond that, you may pay other premiums, deductibles, co-pays and co-insurance. The total amount you pay will depend on the type of Medicare plan (s) you choose and the health care services you use during the year.

What Do I Do About Medicare If I Work Past Age 65?

If you plan to work past 65, you may be able to delay enrolling in Medicare. Or, you may have to enroll during your Initial Enrollment Period in Parts A, B and D if you want to avoid late penalties. It will depend on your employer and if your employer coverage is creditable. You can find out what you need to do about Medicare when continuing to work here.

How Can I Get Dental and Vision Coverage with Medicare?

Original Medicare (Parts A & B) does not cover routine dental or vision care; however, some Medicare Advantage (Part C) plans do. Plans include all the coverage provided by Parts A and B , and often additional benefits like dental, vision, hearing and gym memberships, all in one plan.

What is Medicare Made Clear?

Medicare Made Clear is brought to you by UnitedHealthcare to help make understanding Medicare easier. Click here to take advantage of more helpful tools and resources from Medicare Made Clear including downloadable worksheets and guides.

What is the difference between Medicare Advantage and PPO?

A Medicare Advantage HMO plan usually helps pay only for care you receive from providers in the plan network. A PPO plan will generally help pay for care received outside the plan network, but it may pay less than for the same care received within the network.

When will Medicare show up in mailbox?

It will just show up in your mailbox one day about 3 months before your 65th birthday. If that situation applies to you, there’s nothing else you need to do with Medicare itself – your next step is to pick a Medigap plan and Part D plan (if you are going to get those).

What color is Medicare card?

When you go to the doctor, you present your red, white and blue Medicare card in addition to your Medigap card. The provider files the claims to Medicare, which pays its portion and coordinates the payment from the supplemental (Medigap) company.

How much is Medicare Part B 2021?

For Medicare Part B, the standard premium (for 2021) is $148.50/month. This premium can change over time. Also, people in higher/lower income brackets can pay different amounts. For a resource on people in higher income brackets and how much they pay, read about IRMAA.

How long does it take to get Medicare if you don't have Social Security?

If you are not receiving Social Security and need to sign up for Medicare, you should do it 2-3 months before the month that you turn 65. You can do it online or at a local Social Security office. It can take Social Security up to a month or more to process a new enrollment into Medicare.

How long before you turn 65 can you get Medicare?

If this is your situation, there is nothing else you need to do. Medicare will send you a card in the mail about 3 months in advance of the month in which you turn 65. Your Medicare will start on the 1st day of the month you turn 65 UNLESS your birthday is on the 1st day of the month, in which case it will start on the 1st day of the previous month.

Is Medigap a Medicare Advantage plan?

Medigap plans are NOT Medicare Advantage plans and vice versa. The two could not be any different in how they work. At a fundamental level, the biggest difference is that Medigap plans work WITH Medicare and supplement Medicare’s coverage, while Advantage plans work IN PLACE OF Medicare.

Does Medicare cover prescriptions?

Medicare itself (Parts A and B) and the Medigap plans provide NO coverage for prescription medications. Part D national average premiums are around $34/month currently (2021). But there are plans for as low as $7-15/month in most geographic locations – rates vary by state.

What is original Medicare?

Original Medicare. Medicare Part A and Part B are collectively known as original Medicare. As you’ll learn, original Medicare covers only your hospital needs and ones that are medically necessary or preventive.

How much does Medicare Part A cost?

Part A. Costs for Medicare Part A include: a premium of anywhere from $0 to $471 per month, depending on your income. a deductible of $1,484 per benefits period. a coinsurance of $0 for the first 60 days of an inpatient stay, up to the full cost of services depending on how long you’re admitted.

How much is Medicare Part A coinsurance for 2021?

Medicare Part A charges a higher coinsurance the longer you remain hospitalized. In 2021, Part A coinsurance is $371 for hospital days 60 to 90 and $742 for days 91 and up. Medicare Part B charges a set coinsurance amount of 20 percent.

What is Medicare Advantage?

Medicare Advantage is a Medicare option offered by private insurance companies. These plans cover original Medicare Part A and B services. Many also offer coverage for prescription drugs; dental, vision, and hearing services; fitness services; and more.

Why is Medicare Part D added to Medicare?

Medicare Part D can be added to original Medicare to help cover the cost of your prescription drugs. Each Part D plan has a formulary, which is a list of the prescription drugs it will cover. These prescription drugs fall into specific tiers, often categorized by price and brand.

What is a Medicare deductible?

A Medicare deductible is the amount of money that you spend out of pocket each year (or period) for your services before Medicare coverage kicks in. Medicare parts A, B, C, and D all have deductibles.

How long do you have to be on Medicare before your 65th birthday?

If you are turning 65 years old, you are eligible to enroll in Medicare 3 months before your 65th birthday and up to 3 months afterward. If you receive monthly disability benefits through either the Social Security Administration or Railroad Retirement Board, you are eligible for Medicare after 24 months.

Common Medicare Questions: Answers From Medicare Expert Christian Worstell

Our Medicare expert answers questions to some common 2022 Medicare questions, such as what is Medicare, how much are premiums and what are the advantages of Medicare plans.

Learn More About Medicare

Join our email series to receive your free Medicare guide and the latest information about Medicare and Medicare Advantage.

What is a welcome to Medicare visit?

A: When you or a loved one first enrolls in Medicare, the Welcome to Medicare visit is an optional, one-time appointment. It serves as a reference point or baseline for planning personalized medical care going forward.

What to do if you have not signed up for Medicare?

If you have not signed up for Medicare Part A or Medicare Part B for medical insurance coverage, please visit Original Medicare (Part A and B) Eligibility and Enrollment on the Centers for Medicare and Medicaid Services site.

What is a medical visit?

Both visits are conversations between the patient and clinician to discuss health history and any health concerns, and to review medications and immunizations. These visits are meant to help determine what health issues may become a concern in the future based on family history and risk factors, and help patients work to prevent issues and stay healthy for as long as possible.

Why do patients choose to have a loved one come along to their in-person visit?

A: Patients can choose to have a loved one come along to their in-person visit to help make sure they remember to ask all the right questions.

Why is it important to plan ahead for Medicare?

Today, the medical community realizes that planning ahead can help manage Medicare patients’ potential concerns, including hearing and vision loss, depression and progression of chronic disease. This can make a key difference in staying healthy longer.

Can you call for an appointment with Medicare?

If you’re of Medicare age, don’t hesitate to call for your appointment, which can be conducted in-person. Similarly, if you have parents or loved ones on Medicare, it is important to encourage them to schedule their appointment.

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