Medicare Blog

where can i get help with medicare decisions

by Kiarra Carroll MD Published 2 years ago Updated 1 year ago
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Visit Medicare.gov/eligibilitypremiumcalc/ or call 1-800-MEDICARE (1-800-633-4227 or TTY 1-877-486-2048). Review the “Deciding Whether to Enroll in Medicare Part A and Part B When You Turn 65” fact sheet to help you make these decisions.

Who is the best person to talk to about Medicare?

If you've contacted 1-800-MEDICARE (1-800-633-4227; TTY: 1-877-486-2048) about a Medicare-related inquiry or complaint but still need help, ask the 1-800-MEDICARE representative to send your inquiry or complaint to the Medicare Ombudsman's Office.

Can AARP help with Medicare questions?

AARP's Medicare Question and Answer Tool offers practical and comprehensive information to help you navigate the program according to your own situation.

How do I get Medicare advice?

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.

Who can help me choose a Medicare Advantage plan?

Get Extra Help Get personalized help with choosing a Part D or Medicare Advantage plan from your local State Health Insurance Assistance Program (SHIP). Go to shiptacenter.org or call 800-633-4227 for local contacts.

Does a Medicare Advantage plan replace Medicare?

Medicare Advantage does not replace original Medicare. Instead, Medicare Advantage is an alternative to original Medicare. These two choices have differences which may make one a better choice for you.

Do seniors understand Medicare?

About one-quarter of elderly Americans don't fully understand their Medicare Advantage or Medicare Supplement plans, according to a new survey. The findings also revealed where Americans turn when they lack understanding of the health insurance plans they rely on.Mar 8, 2021

How do I ask Medicare a question?

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.

Are you automatically enrolled in Medicare if you are on Social Security?

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 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.

What is the most popular Medicare Advantage plan?

AARP/UnitedHealthcare is the most popular Medicare Advantage provider with many enrollees valuing its combination of good ratings, affordable premiums and add-on benefits. For many people, AARP/UnitedHealthcare Medicare Advantage plans fall into the sweet spot for having good benefits at an affordable price.Feb 16, 2022

What is the biggest disadvantage of Medicare Advantage?

The primary advantage is the monthly premium, which is generally lower than Medigap plans. The top disadvantages are that you must use provider networks and the copays can nickel and dime you to death.Dec 12, 2021

What are the disadvantages of a Medicare Advantage plan?

Cons of Medicare AdvantageRestrictive plans can limit covered services and medical providers.May have higher copays, deductibles and other out-of-pocket costs.Beneficiaries required to pay the Part B deductible.Costs of health care are not always apparent up front.Type of plan availability varies by region.More items...•Dec 9, 2021

Medicare Eligibility, Applications, and Appeals

Find information about Medicare, how to apply, report fraud and complaints.What help is available?Medicare is the federal health insurance program...

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...

Medicare Eligibility, Applications and Appeals

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

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.

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.

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.

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 can a ship counselor do?

SHIP counselors can also help with Medicare coverage questions, problems and appeals if your health care or drug wasn't covered – either by Medicare or from a Medigap, Part D or Medicare Advantage plan.

Do you need to sign up for Medicare if you are 65?

SHIPs also provide help with Medicare sign-up issues. Unless you're already receiving early Social Security benefits at 65, you need to proactively sign up for Medicare. Your sign-up decisions can be complicated if you're still working past age 65 and have health insurance through your employer, especially if you lose your job ...

Is Medicare complicated?

Medicare can be complicated. It's easy to make mistakes when signing up that could result in lifelong penalties or coverage gaps, and people who lose their jobs after age 65 have an extra layer of complexity. Everyone on Medicare has the opportunity to choose a Medicare Part D or Medicare Advantage plan during open enrollment each year, ...

What is the PACE program?

PACE. PACE (Program of All-inclusive Care for the Elderly) is a Medicare/Medicaid program that helps people meet health care needs in the community.

What is SSI benefits?

A monthly benefit paid by Social Security. SSI is for people with limited income and resources who are disabled, blind, or age 65 or older. SSI benefits aren't the same as Social Security retirement or disability benefits.

What happens if you don't sign up for Medicare?

If you don’t sign up within seven months of turning 65 (three months before your 65 th birthday, your birthday month, and three months after), you will pay a 10% penalty for every year you delay. Enroll in a Medicare Advantage plan, which is a privately-run health plan approved by the government to provide Medicare benefits.

Does Part D cover prescriptions?

It will help cover the cost of your prescription medications. Similar to Part B, there is a financial penalty if you do not sign up for a Part D plan when you are first eligible, unless you have other prescription drug coverage.

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.

How long do you have to be on Medicare after receiving Social Security?

In general, you are eligible for Medicare after receiving Social Security disability benefits for 24 months. There are exceptions for people with certain medical conditions. Get your enrollment dates and learn more about Medicare and disability.

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.

Does Medicare cover vision?

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.

Is Medicaid a dual plan?

Some people are eligible for both Medicare and Medicaid. These people are considered “dual eligible” and are often qualified for special Medicare plans. Learn more about Medicare vs. Medicaid and dual eligibility. I’m Disabled.

What is financial assistance?

Financial assistance programs for people with limited income and assets include Extra Help for prescription drugs, Medica re Savings Programs and Medicaid, to name a few. Qualifications for each program and the level of help offered vary.

Is Medicare decision personal?

Medicare decisions are highly personal. And there may be as many different questions about Medicare as there are beneficiaries—maybe more. But certain questions seem to come up more often than others. Here are some of the most common Medicare questions and answers.

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