Medicare Blog

who are medicare pros that keep calling me

by Miss Victoria Berge III Published 2 years ago Updated 1 year ago
image

Will Medicare Call Me Over the phone?

Oct 28, 2021 · Additionally, Medicare cards do not expire; rather, they are automatically renewed. If you have questions about renewal, need to replace a lost card, or want to report a Medicare scam number, you ...

Are Medicare scam calls getting more aggressive?

Dec 16, 2015 · As we develop more health problems, our risk score increases. “The home visits conducted by Medicare Advantage plans allow for the capture of more diagnoses, which in turn increases the risk score that adjusts plan payments from Medicare. Generally speaking, the more diagnoses recorded, the higher the payment,” Dr. Williams says.

Why are insurance companies calling me about Medicare?

Jul 07, 2020 · It is important to hold people accountable and to prevent others from being subjected to the same scams. Reach out to Medicare at 1-800-MEDICARE (1-800-633-4227) or the Office of the Inspector General at 1-800-HHS-TIPS (1-800-447-8477).

What to do if someone calls you from Medicare in Texas?

Aug 07, 2012 · Watch out who you let in your house. Never sign a blank form. When someone calls and says they represent Medicare get their name and phone number, then HANG UP! And call the Texas SMP office at ...

image

Why is Medicare considered helpful?

Medicare is considered helpful because it covers so many people.

What would happen if Medicare didn't exist?

Older Americans, who typically need the most medical treatment, would find themselves paying exorbitant medical costs directly out of pocket. The total paid every year would be staggering, most likely exceeding their annual income.

What was the impact of Medicare on the market?

The inception of Medicare created a massive market for prescription drug companies. Suddenly, Americans had greater access to prescriptions. When pharmaceutical companies saw the untapped potential in the Medicare market, they began investing in the development of drugs created specifically for seniors.

What is Medicare Part D?

The addition of Medicare Part D Prescription Drug Plans and Medicare Advantage Prescription Drug Plans—both sold through private insurance companies—also gave Americans wider access to prescription medicines. Medicare beneficiaries have had access to these plans since 2006, and enrollments have increased every year since.

How much does Medicare cost per month?

This number is estimated to cost around $135.50 per month. When you compare this to the out-of-pocket cost of operations, prescriptions, and other associated costs, the savings are huge.

How much does Medicare cost?

Medicare Costs a Huge Amount to Administrate. In 2018, Medicare spending totaled $731 billion. Currently, that’s approximately 15% of the overall federal budget. That number isn’t expected to get smaller, with many estimating that the percentage will go up to around 18% over the next decade.

How many people will be in Medicare Advantage in 2020?

In fact, enrollment was at 24.1 million in 2020. 2

Why do you need extra care?

If you have a serious health condition, the extra care might help you avoid a hospital stay.

Is the CDC relaxed?

The CDC has relaxed some prevention measures, particularly for people who are fully vaccinated, and especially outdoors. Meanwhile, scientists continue to explore treatments and to keep an eye on viral variants. Stay Informed. View Coronavirus COVID-19 Resource Center.

Can extra care help you avoid hospitalization?

If you have a serious health condition, the extra care might help you avoid a hospital stay. The care they provide isn’t ongoing. This is the only time you will see the clinician who examines you. The results of the exam and tests will be forwarded to your regular clinician for follow-up.

Is it the insurance companies job to identify and encourage better care management plans?

It is also not the insurance companies’ job to “identify and encourage better care management plans.” What a load of hooey – that is the primary physician’s job, not an insurance company’s job! Insurance companies flood physician fax machines with useless “helpful suggestions” that are ridiculous and waste time and mental energy – not to mention ink and paper – I’ve seen it! If insurance companies stopped playing physician, and stopped creating extra busy work for physicisns, then physicians could have more time to do their own jobs! It’s backwards now, with insurance companies trying to practice medicine, and physicians being forced to play at being paper pushers!

Should insurance companies have been honest?

The insurance company also should have been honest, open, and forthright about WHAT they were doing , and WHY, including their financial interest and potential benefit. Starting out of the gate with omission of these facts is shady and deceptive.

Do you have to pay more for home visits?

If you are healthy and the visit results in an increased risk score, you won’t have to pay more for your care. But the higher Medicare reimbursement your insurer receives may contribute to the nation’s rising health care costs. You are not obligated to have a home visit — they’re completely optional.

How to protect yourself from Medicare calls?

To protect yourself, verify the source of any calls you receive . It is best to tell the caller you will call Medicare or your health plan directly to address whatever issue they are raising . Hang up!

How to contact Medicare if your information has been compromised?

If you believe your personal information has been compromised, you can also reach out to the Federal Trade Commission (FTC) at 1-877-FTC-HELP (1-877-382-4357).

What do scammers do with Social Security?

Scammers will often try to extract that information from you and will try to get you to provide your Social Security and Medicare numbers as well. Don't fall for it.

How to enroll in Medicare if you are new to the system?

If you are new to Medicare, your best bet is to go to the Medicare Plan Finder to make sure you are getting accurate information. This official government site lists details about all the approved Medicare plans. You can enroll through the site as well.

What is EOB in Medicare?

If you are on a Medicare Advantage plan (Part C), you will receive an Explanation of Benefits (EOB) monthly. These documents are not bills. They will list important information about any Medicare services you received during those time frames.

What is the number to call if your personal information is compromised?

If you believe your personal information has been compromised, you can also reach out to the Federal Trade Commission (FTC) at 1-877-FTC-HELP (1-877-382-4357) .

Can you change your Medicare plan?

Claims that a representative must come to your home to finalize your plan. To be clear, you can only change Medicare plans during certain enrollment periods. Part B premiums are fixed based on your income. Unless you qualify for a Medicare Savings Plan through Medicare, your Part B premium will not be decreased.

What does it mean when someone calls you on Medicare?

They generally will send you a letter to let you know you need to contact them. When someone calls, just as this person did, it is considered Medicare fraud and Medicare is very concerned about Medicare fraud. See pages 116-120 of the 2012 Medicare & You handbook for information on Medicare fraud and identity theft.

How to contact SMP Houston?

The SMP program not only protects people on Medicare, SMP also helps to preserve the Medicare program. To contact the local SMP Houston office call 713/341-6184 or toll free 1-888-341-6187. Here are a few tips to help protect you against Medicare fraud: Do not carry your Medicare card with you. Keep it in a safe place.

Can you play Stranger Danger with Medicare?

Play the Stranger Danger game. Do NOT accept “free” offers in exchange for your Medicare number. Remember, there is nothing “free.”. They will have Medicare pay for whatever they are offering and they will use your Medicare number to get it paid for! Do not accept offers from door to door sales people.

Can you give your personal information over the phone?

You can relax because you were correct not to give your personal information over the phone due to the fact that Medicare or even Social Security does not randomly call your home or office and ask for your personal information. Medicare already has all of the information they need about you.

Can you give your Social Security number to a stranger?

Never give your Medicare or Social Security number to strangers, especially those who call you on the phone or come to your door. Just like you tell your grandkids not to talk to stranger, you need not talk to them either. Play the Stranger Danger game.

How to avoid Medicare scam?

How to avoid the Medicare scam. To foil scammers, the FCC offers these tips to help you recognize a scam: Don’t answer calls from unknown numbers. Never give out personal information such as account numbers, Social Security numbers, mother’s maiden names, passwords or any other self-identifying information.

What does a scammer tell you about your Medicare card?

Another scammer might tell you that your new Medicare card has an error and needs to be replaced or that you were sent an old paper version of the card instead of the new plastic versions .

What to do if you are being pressured to provide your information immediately after answering the call?

If you are being pressured to provide your information immediately after you answer the call proceed with caution.

Is there a plastic Medicare card?

There are no “plastic” Medicare cards. Medicare robocall scams are the latest to try to trick people into giving up sensitive information. Last year, scams from people claiming to be from the Social Security Administration began proliferating.

Does Medicare use Social Security numbers?

In an effort to combat identity theft, last year Medicare began issuing cards that use Medicare Beneficiary Identifier numbers. The identifiers replace cardholders’ Social Security numbers.

Can Medicare call you uninvited?

Medicare will never call you uninvited and ask for personal or private information. You will usually get a written statement in the mail before you get a phone call from a government agency. Calls requesting health insurance information should not be trusted. There are no “plastic” Medicare cards.

Is Medicare being scammed?

If you’re on Medicare, beware of being scammed by robocallers. They are trying to trick you into giving them sensitive personal information. The scams have been on the rise since Medicare began changing how it IDs recipients. The change has left Medicare users more vulnerable to robocall scams.

How much is Medicare premium for 2021?

Those who paid into Medicare taxes for fewer than 40 quarters must also pay a Part A premium. The monthly premium for 2021 is $259 for individuals who have contributed taxes between 30 and 40 quarters. It is $471 for those who have contributed for fewer than 30 quarters. People who have paid Medicare taxes for 40 or more quarters receive Part A premium-free.

Why are Advantage plans advertised?

Advantage plans are heavily advertised because of how they are funded. These plans' premiums are low or nonexistent because Medicare pays the carrier whenever someone enrolls. It benefits insurance companies to encourage enrollment in Advantage plans because of the money they receive from Medicare.

Does Medicare accept estimates?

Plans make bids regarding estimated costs per enrollee, and Medicare accepts those meeting requirements. Each county (or region for regional PPOs) has a benchmark amount to which Medicare compares the bids.

Can you see a doctor with Medicare?

With or without secondary Medigap insurance, Original Medicare coverage enables you to see any doctor accepting Medicare assignment. As of 2020, only 1% of physicians treating adults had formally opted out of Medicare assignment, so this is similar to having an unlimited "network."

Is Medicare Advantage a pervasive plan?

Advertisements for Medicare Advantage plans are pervasive during the Annual Enrollment Period. They can also make these plans seem tempting, with their myriad benefits and low premiums.

Why are Medicare and insurance companies contacting me?

Medicare, insurance companies, insurance agents, etc. are all contacting you because you’re turning 65. Whichever of these situations you may be in, you have different needs for both Medicare and for supplemental insurance. But, the people calling you and sending you mail don’t know your situation. All they know is you’re turning 65 ...

When do you get your Medicare card?

You’ll get your Medicare card in the mail about 3 to 3 ½ months before your Medicare effective date. For most of you, that will be the first day of the month you turn 65.

Can I get extra help with Medicare?

You may get an application for Extra Help from the government around the time Medicare starts for you. You can carefully read through it and see if there’s a chance you might qualify to get help paying for your prescriptions. There will be instructions with this application on how to fill it out and where to send it when you’re done. I’d say if you’re anywhere close to meeting the requirements, fill the form out even if you don’t think you’ll qualify. The worst they can do is say no.

What is housecalls in Medicare?

HouseCalls is an in-home health and wellness program is available for members enrolled in select Medicare Advantage Plans. The stated purpose of the program is to support and complement your regular doctor’s care. A nurse practitioner visits your home and give you an exam.

What to do if you get a phone call from United Healthcare?

If you get a phone call and a letter from United Healthcare consider scheduling an appointment for your free house call. You may be glad you did.

What is the disease that causes you to see the president behind every bad event?

Your illness is called “Obama Derangement Syndrome” (ODS) where you can see the president behind every bad event (rain at your picnic, spilling jelly on your white shirt), and even regular events that you restate as bad (getting a parking place, then deciding its his fault the spot isn’t closer to the door).

What to do when people comment on free?

When people comment about the “free” program you advise them to ask to be removed from the call list or to “just say no”.

What is the phone number for a quote?

Call (888) 310-0376 For a Quote

Do you get a letter from United Healthcare?

If your plan includes the HouseCalls benefit and a practitioner is available in your area, you may get a letter and phone call from United Healthcare. According to some who have commented below you may get multiple phone calls… mostly at dinner time.

Does Medicare Advantage have a similar program?

Most insurance companies offering Medicare Advantage Plans do not have a similar program. But as managed care becomes the norm it’s likely to become more common.   Compare all Medicare Advantage Plansin your area to learn about all your available options.

image
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z 1 2 3 4 5 6 7 8 9