Medicare Blog

who can help me understand medicare

by Arnaldo O'Hara MD Published 2 years ago Updated 1 year ago
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With complex terminology and many plans to choose from, Medicare can be confusing for newcomers. But you don’t have to do it alone. An insurance agent, also known as an insurance broker or adviser, can help. A licensed and certified insurance agent can be a knowledgeable ally when it comes time to select a plan.

Full Answer

Who can help me understand my Medicare options or enroll in Medicare?

If you need help understanding your Medicare rights and how to exercise them, there is free information and assistance that you can access. Below are examples of places you can get help: State Health Insurance Assistance Program (SHIP) – Each state offers a SHIP, partly funded by the federal government, to give you free counseling and assistance. A SHIP counselor may be …

Where can I get help understanding my Medicare Rights?

Jan 03, 2022 · Financial help is available. There are several state and federal programs that provide assistance with Medicare costs for Part A, Part B, and Part D. Eligibility varies by state and is determined by income and assets. You can contact the Social Security Administration online, call 1-800-772-1213 (TTY/TDD: 1-800-325-0778), or visit your local ...

What can I do if I need help paying for Medicare?

Medicare offers different options for you to get health care coverage. Start here to get the basics and find out how Medicare works before you look at your coverage options. Parts of Medicare

How can I learn more about Medicare?

Oct 01, 2021 · Understanding Medicare is empowering. It can help you make choices that are right for you. Whether you’re looking at plans for the first time, finding information for a loved one or already on Medicare, we’re here to help guide you. ... Help me understand if this is still the right choice for me. Explore Medicare Advantage plans. I have a ...

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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.

What is the best resource to understand Medicare?

The best resource is Medicare's Plan Finder, a comprehensive list of the Part D and Medicare Advantage plans (called “Medicare Health Plans”) available in your area.

Who do you call with questions about Medicare?

1-800-633-4227For 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.

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.

What is not covered by Medicare?

Medicare does not cover: medical exams required when applying for a job, life insurance, superannuation, memberships, or government bodies. most dental examinations and treatment. most physiotherapy, occupational therapy, speech therapy, eye therapy, chiropractic services, podiatry, acupuncture and psychology services.Jun 24, 2021

Does Medicare cover dental?

Dental services Medicare doesn't cover most dental care (including procedures and supplies like cleanings, fillings, tooth extractions, dentures, dental plates, or other dental devices). Part A covers inpatient hospital stays, care in a skilled nursing facility, hospice care, and some home health care.

How can I contact Medicare by telephone?

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

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.

Can I call Medicare on behalf of someone else?

You can either give verbal permission over the phone for the customer service representative to speak with someone else on your behalf, or fill out an authorization form in advance.

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

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.

What is the toll free number for Medicare?

Learn about and contact other agencies for additional assistance. Medicare – The federal government has a toll-free number, 1-800-MEDICARE, and a website that provides basic information about Medicare coverage and your private health and/or drug plan options. Social Security Administration (SSA) – The federal government has a toll-free number, ...

What is Medicare Rights Center?

Medicare Rights Center – The Medicare Rights Center is a national nonprofit consumer service organization that works to ensure access to affordable health care for older adults and people with disabilities through counseling and advocacy, educational programs, and public policy initiatives.

Original Medicare, also known as Medicare, is made up of two parts: A and B

Part A is hospital insurance and Part B is medical insurance that covers doctor visits and treatment. Learn more about Medicare terms and resources.

How to Get Affordable Full Coverage

If you want one health plan that includes Parts A and B, plus Part D Prescription Drug coverage and more, choose a Generations Advantage plan.

Did you know? Financial help is available

There are several state and federal programs that provide assistance with Medicare costs for Part A, Part B, and Part D.

Parts of Medicare

Learn the parts of Medicare and what they cover. Get familiar with other terms and the difference between Medicare and Medicaid.

General costs

Discover what cost words mean and what you’ll pay for each part of Medicare.

How Medicare works

Follow 2 steps to set up your Medicare coverage. Find out how Original Medicare and Medicare Advantage work.

Working past 65

Find out what to do if you’re still working & how to get Medicare when you retire.

I have Original Medicare only

I’ve enrolled in Medicare but haven’t signed up for additional coverage. Help me learn about out-of-pocket costs Original Medicare may not cover

I have a Medicare Advantage plan

I have Medicare Advantage with or without drug coverage. Help me understand if this is still the right choice for me.

I have a different Medicare plan

I have Medicare coverage but am taking a new look at my options. Help me learn more about what's available and find a plan that's right for me.

What happens if you don't get Medicare?

If you don't get Medicare drug coverage or Medigap when you're first eligible, you may have to pay more to get this coverage later. This could mean you’ll have a lifetime premium penalty for your Medicare drug coverage . Learn more about how Original Medicare works.

What is the original Medicare?

Original Medicare. Original Medicare is a fee-for-service health plan that has two parts: Part A (Hospital Insurance) and Part B (Medical Insurance). After you pay a deductible, Medicare pays its share of the Medicare-approved amount, and you pay your share (coinsurance and deductibles). (Part A and Part B) or a.

How much does Medicare pay for Part B?

For Part B-covered services, you usually pay 20% of the Medicare-approved amount after you meet your deductible. This is called your coinsurance. You pay a premium (monthly payment) for Part B. If you choose to join a Medicare drug plan (Part D), you’ll pay that premium separately.

What is Medicare Advantage Plan?

Medicare Advantage Plan (Part C) A type of Medicare health plan offered by a private company that contracts with Medicare. Medicare Advantage Plans provide all of your Part A and Part B benefits, excluding hospice. Medicare Advantage Plans include: Health Maintenance Organizations. Preferred Provider Organizations.

Does Medicare Advantage cover prescriptions?

Most Medicare Advantage Plans offer prescription drug coverage. . Some people need to get additional coverage , like Medicare drug coverage or Medicare Supplement Insurance (Medigap). Use this information to help you compare your coverage options and decide what coverage is right for you.

What is the first age group to be on Medicare?

The first is people turning 65. They may be confused about what they need to do. I look at what kind of health care coverage they currently have, compare it to Medicare, then make a recommendation. The second group are older and already on Medicare.

What is an insurance agent?

An insurance agent, also known as an insurance broker or adviser, can help. A licensed and certified insurance agent can be a knowledgeable ally when it comes time to select a plan. For no cost, they’ll review your specific health care needs, explain coverage options across different insurance companies, and help you avoid unnecessary penalties.

Can you get a Medicare Advantage plan for zero monthly premium?

Whereas if someone is in great health and they hardly ever go to the doctor, they'll automatically gravitate to the lower price option. For example, you can get a Medicare Advantage plan for as little as zero monthly plan premium, but it has copays. Right out of the gate, someone might say they want that plan.

How to get help with Medicare enrollment?

Another way to get help with your Medicare enrollment is to consult an independent insurance agent. Agents typically get paid a commission to sell you a policy, although they offer plans from a number of providers.

What is the number to call Medicare?

Or, if you don’t have Internet access, or don’t feel confident in working through the information on your own, you can also call Medicare at 800-633-4227 and a customer service representative will do the work for you over the phone. Advertisement.

What is Medicare Advantage?

Or, a Medicare Advantage plan which covers health care, prescription drugs ...

How to contact Medicare cost plan?

You can also contact the Senior Linkage Line at 800-333-2433 to speak to a Medicare specialist.

Can I get Medicare through MNsure?

Generally, Medicare beneficiaries are not eligible to purchase insurance through MNsure. However, narrow exceptions do apply. If you're a Medicare beneficiary and are looking for health care coverage through MNsure, you should first contact the Senior Linkage Line at 800-333-2433 to speak with a Medicare specialist.

Does MNsure offer Medicare Advantage?

No. MNsure does not offer Medicare Advantage plans (such as Medicare HMOs and PPOs), Medicare Part D prescription drug plans, or Medigap policies. You can contact the Senior Linkage Line at 800-333-2433 to speak to a Medicare specialist for more information.

Does MNsure end private health insurance?

MNsure will not automatically end your private health plan coverage if you are identified as being eligible, or become eligible, for Medicare after you are enrolled in a private plan. However, you can request to end your private plan coverage at any time.

Can you get Medicare if you don't enroll?

Generally, if you are eligible for Medicare, even if you do not enroll in it, then you are not eligible for an advanced premium tax credit (APTC) or cost-sharing reductions (CSR). Any APTC or CSR you are receiving will be terminated.

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