Medicare Blog

who do i call to get an answer to a medicare coverage question

by Stephen Feest II Published 2 years ago Updated 1 year ago
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1-800-633-4227

Where to get answeres to your Medicare questions.?

Medicare Eligibility, Applications and Appeals

  • What help is available? ...
  • Am I eligible? ...
  • How do I apply? ...
  • How do I check the status of my application? ...
  • How do I complain or appeal a Medicare decision? ...
  • Who do I contact for extra help? ...
  • Is there anything else I need to know? ...

Why does Medicare keep calling me?

  • Don’t answer calls from unknown numbers. If you receive a call from a number you haven’t saved to your contacts, or if your caller ID says “unknown,” don’t pick up ...
  • When in doubt, hang up. If you do answer a call from an unsolicited caller and are greeted by a robocall or even a person who claims to be with ...
  • Know how government agencies work. ...

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.

How to contact Medicare for questions?

How to prepare for a call to Medicare

  • Your Medicare card and claim paperwork. When you call Medicare, have information ready that your agent will request. ...
  • Pen and paper. Make sure to have a pen and paper handy whenever you call Medicare. ...
  • Ask a friend or family member to listen in. Remember that you can always request to have information sent to you in writing at the end of your call.

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How do I contact 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.

How can I contact Medicare by telephone?

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

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 long does it take to get an answer from Medicare?

It takes about 45 to 90 days to receive your acceptance letter after submitting your Medicare application.

How do I ring Medicare?

calling Medicare general enquiries on 132 011. visiting a Medicare Service Centre with your proof of identity.

Can you call Medicare anytime?

The Medicare general enquiries line is available 7 days a week, 24 hours a day. Tags: Medicare.

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.

What are the Medicare questions?

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?

Is AARP Medicare Advantage primary or secondary?

Is Medicare Advantage Primary or Secondary? When you enroll in a Medicare Advantage plan, the carrier pays for your medical care instead of Medicare. Therefore, Medicare is no longer responsible to pay your claims. Your Medicare Advantage plan is your primary, and only, coverage.

Does Medicare coverage start the month you turn 65?

The date your coverage starts depends on which month you sign up during your Initial Enrollment Period. Coverage always starts on the first of the month. If you qualify for Premium-free Part A: Your Part A coverage starts the month you turn 65.

How do I check my Medicare coverage?

Checking the BasicsYou can use the enrollment check at Medicare.gov.You can call Medicare at 1-800-633-4227.Members can visit a local office to review the coverage in person.

Do you automatically get a Medicare card when you turn 65?

You should receive your Medicare card in the mail three months before your 65th birthday. If you are NOT receiving benefits from Social Security or the RRB at least four months before you turn 65, you will need to sign up with Social Security to get Parts A and B.

Who should I contact if I have a problem enrolling in Medicare Advantage or Part D?

Most beneficiaries don’t have trouble enrolling in Medicare Advantage or Part D coverage. But enrollment problems can occur if you provided informa...

How do I appeal a denied medical service or prescription drug?

A Medicare Advantage plan may deny – or choose not to cover – the medical services you receive. You have 60 days from receiving a denial letter to...

Who do I contact if my Medicare plan has incorrect information about me?

If your Medicare Advantage or Part D plan has inaccurate information about you (your name, date of birth, or address), you should contact Social Se...

How can I make changes to my Medicare coverage?

You can switch to another Medicare Advantage or Part D plan by calling 1-800-MEDICARE, visiting Medicare.gov, or contacting the new insurer. When y...

How do I cancel my Medicare coverage?

It’s usually not a good idea to cancel your Medicare Advantage or Part D plan without having coverage to replace it. This could cause you to face l...

How to contact Medicare by phone?

Call 1-800-MEDICARE (1-800-633-4227) You can call 1-800-MEDICARE and speak with a representative to ask questions about Medicare or get help resolving problems with Medicare. We made a test call to this number and were greeted by a polite Medicare representative after being on hold for about 90 seconds.

What is Medicare.gov?

Medicare.gov is the official government website about Medicare. There are lots of private sites devoted to Medicare information and sales—some are very reputable, although some are not. But only the government website has the dot-gov domain name. 5.

What is a helpline counselor?

Helpline counselors offer assistance with Medicare questions like how to decrease your premium costs and with Medicare problems such as appealing payment denials. They can also provide extensive information regarding eligibility and enrollment, even for somewhat complicated situations.

What is the difference between Medicare.gov and MyMedicare.gov?

The information available on the MyMedicare.gov website differs from Medicare.gov in that it’s specific to you. You’ll be able to see your Medicare Part A and Part B claims as well as get quality information about your doctors, hospitals, and other healthcare providers.

What is Medicare Rights Center?

The Medicare Rights Center is a non-profit organization dedicated to helping Americans understand their Medicare rights and benefits, navigate the Medicare system, and get quality health care. It does this using the extensive library of information available on its website as well as through a telephone helpline.

What to do if you have problems enrolling in Medicare Advantage?

If you’re having problems enrolling in Medicare Advantage or Part D – and you think it’s due to incorrect information, you may have to contact the plan insurer, your broker or Social Security to clear the issue up.

What to do if Medicare Advantage is denied?

If you’re having problems enrolling in Medicare Advantage or Part D – and you think it’s due to incorrect information, you may have to contact the plan insurer, your broker or Social Security to clear the issue up. If your MA or Part D plan denies coverage of your medical services or a medication, you can appeal to your insurer.

Get Your Information Ready

Before you call Medicare, you'll need your Medicare number, so make sure you have your red, white, and blue Medicare card ready. If you don't have a card, you can request or print a new one through your MyMedicare.gov account.

When Should You Call 1-800-MEDICARE?

There are a number of reasons you may wish to speak to a Medicare representative. You may wish to call Medicare to:

Can Someone Else Call Medicare For You?

Yes, if you have authorized them to speak with Medicare on your behalf. You must perform this authorization first, as federal law prohibits anyone from Medicare sharing your personal health information with anyone but you.

The 1-800-MEDICARE Menu Options

It may be easier to prepare for your Medicare call if you know what your menu options are.

Other Ways to Contact Medicare

If you prefer to conduct your business in writing, you may mail questions, completed forms, and other documents to Medicare at:

What is the number to call for Medicare?

These are the times when you should call Social Security (1-800-772-1213) instead of Medicare: to verify your Medicare eligibility, to report a death, to request a replacement Medicare card,

What to do before dialing Medicare?

Before you dial, be prepared with a list of the topics you want to talk about and questions you need answered. Make sure to have your Medicare number – and if you are inquiring about a claim or appeal, it’s helpful to have your most recent Medicare Summary Notice available.

How much is Medicare Part A deductible?

Currently, the Medicare Part A deductible is $1,408 per benefit period in 2020, and Part B is $198 per year.

Does Medicare have email?

Currently, Medicare does not offer an email option for general information and questions. To request information in an accessible format (Braille, large print, data/audio files, relay services and TTY communications) call 1-877-486-2048 or email Medicare at [email protected].

Do you have to give verbal authorization to Medicare?

If you would like someone else to speak on your behalf or represent you in an appeal, you will need to give a verbal authorization to the Medicare agent. When you reach the menu, you will be greeted by a “Yes” or “No” question asking whether you are calling about a processed or denied claim.

Can you call Medicare?

Beneficiaries can call for Medicare information or to enroll in a plan or make an appeal. Callers can choose from a handful of menu options. Beneficiaries can also mail or fax Medicare or request information in an accessible format. Medicare.gov’s online resources are extensive and searchable by state or territory.

What happens if you don't pay Medicare?

But, if you don’t pay the premium on a Medicare Advantage or Medigap plan, they can drop you. Also, if you don’t pay your Part D premium, the drug plan can drop you. Usually, they give multiple notices before the plan terminates your policy.

How many classes of drugs does Medicare cover?

There are many drugs covered under Medicare. Plus, every plan must cover the six protected classes. If you have medications that need coverage, use the Medicare plan finder tool to identify the policy that will cover your medications.

What is Medicare Part C?

Medicare Part C is a Medicare Advantage plan. These plans sometimes have a $0 per month premiums, and many of them include Part D drug coverage. However, there are some pitfalls to Medicare Advantage plans that you need to know before signing up.

What is a medicaid supplement?

A Medigap plan is a supplemental option for Medicare. Medigap plans are also Medicare Supplement plans; these policies fill the gaps in Medicare. So, when Medicare would otherwise charge you 20% or a deductible, the Medicare Supplement could instead pick up the bill.

Does Medicare pay less if you have a low income?

The cost of Medicare depends on many things. Those with a low income will likely pay less than the standard amount and may qualify for Medicare and Medicaid. Those with a higher income will likely pay more for Part B; this is called the Part B Income Related Monthly Adjustment Amount.

Is Medicare mandatory?

Of course, Medicare isn’t mandatory, so you can choose whichever option makes the most sense for your situation. You can also always consult your benefits administrator at the office where you work to identify your options.

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