Medicare Blog

who do i talk to about medicare coverage

by Kim Bruen IV Published 2 years ago Updated 1 year ago
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Contact Medicare

  • Phone. 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.
  • TTY
  • Mailing address

Full Answer

Who do I call with questions about Medicare?

Live Chat Medicare.gov Live Chat is available 24 hours a day, 7 days a week, except some federal holidays. Chat Now 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.

Why does Medicare keep calling me?

Medicare. Resources. How do I report a death? X. Contact your local Social Security Office or call 1-800-772-1213 (TTY 1-800-325-0778) How can I check Medicare eligibility?

Who to contact, social security or Medicare?

Do you have questions about your Medicare coverage? 1-800-MEDICARE (1-800-633-4227) can help. TTY users should call 1-877-486-2048. What should I have ready when I call 1-800-MEDICARE? Have your Medicare number from your red, white, and blue Medicare card available. The automated system will ask for your Medicare number at the beginning of the call.

Will Medicare call you at home?

Apr 06, 2022 · Visit or call the SSA ( 1-800-772-1213) to get this form. You’ll need to have a personal interview with Social Security before you can terminate your Medicare Part B coverage. To schedule your interview, call the SSA or your local Social Security office. Medicare Prescription Drug Coverage (Part D)

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Who is the best 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.

How can I talk to someone about my Medicare?

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.

Do you automatically get Medicare with 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.)

Does Medicare coverage start the month you turn 65?

For most people, Medicare coverage starts the first day of the month you turn 65. Some people delay enrollment and remain on an employer plan. Others may take premium-free Part A and delay Part B. If someone is on Social Security Disability for 24 months, they qualify for Medicare.

Can you call Medicare anytime?

The Medicare general enquiries line is available 7 days a week, 24 hours a day.Jul 17, 2019

How do I contact Medicare by phone?

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

Can I get Medicare Part B for free?

While Medicare Part A – which covers hospital care – is free for most enrollees, Part B – which covers doctor visits, diagnostics, and preventive care – charges participants a premium. Those premiums are a burden for many seniors, but here's how you can pay less for them.Jan 3, 2022

What documents do I need to apply for Medicare?

What documents do I need to enroll in Medicare?your Social Security number.your date and place of birth.your citizenship status.the name and Social Security number of your current spouse and any former spouses.the date and place of any marriages or divorces you've had.More items...

How long before you turn 65 do you apply for Medicare?

3 monthsGenerally, you're first eligible starting 3 months before you turn 65 and ending 3 months after the month you turn 65. If you don't sign up for Part B when you're first eligible, you might have to wait to sign up and go months without coverage. You might also pay a monthly penalty for as long as you have Part B.

Do I need to notify Social Security when I turn 65?

Is it automatic when I turn 65? To enroll in Medicare, most people need to contact Social Security directly. Do this before your 65th birthday to avoid a lapse in health coverage.Sep 15, 2013

When should you apply for Medicare?

Generally, we advise people to file for Medicare benefits 3 months before age 65. Remember, Medicare benefits can begin no earlier than age 65. If you are already receiving Social Security, you will automatically be enrolled in Medicare Parts A and B without an additional application.

How do I enroll in Medicare for the first time?

Apply online (at Social Security) – This is the easiest and fastest way to sign up and get any financial help you may need. You'll need to create your secure my Social Security account to sign up for Medicare or apply for Social Security benefits online. Call 1-800-772-1213. TTY users can call 1-800-325-0778.

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...

Your other coverage

Do you have, or are you eligible for, other types of health or prescription drug coverage (like from a former or current employer or union)? If so, read the materials from your insurer or plan, or call them to find out how the coverage works with, or is affected by, Medicare.

Cost

How much are your premiums, deductibles, and other costs? How much do you pay for services like hospital stays or doctor visits? What’s the yearly limit on what you pay out-of-pocket? Your costs vary and may be different if you don’t follow the coverage rules.

Doctor and hospital choice

Do your doctors and other health care providers accept the coverage? Are the doctors you want to see accepting new patients? Do you have to choose your hospital and health care providers from a network? Do you need to get referrals?

Prescription drugs

Do you need to join a Medicare drug plan? Do you already have creditable prescription drug coverag e? Will you pay a penalty if you join a drug plan later? What will your prescription drugs cost under each plan? Are your drugs covered under the plan’s formulary? Are there any coverage rules that apply to your prescriptions?

Quality of care

Are you satisfied with your medical care? The quality of care and services given by plans and other health care providers can vary. Get help comparing plans and providers

Convenience

Where are the doctors’ offices? What are their hours? Which pharmacies can you use? Can you get your prescriptions by mail? Do the doctors use electronic health records prescribe electronically?

Medicare Eligibility, Applications, and Appeals

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

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.

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.

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.

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 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 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 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 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.

When Can I Enroll In Medicare?

Remember, you are automatically eligible to receive Medicare the day you turn 65. If you are already receiving Social Security benefits and enrolled in Medicare before you hit 65, you will automatically be enrolled in Part A of Medicare.

Can I Add, Drop, And Change Coverage?

You can’t add, drop, and change coverage as you please. There are certain times and dates when you can do this. There can also be some confusion as to whether or not there will be fees or penalties for adding certain coverage or dropping it from your plan.

What is original Medicare?

Your costs in Original Medicare. An agreement by your doctor, provider, or supplier to be paid directly by Medicare, to accept the payment amount Medicare approves for the service, and not to bill you for any more than the Medicare deductible and coinsurance.

What is Medicare approved amount?

Medicare-Approved Amount. In Original Medicare, this is the amount a doctor or supplier that accepts assignment can be paid. It may be less than the actual amount a doctor or supplier charges. Medicare pays part of this amount and you’re responsible for the difference. , and the Part B.

What is a DME in Medicare?

Medicare Part B (Medical Insurance) covers walkers, including rollators, as durable medical equipment (DME). The walker must be Medically necessary, and your doctor or other treating provider must prescribe it for use in your home.

What is medically necessary?

medically necessary. Health care services or supplies needed to diagnose or treat an illness, injury, condition, disease, or its symptoms and that meet accepted standards of medicine. , and your doctor or other treating provider must prescribe it for use in your home.

Does Medicare pay for DME?

Medicare will only cover your DME if your doctors and DME suppliers are enrolled in Medicare. Doctors and suppliers have to meet strict standards to enroll and stay enrolled in Medicare. If your doctors or suppliers aren’t enrolled, Medicare won’t pay the claims submitted by them.

Can Medicare pay for a walker?

If suppliers aren’t participating and don’t accept assignment, there’s no limit on the amount they can charge you. Medicare won’t pay claims for doctors or suppliers who aren’t enrolled in Medicare. You can use any Medicare-approved supplier to make repairs to a walker that you currently own.

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