Medicare Blog

who to call about medicare coverage

by Everett Doyle Published 2 years ago Updated 1 year ago
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1-800-633-4227

Who should I talk to about Medicare?

Topics include:

  • Claims & billing
  • Complaints about my care or services
  • General health & health conditions
  • Health care facilities & services in my area
  • Help with my Medicare options & issues
  • Medicare Diabetes Prevention Program
  • Opioid Treatment Program Services
  • Other insurance programs
  • Other resources

What is the phone number to contact Medicare?

What is the Medicare Phone Number?

  1. “Claim service” or press “1”
  2. “Coverage and benefits” or press “2”
  3. “Premium payments” or press “3”
  4. “Preventive exams” or press “4”
  5. “Deductible” or press “5”
  6. “Help me with something else” or press “6”
  7. “Agent” or press “0” (zero)

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 to contact, social security or Medicare?

  • Find the address of your local Social Security office
  • Request a form SS-5, Application for a Social Security Card, to:
  • apply for an original Social Security card or a replacement card if yours was lost or stolen,
  • request a name change on your card, or
  • update or correct other information on your Social Security number record.

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What is the best way to contact Medicare?

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.

Who do you call with questions about Medicare?

1-800-633-4227Visit Medicare.gov/about-us/nondiscrimination/accessibility-nondiscrimination.html, or call 1-800-MEDICARE (1-800-633-4227) for more information. TTY users can call 1-877-486-2048. Paid for by the Department of Health & Human Services.

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 I automatically get Medicare when I turn 65?

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.)

Can you call Medicare anytime?

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

Do you automatically get Medicare with Social Security?

You automatically get Medicare because you're getting benefits from Social Security (or the Railroad Retirement Board). Part B covers certain doctors' services, outpatient care, medical supplies, and preventive services.

What does Medicare cover for seniors?

What Part A covers. Medicare Part A hospital insurance covers inpatient hospital care, skilled nursing facility, hospice, lab tests, surgery, home health care.

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.

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.

Do I need to contact 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.

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...

Will Medicare automatically send me a Medicare card?

Once you're signed up for Medicare, we'll mail you your Medicare card in your welcome packet. You can also log into (or create) your secure Medicare account to print your official Medicare card. I didn't get my Medicare card in the mail. View the Medicare card if you get benefits from the Railroad Retirement Board.

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...

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.

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.

What hours can I call Medicare?

Beneficiaries may call 1-800-MEDICARE 24 hours per day , seven days per week to get help with coverage, claims, payments and more in both English and Spanish. The hearing impaired may call 1-877-486-2048.

How to report lost Medicare card?

To report a lost or stolen Medicare card and to request a new Medicare card, call 1-800-772-1213.

What are the different types of Medicare plans?

What are private Medicare plans? 1 Medicare Advantage#N#Medicare Advantage plans provide the same benefits as Original Medicare (Part A and Part B) combined into a single plan.#N#Many Medicare Advantage plans offer additional coverage for things like dental, vision, hearing, prescription drugs and other services that Original Medicare doesn’t cover. 2 Medicare Part D#N#Medicare Part D plans provide coverage for exclusively for prescription drugs. 3 Medicare Supplement Insurance (Medigap)#N#Medigap plans help cover for some of the out-of-pocket costs faced by Original Medicare beneficiaries, such as certain Medicare deductibles, copayments and coinsurance. You can’t have a Medigap plan and a Medicare Advantage plan at the same time.

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:

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 Security to update that information. You will also want to reach out to your insurer to make sure they are aware so that you do not miss out an any correspondence while waiting for Social Security to update their information.

What to do if your Medicare plan is having a problem?

Likewise, if your plan is having a problem with billing or premium payments, you should call Social Security, and also contact your insurer to ask how you can help them update their information. Your insurer may be able to notate your account with the correct information while Medicare processes your updates.

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

For example, problems could occur if you misspelled your name or inverted digits in your Social Security number. You can usually fix those issues by contacting the insurer or a broker (if you used one to sign up).

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 large out-of-pocket expenses.

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

You have 60 days from receiving a denial letter to appeal the denied services by sending your carrier a letter. Although you don’t have to, it helps to include a statement from your doctor supporting the “medical necessity” of services the plan denied.

How to address Medicare Advantage enrollment issues?

You can usually address many Medicare Advantage or Part D enrollment issues by contacting Social Security or 1-800-MEDICARE. But you would appeal coverage denials directly to your insurer. | Image: Seventyfour / stock.adobe.com

How to switch Medicare Advantage plan?

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 you change to a new Medicare plan, your old plan will end when the new coverage begins. An agent or broker can also help you change your plan. (If you used a broker, they could also help with filing an appeal if your plan doesn’t cover a service or medication.)

What is the number to call Medicare?

1-800-MEDICARE (1-800-633-4227) is the official Medicare phone number that beneficiaries may call for help with their coverage, claims, payments and more. You may call 24 hours a day, 7 days per week, ...

What to call Medicare before calling?

Before you call the Medicare phone number. Before calling 1-800-MEDICARE, have your Medicare card ready in case the representative needs to know your Medicare number. If you are calling with a question about a claim or a bill, have the bill or the Explanation of Benefits (EOB) handy for reference.

How to contact Medicare for lost card?

1-800-MEDICARE and press “ 0 ”. or say “ Help me with something else ”. or press “ 6 ”. or say “ Agent ”. Replacing a lost Medicare card. 1-800-772-1213. Medicare questions for the hearing impaired. 1-877-486-2048. Social Security.

How to check Medicare claim status?

While you can always call Medicare to check on a Medicare claim status, you can also do so by visiting MyMedicare.gov. You will need to set up an account for the website, which will allow you to access certain information about your Medicare coverage: 1 You can check the status of any Medicare Part A or Part B claim, usually within 24 hours after the claim is processed. 2 You can check your Medicare Summary Notice (MSN), which shows all of your Medicare coverage and billing activity for the previous three months. 3 You can download and save your Medicare Part A and Part B claims information.

How much is Medicare Part B?

The standard premium for Medicare Part B is $135.50 in 2019. Some people (such as those who have recently reported higher incomes) may pay more.

What is Medicare Part A and Part B?

Medicare Part A and Part B (also call Original Medicare) cover a wide range of services, so it’s understandable why so many beneficiaries call 1-800-MEDICARE with questions about whether or not a particular service or health care product will be covered by Original Medicare.

How long does it take to check Medicare Part A?

You can check the status of any Medicare Part A or Part B claim, usually within 24 hours after the claim is processed.

Contact Information for People with Medicare

Telephone numbers and web link information related to specific Medicare questions.

Contact Information for People with Medicaid

Medicaid is a state administered program and each state sets its own guidelines regarding eligibility and services. Please refer to the "Related Links" for a list of State Health Departments.

Contact information for CMS Regional Office

Provides contact information for your CMS Regional Office, and s pecific program issue contacts are also available as PDF download.

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