Medicare Blog

who to contact about medicare

by Gavin Harvey Published 2 years ago Updated 1 year ago
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1-800-633-4227

Full Answer

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.

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.

When should I call 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.

Can you call Medicare on behalf of someone else?

You can act on behalf of someone else to help manage their Medicare affairs.Dec 10, 2021

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.

What is the Medicare and Medicaid Services number?

Centers for Medicare and Medicaid Services. 7500 Security Boulevard. Baltimore, Maryland 21244-1850. Toll-Free: 877-267-2323.

What is the TTY number for Medicaid?

TTY Local: 410-786-0727. Medicaid.gov Mailbox: [email protected]. For information on the organizational structure of the Centers for Medicaid and CHIP Services (CMCS), please refer to our organizational page where you can get information on the different CMCS groups and their functions.

What is Medicaid and CHIP?

Medicaid and the Children’s Health Insurance Program (CHIP) are joint federal/state programs for which state Medicaid/CHIP agencies have full responsibility for all aspects of the administration and operation of the Medicaid program in their state, including determining eligibility for and enrollment into their programs.

What are the eligibility criteria for medicaid?

Medicaid eligibility criteria vary from state to state. Many states have expanded their Medicaid programs to cover more low-income adults. If you are unsure if you might qualify for Medicaid, you should apply. You might be eligible depending on your household income, family size, age, disability, and other factors. You must be a United States (U.S.) citizen, a U.S. national, or have a satisfactory immigration status to be eligible for full benefits. Visit HealthCare.gov to take a quick screening to help you determine your eligibility for Medicaid/CHIP or other health insurance options.

Do you need to work directly with Medicaid?

State Medicaid agencies handle the enrollment of their own providers and to be a covered provider, you need to work directly with the state’s Medicaid Agency . If you don’t have contact information for your state, you can find provider enrollment information here.

What information do you need to release a private health insurance beneficiary?

Prior to releasing any Private Health Information about a beneficiary, you will need the beneficiary's last name and first initial, date of birth, Medicare Number, and gender. If you are unable to provide the correct information, the BCRC cannot release any beneficiary specific information.

When does Medicare use the term "secondary payer"?

Medicare generally uses the term Medicare Secondary Payer or "MSP" when the Medicare program is not responsible for paying a claim first. The BCRC uses a variety of methods and programs to identify situations in which Medicare beneficiaries have other health insurance that is primary to Medicare.

What is BCRC in Medicare?

The Benefits Coordination & Recovery Center (BCRC) consolidates the activities that support the collection, management, and reporting of other insurance coverage for Medicare beneficiaries. The purpose of the COB program is to identify the health benefits available to a Medicare beneficiary and to coordinate the payment process to prevent mistaken Medicare payment. The BCRC does not process claims or claim-specific inquiries. The Medicare Administrative Contractors, (MACs), intermediaries, and carriers are responsible for processing claims submitted for primary or secondary payment and resolving situations where a provider receives a mistaken payment of Medicare benefits.

What is MLN CMS?

The Medicare Learning Network (MLN) is a CMS initiative to ensure Medicare physicians, providers and supplies have immediate access to Medicare coverage and reimbursement rules in a brief, accurate, and easy to understand format. To access MLN Matters articles, click on the MLN Matters link.

Who should report changes in BCRC?

Beneficiary, spouse and/or family member changes in employment, reporting of an accident, illness, or injury, Federal program coverage changes, or any other insurance coverage information should be reported directly to the BCRC.

Can a Medicare claim be terminated?

Medicare claims paying offices can terminate records on the CWF when the provider has received information that MSP no longer applies (e.g., cessation of employment, exhaustion of benefits). Termination requests should be directed to your Medicare claims payment office.

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