Medicare Coverage For Durable Medical Equipment (DME)

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Medicare Coverage For Durable Medical Equipment (DME)

Durable Medical Equipment (DME) coverage:

How often is it covered?
Medicare Part B (Medical Insurance) covers medically necessary durable medical equipment (DME) that your doctor prescribes for use in your home. Only your doctor can prescribe medical equipment for you. DME meets these criteria:
Durable (can withstand repeated use)
Used for a medical reason
Not usually useful to someone who isn’t sick or injured
Used in your home

Has an expected lifetime of at least 3 years (more…)

Medicare Advantage Disenrollment- Period What You Need To Know!

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Medicare Advantage Disenrollment Period

What You Need To Know!

Jan. 1 through Feb. 14 is the annual Medicare Advantage Disenrollment Period. This is when you can disenroll from a Medicare Advantage plan and then get your Medicare Part A and Part B through Original Medicare. But it’s important to know that disenrolling could lead to penalties or leave you without the coverage you need — both potentially costly mistakes.

Important! (more…)

Today Medicare announced the 2017 cost increases for Medicare

Today Medicare announced the 2017 cost increases for Medicare. Most important for our clients include: Part B Deductible: From…

How To Buy Medicare Insurance Online In the Comfort Of Own Home

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It’s the image most of us have when we think of buying insurance: agent and client sitting at the kitchen table, discussing plans and premiums, and sealing the deal by putting pen to paper.
Many of today’s seniors are often uncomfortable inviting strangers into their homes, which means, fewer seniors are willing to open their doors. The changes in seniors buying patterns is preventing seniors from getting the best information about Medicare from truly qualified representatives.
Furthermore, there are fewer independent agents today than ever before. In the last 25 years, the number of agents in the field has dwindled from 750,000 to 300,000 today. Compounding the issue, the 65 and over population is expected to double by 2030, increasing from some 36 million to 72 million people. So, seniors and agents will have to figure out how to serve more people. (more…)

Medicare Obesity Screening & Counseling

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Medicare covers behavioral counseling sessions to help you lose weight. This counseling may be covered if you get it in a primary care setting (like a doctor’s office), where it can be coordinated with your other care and a personalized prevention plan. Talk to your primary care doctor or practitioner to find out more.

Who’s eligible?

All people with Medicare Part B (Medical Insurance) who have a body mass index (BMI) of 30 or more are covered.

Your costs in Original Medicare

You pay nothing for this service if the primary care doctor or other qualified primary care practitioner accepts assignment. (more…)

What Are Your Medicare Costs?

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Get help paying costs

Learn about programs that may help you save money on medical and drug costs.

Part A costs

Find out about the monthly premium for Medicare Part A (hospital insurance) and learn about the Part A late enrollment penalty and Medicare Part B (medical insurance).

Part B costs

Find out how much Medicare Part B (medical insurance) costs, including the Part B Income Related Monthly Adjustment Amount (IRMAA), and the Part B late enrollment penalty.

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Medicare Claims & Appeals

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Claims & Appeals

Click on the links to get all the information you need.

How do I file a complaint (also called a “grievance”)?

Find out how you can file a complaint (also called a “grievance”) if you have a concern about the quality of care or other services you get from a Medicare provider. Contact your State Health Insurance Assistance Program (SHIP) for local, personalized Medicare counseling.

How do I file a claim?

Get information on how and when to file a claim for your Medicare bills (sometimes called “Medicare billing”). You should only need to file a claim in very rare cases.

How do I check the status of a claim?

Learn about several ways to check the status of a Medicare claim, like MyMedicare.gov, your Medicare Summary Notice (MSN), your Explanation of Benefits (EOB), Medicare’s Blue Button, or by contacting your Medicare Advantage plan or Medicare Prescription Drug Plan.

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Medicare Supplements & Other Insurance

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Supplements & other insurance

Click on the link for more information:

How Medicare works with other insurance

Learn how benefits are coordinated when you have Medicare and other health insurance.

Retiree insurance

Read 5 things you need to know about how retiree insurance works with Medicare. If you’re retired and have Medicare and group health plan coverage from a former employer, generally Medicare pays first and your retiree coverage pays second.

What’s Medicare Supplement Insurance (Medigap)?

Read about Medigap (Medicare Supplement Insurance), which helps pay some of the health care costs that Original Medicare doesn’t cover.

Find a Medigap policy

Find and compare drug plans, health plans, and Medigap policies.

When can I buy Medigap?

Get the facts about the specific times when you can sign up for a Medigap policy.

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What Medicare Part A Covers

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What’s covered?

Medicare covers services (like lab tests, surgeries, and doctor visits) and supplies (like wheelchairs and walkers) considered medically necessary to treat a disease or condition.

If you’re in a Medicare Advantage Plan or other Medicare plan, you may have different rules, but your plan must give you at least the same coverage as Original Medicare. Some services may only be covered in certain settings or for patients with certain conditions.

(more…)