How-to replace a Medicare Card. Make sure your address is correct at Social Security. Login to your MyMedicare.gov account. Select the “Order Card” button located on the Replacement Medicare Card tab. Wait… your replacement card will arrive within 4 weeks. You can also visit www.ssa.gov or call the national number at (800) 772-1213. Be aware […]
Medicare Benefits for People with Disabilities
How do I qualify for Medicare if I’m disabled? Anyone approved for Social Security disability insurance (SSDI) benefits will also qualify for Medicare. People approved to receive Supplemental Security Income (SSI) receive Medicaid benefits. Medicare will automatically start for SSDI recipients 24 months after their date of entitlement. Individuals with qualifying disabilities are eligible to […]
What is the Qualified Medicare Beneficiary Program (QMB)?
How-to Qualify for Dual Eligibility (Medicare + Medicaid) You must be enrolled in Medicare Part A. You must prove your income is at or below the national poverty level. You must prove that you do not have cash value resources above a certain value. You must apply at your local Medicaid office. Qualified Medicare Beneficiary […]
How Much Does Medicare Hospital Insurance Cost (Medicare Part A)?
How much does Medicare Part A cost? Most people don’t pay a monthly premium for Part A (“premium free”). If you must buy Part A, you’ll pay up to $413 per month (2017 rate). When admitted as an inpatient, you’ll pay a $1,316 deductible for each benefit period. There are also co-insurance costs from $0 […]
Telehealth Innovation and Improvement Act Expands Telehealth Services to Medicare Patients
Senate lawmakers have introduced a bipartisan bill, the Telehealth Innovation and Improvement Act, designed to extend telehealth services to Medicare patients. Under the new law, eligible hospitals would test telehealth services through the Center for Medicare and Medicaid Innovation (CMMI). The center would then evaluate the services for cost, effectiveness and quality-of-care. Those that meet […]
How Much are Medicare Premiums?
Do you have to pay for Medicare? Medicare Part A (hospital insurance) is free for most people. Medicare Part B (medical insurance) is based on your annual income. Medicare Part C (private health plan) is the same as Part B + the insurance carrier’s additional premium amount (often $0). Medicare Part D (prescription drug plan) […]
How Can Beneficiaries Appeal Medicare Income Decisions?
How-to Appeal a Medicare Income Decision You have the right to appeal determination of premium amounts. File a Request for Reconsideration (Form SSA-561-U2). Alternatively, go to your local Social Security Administration (SSA) office to file the appeal. An appeal is not necessary if you have experienced an event that has caused a decrease in income. If […]
How Is Beneficiary Income Calculated by Medicare?
How Does Medicare Calculate Income for Premiums? For most beneficiaries, Medicare pays approximately 75 percent of their Part B premium. For beneficiaries with higher incomes, Part B premiums will be 35, 50, 65 or 80 percent of the total cost of Part B, based income reported to the IRS. Higher income beneficiaries also pay more […]
Does Medicare Cover All Medical Expenses After Age 65?
Do you have to pay for Medicare, or is it free? Most people don’t pay for Medicare Part A (hospital insurance), however you do pay co-insurance and an annual deductible. There is a premium for Medicare Part B. It also has a deductible and co-insurance. After you pay your deductibles, you pay 20% of all […]
Do Medicare Part B Medical Insurance Premiums Change From Year to Year?
Medicare Part B Premium Increases The standard Part B premium in 2017 is $134. Your Part B premium is based on your annual income, when you got your Medicare, and whether or not you paid Medicare taxes for 10 years or more. Beneficiaries new to Medicare pay the standard premium set for the year by CMS. […]
Understanding Medicare Advantage Plans: Max Out-of-Pocket vs. Deductible vs. Co-Pay
If you’re about to retire or planning for your retirement, you might be considering a Medicare Advantage plan. These are private health plans offered by national and region health insurance companies and healthcare providers. They are similar to Obamacare plans and health coverage you get through your employers, but some features and terminology are a […]
What Gaps in Medicare Mean To You
In dictionaries the word gap means a break, a separation, an incompleteness or deficiency. In Medicare it means the same thing, but it refers specifically to something that is missing from your health insurance coverage. Many seniors make a critical mistake when they buy into government literature that explains how Medicare pays for eighty percent […]
What Medicare Out-of-Pocket Costs Mean to You
Out-of-pocket costs are those fees that you have to pay at the doctors office, hospital or pharmacy because they are not covered by your Medicare health insurance. Almost all healthcare plans have these expenses, but they vary according to what type of Medicare plan you choose. Your out-of-pocket costs are a financial risk. As with […]
What To Do When Your Medicare Drug Plan Doesn’t Cover Your Prescription
Presumably, if you have a Medicare Part D Plan or a Medicare Advantage Plan (Part C) that includes Part D drug coverage, you looked at its formulary before you made the decision to enroll in the plan. Perhaps since then, however, you have developed a need for another medication which is not covered by your […]
Is a Medicare MSA Plan Right For You?
MSA stands for Medical Savings Account. It’s a type of health insurance plan that helps you set aside monies in a tax-free savings account to be used on your health care costs. If you’re familiar with Health Savings Accounts outside of Medicare, it’s a similar type of health plan. Some Medicare Advantage (Part C) plans […]
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