Lumaktaw sa pangunahing content

Getting Personalized Help




Where can I get personalized help?

You can always call 1-800-MEDICARE (1-800-633-4227);  
for TTY users 1-877-486-2048 for all inquiries, questions or reports.

Get information 24 hours a day, including weekends
  • Speak  clearly and follow the voice prompts to pick the category that best meets your needs
  • Have your Medicare card in front of you, and be ready to give your Medicare number
  • When prompted for your Medicare Number, speak the numbers and letters clearly one at a time
  • If you need help in a language other than English or Spanish or need to request a Medicare publication in an accessible format (like a large print or Braille), let the customer service representative know.

What if I ask someone to call 1-800-MEDICARE on my behalf?
You can fill out a "Medicare Authorization to Disclose Personal Health Information" form, so Medicare can give your personal health information to someone other than you. You can find the form by visiting Medicare.gov/medicareonlineforms or by calling 1-800-MEDICARE. 


What is State Health Insurance Assistance Programs (SHIPs)?

SHIPs are state programs that get money from the federal government to give local health insurance counseling to people with Medicare at no cost to you. SHIPs aren't connected to any insurance company or health plan. SHIP staff and trained volunteers work hard to help you with these Medicare questions:
  • Your Medicare rights.
  • Billin problems.
  • Complaints about your medical care or treatment.
  • Plan comparison and enrollment.
  • How Medicare works with other insurance.
  • Finding help paying for health care costs.

Where can I find general Medicare information online?

Visit Medicare.gov
  • Get information about Medicare health and prescription drug plans in your area, including what they cost and what services they provide.
  • Find Medicare-participating doctors or other health care providers and suppliers.
  • See what Medicare covers, including preventive services (like screenings, shots or vaccines, etc.)
  • Get Medicare appeals for information and forms.
  • Get information about the quality of care provided by plans, nursing homes, hospitals, doctors, home health agencies, dialysis facilities, hospices, inpatient rehabilitation facilities, and long-term care hospitals
  • Look up helpful websites and phone numbers.


Where can I find personalized Medicare information online?

Register at MyMedicare.gov
  • Manage your personal information 
  • Sign up to your "Medicare Summary Notices" (eMSNs) and this handbook electronically. You won't get printed copies if you choose to get them electronically.
  • Manage your personal drug list and pharmacy information.
  • Search for, add to, and manage a list of your favorite providers and access quality information about them.
  • Select or change your primary doctor. Your primary doctor is the practitioner who you want responsible for coordinating your overall care, regardless of where you choose to get services. 
  • Track Original Medicare claims and your Part B deductible status.
  • Print an official copy of your Medicare card.
.
MyMedicare.gov's Blue Button
MyMedicare.gov's Blue button makes it easy for you to download your personal health information to a file. Having access to your information can help you make more informed decisions about your health care. The blue button is safe, secure, reliable, and easy to use. 

By getting your information through Blue button you can:
  • Download and save a file of your personal health information on your computer or another device, including your Part A, Part B, and Part D claims.
  • Print or email the information to share with others after you've saved the file.
  • Import your saved file into other computer-based personal health management tools. 

Blue Button 2.0
Medicare has released a new data service that makes it easy for you to share your Parts A, Part B, and Part D claims information with a  growing list of authorized applications, services, and research programs. You authorize each application individually and you can return to MyMedicare.gov at any time to change the way an application uses your information.

Once you authorize the sharing of your information with an application, you can use that application to view your past and current Medicare claims.

For Medicare Advantage Plans, only Part D information is available through this service. If you have a Medicare Advantage Plan, check with your plan to see if they offer a similar service to Blue Button 2.0.

Learn more by visiting Medicare.gov and search for Blue Button.

Mga Komento

Mga sikat na post sa blog na ito

NCOV -19 and MEDICARE 2020

Medicare Part B , which includes a variety of outpatient services cover medically necessary clinical diagnostic laboratory tests when a doctor or other practitioner orders them. Medically necessary clinical diagnostic laboratory tests are generally not subject to coinsurance or deductible. It will cover medically necessary imaging tests, such as computed tomography (CT) scans, as needed for treatment purposes for lung infections, however not for screening asymptomatic patients. For those imaging tests paid by Part B, beneficiary coinsurance and deductible would apply. If the Part B deductible ($198 in 2020) applies to the Part B services, beneficiaries must pay all costs - up to the approved amount of Medicare until the beneficiary meets the yearly Part B deductible. Once it is met, Medicare pays its share, and beneficiaries typically pay 20% of the approved amount of the service, except laboratory tests. There’s no yearly limit for what a beneficiary pays out-of-pocket tho

Cardiovascular Disease Risk Reduction

Cardiovascular disease generally refers to conditions that can lead to a heart attack or stroke. Cardiovascular disease risk reduction visits can help detect and prevent this disease. How to know if I am Eligible? Medicare   Part B  covers an annual cardiovascular disease risk reduction visit with your primary care  provider . You do not need to show any signs or symptoms of cardiovascular disease to qualify for screening, but you must be considered competent and alert when counseling is provided.  During the screening, your provider may; Encourage aspirin use if the benefits outweigh the risks You are a man  of age 45-79 Or a woman of age 55-79 Screen for high blood pressure if you are age 18+ Provide behavioral counseling and tips to encourage a healthy diet Note: Men under 45 and women under 55 are not encouraged to use aspirin as a tool to reduce cardiovascular disease. How much will it cost? If you are eligible,  Original Medicare  will cover your cardiovascular disease risk red

Lifetime Reserve Days

There are  90 days of  inpatient  hospital care coverage on Original Medicare for each  benefit period , In addition, you also have an additional 60 days of coverag e , called LIFETIME RESERVE DAYS .   These Lifetime Reserved Days  can be used only ONCE, and you will pay a  coinsurance  for each of it. To have a better understanding of it, let’s imagine an individual who had a 120-day  Medicare -covered inpatient stay, this means that they used 30 lifetime reserve days. After they have been out of the hospital for 60 days in a row, they will be eligible for another 90 days of hospital coverage because they will be in a new  benefit period . However, if they need  inpatient care  beyond the benefit period maximum, they will only have 30 of their 60 lifetime reserve days remaining. The above example illustrates that lifetime reserve days do not have to be applied to the same hospital stay. If you need to stay in the hospital twice for 120 days each time during different benefit