Generally, Medicare Part B covers the services that may affect people who have diabetes. Part B also covers some preventive services for people who are at risk for diabetes. Part B covers services like the following: Diabetes Screenings Prevention Programs Self-management training Equipment and supplies Foot Exams and Treatment Glaucoma Tests Part D plans cover diabetes supplies used for injecting or inhaling insulin. Part D plans cover things like the following: Anti-diabetic drugs for maintaining blood sugar Certain medical supplies to administer insulin Insulin that isn’t administered with an insulin pump If you are enrolled in a Medicare Supplement or Medicare Advantage, your deductible, copay, or coinsurance may be different or less depending on the plan you have chosen. Medicare Advantage plans may also offer additional services related to diabetes. Please check your Medicare Advantage Summary of Benefits to see if your plan provides any supplemental benefits. Kevin Leinum Medicare Agent – your local Medicare Expert – can help you understand the many parts of Medicare and determine what the right fit is for you. Give us a call to discuss the options available to you.
Medicare covers mental health services in several different settings. Medicare Part A covers mental health care services you get in a hospital that require you to be admitted as an inpatient. Medicare Part B may provide partial hospitalization coverage if you meet specific requirements, and your doctor certifies that you would otherwise need inpatient treatment. If you are enrolled in a Medicare Supplement or Medicare Advantage, your deductible, copay, or coinsurance may be different or less depending on the plan you have chosen. Medicare Advantage plans may also offer additional mental health services. Please check your Medicare Advantage Summary of Benefits to see if your plan provides any supplemental benefits. Call Kevin Leinum Medicare Agent – your local Medicare Expert about what Medicare covers or how enrolling in a Medicare Advantage or Medicare Supplement plan can improve your coverage and reduce your out-of-pocket costs.
Medicare Part B covers manual manipulation of the spine if medically necessary to correct a subluxation when provided by a chiropractor or other qualified provider. Medicare doesn’t cover other services or tests ordered by a chiropractor, including X-rays, massage therapy, and acupuncture. If you only have Original Medicare, you will have to pay 20% of the Medicare-approved amount; the Part B deductible also applies. If you are enrolled in a Medicare Supplement or Medicare Advantage, your deductible, copay, or coinsurance may be different or less depending on the plan you have chosen. Medicare Advantage plans may also offer additional chiropractic services. Please check your Medicare Advantage Summary of Benefits to see if your plan provides this supplemental benefit. Call Kevin Leinum Medicare Agent – your local Medicare Expert about what Medicare covers or how enrolling in a Medicare Advantage or Medicare Supplement plan can improve your coverage and reduce your out-of-pocket costs.
Original Medicare does not cover transportation for routine doctor’s office visits. The only transportation covered by Original Medicare is ground ambulance transportation when you need to be transported to a hospital, critical access hospital, or skilled nursing facility for medically necessary services. Transportation in an airplane or helicopter to a hospital if you need immediate and rapid ambulance transportation not available by ground transportation is also provided. There are, however, some Medicare Advantage plans that offer transportation services to doctors’ offices. Some provide unlimited trips, and others have a set number of trips defined by the plan. Please check your Medicare Advantage Summary of Benefits to see if your plan offers this supplemental benefit. Call Kevin Leinum Medicare Agent – your local Medicare Expert about what Medicare covers or how enrolling in a Medicare Advantage or Medicare Supplement plan can improve your coverage and reduce your out-of-pocket costs.
There are many benefits that people often think original Medicare will cover, and health club memberships are one of those. Original Medicare, Part A, and Part B do not cover any of the costs associated with gym memberships or fitness programs. However, other Medicare plan options may cover a gym membership cost as a part of their supplemental benefits. Medicare Advantage plans can offer a supplemental fitness benefit like a fitness club membership in their plans if they so choose. It is important to review the Summary of Benefits for each Medicare Advantage plan to understand if there is a fitness membership included and any limitations. Most of the fitness programs available as a part of Medicare Advantage plans limit you to a network of fitness clubs. Be sure you check and see if there are any located near you or that the one you want to go to is a part of the network. There are also a very few Medicare Supplement plans that also provide supplemental fitness benefits, but they are rare. Medicare Advantage or Medicare Supplement insurance companies may offer supplemental fitness benefits through companies like SilverSneakers and others. Kevin Leinum Medicare Agent – your local Medicare Expert – can help you understand the many parts of Medicare and determine what the right fit is for you. Give us a call to discuss the options available to you.
SilverSneakers is not a benefit provided under Original Medicare. SilverSneakers is a company that some Medicare Advantage or Medicare Supplement insurance companies use to provide a supplemental fitness benefit to their members. SilverSneakers is a health and fitness program designed for adults 65+. If your Medicare Advantage or Medicare Supplement plan offers SilverSneakers benefits, they can include the following: Go to thousands of gyms, community centers, and other participating fitness locations across the nation. Take fun exercise classes designed for seniors of all fitness levels and led by trained instructors. Access an on-demand video library of classes and workouts. Download the SilverSneakers G.O. app to get your digital membership card and workouts (free, iOS, and Android). Find a friendly, supportive community in person and online. Medicare Advantage or Medicare Supplement insurance companies may also offer supplemental fitness benefits through other companies than SilverSneakers. Kevin Leinum Medicare Agent – your local Medicare Expert – can help you understand the many parts of Medicare and determine what the right fit is for you. Give us a call to discuss the options available to you.
Original Medicare usually doesn’t cover health care while you’re traveling outside the U.S. and its territories. There are some exceptions, including some cases where Medicare Part B (Medical Insurance) may pay for services that you get on board a ship within the territorial waters adjoining the land areas of the U.S. Medicare may pay for inpatient hospital, doctor, ambulance services, or dialysis you get in a foreign country in only a few rare cases, including the following: You’re in the U.S. when a medical emergency occurs that requires immediate medical attention to prevent a disability or death, and the foreign hospital is closer than the nearest U.S. hospital that can treat your medical condition. You’re traveling through Canada without unreasonable delay by the most direct route between Alaska and another state when a medical emergency occurs, and the Canadian hospital is closer than the nearest U.S. hospital that can treat the emergency. You live in the U.S., and the foreign hospital is closer to your home than the nearest U.S. hospital that can treat your medical condition, regardless of whether an emergency exists. Before you travel outside the U.S., talk with your Medicare Advantage, Medigap plan, or insurance agent to get more information about your travel benefits. Kevin Leinum Medicare Agent – your Medicare Expert – can help you understand the many parts of Medicare.
If you don’t enroll in Medicare Part B or Part D when you are eligible, you may be hit with a late enrollment penalty. There are only a few circumstances in which the Part B or Part D penalty can be removed. If you received bad advice from the federal government, you might be able to get your penalty waived. If you were misadvised by your employer and human resources departments are not Medicare experts and often give out bad advice, you will likely NOT be able to get your penalty waived. If you are assessed a penalty, you may be able to get it waived if you qualify for Low-Income Subsidy. There is an appeal process, but you will need very specific details about your situation or the bad advice the federal government gave you. Once you gather all your documentation, you can submit an equitable relief request to your local Social Security office. Social Security does not have a specific time limit in which they must respond to your request for equitable relief, so it may take a while. This can be a daunting process, so you may want your Medicare agent from Kevin Leinum Medicare Agent to assist you with the process. Kevin Leinum Medicare Agent – your local Medicare Expert – can help you understand the many parts of Medicare and determine what the right fit is for you. Give us a call at 619-886-5665 to discuss the options available to you.
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We do not offer every plan available in your area. Currently, we represent 8 organizations which offer 75 products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Assistance Program (SHIP) to get information on all of your options. This is a proprietary website and is not associated, endorsed, or authorized by the Social Security Administration, the Department of Health and Human Services or the Center for Medicare and Medicaid Services. This site contains decision-support content and information about Medicare, services related to Medicare and services for people with Medicare. If you would like to find more information about the Medicare program, please visit the Official U.S. Government Site for People with Medicare located at http://www.medicare.gov.