No. You don’t have to sign up for Medicare when you are 65. You can sign up for Part A and Part B at any time. You may want to sign up for Medicare when you are first eligible. This is when you first turn 65 and are suitable for Social Security benefits. When you do, signing up for Medicare will give you the most freedom to choose your health plan. You can keep your current health plan or enroll in a plan offered by Medicare. When you sign up for Medicare, you can also sign up for Part D drug coverage at the same time. If you have original Medicare and you want to keep it, you don’t have to sign up for Part D drug coverage. If you are already on disability and have Medicare, you don’t have to sign up for Part D drug coverage unless you want to. You should do it when you first become eligible if you want to sign up for Medicare Part A and Part B. Otherwise, if you enroll in Medicare later, you will have a seven-month wait before your coverage begins. Kevin Leinum – your local Medicare Expert – can help you understand the many parts of Medicare and determine what the right fit is for you. Give me a call to discuss the options available to you.
There can be several reasons. Medicare generally bills in 3-month increments if you don’t have your premiums automatically deducted from Social Security. Beneficiaries are responsible for multiple Medicare costs, including monthly premiums, deductibles, and coinsurance or copayments. Most Medicare beneficiaries collect Social Security benefits, and for these enrollees, Medicare premiums are deducted from their monthly Social Security check. But if you haven’t retired yet, you have to pay your bill directly to Medicare. Also, if you’re what Medicare terms a high earner, you may pay more for Medicare. Did You Delay Signing Up for Medicare? Your monthly premiums may be increased due to late enrollment penalties. These late enrollment penalties arise if you’re late signing up for Original Medicare (Medicare Parts A and B) and or Medicare Part D. These penalties are added to your Medicare Premium Bill and could be why your first Medicare bill was higher than you expected. These penalties may be offset by enrolling in a Special Enrollment Period (SEP). Call Kevin Leinum – 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 A and Part B will not cover antidepressants or other prescription drugs. Since Medicare considers antidepressants a protected class of prescription medicine, all Medicare Part D and Medicare Advantage plans must cover a majority of antidepressants. However, you may have to switch from a brand-name antidepressant to a generic version depending on your Medicare Plan. Your options: – Purchase a separate Medicare Part D prescription drug plan that augments your Original Medicare coverage. – Purchase a Medicare Advantage plan that includes Part D benefits. Either of these will provide you with Medicare coverage for antidepressants. To be eligible for coverage under these plans, you will need a doctor’s prescription for an antidepressant that has been approved for use by the U.S. Food and Drug Administration. You’ll also have to be under a doctor’s care to have your prescription renewed. Kevin Leinum – your local Medicare Expert – can help you understand the many parts of Medicare and determine what the right fit is for you. Give me a call to discuss the options available to you.
Medicare Cross-over is designed to eliminate some of the paperwork involved in filing medical claims. Some plans have an agreement with Medicare to crossover claims for any services that Medicare processed as primary. Medicare will automatically forward your Medicare Summary Notice (MSN) to those plans for services you receive throughout the United States. Claim forwarding is automatic for each person covered under Medicare when a plan participates in Medicare Cross-over. You do not need to complete a form or contact a plan to take advantage of crossover. Please contact your health plan or your Medicare insurance agent for more information. Call Kevin Leinum – 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.
For Medicare beneficiaries wondering whether their Part B premiums could be reduced, the waiting continues. – The Centers for Medicare & Medicaid Services continues to evaluate the Part B premium, given changes that have occurred since the monthly amount was set last year. – About half the rise in the premium was attributed to the potential cost of broadly covering Alzheimer’s drug Aduhelm. – If a premium reduction happens, there’s a chance it could be applied to 2023 instead of 2022. More than three months after Health and Human Services Secretary Xavier Becerra ordered a reassessment of this year’s $170.10 standard monthly premium — a bigger-than-expected jump from $148.50 in 2021 — it remains uncertain when a determination will come and whether it would affect what beneficiaries pay this year. If a premium reduction occurs, there’s also the chance it could be applied for 2023 instead of 2022. There have been year-to-year drops in the Part B premium in the past for various reasons, including legislative changes to how the premium is calculated. Kevin Leinum – your local Medicare Expert – can help you understand the many parts of Medicare and determine what the right fit is for you. Give me a call to discuss the options available to you.
Acupuncture Generally speaking, alternative medicine won’t be included. Cosmetic Surgery Unless a procedure will improve a body part’s ability to function, it won’t be covered by Medicare Custodial Care Custodial care is non-medical in nature. Due to this, it tends to be recommended by medical professionals but it isn’t required to be provided by medical professionals. Dental Care There are some exceptions to this rule, which are often dental care that need to be provided before some other kind of healthcare can be provided. Foot Care There are some exceptions for people who meet certain conditions. People who have some kind of structural problem with their foot might be covered. Foreign Travel Medicare doesn’t provide coverage for the overwhelming majority of scenarios in which Americans are getting healthcare outside of the United States. Hearing Aids Neither hearing aids nor the exams needed to fit hearing aids are covered by Medicare. Skilled Nursing Care Medicare does actually cover skilled nursing care for a short period of time, with 20 days being very common. 24-Hour Home Care Medicare provides coverage for some nursing as well as health aide services. Unfortunately, it won’t go as far as to cover 24-hour home care. Vision Care Routine vision care isn’t covered. However, people might have certain kinds of eye care covered under certain conditions.
The scammers want to get personal or financial information for identity theft or outright theft. To thwart a Medicare card scam, follow some basic precautions. Medicare never will call you uninvited to request personal or private information to get a new Medicare card and won’t charge you for a new card. If you receive a call claiming you need to pay a fee to get a new or upgraded Medicare card, it’s a scam. The previous Medicare cards used your Social Security number, and the new cards contain a Medicare Beneficiary Identifier (MBI) number. Medicare doesn’t need to “verify” your information and never threatens to cancel benefits. Hang up immediately if you get an unsolicited call from someone who claims to be from Medicare and asks for personal information. Please don’t believe a caller is a Medicare employee simply because they know some information about you. Scammers will have done their homework. Call Kevin Leinum – 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 Advantage plan can provide unexpected benefits. One of those benefits is access to food with the Grocery Plus Benefit. Qualified users can get the Grocery Plus benefit that “helps you shop a variety of healthy foods at participating grocery stores.” It stretches your budget for high-quality, healthy foods. You’ll get a Healthy Benefits+ card for all qualifying purchases if you qualify. Grocery Plus Benefits is reserved for healthy food, and it covers hundreds of products. These include fresh fruits and vegetables, salad kits, canned and frozen vegetables, fruits, and more. Uncovered items include non-food items, pet items, baby formula, candy, chips, etc. Eligibility: These are usually available through a particular Medicare Advantage plan called a Special Needs Plan (SNP). SNP-related conditions include congestive heart failure, diabetes, and end-stage renal disease. Contact your Medicare insurance provider to find out whether their Medicare Advantage plan offers meal delivery services, including the supplemental meal benefits, and how to arrange meal deliveries. Call Kevin Leinum – 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.
No. Medicare is strictly a health insurance program that covers costs related to illnesses and injuries (and, to some extent, their prevention). Based on a doctor’s recommendation, it will help pay for up to 100 days of rehabilitation or skilled nursing care after a significant health issue. But more extended stays, such as a permanent move into a nursing home, are not covered. What about Medicare Advantage? You can check to see if there’s a Medicare Advantage plan in your area that offers limited caregiving assistance. You may be able to find one that provides meals or pays for the installation of grab bars. A small number of so-called special needs plans offer some in-home support services. If a Medicare Advantage plan has a five-star rating, you may switch to it outside of the annual enrollment period. What about Medicaid? Medicaid pays for long-term nursing-home care, but only for people with low income and modest savings which can no longer handle basic daily tasks like dressing or feeding themselves. Gleckman says a good rule of thumb is that you likely qualify for Medicaid if you have less than $750 in income per month and less than $2,000 in financial assets (not counting a home). Call Kevin Leinum – 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 four parts of Medicare: Part A, Part B, Part C, and Part D. – Part A provides inpatient/hospital coverage. – Part B provides outpatient/medical coverage. – Part C offers an alternate way to receive your Medicare benefits. – Part D provides prescription drug coverage. Generally, the different parts of Medicare help cover specific services. Most beneficiaries choose to receive their Part A and B benefits through Original Medicare, the traditional fee-for-service program offered directly through the federal government. It is sometimes called Traditional Medicare or Fee-for-Service (FFS) Medicare. Under Original Medicare, the government pays directly for the health care services you receive. You can see any doctor and hospital that takes Medicare (and most do) anywhere in the country. Let expert Kevin Leinum help you understand the many parts of Medicare and determine the right fit for you. Give me a call to discuss the options available to you.
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