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Medicare Information

Medicare Information

Medicare Part A is the portion of Medicare that is available premium free to all eligible individuals*. Medicare Part A provides services associated with hospital, hospice, skilled nursing care, and home health care.

If you are approaching Medicare eligibility, or are already eligible, you know that figuring out your Medicare coverage options can be challenging. There are so many choices. How can you compare options and find the one that truly meets your needs?

Doctors who don’t accept assignment may charge you more than the Medicare approved
amount for a service, but they can’t charge more than 15% over the Medicare approved
amount for non-participating suppliers. This is called the “limiting charge.”

Medicare prescription drug coverage adds to your Medicare health care coverage Medicare prescription drug coverage (Part D) helps you pay for both brand-name and generic drugs.

What are my Medicare coverage choices?

There are 2 main ways to get your Medicare coverage—Original Medicare or a Medicare Advantage Plan. Use these steps to help you decide which way to get your coverage.

Who pays first if I have other health coverage?
If you have Medicare and other health coverage, each type of coverage is called a “payer.” When there’s more than one payer, “coordination of benefits” rules decide who pays first.

As you grow older, your housing needs may change. Maybe you'll get tired of raking leaves from the lawn of the house you bought 30 years ago because you liked its huge, shady backyard.

Caring for your aging parents is something you hope you can handle when the time comes, but something you probably hope you never have to do. Caring for your aging parents means helping them plan for the future, and this can be overwhelming, both physically and emotionally.

Medicare Comments - Part B

Medicare Covered Services

Abdominal aortic aneurysm screening

Medicare covers a one-time screening abdominal aortic aneurysm ultrasound for people at risk. You must get a referral

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Advance Care Planning

Medicare covers voluntary Advance Care Planning as part of the Yearly  “Wellness” visit. This is planning for care you

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Alcohol misuse screening and counseling

Medicare covers one alcohol misuse screening per year for adults with Medicare (including pregnant women) who use

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Ambulance Services

Medicare covers ground ambulance transportation when you need to be transported to a hospital, critical access hospital

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Ambulatory surgical centers

Medicare covers the facility service fees related to approved surgical procedures provided in an ambulatory surgical

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If the provider gets blood from a blood bank at no charge, you won’t have to pay for it or replace it. However, you’ll

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Bone mass measurement (bone density)

This test helps to see if you’re at risk for broken bones. It’s covered once every 24 months (more often if medically

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Breast cancer screening ( mammograms)

Medicare covers screening mammograms to check for breast cancer once every 12 months for all women with Medicare who

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Cardiac rehabilitation

Medicare covers comprehensive programs that include exercise, education, and counseling for patients who meet at least

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Cardiovascular disease (behavioral

Medicare will cover one visit per year with a primary care doctor in a primary care setting (like a doctor’s office) to

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Cardiovascular disease screenings

These screenings include blood tests that help detect conditions that may lead to a heart attack or stroke.

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Cervical and vaginal cancer screenings

Part B covers Pap tests and pelvic exams to check for cervical and vaginal cancers. As part of the pelvic exam,

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Medicare covers chemotherapy in a doctor’s office, freestanding clinic, or hospital outpatient setting for people with

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Chiropractic services (limited coverage)

Medicare covers manipulation of the spine if medically necessary to correct a subluxation (when one or more of the

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Chronic Care Management Services

If you have 2 or more chronic conditions that are expected to last at least a year, Medicare may pay for a health care

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Clinical research studies

Clinical research studies test how well different types of medical care work and if they’re safe. Medicare covers some

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Colorectal cancer screenings

Medicare covers these screenings to help find precancerous growths or find cancer early, when treatment is most

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Continuous Positive Airway Pressure

Medicare covers a 3-month trial of CPAP therapy if you’ve been diagnosed with obstructive sleep apnea. Medicare may

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Defibrillator (implantable automatic)

Medicare covers these devices for some people diagnosed with heart failure. If the surgery takes place in an outpatient

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Depression screening

Medicare covers one depression screening per year. The screening must be done in a primary care setting (like a

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Diabetes screenings

Medicare covers these screenings if your doctor determines you’re at risk for diabetes. You may be eligible for up to 2

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Diabetes self‑management training

Medicare covers diabetes outpatient self-management training to teach you to cope with and manage your diabetes.

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Diabetes supplies

Medicare covers blood sugar testing monitors, blood sugar test strips, lancet devices and lancets, blood sugar control

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Doctor and other health care provider

Medicare covers medically necessary doctor services (including outpatient services and some doctor services you get

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Durable medical equipment (DME)

Medicare covers items like oxygen equipment and supplies, wheelchairs, walkers, and hospital beds ordered by a doctor

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EKG or ECG (electrocardiogram) screening

Medicare covers a one-time screening EKG/ECG if referred by your doctor or other health care provider as part of your

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Emergency department services

These services are covered when you have an injury, a sudden illness, or an illness that quickly gets much worse.

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Eyeglasses (limited)

Medicare covers one pair of eyeglasses with standard frames (or one set of contact lenses) after cataract surgery that

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Medicare & You 2017 Guide

Medicare & You Guide

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