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Are you aware that your durable medical equipment (DME) may be covered under Medicare? Medicare Part B (Medical Insurance) covers medically necessary durable medical equipment that your doctor prescribes for use in your home. Therefore, Medicare covers items like oxygen equipment and supplies, wheelchairs, walkers, and hospital beds ordered by…
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. The “primary payer” pays what it owes on your bills first, and then your provider sends the…
Did you know some Medicare prescription drug plans (PDPs) or Medicare Advantage plans with prescription drug coverage (MA-PDs) have annual coverage limits? If you reach the annual coverage limit, you enter a temporary coverage gap, called “the donut hole.” During this period, you begin to pay a higher percentage for…
Medicare covers many tests, items and services like lab tests, surgeries, and doctor visits – as well as supplies, like wheelchairs and walkers. In general, Part A covers things like hospital care, skilled nursing facility care, hospice, and home health services. Medicare Part B covers medically necessary services and preventative…
When you visit a doctor or provider that accepts assignment, you know that they are contracted with Medicare to accept the Medicare-approved amount for a particular service as full payment. If you choose to go to a physician or supplier that does not accept assignment, there are a few things…
Medicare is a federal health insurance program for people age 65 or older, people with certain disabilities, or people with End-Stage Renal Disease (ESRD). Some people get Medicare Part A (Hospital Insurance) and Part B (Medical Insurance) automatically, while others have to sign up for it and manually enroll during…
Medicare Part A, often referred to as hospital insurance, is Medicare coverage for hospital care, skilled nursing facility care, hospice care, and home health services. It is usually available premium-free if you or your spouse paid Medicare taxes for a certain amount of time while you worked, if you receive…
Medicare Part B is the medical insurance portion of Medicare, which covers physician services, outpatient hospital care, and many other services typically covered under health insurance plans. Part B is financed through monthly premiums paid by enrollees and by contributions from the federal government. What is the Cost to Enrollees?…
Medicare Supplemental plans, or Medigap, cover the costs you’re responsible for with Original Medicare. There are 10 Medicare Supplement plan options available; A, B, C, D, F, G, K, L, M, and N. Each plan has different, yet standardized, benefits and coverage that must follow federal and state laws, and…