Medicare Private Fee-for-Service (PFFS) plans

What are Postal Service Health Benefits?

Dear Marci, My wife is a U.S. Postal Service employee, and we are both covered under her Federal Employee Health Benefits. She was told that our health benefits will change…

Appeal basics

…received your service) or post-service appeal (you have already received your service). Part D appeals – This section includes information about how to appeal a denial of coverage by your…

Glaucoma screenings

…is licensed to provide this service in your state. Costs If you qualify, Original Medicare covers glaucoma screenings at 80% of the Medicare-approved amount. When you receive the service from…

Choosing between Original Medicare and Medicare Advantage

…of the most common types of plans are Health Maintenance Organizations (HMOs), Preferred Provider Organizations (PPOs), and Private Fee-For-Service (PFFS) plans Beneficiary shows the membership card from their plan when…

Treatment for alcoholism and substance use disorder

Medicare covers alcoholism and substance use disorder treatment in both inpatient and outpatient settings if: Your provider states that the services are medically necessary You receive services from a Medicare-approved…

Does it matter which kind of Medicare provider I see?

Dear Marci, I recently enrolled in Original Medicare. I know that with Original Medicare, I can see most any provider. Will my costs be the same regardless of which provider…

Outpatient therapy costs

…participating provider, you pay a 20% coinsurance after you meet your Part B deductible ($240 in 2024). If your total therapy costs reach a certain amount, Medicare requires your provider…

Drug coverage under hospice

…your terminal condition and should be covered by your hospice provider, not your Part D plan. If you do not need these kinds of drugs to treat your terminal condition—but…

Outpatient provider services