Original Medicare appeals if your care is ending

…Your provider cannot bill you before the QIO makes its decision. Once you file the appeal, your provider should give you a Detailed Explanation of Non-Coverage. This notice explains in…

How to switch Medicare Advantage Plans or switch from Medicare Advantage to Original Medicare

…avoid errors. Special Enrollment Period: Under certain circumstances, you may be eligible for a Special Enrollment Period (SEP). SEPs allow you to change your health and/or drug coverage outside normal…

VA drug coverage and Part D

…enrollment penalty (LEP). Be sure to compare the costs and benefits of Part D and your VA drug coverage to decide which best suits your needs. Typically, VA drug coverage…

Appealing the Part D late enrollment penalty

…         Toll free fax: (833) 946-1912 Part D LEP Reconsiderations        Customer Service: 833-919-0198 PO Box 44165  Jacksonville, FL 32231-4165  If you don’t have an…

Special rules for oxygen equipment rental, repairs, and maintenance

…period, the supplier must provide you with supplies and maintenance free of charge. During the last 24 months, providers are allowed to bill you for in-home maintenance visits every six…

How to enroll in Medicare if you are turning 65

…how Medicare works and that you were automatically enrolled in both Parts A and B. If you get Social Security retirement benefits, your package and card will come from the…

How to apply for Extra Help

…using either the agency’s print or online application. (If you have Medicaid, SSI, or an MSP, you should be automatically enrolled in Extra Help.) To apply online, visit www.ssa.gov. Depending…

Equipment and supplies excluded from Medicare coverage

…that are not used with equipment. For example, Medicare does not cover incontinence pads, catheters, surgical facemasks, or compression leggings. However, if you receive home health care, Medicare pays for…

Renting and buying DME

…you automatically. In certain situations, you may have to buy your DME. For example, Medicare may require that you purchase an item that is made to fit you. Original Medicare…

Original Medicare DME costs

…Medicare Avoid suppliers who have not signed up to bill Medicare for DME, also known as opt-out providers. Medicare will not pay for services you receive from opt-out providers. This…