The parts of Medicare (A, B, C, D)

…an alternate way to receive your Medicare benefits (see below for more information). Part D provides prescription drug coverage. Generally, the different parts of Medicare help cover specific services. Most…

PPO basics

…After enrolling in a PPO you can see any provider, but you generally pay more when seeing out-of-network providers. PPO plans typically offer fixed copayments when you use the plan’s…

PFFS costs and coverage

…not required to select a primary care provider (PCP). You can see a specialist without a referral. PFFS plans cover your care if you visit an out-of-network provider or facility,…

Medicare Advantage Plan network comparison chart

…are various ways a plan may manage your access to specialists or out-of-network providers. Remember that your costs are typically lowest when you use in-network providers and facilities, regardless of…

Hospital discharge planning

…provider for a discharge planning evaluation. Some hospitals automatically evaluate the discharge needs of all patients, but others do not. You, your caregiver, and/or your provider can request screening for…

Medicare coverage during incarceration

…MSP, aim to enroll into the MSP in the two months before your release. Typically, you should receive a decision within 45 days of filing an application. If your state…

Special Topics Module: Medicare and Hospital Care Transitions

This Special Topics Module discusses hospital transitions for Medicare beneficiaries. Through the module’s three courses, you will learn about the landscape that people with Medicare and their families must navigate…

Medigap overview

…name offer the same benefits. However, premiums can vary from company to company. Note: People eligible for Medicare on or after January 1, 2020 cannot purchase Medigaps that pay for…

Medigap purchasing basics

If you wish to purchase a Medigap policy, you need to find out the best time to buy one in your state. In most states, insurance companies must only sell…

Coverage of immunosuppressant drugs and vitamins for people with ESRD

…not have Medicaid or other public or private health insurance that covers immunosuppressants  Part B-ID coverage may not be the best choice if any other insurance is available to you….