Medicare Advantage supplemental benefits

…Medicare providers or at Medicare-certified facilities. Instead, to receive these items or services, you need to follow your plan’s rules. Some commonly offered supplemental benefits are dental care, vision care,…

HMO basics

…a point-of-service (POS) option, which allows you to go out of network for certain services. In these cases, you will be covered but usually at a higher cost. Medicare HMOs…

Options for those who enrolled in a Medicare Advantage Plan by mistake or because of misleading information

…you have used services. If you used any service since joining the plan (for example, saw a doctor or filled a prescription) and received a denial of coverage, you should…

Changing Part D plans

…drug coverage. Under certain circumstances, you may be eligible to use a Special Enrollment Period (SEP) to make changes to your Part D coverage. You may have an SEP if…

Ambulance transportation basics

…amount. In most cases, you pay a 20% coinsurance after you meet your Part B deductible ($240 in 2024). All ambulance companies that contract with Medicare must be participating providers….

Reporting Medicare fraud

If you think there is something wrong with a bill for a Medicare service, call your doctor, provider, or the facility first to check if there was an error. You…

Federal Employee Health Benefits (FEHB) basics

…(HMOs) or Fee-for-service (FFS) plans. HMOs have networks of providers, and you must usually see in-network providers to be sure services are covered. In an HMO, your out-of-pocket costs may…

Comparison: HMOs and Original Medicare

…is urgently needed Do not need referrals for specialists Typically need referrals for specialists Does not cover vision, hearing, or dental services May cover additional services, including vision, hearing, and…

Coverage of power wheelchairs and scooters

If you think you need a power wheelchair or scooter, first speak to your doctor or primary care provider (PCP). If your PCP determines that it is medically necessary that…

What to look for in a doctor

…ones prescribed by other providers Helps you make informed decisions Helps you feel comfortable and heard You may also want specialists who have some or all of the above attributes….