Preventive services overview

…you meet the eligibility requirements and guidelines for a preventive service, you must be allowed to receive the service. This is true for Original Medicare and Medicare Advantage Plans. However,…

Health care proxies

…are unable to speak for yourself. A health care proxy may also be called a durable medical power of attorney or an appointment of a health care agent or health…

Participating, non-participating, and opt-out providers

…Medicare and always take assignment. Taking assignment means that the provider accepts Medicare’s approved amount for health care services as full payment. These providers are required to submit a bill…

Lifetime reserve days

…and pay the hospital’s daily charge instead. This could be a good choice if, for example: Your hospital costs are only a little higher than the coinsurance for lifetime reserve…

Traveling with Medicare

…coverage anywhere in the U.S. and its territories. This includes all 50 states, the District of Columbia, Puerto Rico, the Virgin Islands, Guam, American Samoa, and the Northern Mariana Islands….

When to enroll in Part D

…or if you qualify for a Special Enrollment Period (SEP). Additionally, you must: Have Part A and/or Part B And, live in the Part D plan’s service area Your Part…

Enrolling in a SNP

…and full Medicaid benefits. If you are enrolled in a Medicare Savings program (MSP), you will not qualify and must find a D-SNP that serves people with an MSP, in…

Notices that Medicare Advantage and Part D plans must send if they make changes during the year

…are enrolled in an MA Plan, you typically pay less when seeing in-network providers. In-network providers can leave a plan at any time. When a provider leaves a plan’s network,…

Medicare Advantage costs and coverage

…may leave the plan at any time, but you can only leave an MA Plan during an enrollment period if you want to avoid incurring a penalty. Though MA Plans…

Special Topics Module: Medicare and Hospital Care Transitions

…these transitions. All three module courses contain information about federal and New York State Medicare requirements for patient admission and discharge. You also will learn about Medicare’s recommendations and best…