Medicare and dental care

…for dental services. You can also use FAIR Health’s consumer cost lookup tool to get an estimate for the amounts dental professionals usually charge in your area for different services….

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…

Medicare and second opinions

…Medicare does not cover second opinions for excluded services, such as cosmetic surgery. Medicare will also cover a third opinion if the first and second opinions are different from each…

Questions to ask when comparing Part D plans

…for Extra Help or a State Pharmaceutical Assistance Program (SPAP)? Pharmacy network What is the service area for the plan? Can I fill my prescriptions at the pharmacies I use…

Marketing appointment rules

…call a plan to make an appointment, an agent will come to your home and speak to you about your options, depending on what you requested. Plan agents cannot come…

Items and services excluded from Medicare coverage

Medicare does not cover all health care services. Services excluded from Medicare coverage include but are not limited to: Alternative medicine, including experimental procedures and treatments, acupuncture, and chiropractic services,…

Medicaid eligibility for Medicare beneficiaries who need long-term care in the home or community

All states have at least one Medicaid home and community-based service (HCBS) waiver program that provides general health coverage and coverage for certain services to help you stay at home…

Returning to a SNF after leaving

…return after 30 days have passed, Medicare will not pay unless you have been in the hospital for another three-day qualifying stay in the 30 days before you enter the…

Types of Medicaid for people with Medicare

…community-based service (HCBS) waiver programs: HCBS waiver programs provide general health coverage and coverage for certain services to help you stay at home or in a community-based setting (for example,…

Workers’ compensation and Medicare

Workers’ compensation is a state-administered program that pays for health care and other claims for job-related injuries. If you have Medicare and file for workers’ compensation, workers’ compensation pays primary…