Medicare Coverage of Behavioral Health Care

This toolkit explains Medicare’s coverage of behavioral health, including mental health care and addiction recovery services. It includes:

  • A flier for consumers about Medicare coverage of behavioral health care
  • FAQs about Medicare coverage of mental health care and addiction recovery services
  • A chart explaining opioid safety edits
  • A presentation about helping clients understand and access Medicare-covered services

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Medicare Advocacy Toolkits

These advocacy toolkits can be used to help older adults and people with disabilities navigate health insurance benefits and troubleshoot enrollment or coverage issues. The toolkits cover the following topics:

  • Medicare enrollment
  • Durable medical equipment access
  • Medicare for individuals with End-Stage Renal Disease (ESRD)
  • Part D drug access

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Integrated Coverage Options for New Yorkers

This toolkit explains the various coverage options available for New York beneficiaries eligible for both Medicare and Medicaid (dual-eligibles). It includes:

  • Definitions sheet
  • A flier for consumers that provides information about Medicaid Advantage Plus (MAP)
  • Useful fliers for advocates and other professionals

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Helping Clients with End-Stage Renal Disease Navigate Medicare

This toolkit explains Medicare eligibility, enrollment, and coverage for individuals with End-Stage Renal Disease (ESRD). It includes:

  • Useful fliers & FAQs
  • A presentation that provides a detailed overview of how Medicare works for individuals with ESRD
  • An infographic that provides basic information about when Medicare due to ESRD begins

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Medicare’s Coordination with Other Types of Insurance

This toolkit explains how Medicare coordinates with other types of insurance, including job-based insurance, COBRA, Federal Employee Health Benefits (FEHB), TRICARE for Life, and Veterans Affairs’ (VA) benefits. It includes:

  • Useful fliers & FAQs
  • Multiple presentations for consumers and professionals, including a Medicare and job-based insurance presentation, a Medicare and COBRA presentation, and a Medicare and other insurances presentation
  • An interactive roadmap to help make decisions
  • An infographic that provides basic information about when Medicare is primary or secondary

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Moving from the Marketplace to Medicare in New York State

This toolkit explains the transition to Medicare for individuals who are enrolled in Qualified Health Plans (QHPs) or expansion Medicaid through the New York State of Health (NYSoH) Marketplace. It includes:

  • Useful fliers
  • Multiple presentations for consumers and professionals, including a QHP presentation, an expansion Medicaid presentation, and a presentation for consumers, with simplified NYSoH transitions information
  • An interactive roadmap to help make transition decisions
  • A NYSoH infographic that provides basic information about the transition to Medicare

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