Administration Articles

How to file for Medicare appeals

If you’re a Medicare beneficiary, you have the right to file a Medicare appeal of a decision made about your coverage. You also have other rights under the program, which include the right to file a grievance. Here’s what you need to know about the... Read more

What is the Medicare Beneficiary Ombudsman?

Have you ever wanted to: File a complaint or grievance with Medicare Get help figuring out how your Medicare coverage will help pay for your medical costs Or get answers to other questions about the program? You're not alone. As a Medicare... Read more

What You Can Do on MyMedicare.gov

If you're a Medicare beneficiary or soon to become one, you may be interested in visiting the MyMedicare.gov web site. Sponsored by the Centers for Medicare & Medicaid Services (CMS), MyMedicare.gov provides a wealth of information and online tools... Read more

What is an Annual Notice of Change?

If you're currently enrolled in a Medicare Advantage plan, your plan will send you a "Plan Annual Notice of Change" (ANOC) each fall. The Annual Notice of Change is a booklet that explains any changes in your plan’s benefit coverage, costs, or service area... Read more

How Do Medicare Contractors Help with Appeals?

Medicare may use contractors to help process appeals. You have the right to file a Medicare appeal if you feel that Medicare (or a Medicare health plan or prescription drug plan) has denied you coverage of an item or service, or covered less of the cost than... Read more

Medicare Billing: What to Expect and Helpful Tips

Whether you receive your Medicare benefits straight from the government, or through a Medicare health plan offered by a private Medicare-approved insurance company, you may be wondering how Medicare billing works. Read on to learn about Medicare billing and... Read more

How do I file an appeal if my prescription medication isn’t covered by my Medicare health plan?  

Under the Medicare program, you may purchase coverage for prescription medications in one of two ways: through a Medicare Advantage Prescription Drug plan, or through a stand-alone Medicare Part D Prescription Drug Plan to go alongside your Original Medicare... Read more

Taking Care of Medicare Billing When I’m Sick in the Hospital

It could be one of your worst nightmares: you're involved in a major car crash that lands you in the hospital for an extended period – perhaps in a coma connected to a respirator. Thinking about Medicare billing may be the last thing on your mind, but if... Read more

Protecting Yourself from Medicare Fraud

There are numerous types of Medicare fraud that can target you, the Medicare beneficiary, directly. But there are some general rules of thumb that you can use to protect yourself from unscrupulous individuals looking to either steal your identity or scam you,... Read more

What Are My Rights to a Fast Appeal?

If you are enrolled in a Medicare Advantage plan or Medicare health plan, you can ask for a fast appeal if you’re receiving Medicare services from a facility or health-care agency and you think your Medicare-covered services are ending too soon. Your right... Read more




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