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Medicare

Visit the Medicare News page for the latest announcements for Centers for Medicare and Medicaid Services (CMS) and other reports and press releases OR Medicare Posts for all the Medicare topics Insure Me Kevin has written about.

Medicare Resource Material


CMS releases First Round of Home Health Compare Quality of Patient Care Star Ratings

CMS NEWS FOR IMMEDIATE RELEASE July 16, 2015  Contact: CMS Media Relations  (202) 690-6145 | CMS Media Inquiries

Link to full news release -> Ratings to Help Consumers Compare and Choose Among Home Health Agencies

Today, the Centers for Medicare & Medicaid Services (CMS) for the first time published star ratings on Home Health Compare, CMS’s public information website for Home Health Agencies. Star ratings can help consumers more quickly identify differences in quality and make use of the information when selecting a health care provider. In addition to summarizing certain data about Home Health Agency performance for consumers, star ratings can also help the agencies identify areas for improvement.


Medicare Supplement or Medigap Training

The lessons in this Medigap training module discuss how Medigap policies work with Medicare, what Medigap policies cover, how they are structured, and when to buy a Medigap Policy. The materials—up to date and ready to use—are designed for information givers/trainers who are familiar with the Medicare program, and would like to have prepared information for their presentations. Download the workbook and presentation.


Medicare Preventive Services Training

Training presentation and workbook that covers Medicare approved preventive heath care services that are either no cost or low cost to the Medicare beneficiary. It covers the conditions for some of the tests to be covered in full, new tests added for 2015, and when some lab or office visits will require a copayment. Visit Medicare Preventive No Cost Services page.


Medicare Prescription Drug Plan Training

Prescription drug coverage for Medicare beneficiaries can be confusing. Under different health care scenarios, some drugs may be covered by Part A, Part B or Part D of Medicare. In addition, many Medicare beneficiaries may be unaware that they might qualify for extra help to pay for their medications. The Centers for Medicare and Medicaid Services have put together a training presentation, workbook and job aids to address some of the moving parts of drug coverage under Medicare. Go to Medicare Prescription Drug Plan Training Post for more information and downloads


Medicare Coordination of Benefits

Which insurance pays first, Medicare or another plan? Will Medicare pay if someone else is liable for my injuries? Can I have Medicare and an ACA Marketplace individual health plan? Medicare developed specific training to answer all these questions and more with a slide presentation and workbook. Go to Medicare Coordination of Benefits, Payment, and Denials to download information.


Medicare Home Health Benefits

Medicare pays for you to get certain health care services in your home if you meet certain eligibility criteria and if the services are considered reasonable and necessary for the treatment of your illness or injury. This is known as the Medicare home health benefit. Download the Medicare Brochure.


Durable Home Equipment Bidding Process

The program replaces the outdated, inflated fee-schedule prices Medicare is currently paying with lower, more accurate prices.Under this program, suppliers submit bids to provide certain medical equipment and supplies at a lower price than what Medicare pays for these items now.Medicare uses these bids to set the amount it will pay for those equipment and supplies under the competitive bidding program.Qualified, accredited suppliers with winning bids are chosen as Medicare contract suppliers. Download the brochure.


Medicare Guide to Choosing Hospitals

In an emergency, your life may depend on getting to the nearest hospital. When you can plan ahead, you and your doctor should discuss which hospital will best meet your health care needs. Information is available to help you make an informed choice. Whether you have Medicare or another type of insurance, this booklet can help you find and use information about hospital quality.


Are You Frustrated with Your Medicare Options?

 

  • Should I take Part A?
  • Should I take Part B and when?
  • What about Part D?
  • What’s the Difference between a Medicare Advantage Plan and a Medigap Plan?
  • Can I get help with Medicare costs?

Kevin Knauss

7 Steps to help you make the best Medicare choice for you.

  1. Read the information Medicare sends you to learn about the basics of Original Medicare: Parts A and B.
  2. Become familiar with the Part D Prescription Drug Plan, Medicare Advantage Plans and Medicare Supplements.
  3. Go to Medicare.gov to find out which plans are offered in your area.
  4. Review your lifestyle and finances to help guide you between the different options.
  5. Do you need help paying for Medicare costs? Contact Social Security and Medi-Cal to see if you qualify for help.
  6. Request information on the different plans you might be interested in and talk to family and friends to see what they are happy with. Never rely on one source, person or company for information.
  7. If you need additional clarification call me, Kevin Knauss Ph: 916-521-7216, and we will get your questions answered. 

Medicare can be frustrating and confusing because there are so many choices and options. The good news is that every year you get to make a new choice, so you never have to feel locked in. Let’s get you the right answers now so you can go from being frustrated to back enjoying your life.