MHI – Medicare Blog

Q: Do I still need a Medicare Supplement if I have been approved for Medicaid?

Monday, April 25, 2016

A: Think about the difference between Medicare and Medicaid. Medicare provides health insurance for those 65 and older as well as those under the age of 65 who have been determined to be disabled by Social Security. Eligibility for Medicare has nothing to ...

Q: What are Medicare Savings Programs?

Monday, April 18, 2016

A: Medicare Savings Programs (MSPs) are programs designed to help people with limited income and resources pay Medicare premiums, deductibles and coinsurance.  All applicants must be eligible for Part A. Financial requirements vary for each of the th ...

Q: What is the “two midnight” rule?

Monday, April 11, 2016

A: Adopted by the Centers for Medicare and Medicaid Services (CMS) in October 2013, the “two midnight” rule provided guidance in determining whether Medicare beneficiaries in the hospital were in “inpatient” or “outpatient&rd ...

Q: Is it true that Medicare is going to run out of money soon?

Monday, April 4, 2016

A: The Medicare Board of Trustees projects the Hospital Insurance (HI) Trust Fund, the fund that finances Medicare Part A benefits, will remain solvent until 2030. It’s not that benefits will end in 2030. The fund would only be able to cover 86 perc ...

Q: Isn’t there any way I can change Part D plans outside the fall Open Enrollment Period?

Monday, March 28, 2016

A: There are several special circumstances that allow you to change your drug plan outside the Open Enrollment Period. You would have to meet one of the following conditions to make that change outside the Oct. 15 – Dec. 7 Open Enrollment Period:-be ...

Q: What is the Medicare Competitive Bidding Program?

Monday, March 21, 2016

A: The competitive bidding program changes the way Medicare pays for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) by replacing the fee for service payment pricing structure for items such as oxygen supplies, wheelchairs and hosp ...

Q: Can I keep my Marketplace insurance instead of Medicare?

Monday, March 14, 2016

A: You really don’t want to keep your Marketplace plan once you become eligible for Medicare. Don’t risk paying a late enrollment penalty by not signing up for Medicare during your Initial Enrollment Period (the seven month period that be ...

Q: What is the difference between a HMO and a PPO?

Monday, March 7, 2016

A: Although both HMOs and PPOs use provider networks, you’ll want to understand the differences between these two types of insurance. HMOs, or Health Maintenance Organizations, typically do not allow members to go “off network”. You must ...

Q: What is an ABN?

Monday, February 22, 2016

A: An ABN is an Advanced Beneficiary Notice of Noncoverage. It’s a heads up your service may not be covered by Medicare. ABNs aren’t issued for things never covered by Medicare - just for things where there’s some question as to whether ...

Q: Is it true the F plan is going away?

Monday, February 15, 2016

A: The F plan, the most popular of the 10 standardized Medicare Supplement plans available today, will no longer be sold as it currently exists after January 1, 2020. Those of you who currently have the F plan, as well of those of you who p ...

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