MHI – Medicare Blog

Q: Do I need Medicare if I receive VA benefits?

Monday, August 1, 2016

A: It depends on whether you have TriCare for Life (TFL) or VA benefits.  TFL benefits “wrap-around” Medicare for retired service members and their spouses who have Part A and Part B. Medicare pays first; TFL pays second. In order to use ...

Does my Medicare card come automatically in the mail?

Monday, July 25, 2016

A: Yes. And. No. Yes, if you are receiving a monthly payment from the Social Security Administration (SSA) before you become eligible for Medicare. It doesn't matter whether your SSA check is for disability or early retirement. Either way, your Medica ...

Q: What is a Medical Loss Ratio?

Monday, July 18, 2016

A: The Medical Loss Ratio (MLR) keeps insurers in check regarding the amount of money they spend on administration of the plan, marketing costs and profit. A certain percentage of premium dollars must go toward paying medical claims. The Affordable Care A ...

Q: Are there special rules for ordering diabetic testing supplies through the mail?

Monday, July 11, 2016

A: First, let’s clarify how Medicare pays for diabetic supplies. Testing supplies such as glucose monitors, test strips, and lancets are considered durable medical equipment and are paid for by Part B. Anything directly associated with the injection ...

Q: Who can help me make decisions about how to receive my Medicare benefits?

Monday, June 27, 2016

A: There are two sources of information readily available to assist you in determining the best way to receive your Medicare benefits – the customer service representatives at 1-800-MEDICARE and the staff and volunteers of the State Health Insurance ...

Q: What is a account?

Monday, June 13, 2016

A: is a secure section of the Medicare website that provides people on Medicare an opportunity to manage their Medicare benefits on a close-to-real-time basis. This personalized, password-protected site provides immediate access to claims a ...

Q: I thought a colonoscopy was supposed to be free. Why did I get a bill for it?

Monday, June 6, 2016

A: Many preventive services covered by Medicare are available at no charge to you. The Part B deductible and 20 percent coinsurance do not apply to these services. And yes, a colonoscopy is on the list, as are mammograms and screenings for lung cancer, ca ...

Q: My dad has been approved for hospice. Does he need to keep his Part D drug plan?

Monday, May 16, 2016

A: True or False? Medicare-approved hospice care covers prescription drugs. I’m going to have go with “True, but…”Hospice covers prescription drugs for pain and the control of symptoms directly related to the reason you’re i ...

Q: What happens if I join a Medicare Advantage plan at age 65 and then decide I don't like it?

Monday, May 9, 2016

A: Medicare provides three different options for changing from a Medicare Advantage (MA) plan back to Original Medicare, all of which depend on taking timely action.  You have a “trial right” to come back to Original Medicare if you join ...

Q: Is it true I can’t leave my house if I am receiving Medicare’s home health care benefit?

Monday, May 2, 2016

A: You may leave your house if you are receiving Medicare’s home health benefits but it must take a substantial effort to do so. Your doctor must certify you as “homebound”. That means the doctor expects your condition to worsen if you l ...

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