MHI – Medicare Blog

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 ...

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 ...

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