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Medicare

Appealing Medicare Advantage Plan Decisions

If you have a Medicare Advantage plan, your plan may overrule your doctor and refuse to cover a treatment or procedure that it deems to be medically unnecessary or experimental. However, there is an appeal process to resolve these conflicts. ...

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Elderlaw 101

Medicare Part A: Hospital Coverage

Medicare Part A covers institutional care in hospitals and skilled nursing facilities, as well as certain care given by home health agencies and care provided in hospices.

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Elderlaw 101

Medicare Part B

Medicare Part B basically covers "outpatient" care: office visits to medical specialists, ambulance transportation, diagnostic tests performed in a doctor's office or in a hospital on an outpatient basis, physician visits while the patient is in the hospital, and various...

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Elderlaw 101

Help Paying for Medicare

Medicare is not free; there are premiums and deductibles. If you don't qualify for Medicaid and can't afford a Medigap policy, you may be able to get help paying for the costs of Medicare.

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Elderlaw 101

Medicare Advantage: An Alternative to Original Medicare

When Medicare costs started skyrocketing along with the rest of the health care sector, the Medicare program began contracting with managed care plans to provide services to Medicare beneficiaries who choose the managed care option (now called Medicare Advantage). ...

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Elderlaw 101

Entering and Leaving Medicare Advantage Plans

You generally must be enrolled in Medicare Part A and Part B before you can enroll in a Medicare Advantage plan. If you want to join a Medicare Advantage plan, you should contact the plan and ask if it is...

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Elderlaw 101

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Medicaid Rules, etc

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