Most doctors and health care providers who work with Medicare are honest. There are a few who are not honest. Medicare is working very hard with other government agencies to protect the Medicare program. Medicare fraud happens when Medicare is billed for services people never got. Medicare fraud takes a...
Some Medicare + Choice Plans are leaving the Medicare program. When Medicare + Choice Plans sign contracts with the Medicare program, they agree to stay in Medicare for at least one calendar year. Each year, Medicare + Choice Plans decide whether to continue doing business with Medicare, and whether to...
The Centers for Medicare & Medicaid Services CMS is the Federal agency that runs "Medicare." CMS is part of the Department of Health and Human Services. In most areas, people can get their Medicare benefits in more than one way. Their Medicare health plan choices include the Original Medicare Plan...
This paper explains how Medicare works with other kinds of insurance or coverage, and who should pay your bills first. Some people who have Medicare have other insurance or coverage that must pay before Medicare pays its share of your bill. They may have more than one type of insurance...
Medicare Advantage is the new name for Medicare + Choice Plansùbut it's more than just a new name. Medicare Advantage gives people more health care coverage choices and better health care benefits. This fact sheet has basic information about how Medicare Advantage affects your health care choices. Medicare Advantage Plans...
AARP's new 20-page booklet will help you answer many of the questions you have about the new Medicare law. It outlines how and when the changes to Medicare will occur, and can be a valuable resource to help medicare-eligible retirees receive full advantage of the new benefits.
This paper has a lot of tips and questions to help people make the health plan choice that is right for them. Get as much information as you can so Medicare offers them different ways to get their Medicare benefits. These different options are called Medicare health plans. Some private...
This paper explains people Medicare benefits in the Original Medicare Plan (sometimes called "fee-for-service") in 2004. A benefit is a health care service or supply that is paid for in part or in full by Medicare. It's important to know that Medicare doesn't cover everything. Medicare doesn't pay the total...
This paper is about people's Medicare rights and protections. As a person with Medicare, they have certain guaranteed rights and protections that protect them when they get health care, make sure they get the health care services that the law says they can get, and protect them against unethical practices....
Medicare health plans provide different ways to get your health care coverage in the Medicare program. This paper explains in detail how Medigap Medicare Supplement Insurance policies work with the Original Medicare Plan. A Medigap policy is private insurance that supplements, or helps you pay for some of the costs...
This paper explains Medicare coverage of diabetes supplies and services in the Original Medicare Plan, also known as "fee-for-service." If people are in a Medicare Advantage Plan (formerly called Medicare + Choice), their plan must give them at least the same coverage as the Original Medicare Plan, but it might...
This paper explains in detail how Medigap Medicare Supplement Insurance policies work with the Original Medicare Plan. A Medigap policy is private insurance that supplements, or helps people pay for some of the costs that Medicare doesn't pay for. Before they decide whether or not to buy a Medigap policy,...
HARTFORD, Conn. -- Aetna (NYSE: AET) has filed applications with the Centers for Medicare & Medicaid Services CMS to be a nationwide provider of the Medicare Part D prescription drug plans, and also to participate in the regional Medicare PPO program that will be available in 2006.
As Medicare Part D gets under way, attention has largely focused on the prescription drug benefits offered through stand-alone Prescription Drug Plans, or PDPs. Medicare Advantage Prescription Drug Plans (MA-PDPs) are an alternative that could provide seniors an opportunity to save on premiums and co-pays for hospital and doctor fees...
Previous efforts by Congress to expand the role of private plans in Medicare have met with limited success. Although the same fate may befall Medicare Advantage MA, authorized by the Medicare Prescription Drug, Improvement, and Modernization Act MMA of 2003, the political environment has changed, and powerful political interests now...
The Medicare Modernization Act of 2003 is bringing many new and exciting changes to the Medicare program. These new changes will give people even more choices in how they get their health care benefits, including coverage for prescription drugs. This paper can help them learn about these new changes as...
This paper explains how Medicare helps pay for kidney dialysis and kidney transplant services in the Original Medicare Plan, also known as "fee-for-service". If people are in a Medicare Advantage Plan, which includes Medicare Managed Care Plans, Medicare Private Fee-for-Service Plans, and Medicare Preferred Provider Organization Plans, their plan must...
The medicare prescription drug, Improvement and Modernization Act of 2003 MMA introduces profound and compelling changes to Medicare health plans. According to the report in the Act, the beleaguered Medicare+ Choice program, which saw plan participation drop from 346 in 1998 to 155 by the end of 2003, has been...
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