Medicare Eligibility, Applications and Appeals

<p>Find information about Medicare, how to apply, report fraud and complaints.</p><h3>What help is available?</h3><p>Medicare is the federal health insurance program for people:</p><ul><li>Age 65 or older</li><li>Under 65 with certain disabilities</li><li>Any age with end-stage renal disease (permanent kidney failure requiring dialysis or a kidney transplant).</li></ul><h4>Medicare has <a href="http://www.medicare.gov/what-medicare-covers/your-medicare-coverage-choices#">four parts</a>:</h4><ul><li><a href="http://www.medicare.gov/what-medicare-covers/what-part-a-covers">Part A</a> is hospital insurance.</li><li><a href="http://www.medicare.gov/what-medicare-covers/what-part-b-covers">Part B</a> is medical insurance.</li><li><a href="http://www.medicare.gov/sign-up-change-plans/types-of-medicare-health-plans/medicare-advantage-plans">Part C Medicare Advantage Plans</a> are a private insurance option for covering hospital and medical costs.</li><li><a href="http://wilmingtondocks.com/medicare#item-36132">Part D</a> covers prescription medications.</li></ul><p>Medicare is managed by the Centers for Medicare & Medicaid Services (CMS). The Social Security Administration works with CMS by enrolling people in Medicare.</p><h3>Am I eligible?</h3><ul><li>To find out when you are eligible, you need to <a href="http://www.medicare.gov/eligibilitypremiumcalc/">answer a few questions</a> and learn how to calculate your premium.</li><li>If you are eligible, <a href="http://www.medicare.gov/sign-up-change-plans/get-parts-a-and-b/when-sign-up-parts-a-and-b/when-sign-up-parts-a-and-b.html">learn about the enrollment period</a>.</li></ul><h3>How do I apply?</h3><p>There are several ways to enroll in Medicare:</p><ul><li>Before you apply, learn about your coverage options. <a href="http://www.medicare.gov/sign-up-change-plans/decide-how-to-get-medicare/your-medicare-coverage-choices.html#1360">Decide if you want Original Medicare (Part A and Part B)</a>. Or, find out <a href="http://www.medicare.gov/sign-up-change-plans/types-of-medicare-health-plans/medicare-advantage-plans/how-to-join-a-medicare-advantage-plan">how to enroll in a Medicare Advantage Plan (Part C)</a>.<a href="http://www.medicare.gov/sign-up-change-plans/decide-how-to-get-medicare/your-medicare-coverage-choices.html#1360"> </a></li><li>Determine if you want coverage for <a href="http://www.medicare.gov/sign-up-change-plans/get-drug-coverage/get-drug-coverage.html">prescription drugs</a>.</li><li>Next, use the <a href="http://www.medicare.gov/find-a-plan/questions/home.aspx">Medicare Plan Finder Tool</a> and search to find more accurate cost estimates and coverage information.</li><li><a href="http://www.ssa.gov/medicare/">Apply online for Medicare only</a> if you’re not ready to also begin receiving your Social Security benefits.</li><li>Apply in person for Medicare at your <a href="http://secure.ssa.gov/ICON/main.jsp">local Social Security office</a>.</li></ul><h3>How do I check the status of my application?</h3><ul><li><p><a href="http://www.medicare.gov/find-a-plan/enrollment/check-enrollment.aspx">Use this tool from Medicare to check your enrollment status</a>.</p></li></ul><h3>How do I complain or appeal a Medicare decision?</h3><ul><li>Learn the different ways to <a href="http://www.medicare.gov/claims-and-appeals/file-a-complaint/complaint.html">file a complaint about Medicare. </a></li><li>You can submit feedback about your Medicare health plan or prescription drug plan directly to Medicare using the<a href="http://www.medicare.gov/MedicareComplaintForm/home.aspx"> online complaint form</a>.</li><li>Get information on how to <a href="http://www.medicare.gov/claims-and-appeals/file-an-appeal/appeals.html">file an appeal</a> of a coverage or payment decision. </li></ul><h4>How do I report fraud?</h4><ul><li>Learn where and how to report <a href="http://www.medicare.gov/forms-help-resources/help-fight-medicare-fraud/how-report-medicare-fraud">suspected Medicare fraud, errors, or abuse</a>.</li></ul><h3>Who do I contact for extra help?</h3><p>For questions about billing or for other information, <a href="http://www.medicare.gov/forms-help-and-resources/contact/contact-medicare.html">contact Medicare by phone or mail</a>.</p><h3>Is there anything else I need to know?</h3><ul><li><a href="http://www.medicare.gov/your-medicare-costs/costs-at-a-glance/costs-at-glance.html">Review this chart showing Medicare costs for 2018</a>.</li><li>If you do not enroll in Medicare Part B when you are first eligible and decide to enroll at a later date, <a href="http://www.medicare.gov/your-medicare-costs/part-b-costs/part-b-late-enrollment-penalty">you will pay a penalty for as long as you are enrolled in Part B.</a></li><li>You do not need to sign up for Medicare each year. But each year, you will have a chance to review your coverage and change plans.</li><li>Learn more about your plan and benefits by creating a <a href="http://www.mymedicare.gov/registration.aspx">myMedicare.gov account</a>. </li></ul>

Medicare Prescription Drug Coverage (Part D)

<p>Part D of Medicare is an insurance coverage plan for prescription medication. Learn about the <a href="http://www.medicare.gov/part-d/costs/part-d-costs.html">costs for Medicare drug coverage.</a></p><h3>Eligibility</h3><p><a href="http://www.medicare.gov/part-d/">Prescription drug coverage (Medicare Part D)</a> is available to anyone with <a href="http://www.medicare.gov/">Medicare</a>. </p><h3>How to Apply</h3><p>There are <a href="http://www.medicare.gov/sign-up-change-plans/get-drug-coverage/get-drug-coverage.html">two ways to get Medicare drug coverage</a>:</p><ul><li>Add a Medicare Prescription Drug Plan (Part D) to your Medicare-approved insurance policy.</li><li>Get a Medicare Advantage Plan (Part C) such as an HMO or PPO that offers Medicare prescription drug coverage.</li><li><p><a href="http://www.medicare.gov/sign-up-change-plans/when-can-i-join-a-health-or-drug-plan/when-can-i-join-a-health-or-drug-plan.html">Learn more about Medicare Part </a><a href="http://www.medicare.gov/sign-up-change-plans/when-can-i-join-a-health-or-drug-plan/when-can-i-join-a-health-or-drug-plan.html">D</a>.</p></li></ul><h3>When You Can Apply or Change Your Plan</h3><ul><li>You can join or change your drug plan only at <a href="http://www.medicare.gov/sign-up-change-plans/when-can-i-join-a-health-or-drug-plan/when-can-i-join-a-health-or-drug-plan.html">certain times of the year</a> or under <a href="http://www.medicare.gov/sign-up-change-plans/when-can-i-join-a-health-or-drug-plan/special-circumstances-special-enrollment-periods">special circumstances</a>.</li><li>You may have to pay a <a href="http://www.medicare.gov/part-d/costs/penalty/part-d-late-enrollment-penalty.html">late enrollment penalty</a>, which is an amount added to your Medicare Part D premium if you decide not to join when you are first eligible.</li></ul><p> </p><h3>How do I complain/where do I call for extra help?</h3><p>Visit <a href="http://www.medicare.gov/forms-help-and-resources/index.html">Medicare’s resources section</a> if you need help with Medicare Part D including finding a plan, applying, paying for coverage, or if you have a complaint. If you need more assistance paying for your prescriptions under Medicare Part D, <a href="http://www.ssa.gov/medicare/prescriptionhelp/">you may qualify for the Extra Help program</a>.</p><h3>Contact Medicare</h3><p>For more information, <a href="http://www.medicare.gov/Contacts/">contact Medicare</a>.</p>

Replace Your Medicare Card

<p>You can replace your Medicare card in one of the following ways if it was lost, stolen, or destroyed:</p><ul><li>Log into your <a href="http://account.mymedicare.gov/?client_id=mbp&redirect_uri=https%3A%2F%2Fwww.mymedicare.gov%2Flogincallback.aspx">MyMedicare.gov</a> account and request one.</li><li>Request a <a href="http://www.hhs.gov/answers/medicare-and-medicaid/how-do-i-replace-my-medicare-card/index.html">replacement Medicare card</a> online.</li><li>Call or visit your local <a href="http://secure.ssa.gov/ICON/main.jsp">Social Security Administration</a> office.</li></ul>

Medicare Coverage Outside the United States

<p>Medicare coverage outside the United States is limited. Learn about coverage if you<a href="http://www.medicare.gov/Pubs/pdf/11037-Medicare-Coverage-Outside-United-Stat.pdf"> live or are traveling outside the United States</a>.</p><h3><strong>Original Medicare</strong></h3><p>If you have Original Medicare and have a <a href="http://www.medicare.gov/supplements-other-insurance/whats-medicare-supplement-insurance-medigap">Medigap policy</a>, it may provide <a href="http://www.medicare.gov/supplements-other-insurance/medigap-travel">coverage for foreign travel emergency health care</a>. Learn more from this fact sheet about<a href="http://www.medicare.gov/Pubs/pdf/11037-Medicare-Coverage-Outside-United-Stat.pdf"> Original Medicare outside the United States</a>.</p>

Voluntary Termination of Medicare Part B

<ul><li>You can voluntarily terminate your <a href="http://faq.ssa.gov/en-us/Topic/article/KA-02713">Medicare Part B (medical insurance)</a>. It is a serious decision. You must submit <a href="http://www.cms.gov/Medicare/CMS-Forms/CMS-Forms/CMS-Forms-Items/CMS017353.html">Form CMS-1763</a> (not available online) to the <a href="http://www.ssa.gov/">Social Security Administration (SSA)</a>. Visit or call the SSA (<a href="tel:18007721213">1-800-772-1213</a>) to get this form.</li><li>You’ll need to have a personal interview with Social Security before you can terminate your Medicare Part B coverage. To schedule your interview, <a href="http://wilmingtondocks.com/federal-agencies/social-security-administration">call the SSA</a> or your <a href="http://secure.ssa.gov/ICON/main.jsp">local Social Security office</a>.</li></ul>

Medicare

Xổ số miền bắc 2Get answers to your questions about Medicare, including how to apply, get a replacement card, and what is Part D for prescription drugs. Also, learn about Medicare coverage when you live abroad.

Before you apply, learn about your coverage options. . Or, find out .
Determine if you want coverage for .
Next, use the and search to find more accurate cost estimates and coverage information.
if you’re not ready to also begin receiving your Social Security benefits.
Apply in person for Medicare at your .

How do I check the status of my application?

How do I complain or appeal a Medicare decision?

Learn the different ways to
You can submit feedback about your Medicare health plan or prescription drug plan directly to Medicare using the.
Get information on how to of a coverage or payment decision.

How do I report fraud?

Learn where and how to report .

Who do I contact for extra help?

For questions about billing or for other information, .

Is there anything else I need to know?

.
If you do not enroll in Medicare Part B when you are first eligible and decide to enroll at a later date,
You do not need to sign up for Medicare each year. But each year, you will have a chance to review your coverage and change plans.
Learn more about your plan and benefits by creating a .

Eligibility

is available to anyone with .

How to Apply

There are :

Add a Medicare Prescription Drug Plan (Part D) to your Medicare-approved insurance policy.
Get a Medicare Advantage Plan (Part C) such as an HMO or PPO that offers Medicare prescription drug coverage.
.

When You Can Apply or Change Your Plan

You can join or change your drug plan only at or under .
You may have to pay a , which is an amount added to your Medicare Part D premium if you decide not to join when you are first eligible.

How do I complain/where do I call for extra help?

Xổ số miền bắc 2Visit if you need help with Medicare Part D including finding a plan, applying, paying for coverage, or if you have a complaint. If you need more assistance paying for your prescriptions under Medicare Part D, .

Contact Medicare

For more information, .

account and request one.

Request a online.

Call or visit your local office.

Original Medicare

If you have Original Medicare and have a , it may provide . Learn more from this fact sheet about.

. It is a serious decision. You must submit (not available online) to the . Visit or call the SSA (1-800-772-1213) to get this form.

You’ll need to have a personal interview with Social Security before you can terminate your Medicare Part B coverage. To schedule your interview, call the SSA or your .

Do you have a question?

Xổ số miền bắc 2 Ask a real person any government-related question for free. They'll get you the answer or let you know where to find it.

Last Updated: March 22, 2019

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