In our last post we discussed how to appeal a claim decision made by Original Medicare. In this post weāll outline how to file an appeal if you disagree with a coverage or payment decision made by your Medicare Advantage plan or Part D prescription drug plan. Note that while …
How to Appeal a Medicare Part A or Part B Claim Decision
If you have Original Medicare, your doctors and other health care providers send bills for your care directly to Medicare. You will later receive a statement called a Medicare Summary Notice (MSN) from Medicareāone for Part A, and one for Part Bāoutlining all the services and/or supplies that were billed …
What Is Medicare Part D and Do I Need It?
Medicare Part D is a federal-government program introduced in 2003 to help eligible Medicare recipients get subsidized prescription drug coverage. The plans are sold through private insurance companies (approved by Medicare) and often have an additional premium. There are two ways to get drug coverageāas a standalone plan coupled with …
What Is Not Covered by Medicare?
Medicare provides vital health insurance to seniors age 65 and over, but itās important to know that Medicare doesnāt cover everything. This post will outline what Medicare does not cover and will highlight some alternatives that can help fill in some of the gaps of Original Medicare (Parts A and …
What Is a Medicare Summary Notice (MSN)?
If youāre a Medicare beneficiary, you can expect to receive a notification called a āMedicare Summary Noticeā in the mail every three months for your Part A and Part B-covered services. This notification is not a bill; rather, it is a document listing all the items that your providers and …