What can you do if your Part D prescription drug plan will not cover a drug that you need? Below are three important points for exercising your Part D appeal rights. Point 1: Know what an appeal is, and understand your right to file an appeal. An appeal is a formal request for review of certain decisions to limit or deny coverage made by your Original Medicare, … [Read more...] about What Can You Do If You’re Denied Coverage for a Drug? Understanding Medicare Part D Appeals
Eighty-four-year-old Nancy Niemi of North Carolina was hospitalized for 39 days earlier this year after her doctor sent her to the emergency room. It took weeks to stabilize her blood pressure and she experienced serious complications. But unbelievably, Ms. Niemi was categorized as an outpatient on “observation status” for her entire hospitalization, and she therefore lacked … [Read more...] about New Class of Hospital Patients May Gain Access to Appeal “Observation Status”
Statements about your Medicare coverage contain important information about the costs of medical care and prescriptions you have recently received. Below we explore 2 main types of Medicare statements: the Medicare Summary Notice (MSN) and the Explanation of Benefits (EOB). It is important to note that MSNs and EOBs are not bills. Rather, they provide a summary of health care … [Read more...] about Do You Know How to Make Sense of Your Medicare Statements?
Durable medical equipment (DME) is equipment that helps you complete your activities of daily living. Wheelchairs, walkers, and home oxygen equipment are some examples of Medicare-approved DME. Most people need some kind of DME at least once during their lives. In this presentation, we will learn how Medicare DME rules work so that you can limit your costs in the … [Read more...] about Review Medicare’s Coverage of Durable Medical Equipment & How to Use this Benefit
Did you know that 1 in 5 hospital inpatients return to the hospital within 30 days of leaving? To make the transition from the hospital as smooth as possible for you or a loved one, learn about Medicare discharge planning requirements, appeal rights, and coverage of post-hospital care. Below are 3 tips, plus additional action points to make sure you get the hospital care you … [Read more...] about Hospital Transitions ~ Do You Know Your Discharge Rights?