Medicare is broad in scale and complex in nature. It comprises an alphabet soup of parts and plans.
Then there are the many policy combinations, eligibility guidelines, and enrollment periods.
We understand Medicare.
Here, we take on common questions and answer them in detail. Our goal is to remove any confusion or doubts you have about Medicare, so you can move forward with making your decision.
Medicare In-Depth FAQ’s
Medicare generally does not cover medical care that you receive while travelling outside the U.S. and its territories.read more
Medicare Advantage and Part D plans must work to maintain access to health care services and prescription drugs during emergencies for plan members living in affected areas.read more
If I Delayed Enrollment in Part B Because I Had Insurance Through Current Employment, When Can I Enroll in Part B?
If you declined Medicare Part B or delayed enrolling in it because you were covered by insurance through the current employment of yourself or your spouse ( or, in some cases, certain family members if you are eligible for Medicare due to disability), you may be able to use the Part B Special Enrollment Period (SEP).read more
If you missed enrollment in Medicare during your IEP and you cannot use the Part B SEP to email, you likely need to enroll using the General Enrollment Period (GEP).read more
Fall Open is a time of year when you can change your Medicare coverage.read more
There are several circumstances in which you may be able to make changes to your Medicare health or drug coverage. The length of the SEP and the effective date of the new SEP vary depending on the circumstances that trigger your SEP. The plan and, in some cases, the Centers for Medicare and Medicaid Services (CMS) determine whether you qualify for an SEP.read more
Hospice is a program of end-of-life pain management and comfort care for those with a terminal illness. Medicare’s hospice benefit offers end-of-life palliative treatment, including support for your physical, emotional, and other needs. It is important to remember that the goal of hospice is to help you live comfortably, not to cure an illness.read more
While you are receiving care under the Medicare hospice benefit, you can still get Medicare coverage for treatment of illnesses and injuries unrelated to your terminal condition.read more
Hospice care is always covered under Original Medicare, even if you have a Medicare Advantage Plan. After electing hospice, care related to your terminal illness will follow Original Medicare’s cost and coverage rules.read more
Medicare’s hospice benefit should cover any prescription drugs you need for pain and symptom management related to your terminal condition.read more
Medicare covers hospice at a skilled nursing facility (SNF) only if the SNF has a contract with a Medicare-certified hospice that can provide your care.read more
Medicare covers hospice care for two initial 90-day benefit periods, or a total of six months. After this, it will cover an unlimited amount of 60-day (two-month) benefit periods.read more
If you decide you want curative treatment (instead of just palliative treatment), you have the right to stop hospice at any time. Speak with your hospice doctor if you are interested in stopping.read more
As a Medicare beneficiary, you should look out for suspicious behavior from health care providers that might indicate Medicare fraud or abuse.read more