Medicare & Medicaid Sitemap - Page 1 2016-09-26

Medicare Pays More for Drugs Than Medicaid or the VA
Medications costs keep going up and seniors literally pay the price. Can the government help cut drug costs for Medicare like it did for Medicaid?

Getting a Second Opinion When You Are on Medicare
Did you know that diagnosis errors occur as much as 15 percent of the time! Medicare will pay for a second opinion in certain cases. Know your rights.

Medicare Pulls Back on Ambulance Services
Ambulance services are not always covered by Medicare, even in an emergency. Find out what criteria must be met to get Part B to pay its share.

Medicare Pushes for Site-Neutral Payments
Medicare payments are not site neutral, not yet. Expect to pay more for the same tests done at hospital affiliated sites than at your doctor's office.

Hospitals Manipulate Medicare's 2-Midnight Rule
Hospitals take advantage of observation stays to avoid costly Medicare penalties for readmissions. Know how this affects your bottom dollar.

Medicare's 2-Midnight Rule Costs You Money
If you are

How Much Medicare Part A Will Cost You in 2016
Medicare Part A costs are on the rise for 2016. Know how much you will pay for a hospital admission or a stay in a skilled nursing facility.

Common Medicare Issues When You Have a Green Card
You may be eligible for Medicare if you have a green card but be aware of your enrollment window. You may not be eligible when you turn 65 years old.

How Medicare's Wellness Visit Works
Medicare offers a Wellness Visit to beneficiaries once a year. Find out what it does and does not cover to make the most of the preventive benefit.

Face Time or Skype Your Doctor for Medicare Services
Ever wonder if you could video conference with your doctor instead of going to the office? Telemedicine is here but Medicare limits coverage.

Why Your Medicare Card Is a Target for Identity Theft
Medicare cards post Social Security numbers, increasing a beneficiary's risk for identity theft. A new law has been enacted to change that by 2023.

When Beers and Medication Cause Problems in Seniors
Americans take a lot of medications and with that comes side effects. Beers criteria warn you which medications are high risk for those over 65.

How Much Medicare Part B Will Cost You in 2016
The bulk of your healthcare spending will come from Medicare Part B. Find out how much you will pay in 2016 for deductibles, premiums and coinsurance.

Understanding Medicaid Expansion and the Coverage Gap
Obamacare paved the way for Medicaid expansion but not all states are on board. Now a coverage gap exists for people who live in certain states.

Do Families Benefit from Medicare?
Medicare does not cover family members but being in a family affects how much you pay. Find out how marriage and divorce affect Medicare benefits.

Out of Pocket Costs for Medicare Part D in 2016
Medicare Part D costs are on the rise even as the donut hole closes. Find out how much you will pay in 2016 for your prescription drug coverage.

Is Medicare Prepared for a Doctor Shortage?
A doctor shortage is on the way and Medicare is partly to blame. Medicare has capped funding to medical residency training programs since 1997.

Take Advantage of Medicare Savings Programs
Medicare may be cheaper than a private health plan for many seniors but it still costs money. Use a Medicare Savings Program as a lifeline to pay less.

Being Dual Eligible for Medicare and Medicaid
Being dual eligible means you qualify for both Medicare and Medicaid. Learn how the programs work together to maximize your healthcare benefits.

Do Not Refuse Medicare Part A When You Are on SSDI
Medicare for the disabled has its limits. If you refuse Part A coverage, you will lose your Social Security benefits and that includes SSDI.

Medicare's Donut Hole Does Not Taste Good
Medicare Part D has a not so tasty coverage gap known as the donut hole. Learn how it works so you can avoid paying too much for your medications.

Legal Residency Requirements for Medicare
To be eligible for Medicare, you must be a U.S. citizen or a legal resident. Learn how to get your Green Card to take advantage of these benefits.

The Age Requirement for Medicare
Turning 65 years old has its benefits. Becoming eligible for Medicare is one of them. Learn why Medicare targets 65 and what it means for your health.

What Happens When You Pick the Wrong Medicare Doctor?
Your doctor may accept Medicare for payment but may not accept assignment. Are you losing money by choosing the wrong Medicare doctor?

How Much Has America Saved with Medicare?
Medicare offers affordable health care to those 65 years and older but has the federal program really saved money for seniors over the years?

Late Penalties for Part A and Part B Pack a Punch
There are consequences to not signing up for Medicare on time. Late penalties for Part A and Part B could cost you hundreds to thousands of dollars.

Medicare & Medicaid
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Three Ways to Apply for Social Security Disability
Applying for SSDI is easy if you know how to do it. Complete your application online, on the phone or in person at your local Social Security office.

Medicare Eligibility and Social Security Disability Insurance (SSDI)
Not every medical disability will qualify for Social Security Disability Insurance. What criteria must you meet to be eligible for SSDI benefits?

Do You Have Enough Information to Support Your Disability Claim?
Applying for SSDI requires burden of proof that you do have a medical disability. Gather up this information to make the strongest case possible.

When Social Security Denies Your Disability Claim
If you are like 2/3 of Americans, your SSDI application may not be approved on the first round. Learn how to navigate the four stage appeals process.

Don't make These Mistakes When You
Medicare late penalties could cost you hundreds to thousands of dollars over your lifetime. Avoid these 6 costly mistakes when you sign up for Medicare.

Will Medicare Part D Cover Medical Marijuana?
Medicare Part D does not cover medical marijuana but it reaps the benefits. Find out what happens in the states where medical marijuana is legal.

Is Your Prescription Coverage As Good As Medicare?
Medicare Part D offers prescription drug coverage but is it the best deal around? To compare plans, you need to know about creditable coverage.

Medicare Wants to Pay Less for Part B Cancer Drugs
CMS wants to change how Part B pays for prescription drugs. The plan may save Medicare money, but will people with cancer pay the biggest price?

What Would Hillary Clinton's 'Medicare for More' Mean for You?
As it stands, Medicare is available to qualifying Americans 65 years and older. What would happen if the eligibility age were cut back to 50 years?

Medicare Must Pay for Transgender Surgery
Medicare lifted a ban on sex reassignment surgery in 2014. Now the U.S. government rules that a Medicare Advantage plan must cover the service.

What Vaccines Does Medicare Cover?
Vaccines are not just for kids. Many vaccines help prevent disease in adults and are covered by Medicare. Are you at risk and should you get them?

What to Do When You Don't Qualify for Medicare
No everyone over 65 years old or with a disability qualifies for Medicare. What health care options can you fall back on if you don't make the cut?

Part D is not the Only Way to Get Medications
Medicare Part D is not the only way to cover your medications. Part B offers a limited number of prescription drugs to those who qualify.

Filling the Gap with Medicare Supplement Plan
Medicare supplement insurance, i.e. Medigap plans, could help you keep out of pocket costs down. These plans fill in

Tricks for Using Medicare Supplement Insurance
Medicare Supplement Insurance, known as Medigap, can help you keep costs down but beware. There are rules that could cost you more in the long run.

Is a Medicare Advantage or Medigap Plan Better for You?
You could choose a Medicare Advantage plan or a Medigap supplement plan to give you an added boost over Original Medicare. Add services or cut costs.

CMS Penalizes Cigna Medicare Advantage Plans
Cigna Medicare Advantage plans are in hot water as CMS places sanctions on their

Major Differences Between Medicare and Medicaid
Medicare and Medicaid have a lot in common, but there are differences you need to know about. Learn what makes these programs the same yet different.

End of Life Counseling Now a Covered Medicare Benefit
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Making Sense of Medicare Open Enrollment
Open Enrollment is your opportunity to pick the best Medicare plan for you. Learn what you can and cannot do during open enrollment.

Medicare Five Star Ratings for Nursing Homes
CMS rates nursing homes on a five star scale. Whether you are on Medicare or Medicaid, learn how the ratings work and what they mean for your health.

5 Facts About Medicare That Will Surprise You
Medicare has been around since 1965 but how much do you know about the program? These interesting and quirky facts about Medicare may surprise you.

Medicare Won't Necessarily Pay During Foreign Travel
Don't count on Medicare to cover a medical emergency when you travel out of the country. Turn to one of these options to get the coverage you need.

Can We Afford Bernie Sanders' Medicare for All?
Senator Bernie Sanders proposes universal health care for Americans with

Donald Trump's Health Plan Targets Medicare and Medicaid
Donald J. Trump is the leading presidential candidate for the GOP. What is his seven step plan for health care and can it make Medicare great again?

How to Pick the Best Medicare Advantage and Part D Plans
Medicare uses a five star scale to rate Medicare Advantage and Part D prescription drug plans. Use these ratings to find the best plan for you.

Why Doctors and Nurse Practitioners Are Not the Same
Do you know the difference between a doctor, a nurse practitioner and a physician assistant? Medicare not only knows but also pays them differently.

Medicare Adds Prior Authorizations for DME in 2016
Billions have been lost to Medicare fraud. CMS aims to reduce fraud, waste, and abuse by adding prior authorizations for durable medical equipment.

Medicaid Expands Health Care Access with Telemedicine
Medicare puts restrictions on telemedicine services while Medicaid expands the service. Learn about telemedicine and how it could benefit you.

There's More in a Diagnosis Code Than You Realize
Did Medicare or Medicaid refuse to pay for a service? Your doctor may have used the wrong diagnosis code. Learn about ICD-10 codes and how they work.

Medicare Covers Physical Therapy and Occupational Therapy
Medicare and Medicaid cover physical therapy but there's a catch. CMS limits how much you can get and will audit you after a certain amount is spent.

Did You Sign an Advanced Beneficiary Notice?
Your doctor has to warn you when tests may not be covered by Medicare. Only pay for those services if you signed an Advanced Beneficiary Notice (ABN).

Is Original Medicare or Medicare Advantage the Right Choice for You?
You have an important choice to make. Should you stick with Original Medicare or pick a Medicare Advantage plan? Learn the pros and cons of each.

How to Avoid Part D Penalties
Do not get caught with Part D penalties. Know when you have to sign up, when you can defer, how much they will cost and how long they will last.

The Complicated Medicare Enrollment Calendar
Medicare enrollment periods fill a whole calendar. Knowing when to sign up and change plans will help you get the best health plan at the right time.

Calculate Your Way Through the Donut Hole
Do not be intimidated by the donut hole. Some simple math can let you know how much you could pay or if you can avoid the donut hole altogether.

Medicare Wants You to Stay in the Hospital Longer
You must stay in a hospital longer than two midnights and at least three days before Medicare will consider paying for nursing home care.

Medicare Pays for but Restricts Prostate Cancer Screening
Medicare pays for prostate cancer screening with the PSA test but is discouraging your healthcare providers from using it. Should you be screened?

Making the Most of Medicare's Open Enrollment
Do not go into Open Enrollment blindly. Ask yourself these five questions and find a plan that will give you the best coverage at an affordable price.

Medicare and Colonoscopy: When Screening Turns Diagnostic
Medicare offers free colonoscopies to beneficiaries. However, when your screening colonoscopy turns diagnostic, expect to pay 20 percent of the cost.

Why Medicare Part D Won't Pay for These Drugs
Even though Part D plans are run by private insurance companies, there are many drugs Medicare excludes from coverage. Does yours make the list?

Mail Order Pharmacies Decrease Out of Pocket Spending
Should you choose a local pharmacy or a mail order pharmacy? Some Part D plans incentivize you to use mail order but is it the best choice for you?

Out of Pocket Expenses for Medicare Add Up
How much will you really pay for Medicare this year? This article breaks down the costs of your premiums, deductibles, coinsurance, and copayments.

Cervical Cancer Screening for Medicare
Medicare adds HPV testing to its cervical cancer screening. Not only will there be better screening but women over 30 will get less pelvic exams.

Bone Density Screening Could Save Your Life
Are you one of millions of Americans living from osteoporosis? Medicare offers preventive screening to help you find out. Prevent a fracture today.

7 Things Medicare Does Not Cover But Should
Medicare is not all inclusive. Here are 7 shocking things Medicare does not cover that you will definitely need as you get older.

Medicare Brings Back the House Call
Medicare wants doctors to do more house calls. A pilot house call program has saved millions of dollars and improved quality of care for seniors.

How Marriage Equality Affects Your Medicare Benefits
The U.S. Supreme Court legalized same-sex marriage in June 2015. This affects many federal benefits but what does it mean for Medicare?

Disability Requirements for Medicare
You do not have to be over 65 years old to take advantage of Medicare. Having a disability at any age could make you eligible for the program.

Applying for Medicare is Easy
Applying for Medicare can be done in minutes, if you know what you are doing. Have this information on hand and avoid costly mistakes.

Save Money by Picking Medicare Doctors Who Charge Less
Depending on the Medicare doctor you choose, you could be charged more for the same services. Learn how to get the best care for the cheapest price.

What You Need to Know About Obamacare and Medicare
The Affordable Care Act took money from Medicare to fund itself but also put funds back into the program. Learn how Obamacare affects Medicare.

Eligibility
Not everyone qualifies for Medicare and/or Medicaid. Find out if you meet the criteria for these healthcare programs.

Planning for Retirement
Health care comes at a price. Do not let a health crisis derail your retirement. Learn how to budget your expenses and plan for a healthy financial future.

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