Medicare HMO and PPO plans determine access to your provider network.
Medicare Coverage & Costs | Tue, Oct 08, 2019 @ 02:56 PM

The Difference between Medicare HMO and PPO Plans

Posted by Medicare Made Clear

Medicare HMO (Health Maintenance Organization) plans and Medicare PPO (Preferred Provider Organization) plans differ mainly in the rules each has about using the plan’s provider network. In general, Medicare PPOs give plan members more leeway to see providers outside the network than Medicare HMOs do.

Medicare Eligibility & Enrollment, OEP | Tue, Oct 01, 2019 @ 05:26 PM

What is the Medicare Advantage Open Enrollment Period?

Posted by Medicare Made Clear

The Medicare Advantage Open Enrollment Period is when Medicare Advantage plan members can change plans. It runs from January 1 to March 31.

Medicare Eligibility & Enrollment, OEP | Tue, Oct 01, 2019 @ 03:04 PM

What Can I Do During the Medicare Advantage Open Enrollment Period?

Posted by Medicare Made Clear

Do you have a Medicare Advantage plan? If you do, then you need to know about the Medicare Advantage Open Enrollment Period. It runs from January 1 – March 31.

Medicare covers ambulatory blood testing.
Medicare Coverage & Costs | Tue, Oct 01, 2019 @ 01:00 PM

Does Medicare Cover Home Blood Pressure Monitors?

Posted by Medicare Made Clear

Medicare covers a device called an ambulatory blood pressure monitor for use once a year when ordered by a doctor. It does not cover regular “cuff” blood pressure monitors except for people undergoing dialysis at home.

medicare-appeals-process-for-seniors
Medicare Coverage & Costs, Medicare Tips & Resources | Wed, Sep 18, 2019 @ 04:41 PM

How to Appeal a Medicare Decision

Posted by Medicare Made Clear

You may file an appeal if you disagree with a coverage or payment decision made by Medicare or by your Medicare health or prescription drug plan. You may appeal  if you receive a denial any of the following:

Medicare Eligibility & Enrollment | Tue, Sep 10, 2019 @ 07:00 AM

How to Get Ready for the Medicare Annual Enrollment Period

Posted by Medicare Made Clear

Your Medicare plan automatically renews at the beginning of each year unless you change it, but you might not get exactly the same benefits. Insurance companies review and refine their Medicare plan benefits annually.

co-insurance-questions-for-seniors
Medicare Coverage & Costs | Mon, Sep 09, 2019 @ 09:00 AM

What is Coinsurance?

Posted by Medicare Made Clear

Medicare Tips & Resources | Wed, Sep 04, 2019 @ 08:00 AM

Reasons You Should Schedule an Annual Medicare Wellness Visit

Posted by Medicare Made Clear

Your Medicare Wellness Visit, also called a wellness exam, is when you and your doctor put your undivided attention on your health. You’re not there because you’re sick or in pain or needing a prescription. And your doctor is not there to diagnose or treat a health problem.

Medicare Coverage & Costs | Tue, Sep 03, 2019 @ 07:00 AM

Does Medicare Cover Blood Tests for Cholesterol?

Posted by Medicare Made Clear

Medicare Part B generally covers a screening blood test for cholesterol once every five years. You pay nothing for the test if your doctor accepts Medicare assignment and takes Medicare’s payment as payment in full.

Medicare Coverage & Costs | Tue, Aug 27, 2019 @ 07:46 AM

Does Medicare Cover You on a Cruise Ship?

Posted by Medicare Made Clear

Original Medicare (Parts A & B) may cover medically necessary care on a cruise ship, if the ship you’re on when you receive the care is in U.S. waters. That means the ship needs to be within six hours of a U.S. port. Also, the doctor must be legally allowed to provide medical services on a cruise ship.