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 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:

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

What is Coinsurance?

Posted by Medicare Made Clear

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.

Medicare Coverage & Costs | Tue, Aug 13, 2019 @ 11:06 AM

Which Vaccines Does Medicare Cover?

Posted by Medicare Made Clear

Medicare covers most vaccines. Some are covered by Part B, and some are covered by Part D.

prescription-drug-coverage
Medicare Coverage & Costs, Medicare Tips & Resources | Mon, Aug 12, 2019 @ 12:55 PM

What is Creditable Drug Coverage?

Posted by Medicare Made Clear

Medicare defines “creditable coverage” as coverage that is at least as good as what Medicare provides. Therefore, creditable drug coverage is as good or better than Medicare Part D.

Medicare Coverage & Costs | Tue, Jul 16, 2019 @ 07:21 AM

Medicare Coverage for Non-Working Spouses

Posted by Medicare Made Clear

Can a non-working spouse qualify for Medicare?

Medicare Coverage & Costs | Mon, Jul 01, 2019 @ 01:22 PM

Understanding Medicare Advantage and Medicare Supplement Insurance Plans

Posted by Medicare Made Clear

Medicare Advantage plans and Medicare supplement insurance plans can both help Medicare beneficiaries get coverage above and beyond what’s offered by Original Medicare (Parts A & B). But each plan works differently and serves a different purpose. It’s important not to confuse them.