How do I verify if a Medicare insurance agent is licensed and in good standing?
To verify if a Medicare insurance agent is licensed and in good standing, you can check with your state’s Department of Insurance. Visit their website and look for a license search tool or contact them directly. Provide the agent’s name and license number, if available, to confirm their license status and any disciplinary actions. You […]
Can a Medicare insurance agent help me appeal a coverage denial?
Yes, a licensed Medicare insurance agent can help you appeal a coverage denial. They are well-versed in the appeals process and can guide you through each step, from gathering necessary documentation to submitting the appeal request. Your agent can also help you understand why your claim was denied and work with you to build a […]
Can a Medicare insurance agent help me understand how my other insurance interacts with Medicare?
Yes, a knowledgeable Medicare insurance agent can help you understand how your other insurance works with Medicare. They can review your current coverage and explain how Medicare coordinates with private insurance, such as employer-sponsored health plans, retiree benefits, or COBRA. An agent will guide you through the intricacies of primary and secondary payer rules, helping […]
Share your Medicare claims
You can download your Medicare claims data to your computer or device to print it or share it with others. You can also easily share your data with doctors, pharmacies, caregivers, or others you choose by linking to web applications (apps). This optional service, called Blue Button, is secure, reliable, and easy to use. By […]
Medicare Part B – Second opinion before surgery
Medicare Part B (Medical Insurance) helps pay for a second opinion before surgery. When your doctor says you have a health problem that needs surgery, you have the right to: • Know and understand your treatment choices • Have another doctor look at those choices with you (second opinion) • Participate in treatment decisions by […]
Who’s eligible for the Medicare hospice benefit
If you have Medicare Part A (Hospital Insurance) AND meet all of these conditions, you can get hospice care: – Your hospice doctor and your regular doctor (if you have one) certify that you’re terminally ill (you’re expected to live 6 months or less). – You accept comfort care (palliative care) instead of care to […]
Some of the new changes to Medicare in 2026
Medicare will implement several significant changes in 2026 that will impact beneficiaries across different parts of the program. The Part D prescription drug benefit will see the most dramatic transformation with the introduction of a $2,000 annual out-of-pocket spending cap, replacing the current catastrophic coverage phase structure. Once beneficiaries reach this $2,000 limit, their Part […]
Medicare Billing – Review your Medicare claims for errors
When you get Medicare related health care services, it may be helpful to record the dates on a calendar and save the receipts and statements you get from providers to check for mistakes. Compare this information with the claims Medicare processed to make sure you or Medicare weren’t billed for any tests, items, or services […]
What’s Medicare’s PACE program and how does it work?
PACE is a Medicare and Medicaid program that helps people meet their health care needs in the community, instead of going to a nursing home or other care facility. The program was created to give you, your family, caregivers, and professional health care providers flexibility to meet your health care needs and help you continue […]
The Medicare Beneficiary Ombudsman Works for You
A Medicare Beneficiary Ombudsman helps you and your representatives with questions and complaints, and makes sure Medicare information is available to you. You can also provide feedback to the Ombudsman to help improve your experiences. The Medicare Beneficiary Ombudsman makes sure information is available about: • What you need to know to make health care […]