Questions About Medicare

  1. Do I need Medicare Part B if I have retiree medical insurance through my former employer?

    Question - The answer depends in part on the rules of your retiree health coverage. Employers aren't required by law to maintain health coverage for retired workers. So, if they do provide coverage, they can make almost any rules they want. Some employer-sponsored health insurance plans require Medicare-eligib...
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  2. Do we need Medicare Part D?

    Question - Many people who have other health insurance that covers some drug costs find that a Medicare Part D prescription drug plan doesn't save them money. But if your husband's prescription drugs cost you $1,200 out of pocket last year even with your other insurance coverage, then getting a Medicare Part D...
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  3. How much will Medicare cost me?

    Question - Hey Cindy, Medicare Advantage Plans Costs and Coverage are dictated by the Companies that run the Plan. Many Plans have no Premiums, as Money that was meant to pay for Original Medicare, gets paid to the respective Companies with which the Medicare Advantage Plan is affiliated. Medicare Advantage Pl...
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  4. Can you use benefits from VA and Medicare coverage in conjunction?

    Question - Your stepfather can use both. For any specific medical treatment, he can choose to use either the Medicare or VA system. And sometimes he can use both for the same treatment. Here's how it works. If he's treated at a VA facility, Medicare cannot pay any of the copayments that the VA charges him. Sim...
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  5. Where can I find the rule regarding Medicare and COBRA coverage?

    Question - Since your husband has Medicare because he's over 65, Medicare is the primary payer of his covered medical bills, with COBRA coverage through your work being a secondary payer. You can find this rule explained in the Medicare booklet Medicare and Other Health Benefits: Your Guide to Who Pays First ....
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  6. Does Medicare pay for shingles vaccine?

    Question - No, it won't. In general, Medicare doesn't do a very good job of covering preventive medical care . The only immunizations it covers are a yearly flu shot, the pneumonia vaccine, and the vaccine against hepatitis B (if you are at medium or high risk for contracting the disease).
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  7. Are accidents in a foreign country covered by Medicare?

    Question - Original Medicare (Part A and Part B) doesn't cover any medical care in Europe, but a Medicare Part C Medicare Advantage plan or a Medigap supplemental insurance policy might.
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  8. Do I have coverage from Medicare when traveling to Canada?

    Question - Medicare doesn't normally cover regular or emergency medical care in Canada, whether you're living or vacationing there. Medicare can cover medical care in Canada in a few very limited circumstances. They are: (1) If you're in the U.S. when an emergency arises but a Canadian emergency room is closer...
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  9. Does Medicare provide coverage for type 1 diabetes?

    Question - It certainly does. Medicare Part B covers much -- usually 80 percent -- of the cost of diagnosis, examinations, and medical care, including diabetes care from your doctor, diabetes screening, self-management training, nutrition therapy, and special diabetes related testing (such as hemoglobin, glauc...
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  10. What is the first step in finding a new doctor who accepts Medicare Part B?

    Question - Medicare maintains a list of doctors and other providers who accept Medicare patients. The Medicare web site has a tool that gives you access to this list for doctors in your geographic area who accept Medicare patients. The tool also breaks down this list of doctors by their medical specialty. The ...
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  11. Is my disabled sister eligible for Medicare parts A&B?

    Question - CalOptima is a public health care agency in Orange County California that administers health care services for Orange County residents on Medi-Cal. If your sister has MediCal through CalOptima, she should be able to get any kind of medical care she needs for free, or for a very low copayment. The on...
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  12. Does Medicare pay for hospital beds for home use?

    Question - Yes, Medicare Part B can help pay for a hospital bed and other "durable medical equipment." For Medicare to cover it, an item of equipment must be "medically necessary" and prescribed by a doctor, and it must be supplied by a medical equipment provider who is officially approved by Medicare. If it c...
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  13. Do I need to be in Medicare Part B for a year before I enroll with a private provider?

    Question - No, you don't have to wait. Anyone enrolled in Medicare Part A (hospital insurance) and eligible for Medicare Part B (medical insurance) can choose to receive coverage for both through one of the Medicare Part C Medicare Advantage managed care plans, which are operated by private health insurance pr...
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  14. What is the best way to pay for short-term nursing home rehabilitation?

    Question - If your mother's stay is in a skilled nursing or rehabilitation facility while recovering from her injury, she might continue to qualify for Medicare's nursing facility benefits. This depends on whether Medicare considers that she is improving while in the facility, rather than merely being cared fo...
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  15. Will Medicare cover oral surgery that is related to diabetes?

    Question - Work by an oral surgeon on jaw or mouth bones will almost certainly be covered by Medicare Part B, whether the oral surgeon is a physician (M.D.) or not. On the other hand, work done solely on the teeth will not.
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  16. Medicare and Medicaid: Which Is Which?

    Question - Medicare and Medicaid are both government-funded programs that help pay for medical care. Medicare is run by the federal government's Centers for Medicare & Medicaid Services (CMS), although parts of the program are operated by private insurance companies. Each state's Medicaid program, on the other...
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  17. What is the allowable amount for prescription eyeglasses under Medicare?

    Question - Medicare coverage for eyeglasses is handled through Medicare Part B. Medicare can pay for one pair of eyeglasses following your cataract surgery, if you had a new lens implanted in your eye. If you have two separate cataract operations, one on each eye, Medicare will cover new glasses after each sur...
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  18. FAQ: Can Medicaid Coverage Be Retroactive?

    Question - Yes, Medicaid (called Medi-Cal in California) medical, home care, and nursing home coverage can be retroactive. If someone is approved for Medicaid, coverage can go back not only to the date of application but also to three months prior to the application. But retroactive coverage is not automatic. ...
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  19. Can I Get Paid to Be a Family Caregiver?

    Question - It's possible to get regular payments for providing care for a housebound family member, depending on the family member's income and assets, need for care, and the state he or she lives in. Public assistance programs in many states can provide payment directly to a low-income person who is determine...
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  20. Does Medicare cover companion care?

    Question - Medicare only covers medical care -- it doesn't pay anything for non-medical companion care. One of the only situations in which Medicare pays for any kind of non-medical care is when it provides short-term home health care, which is primarily nursing care but can include a small amount of help with...
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  21. What are our options after Medicare benefits are exhausted?

    Question - It sounds like you and the social worker had a misunderstanding. Certain specific Medicare Part A inpatient hospital benefits may run out temporarily, and one part of Medicare Part A's long-term hospital coverage may end, but overall Medicare coverage does not become exhausted. The same is true for...
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  22. How does Medicare define "confine to home"?

    Question - A patient being "confined to home" is one of several requirements Medicare Part B sets for coverage of in-home care. For purposes of Medicare Part B coverage, confined to home means that the patient can't leave home without difficulty, and to do so needs the assistance of another person or of a medi...
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  23. Does Medicare cover driving evaulations?

    Question - Medicare Part B could cover a "driving evaluation" at an outpatient rehabilitation facility if it's prescribed by a doctor. Medicare Part B covers some rehabilitation services following an injury, illness or other change in a patient's condition. These services can be physical therapy, occupational ...
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  24. If I have Medicare Parts A and B plus Tricare, do I need more insurance?

    Question - If you are enrolled in Medicare Part A and Medicare Part B and you also have TRICARE for Life, you almost certainly do not need any other supplemental health insurance. TRICARE for Life[military.com] is a special program specifically designed for people who are also enrolled in Medicare. This TRICA...
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  25. How can I find assistance for a procedure not covered by Medicare?

    Question - It sounds from your question that the podiatrist is including Medicare in this statement about insurance. If so, you have to find out WHY your podiatrist believes that neither Medicare nor other insurance will cover the treatment. Extracorporeal shock wave is certainly an approved treatment for sev...
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  26. Will Medicare cover a non-routine lab test ordered by my doctor?

    Question - Whether Medicare covers a laboratory test doesn't depend on whether it's "routine" -- in fact, Medicare doesn't cover many routine lab tests -- but whether it's "medically necessary." Having the test ordered by your doctor is the first part of this process of deciding whether it's medically necessa...
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  27. How do we switch from private to Medicare?

    Question - If she had both Medicare and health insurance coverage through a large employer while she was still working, the employer-based insurance (in this case, Anthem Blue Access) paid first, with Medicare paying some of the remaining costs. Since she is no longer working, Medicare will become the primary...
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  28. If I work full-time should I enroll in Medicare?

    Question - Whether it's to your advantage to enroll in Medicare Part B medical insurance or in a Medicare Part D prescription drug plan while you're still working full-time depends on the extent, cost, and rules of the health insurance coverage provided through your employment. With regard to Medicare Part A ...
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  29. Can Medicare prevent me from hiring a companion for a resident in a nursing home?

    Question - Medicare is not likely to know or care if you hire a private companion to sit with your relative while he or she is in a skilled nursing facility. However, the nursing facility itself might not permit it. Medicare nursing home coverage is provided only in a skilled nursing facility and only for a ...
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  30. If our private insurance doesn't cover a claim, can we send it to Medicare?

    Question - You've asked several different questions about Medicare, so let's take them one at a time. First, you can submit your husband's medical bills to Medicare even if you've also submitted them to your work-related insurance. Which coverage pays first depends on the size of your employer. If you work fo...
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  31. Does Medicare pay for patient ceiling lifts?

    Question - Medicare Part B covers medical equipment that includes "patient lifts" -- mechanical or hydraulic devices that help to safely lift a person out of or into a bed or chair. These lifts are intended to avoid injuries to patients and caregivers alike. For Medicare to pay for the lift, it must be prescri...
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  32. Does Medicare pay for electric wheelchair replacement batteries?

    Question - Today's Option is a private Medicare Part C Medicare Advantage plan that you have enrolled in and that provides all your Medicare coverage, including coverage for your wheelchair. In order to find out the specifics of how the plan will cover replacement batteries for your wheelchair, you need to ca...
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  33. Will Medicare accept property as payment or collateral?

    Question - You are in a situation a lot of people find themselves in "“ trying to help someone stay at home rather than have to enter a nursing facility or other long-term residence, but unable to provide enough round-the-clock care. Unfortunately, Medicare's home care coverage is extremely limited. It's ava...
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  34. Will Medicare pay for an ostomy nurse?

    Question - Medicare Part B home care coverage is extremely limited and probably will not cover regular visits from a nurse for any length of time. But it may cover a few short-term visits from a nurse from a home care agency who can show your mother how to properly and comfortably use her ostomy equipment and...
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  35. If a Medicare patient is readmitted to the hospital, does she have to be discharged from PT/OT?

    Question - If a patient is receiving outpatient PT and gets admitted to the hospital then the PT must write a D/C note and discharge that patient from therapy because the patient's status has changed. Once the patient is discharged from the hospital and if they require continued outpatient therapy--they must g...
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  36. Can Medicare deny future coverage for similar issues if Mom signs herself out of a nursing home?

    Question - The fact that your mother's doctors or the nursing home are not �signing her out" to leave the nursing home serves two purposes. One, they are formally letting your mother (and you) know that in their opinion she is not ready to go home, or that going home would be medically worse for her than...
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  37. Will Medicare cover a hospital stay for dental work?

    Question - You're stuck in that no-man's land between medical care (which Medicare covers) and dental care (which Medicare doesn't cover). If your oral surgeon is not a physician, whether Medicare covers your treatment, including hospitalization, depends on the kind of procedure being performed. Medicare con...
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  38. Dose Medicare Part B pay for a person at a pharmacy to give me the flu shot?

    Question - Medicare Part B will pay 100 percent of the cost of an annual flu shot if provided by any medical provider who's licensed to administer the shot and who participates in Medicare. This includes your doctor, but for many people it means a walk-in clinic, a nurse at a temporary flu shot site at a groc...
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  39. FAQ: What Are Medicare Part A and Medicare Part B Premiums, Deductibles, and Coinsurance Amounts for 2011?

    Question - Medicare premiums, deductibles, and coinsurance amounts change each year for Medicare Part A and Medicare Part B. (For people who receive their Medicare hospital and medical coverage through a Medicare Part C Medicare Advantage plan, premiums, deductibles, and co-payments are determined by the plan ...
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  40. How do I know if there are better Medicare options out there for me?

    Question - Even if you are relatively satisfied with the Medicare Part C Medicare Advantage plan that you now have, at the end of each year (between November 15 and December 31) you may want to consider switching to a better plan -- or to traditional Medicare plus a Medigap supplemental insurance policy -- for...
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  41. Does Medicaid or Medicare cover a CNA to care for the blind?

    Question - Medicare and Medicaid are both set up to provide medical coverage, and unfortunately neither program provides much in the way of non-medical assistance with the activities of daily living (ADLs). However, Medicaid -- if someone meets the financial eligibility standards -- might provide very limited ...
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  42. Do I need Medicare Part B if I am an active employee over 65 with health coverage through my employer?

    Question - With most employer-sponsored health plans, you don't need to enroll in Medicare Part B medical insurance while you're still an active employee. However, whether it's a good idea anyway to enroll in Medicare Part B depends on the extent of health insurance coverage provided through your employment, ...
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  43. Do we have to re-enroll Mom in her Medicare Advantage each year?

    Question - For most Medicare Advantage plans (also called Medicare Part C) there is no need to re-enroll every year. If your mother wants to remain with the same plan she has, she doesn't have to do anything. She'll remain enrolled in the same plan unless she actively enrolls in a different plan (between Nov...
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  44. What is the difference between a physical and a wellness exam covered by Medicare?

    Question - A Medicare wellness exam is a special type of physical exam specifically designed by Medicare for the needs of people 65 and older. Beginning in 2011, a Medicare beneficiary is entitled to one "Welcome to Medicare" initial wellness exam within the first 12 months after first enrolling in Medicare P...
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  45. Does Medicare or Medicaid pay for home modifications?

    Question - The installing of a walk-in tub is a modification of a home that neither Medicare nor Medicaid usually covers. That's because it involves a physical change to the home, rather than the addition -- through purchase or rental -- of medical equipment or supplies, which Medicare Part B and Medicaid do ...
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  46. Can you get back Medicare Part A coverage if it has been dropped?

    Question - Your mother-in-law certainly can enroll in Medicare Part A, but the real question is whether she is entitled to Part A coverage without paying a high monthly premium. People age 65 or older who are eligible for either Social Security OR civil service -- including federal government employment -- re...
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  47. FAQ: What Kinds of Home Equipment and Modifications Are Covered by Medicare, Medicaid, or the VA?

    Question - Excellent information on paying for medical equipment and home modifications. I would add that the limits for HISA grants have been raised to $6,800 for service connected disabilities and $2,000 for non service connected disabilities.
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  48. Is weight loss covered through Medicare or Medicaid?

    Question - Does Medicare or Medicaid pay for exercise programs or nutritional services for obese patients with back pain, hypertension, tachycardia and severe pain and swelling in the legs?
  49. Will mom loose her medicaid eligibility if I move in?

    Question - my mom had a stroke and went into a nursing home, she is returning to her house but I will be moving in with her to take care of her. I work so I wanted to know if my income will affect her eligibility for medicaid. I would hate for her to lose medicaid because I have a lot of debt and I cannot af...
  50. How can I get a portable oxygen concentrator with Medicare?

    Question - I was wondering how to go about getting a portable oxygen concentrator when you are on Medicare(Part A and B) and do they even cover.
  51. Can my dad get help to pay for shots after chemo?

    Question - One of the big loopholes in Medicare Part B medical coverage is for outpatient hospital or clinic bills. If your dad is getting shots at a hospital or clinic as an outpatient, they can charge him personally for the entire amount of their bill above what Medicare pays them. Because Medicare sets a li...
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  52. How can I find a new doctor that accepts Medicare?

    Question - The Medicare web site has a tool that can help you find doctors who accept Medicare patients. The tool gives you a list of those doctors who practice in your geographic area. The tool also breaks down this list of doctors by their medical specialty. The list provides you with specific information ab...
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  53. Is there Medicare shoes for diabetics?

    Question - Yes, it's true. Medicare Part B can pay for most of the cost of therapeutic shoes for someone whose diabetes has caused serious foot problems. If you have diabetes, Medicare can cover therapeutic shoes if you are being treated by a physician under a comprehensive diabetes care plan, and your doctor ...
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  54. Can I get medicare to pay for both a scooter and a wheelchair?

    Question - Medicare Part B will pay for the use of a power wheelchair or power scooter, if medically necessary, but not both. The fact that one or the other device can't be used in some places doesn't change this rule.
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  55. Do I have to take Medicare?

    Question - You don't have to participate in Medicare if you don't want to. But unless you have good free or very low-cost health insurance coverage through your or your husband's former employment, it's probably a very good idea to have both Medicare Part A hospital insurance and Medicare Part B medical insura...
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  56. Does Medicare cover prescription eyeglasses?

    Question - Medicare Part A does not cover eyeglasses at all. Medicare Part B can pay for one pair of eyeglasses but only if you have cataract surgery in which a lens is implanted in your eye. Otherwise, traditional Medicare does not pay for glasses at all, for any reason.
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  57. How long will coverage for Medicare physical therapy last after a knee replacement?

    Question - Not long. First of all, your physician needs to prescribe the therapy, and periodically needs to review your continuing need for it. But no matter how much therapy your doctor prescribes, Medicare will only pay a limited amount. Once you have paid your yearly Part B deductible, Medicare Part B pays ...
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  58. Will medicare pay for dental implants?

    Question - Probably not. The only way that Medicare might pay for dental implants was if they were part of a larger reconstruction of the mouth or jaw, following an injury or disease to the tissue or bones of the mouth or jaw. If it's simply the replacement of bad or lost teeth, then Medicare will not pay anyt...
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  59. Can Medicare help me find a psychiatrist who accepts Medicare?

    Question - Yes, the Medicare web site has an interactive service called the Find a Physician page. Click on it and you can find a psychiatrist near you who accepts Medicare patients. Or, you can get the same information by calling Medicare toll-free at 1-800-MEDICARE (1-800-633-4227), 24 hours a day, 7 days a ...
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  60. How do I find the coverage details for hearing aids with Medicare and Medicaid in Ohio?

    Question - Unfortunately, Medicare does not cover hearing aids, in Ohio or anywhere else. However, it appears that Ohio's Medicaid program does cover at least "conventional" hearing aids, for both ears; if you require special hearing aids, Medicaid may cover it if you (through your doctor) demonstrate a "speci...
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  61. How does coverage from Medicare and health club memberships work?

    Question - That depends on how you receive your Medicare Part B coverage, but in most cases the answer is no. If you are enrolled in traditional Medicare Part B, directly with Medicare itself, there is very little coverage for any kind of preventive or "wellness" care, and none at all for a gym membership or r...
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  62. Do You Have to Be Bankrupt to Get Medicaid?

    Question - I think you're referring to Medicaid, not Medicare. Medicare is a federally-funded health insurance program. Many seniors have Medicare Supplement insurance purchased from health insurance companies. Medicare and health insurance companies pay for medically necessary health care expenses. Medicare a...
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  63. Should my parents drop private insurance for Medicare only?

    Question - You need to evaluate the cost of their Medicare supplement insurance versus how much your parents will have to pay out-of-pocket if they drop it.
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  64. How can I replace a lost Medicare card?

    Question - The easiest way to replace your Medicare card is to go online to the page of the Social Security Administration web site specially designed to let you get a new card. Once you fill out the information -- including the month in which Medicare most recently paid a bill for you -- requested online, it ...
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  65. Where can I find the list of medical suppliers?

    Question - On the Medicare web site, there's a page that directs you to all medical equipment suppliers in your area. But as you've read in your Medicare Summary Notice, a new list of suppliers must be used, for certain types of equipment, if you live in one of ten geographic areas in which a new competitive b...
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  66. When I applied for widows benefits a year ago, I was told...

    Question - I'm afraid Social Security is right -- you have to be 65 to be eligible for any of Medicare's programs (unless you are disabled and have been receiving Social Security Disability benefits for at least 24 months, in which case you'd be automatically enrolled). You should plan on considering which par...
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  67. I have a 98-year-old father who can still get around; however...

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  68. What is meant by "medically neccessary" or under what circumstances will Medicare pay for long-term care?

    Question - Basically, Medicare covers only a short time of long-term care, and only under very strict rules. Medicare Part A can cover most of the cost of a rehabilitation stay in a skilled nursing facility, but only for a certain number of days following a hospital stay, and only for skilled nursing care. Med...
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  69. Where can I get a replacement card for my daughter's Part D prescription coverage?

    Question - Medicare Part D prescription drug plans are actually private policies, issued and run by insurance companies. (All the Medicare program does is set up the rules.) So, your daughter's coverage is with one of the private insurance companies that issues plans in your state. The card is provided by the ...
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  70. Does Medicare cover cataract surgery and implants?

    Question - Yes, it does. Because cataract surgery is performed by a physician rather than an optometrist, Medicare Part B covers the surgery, including lens implants. And following that surgery, it can pay its share for one pair of eyeglasses. How much it pays for the glasses depends on whether you get new fra...
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  71. How many days is considered in a "benefit period" ?

    Question - Under Medicare Part A, you begin an entirely new, full benefit period as soon as you have been out of the hospital and a skilled nursing or rehabilitation facility for 60 consecutive days. For each new benefit period, you pay a hospital deductible of $1,024 (in 2008). After that, Part A pays 100 per...
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  72. Is there any "gap" plan we can buy to help cover what Medicare Part D isn't?

    Question - There are at least two things you can do. The first is to try to find free or low-cost prescription drugs for the time your father is in the donut hole. There are a number of programs and tactics for seniors on Medicare to obtain free or low-cost medications; they are explained in the article Saving...
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  73. How do I find providers for Medicare glasses?

    Question - The first problem is that, in general, Medicare doesn't cover eyeglasses at all. Medicare Part B only pays for eyeglasses following cataract surgery in which a new lens is implanted in the eye. If you have any other kind of eye problem, or simply have poor vision, Medicare does not pay for glasses. ...
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  74. Does Medicare compensate a full time family caregiver?

    Question - Medicare does not pay anything to a family caregiver. However, if your father has a low income and few assets, he might qualify for Medicaid. If so, a program run by Medicaid in your state might be able to pay your father directly to pay for his home care, which he could then use to pay you. In some...
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  75. Does Medicare compensate family caregivers?

    Question - No, Medicare doesn't pay anything to a family caregiver. But if an elder has a low income and few assets, he might qualify for Medicaid. If so, a program run by Medicaid in his state might be able to pay him directly to pay for his home care, which he could then use to pay a family member to take ca...
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  76. Does Medicare pay for CNA or a caregiver for a day?

    Question - It seems that you're asking two different questions.The first is whether a Medicare HMO will cover home health care for a day. Any Medicare Part C managed care plan (HMO or PPO) will cover home care, provided through a participating home health care agency, if it is prescribed by a doctor. This migh...
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  77. Is there stair lifts Medicare coverage?

    Question - Medicare Part B covers different types of portable medical equipment and supplies for use in the home, but it does not pay for construction or installation of permanent equipment. So, Medicare Part B can cover the type of lift that is used to help a patient get in and out of bed or a chair, but is n...
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  78. Will Medicare pay for any nursing home bills?

    Question - For the kind of long-term care that an Alzheimer's patient is likely to need, the unfortunate answer is probably not much. Medicare is intended to pay for medical care, not for long-term residential care. Medicare Part A can pay for some short-term, skilled nursing facility care during a patient's r...
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  79. Will a second stay in a rehabilitation facility also be covered by Medicare?

    Question - How long Medicare Part A covers your mother's inpatient care in a rehabilitation or skilled nursing facility, and how much it pays, depends on what's called a "benefit period." A benefit period is a single, continuous time-frame that begins the first day your mother stayed overnight in the hospital ...
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  80. Will Medicare pay for a family caregiver?

    Question - Unfortunately, Medicare does not have any program to pay a family caregiver. Medicare has only limited coverage for home care, and when it does cover home care it does so through a Medicare-certified home health care agency. It does not pay independent caregivers, family or otherwise.
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  81. Can refusing some treatments invalidate Medicare?

    Question - A patient (who is competent to make decisions) always has a right to refuse treatment. It sounds like what the doctor is doing is simply protecting himself or herself against a liability claim by getting written documentation that your husband's failure to follow a particular course of treatment is ...
    Icon-expert-hh9a0a45474a1 Expert Answer, 1 Community Answer
  82. Does Medicare pay for oral surgery for patients with osteoporosis?

    Question - The answer depends on the exact kind of oral surgery, and on who performs it. Usually, Medicare Part B doesn't cover oral surgery. That's because Medicare considers most work performed by an oral surgeon to be "dental" rather than "medical." But Medicare Part B can cover oral surgery in a few insta...
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  83. Will Medicaid or Medicare pay for indigent health care?

    Question - The short answer is, Medicare won’t but Medicaid will.
    Icon-expert-hh9a0a45474a1 Expert Answer, 3 Community Answers
  84. Can Medicare take your home to pay for nursing home care?

    Question - Short-term nursing skilled facility care can be covered by Medicare during treatment or recovery following a hospital stay. Medicare doesn't seek reimbursement for any nursing facility costs, so your home wouldn't be at risk.
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  85. Will Medicare cover assisted living facility costs?

    Question - The only non-hospital inpatient care Medicare pays for is a very limited amount of skilled nursing facility care while recovering from an illness or injury following a hospital stay. It doesn't cover any of the cost of residence in an assisted living facility.
    Icon-expert-hh9a0a45474a1 Expert Answer, 4 Community Answers
  86. How can I evaluate the insurance companies that offer Medigap plans?

    Question - Although Medicare does not directly sell Medigap policies, it does regulate what the policies must include and certifies companies to participate in the program. Take a look at the Medicare website, which offers a link called "Compare Health Plans and Medigap Policies in Your Area." Click on that to...
    Icon-expert-hh9a0a45474a1 Expert Answer, 2 Community Answers
  87. Does Medicare pay for diapers or pads?

    Question - Medical supplies of all kinds are covered by Medicare Part A, but only when you are a hospital or skilled nursing facility inpatient. Medicare Part B covers outpatient care; this includes "durable" medical equipment -- such as hospital beds, wheel chairs, walkers, and oxygen systems -- but not most ...
    Icon-expert-hh9a0a45474a1 Expert Answer, 6 Community Answers
  88. Is there coverage of Medicare transportation services for dialysis patients?

    Question - The only transportation help that Medicare pays for is an ambulance. Medicare can pay for some non-emergency ambulance service from home to a medical treatment such as dialysis, but only when a doctor has prescribed it because any another form of transport wouldn't be medically advisable. If there's...
    Icon-expert-hh9a0a45474a1 Expert Answer, 1 Community Answer
  89. If I move my mother in with me will it affect her Medicare/Medicaid status?

    Question - That is actually two different questions. One is about Medicare. A different question is about Medicaid.
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  90. Where can I find Medicare home health care eligibilty rules?

    Question - The eligibility rules for home health care under Medicare are fairly complicated, so it's a good idea to understand them well in order to get the most out of your coverage. Medicare publishes a booklet called Medicare and Home Health Care that explains the rules for Medicare home health care eligibi...
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  91. How does inheritance affect Medicare eligibility?

    Question - No, it won't affect your eligibility for Medicare at all. Qualifying for Medicare has nothing to do with how much money or property you have. The only possible effect on your Medicare coverage would be on the amount you have to pay each month for Medicare Part B coverage. Most people pay $96.40 per...
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  92. How can I get help with Medicare premium payments? Can I get extension or will plan be terminated?

    Question - It is hard to tell from your question which type of Medicare premium you are asking about. There are three kinds of bills you might have to pay: a monthly premium for Part B coverage; a Medicare Part D prescription drug plan; and a monthly premium for both Medicare Part A and B coverage through a Me...
    Icon-expert-hh9a0a45474a1 Expert Answer, 1 Community Answer
  93. Will Medicare pay for glasses for my wife post eye surgery?

    Question - Depending on the kind of eye surgery your wife had, Medicare Part B may be able to pay for some of the cost of her glasses. Medicare Part B can pay for one pair of eyeglasses if your wife had cataract surgery in which a new lens was implanted in her eye. If she had a different kind of surgery, Medic...
    Icon-expert-hh9a0a45474a1 Expert Answer, 2 Community Answers
  94. Which forms do insurance companies and Medicare require in order for me to become a Patient Advocate for my elderly father?

    Question - You might need a real hodge-podge of forms, depending on the requirements of specific agencies, medical offices, insurance companies and the like. These forms are in two categories: financial and medical.
    Icon-expert-hh9a0a45474a1 Expert Answer
  95. How do I become a paid caregiver for my own family?

    Question - Whether you can get paid to be her caregiver depends on what program, either Medicaid or other state program, is available in the state where you live. Cash and Counseling or similar programs in many states can provide regular payment to family caregivers even if the person being cared for would not...
    Icon-expert-hh9a0a45474a1 Expert Answer, 13 Community Answers
  96. Does Medicare pay for eyeglasses?

    Question - Sorry to say that Medicare doesn't normally cover any part of the cost of eyeglasses. Medicare Part B can pay for one basic pair of eyeglasses only if your mother had cataract surgery in which a new lens was implanted in her eye. Otherwise, Medicare Part B pays nothing for glasses.
    Icon-expert-hh9a0a45474a1 Expert Answer, 5 Community Answers
  97. Does an inheritance affect Medicare eligibility?

    Question - Your daughter's Medicare coverage won't be affected in any way by her inheritance, regardless of whether you keep the condo or you sell the condo and she gets a share of the proceeds. Neither Medicare Part A nor Part B eligibility depends in any way on the amount of your daughter's assets or income....
    Icon-expert-hh9a0a45474a1 Expert Answer, 1 Community Answer
  98. Does Medicare pay anything for emergency air flights?

    Question - In some limited circumstances, it can. Medicare Part B can cover most of the cost of an ambulance -- including an air ambulance in very limited circumstances -- if you have a medical emergency that puts your health in serious danger and that needs immediate medical attention. Whether Medicare actual...
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  99. I have Medicare D plan F with Humana. Will they pay for actonel?

    Question - What drugs Humana covers depends not only on the specific plan but also on the state where you live. There are a couple of ways for you to find out whether your plan covers actonel. Go to the Medicare web site's Formulary Finder page and enter the state where you live. Then search for the specific d...
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  100. If I go on Medicare, will my provided health coverage still be in effect?

    Question - Many people in your situation are confused. That's because Medicare rules are complicated, and neither private insurance plans nor Medicare do a good job explaining these things to consumers. But you actually sound like you have things right.
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