28 4 Notes 5 SECTION1 When you have other health coverage Coordination of benefits If you have Medicare and other health coverage, you may have questions about how Medicare works with your...
Some people get Medicare automatically, others have to actively sign up— it depends if you start getting Social Security benefits before you turn 65.
Medicare Advantage, and other health plans, are another way to get your Part A and Part B benefits instead of Original Medicare.
Type of plan, Who's eligible ; Medicare-Medicaid Plans, You can join this type of plan if all of these apply to you: Have Medicare. Get full Medicaid benefits. Meet other criteria your state sets. If you have both Medicare and Medicaid: Your state might automatically enroll you in their Medicare-Medicaid Plan. You can pick a different Medicare plan if you don’t want to stay in the Medicare-Medicaid Plan. Contact your State Medical Assistance (Medicaid) office for more information. ; Special Needs Plans, You can join this type of Medicare Advantage Plan if one is available in your area and any of these apply to you: Have both Medicare and Medicaid. Need long-term care in a facility or at home. Have a chronic or disabling condition (like diabetes, stroke, cancer, or dementia). ; Programs of All-inclusive Care for the Elderly (PACE), You can join a PACE Plan if you: Have Medicare, Medicaid, or both. Are 55 or older. Live in the service area of a PACE organization. Need nursing home-level care (as certified by your state). Are able to live safely in the community (with help from PACE).
If you get your Medicare benefits through a Medicare Advantage Plan or other Medicare health plan, check your plan’s membership materials, and call the plan for details about how to get...
Original Medicare, Medicare Advantage ; You can go to any doctor or hospital that takes Medicare, anywhere in the U.S., In many cases, you can only use doctors and other providers who are in the plan’s network and service area (for non-emergency care). ; In most cases you don’t need a referral to see a specialist., You may need to get a referral to see a specialist.
about Medicare hospice benefits: Who’s eligible for hospice... or other Medicare health plan, go to page 10. Note: You can ask your hospice provider for a list of items, services, and...
Part B helps cover: Services from doctors and other health care providers · Outpatient care · Home health care · Durable medical equipment (like wheelchairs, walkers, hospital beds, and other equipment) · Many preventive services (like screenings, shots or vaccines, and yearly “Wellness” visits)
health care is usually less expensive, more convenient, and... home health benefits. If you have a Medicare Supplement Insurance (Medigap ) policy or other health insurance coverage, tell...
Other medical services and equipment are generally still covered as part of your other Medicare benefits. Note: Before your home health care begins, the home health agency should tell you...