Medicare Expert Writer
Medicare and geriatric care expert, Alex has one motivation behind every word he writes, and that’s finding you the best medical coverage for your situation. Alex has been featured on Bloomer Boomer, Best Company, HealthPopuli.com, the Daily Ledger on the One America News Network, WBAP News radio, and more. Outside of work, you can find him hiking with his wife and pup or (occasionally) going to the gym.
An Advance Beneficiary Notice of Noncoverage (ABN) states that based on your provider’s best estimate, Medicare may not provide coverage for the service you’re about to get. Learn what happens and what you should do if you receive an ABN.
On the other hand, with Medicare, pre-existing conditions have typically never been taken into consideration when inviting enrollees into the fold. There’s just one exception: individuals with End-Stage Renal Disease (ESRD) get a whole different set of rules with Medicare and Medicare Advantage.
Your doctor must fill out a form that declares a lift chair medically necessary for your treatment. Medically necessary in this case is a complicated way of saying you need it, a doctor can vouch for that need, and the equipment meets Medicare’s standards.
The donut hole (also called the coverage gap) is the third out of four Part D phases of coverage, which starts once you and your plan have spent a specified amount on medications. It comes after the first phase (the deductible phase) and the second phase (the initial coverage phase).
Most Americans understand that when they turn 65, Medicare will become their main health insurance plan. However, many Americans are less familiar with another health care program, Medicaid, and what it means if they are eligible for both Medicare and Medicaid. If you are dual eligible, Medicaid may pay for your Medicare out-of-pocket costs and certain medical services that aren’t covered by Medicare.