1. What is Medicare Part D? Posted on September 11, 2017 at 12:09 pm.Written by advantage_admin This refers to prescription drug coverage. It is offered by authorized private companies in Puerto Rico. They help pay for prescription medications. The Prescription Drug Coverage is available for all Medicare members. You must enroll in a Medicare prescription plan or a Medicare Advantage plan with prescription coverage. 1. What is Medicare Part C? Posted on September 11, 2017 at 12:08 pm.Written by advantage_admin It refers to Medicare Advantage plans. A Medicare Advantage plan (such as an HMO or a PPO) is a type of Medicare health plan offered by private companies under contract with Medicare to provide all Medicare Part A and Part B benefits and other services not covered by Original Medicare, such as dental. Many of these plans also offer prescription drug coverage. Most of these plans offer the benefits covered by Original Medicare at a lower cost within their provider networks. 3. What does Medicare Part B cover? Posted on September 11, 2017 at 12:07 pm.Written by advantage_admin There are two types of services covered by Part B: 1. Medically necessary services: Services or supplies that are necessary to diagnose or treat a health problem within the accepted standards of medical practice. 2. Preventive care services: Services that help prevent or minimize complications to an existing health problem, or to detect such health problems early in order to obtain the best results through treatment (for example: Papanicolaou tests, vaccines, or colorectal cancer screenings). Services covered by Part B: Abdominal aortic aneurysm screening There are two types of services covered by Part B: 1. Medically necessary services: Services or supplies that are necessary to diagnose or treat a health problem within the accepted standards of medical practice. 2. Preventive care services: Services that help prevent or minimize complications to an existing health problem, or to detect such health problems early in order to obtain the best results through treatment (for example: Papanicolaou tests, vaccines, or colorectal cancer screenings). Services covered by Part B: Abdominal aortic aneurysm screening Ambulance service Outpatient Surgery Center fees (outpatient surgery?) Bone density test (bone densitometry) Cardiovascular screening Chiropractic services (limited) Laboratory services Clinical research studies Colorectal cancer screening Defibrillator (automatic implant) Diabetes screening Diabetes self-management training Diabetes supplies Certain health care services Durable medical equipment (such as walkers, for example) EKG screening Emergency room services Diabetic eye exams Eyewear (after cataract surgery) Services at federally qualified health centers Influenza vaccines Foot examinations and treatments Glaucoma screening Hearing and equilibrium tests Hepatitis B vaccines- Ambulance service Outpatient Surgery Center fees (outpatient surgery?) Bone density test (bone densitometry) Cardiovascular screening Laboratory services Clinical research studies Colorectal cancer screening Defibrillator (automatic implant) Diabetes screening Diabetes self-management training Diabetes supplies Certain health care services Durable medical equipment (such as walkers, for example) EKG screening Emergency room services Diabetic eye exams Eyewear (after cataract surgery) Services at federally qualified health centers Influenza vaccines Foot examinations and treatments Glaucoma screening Hearing and equilibrium tests Hepatitis B vaccines 2. How do I enroll in Medicare Part B? Posted on September 11, 2017 at 12:01 pm.Written by advantage_admin All citizens who are eligible for Medicare Part A will also be eligible for Part B. Part B is optional, since it has a monthly fee, and additional charges and/or fines could apply if the member does not enroll within a specified time period. Those who fail to enroll in Medicare Part B when they become eligible for the first time and are not eligible for a Special Enrollment Period could face late enrollment penalties. This could entail an increase in the monthly premium of 10% for each 12-month period during which you were eligible for Part B but did not enroll. You would have to pay this higher premium as long as you have Medicare Part B. To enroll in Part B: Send an online application to Social Security. If you already started filling out your online application and have a re-entry number, you may log in again to complete your application. Visit your local Social Security Office. Call Social Security at 1-800-772-1213 (TTY: 1-800-325-0778). If you are or were a railroad worker, please contact the Railroad Retirement Board (RRB) at 1-877-772-5772. Complete your Part B enrollment application (CMS-40B). The form and instructions are available in English. And please remember that you must have Part A to be able to apply for Part B. The amount payable for Part B will be calculated based on the member’s reported income tax. 1. What is Medicare Part B? Posted on September 11, 2017 at 11:59 am.Written by advantage_admin This refers to health care coverage. It helps pay for the following services: Physicians and other health care providers Outpatient care Home health care (infusion therapy) Durable medical equipment (DME) Some preventive care services 4. How do I enroll in Medicare Part A? Posted on September 11, 2017 at 11:57 am.Written by advantage_admin In Puerto Rico, you get automatically enrolled in Medicare Part A at no cost to you if you are a citizen and have worked for 40 quarters or more. If you have not worked for 40 quarters and you wish to enroll in Medicare Part A, you will have to pay a monthly premium of up to $413.00 for 2017. To learn who is eligible or to obtain more information, please contact the Social Security Office. 3. What is not covered by Medicare Part A? Posted on September 11, 2017 at 11:57 am.Written by advantage_admin Medicare Part A does not cover: Private nursing services TV or telephone service Toiletries Private rooms 2. What does Medicare Part A cover? Posted on September 11, 2017 at 11:55 am.Written by advantage_admin It covers semi-private rooms, food, general nursing and other services, and hospital supplies. This includes health care services received at: intensive care hospitals critical access hospitals inpatient rehabilitation centers long-term care hospitals health care for patients who have been hospitalized as part of an authorized clinical research project inpatient mental health services 1. What is Medicare Part A? Posted on September 11, 2017 at 11:53 am.Written by advantage_admin This refers to hospital coverage. It helps pay for the following services: Hospital stays Skilled nursing facilities Hospice care Home health care 2. Who is eligible for Medicare? Posted on September 11, 2017 at 11:50 am.Written by advantage_admin Original Medicare is health insurance for people over 65 years old, or for people younger than 65 years of age with certain disabilities, such as end-stage renal disease or Lou Gehrig’s disease. « 1 2 3 »
