Do Doctors Have To Accept Medicare?
not all doctors accept medicare. and even if your doctor does, he or she may not accept medicare if you go to the doctor's office. your doctor can usually find out if medicare will cover your office visit by calling the medicare information center at 1-800-medicare. if you go to a hospital, your doctor should call the hospital to find out about medicare before you go for any kind of treatment.
if your doctor does not accept medicare, you should call the medicare information center to find out if you can get medicare benefits from another doctor.
can i choose my doctor?
you can choose your doctor as long as your doctor accepts medicare. when you call the medicare information center, ask if your doctor accepts medicare.
do i have to get authorization before i go to a hospital?
unless your medical condition requires you to be admitted to the hospital immediately, you do not have to get approval before you go to a hospital.
do i have to get authorization before i get a medical test or an operation?
if you need a medical test or operation that is not an emergency, you should call the medicare information center before you have the test or operation.
what if i think my doctor should not be treating me?
if you have a doctor and cannot get an appointment with him or her, or if you wish to change doctors, you should contact your local medicare office for help.
if i get sick while i am traveling outside the u.s., can i get medicare benefits?
if you are traveling outside the u.s. and become sick, you can still get medicare benefits. call the medicare information center at 1-800-medicare to find out how to get care outside the u.s. the medicare information center will tell you if there is a medicare-approved hospital outside of the u.s. and will also tell you how to get to that hospital.
what is a medicare rx plan?
a medicare rx plan is a prescription drug plan that works with medicare to give you extra benefits. these plans are available to people who are enrolled in both the medicare part a and part b programs. your rx plan should include these 10 benefits:
1. it pays a set price for your prescriptions when they are filled.
2. it covers your prescriptions even if you have some that are not covered by medicare part b.
3. it covers your prescriptions even if you travel outside the u.s.
4. it provides coverage if you need a home infusion therapy or home infusion drugs.
5. it covers your prescriptions when you are in a hospice.
6. it pays for things like ambulatory blood pressure monitoring, which usually has not been covered by medicare part b.
7. it pays for preventive prescription drugs.
8. it covers your prescriptions even if you are on a special diet.
9. it covers your prescriptions if you are only getting part b.
10. it covers your prescriptions if you are getting part a and part b.
the medicare oversight agency (medicare) has a list of the drug plans that it has approved. if you want more information about a particular plan, you can call the plan directly or visit its website.
if i am not covered by medicare, can i still join a medicare rx plan?
if you are not covered by medicare part a or part b, there are still some medicare rx plans that you could join. these plans have special contracts with the federal government.
how much does it cost to join a medicare rx plan?
the cost of joining a medicare rx plan depends on your income. a medicare rx plan is allowed to charge you an extra amount over and above what medicare may pay. they can charge you from:
1. $2.00 to $5.65 per month
2. $3.00 to $5.65 per month plus 25% of the cost of each prescription
you should find out from your plan how much you will have to pay.
who can i contact if i have questions about my medicare rx plan?
if you have questions about your medicare rx plan, call your plan or contact the medicare rx plan ombudsman.
what is the medicare ombudsman?
the medicare ombudsman is a person who is appointed by the president and whose job is to defend your rights and interests. you can contact the medicare ombudsman to ask questions and get help about medicare and medicare rx plan issues.
where can i learn more about my medicare rx plan?
you can learn more about your medicare rx plan by reading your free handbook and by visiting the medicare website and the websites of the drug plans.
i am enrolled in an msa. can i still join a medicare rx plan?
you can join a medicare rx plan even if you are enrolled in an msa. however, if you join a medicare rx plan, you will no longer be covered by your msa.
what if i am already enrolled in a medicare rx plan, but i want to join another plan?
you can join a different medicare rx plan if you want to. you can learn more about this process by reading your handbook or by visiting the medicare website.
what if my medicare rx plan is not working?
if you have a problem with your medicare rx plan, you can contact