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Keyword Details: Medicare

A federally funded health insurance program administered by the Centers for Medicare & Medicaid Services (CMS) under the U.S. Department of Health and Human Services for people age 65 and older; for individuals with disabilities younger than age 65 who have received or been determined eligible for Social Security Disability benefits for at least 24 consecutive months; and for insured workers and their dependents who have end stage renal disease and need dialysis or a kidney transplant. As with ESRD, the 24-month waiting period is waived for disability beneficiaries diagnosed with Amyotrophic Lateral Sclerosis (ALS, also called Lou Gehrig's disease). Premiums, deductibles and co-payments or out-of-pocket costs apply to Medicare coverage for most people. Special programs that assist with paying some or all of these costs are available for low income individuals who qualify. Medicare has four parts, but not every Medicare beneficiary has every part. Medicare Part A (Hospital Insurance) covers inpatient hospital stays, care in a skilled nursing facility, hospice care and home health care that meets the program eligibility criteria. Medicare Part B (Medical Insurance) covers services from doctors and other health care providers, outpatient care, home health care, durable medical equipment, preventive services and more. Together, Medicare Part A and Part B are called Original Medicare. Medicare Part C enables private insurance companies to offer Medicare Advantage (MA) Plans under contract with CMS that provide all Part A and Part B benefits to plan enrollees. Medicare Advantage Plans include Health Maintenance Organizations, Preferred Provider Organizations, Private Fee-for-Service Plans, Special Needs Plans and Medicare Medical Savings Account Plans. Some plans offer extra benefits and services that aren't covered by Original Medicare, sometimes for an extra cost; and most (but not all) include Medicare prescription drug coverage. Medicare Part D (Medicare prescription drug coverage) is an optional benefit that helps beneficiaries cover the cost of prescription drugs. The plans are offered by insurance companies and other private companies approved by Medicare and add prescription drug coverage to Original Medicare, some Medicare Private-Fee-for-Service Plans and Medicare Medical Savings Account Plans.

Programs related to Medicare

Disability Benefit Specialist Program
Disability Benefit Specialists help answer questions and solve problems related to Social Security, Medicare, Medicaid or other health insurance and benefits for people with disabilities. They serve individuals age 18-59 with a physical or cognitive disability or a mental illness. Services are free... (Click here for more)
Medicare Helpline
Provides information on Medicare benefits, eligibility, financial questions, Medicare-Approved Drug Discount Cards, Competitive Bidding and other general information regarding Medicare. Care Compare on Medicare.gov - https://www.medicare.gov/care-compare/ The Centers for Medicare and Medicaid Ser... (Click here for more)
Medigap Helpline
The Medigap Helpline is a free, confidential counseling service for all Medicare beneficiaries, including disabled individuals and those age 60 and over. The insurance counselors at the Medigap Helpline can help you with questions about various health insurance topics: - Medigap insurance - Medicar... (Click here for more)
Medigap Part D and Prescription Drug Helpline
The Medigap Part D and Prescription Drug Helpline is operated by the Wisconsin Board on Aging and Long Term Care. Helpline counselors are available to provide information and assistance to Wisconsin Medicare beneficiaries of all ages and their families regarding the various Medicare prescription dr... (Click here for more)
Social Security Administration
Most business with SSA can be done online, but they know that many people still rely on phone or in-person help. That's why they want you to know you can still count on them by phone. And, if you have a critical situation they cannot help you with by phone or online, you may walk in for service. Sp... (Click here for more)
Wisconsin Senior Medicare Patrol (SMP)
Senior Medicare Patrols (SMPs) empower and assist Medicare beneficiaries, their families, and caregivers to prevent, detect, and report health care fraud, errors, and abuse through outreach, counseling, and education. Prevention alone cannot stop all fraud, abuse, and errors. We should also be aware... (Click here for more)
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This information is provided as is with no guarantee as to the accuracy of the information. Information is considered to be accurate as of the date of the last update, printed above. Aging & Disability Resource Center may not be held liable for misuse of this information.

The ADRC does not recommend or screen the businesses or service organizations in our data base and is not responsible for any vendor business policies. Please use your discretion when calling for services, requesting estimate, reviewing references and licensure. For professional license information, you can contact the Wisconsin Department of Regulation and Licensing by phone: (608) 266-2112, or access their website: https://licensesearch.wi.gov/.

Please contact the ADRC if you need additional assistance or have any additional questions Kenosha County ADRC 8600 Sheridan Road; Kenosha, WI 53143 phone: 262-605-6646; email: adrc@kenoshacounty.org Hours: Monday-Friday 8:00am-5:00pm.

You can also contact the Better Business Bureau by phone: (800) 273-1002 or access their website: https://www.wisconsin.bbb.org

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