![]() ![]() For more information about Medicare including a complete listing of plans available in your service area, please contact the Medicare program at 1-800-MEDICARE (TTY users should call 1-87) or visit Medicare has neither reviewed nor endorsed this information. Medicare Part B covers doctor visits, durable medical equipment, speech therapy, occupational therapy, physical therapy, and other outpatient services. Each Blue Cross Blue Shield company is responsible for the information that it provides. To find out about premiums and terms for these and other insurance options, how to apply for coverage, and for much more information, contact your local Blue Cross Blue Shield company. Enrollment in these plans depends on the plan’s contract renewal with Medicare. ![]() Medicare Advantage and Prescription Drug Plans are offered by a Medicare Advantage organization and/or Part D plan sponsor with a Medicare contract. ![]() Plans are insured and offered through separate Blue Cross and Blue Shield companies. There are the four general parts of Medicare: A, B, C, and D. Viewing this Medicare overview does not require you to enroll in any Blue Cross Blue Shield plans. Review and sign up for Medicare Advantage and drug plans on . Figuring out how Medicare works feels a little like learning the alphabet for the first time. You can call 87 to get the phone number for the SHIP in your state.Medicare overview information on this website was developed by the Blue Cross and Blue Shield Association to help consumers understand certain aspects about Medicare. SHIPs offer local, personalized counseling and assistance to people with Medicare and their families. You can also call 1-800-MEDICARE (1-80) or speak to someone at your local State Health Insurance Assistance Program (SHIP). For each type of product such as an HMO or a PPO, the insurer generally has one. To learn more about the Medicare Advantage plans and the Medicare Part D plans in your area, you can use the Medicare coverage comparison website, a searchable tool on the website. Insurers like Blue Cross or Aetna hold Medicare Advantage contracts with CMS. Once you are enrolled in a Part D plan, you can switch drug plans during the Medicare Open Enrollment period. Medicare Advantage Plans provide all of your Part A and Part B benefits, including new benefits that come from laws or Medicare policy decisions. Learn about what Medicare Part B (Medical Insurance) covers, including doctor and other health care providers services and outpatient care. If you did not sign up for a Part D plan when you got your Part A and Part B coverage and you do not have another source of drug coverage that is at least as good as Part D coverage, be aware that you may be charged a late enrollment penalty. If you are covered under traditional Medicare and you want drug coverage, you can enroll in a stand-alone drug plan during the Medicare Open Enrollment period. An 'MAPD' is the abbreviation for a 'Medicare Advantage plan that offers prescription drug coverage'. ![]() Medicare Part D is the Medicare prescription drug benefit which is offered by private stand-alone prescription drug plans, sometimes called PDPs, and Medicare Advantage plans that cover drugs. A 'PDP' is the abbreviation used for a stand-alone Medicare Part D 'prescription drug plan'.A PDP provides coverage of your out-patient prescription drugs that are found on the plans formulary. As described above, a major problem with Medicare Part B is the difference between the cost of medical items or services, particularly physicians services, and. If you have Part A and Part B already, and are covered under the traditional Medicare program, you do not need to sign up for a Medicare Advantage plan during Open Enrollment unless you want to get your Medicare benefits through a private plan. Most Medicare Advantage plans also cover prescription drugs and most also cover other services, such as vision, dental, and hearing benefits. If you enroll in a Medicare Advantage plan, you still have Medicare, but you get all of your Medicare-covered benefits through a private plan. MedPAR contains one summarized record per admission. Medicare Provider Analysis and Review (MedPAR) The MedPAR file includes all Part A short stay, long stay, and skilled nursing facility (SNF) bills for each calendar year. Medicare Part C plans, also known as Medicare Advantage plans, are private health insurance plans, mainly HMOs and PPOs, for people enrolled in Medicare. From the Medicare Prescription Drug Benefit Manual, Chapter 1, Section 10.1: 'There are a number of places in which Part D statutory provisions incorporate by reference specific sections of the Act that govern the Medicare Part C program (also known as the Medicare Advantage, or MA program, and formerly the Medicare+Choice, or M+C, program). The Medicare claims files provided as part of SEER-Medicare are described below and reflect input from staff at NCI and CMS. ![]()
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