by Medical Billing | Jul 17, 2012 | Medicare payment basics
Part C – Medicare Advantage MA is a program through which organizations that contract with CMS furnish or arrange for the provision of health care services to Medicare beneficiaries who : Are entitled to Part A and enrolled in Part B ; Permanently reside in the...
by Lori | Jul 10, 2010 | Medicare payment basics
Your out-of-pocket costs in a Medicare Advantage Plan depend on the following: ■Whether the plan charges a monthly premium in addition to your Part B premium. ■Whether the plan pays any of the monthly Part B premium. Some plans offer this option, usually for an extra...
by Lori | Jul 10, 2010 | Medicare payment basics
Can I get my health care from any doctor or hospital? HMO Plan : No. You generally must get your care and services from doctors or hospitals in the plan’s network (except emergency care, out-of-area urgent care, or out-of-area dialysis). In some plans, you may be able...
by Lori | Jul 10, 2010 | Medicare payment basics
As with Original Medicare, you still have Medicare rights and protections, including the right to appeal. ■ Check with the plan before you get a service to find out whether they will cover the service and what your costs may be. ■ You must follow plan rules, like...
by Lori | Jun 24, 2010 | Medicare payment basics
Medicare Advantage Plans (Part – C) include the following: ■ Health Maintenance Organization (HMO) Plans. ■ Preferred Provider Organization (PPO) Plans. ■ Private Fee-for-Service (PFFS) Plans. ■Medical Savings Account (MSA) Plans. ■ Special Needs Plans (SNP)....
