Medicare Plan Information
Medicare Supplement Insurance, Medicare Advantage Insurance, Medigap and Stand-Alone Prescription Drug Plans
If you try to search the information about Medicare, please download PDF Handbook of Medicare & You 2024. (The Official U.S. Government Medicare Handbook) This is an introduction of Medicare to client find plans and compare plans including price, coverage by U.S. Department of Health & Human Services and Centers for Medicare & Medicaid Services Development by the expense from US Taxpayer.
Medicare Enrollment
OEP Open Enrollment Period is October 15-December 7.
GEP General Enrollment Period is January 1-March 31.
Initial Enrollment 3 months before your 65 birthday month, your 65 birthday month and 3 months after your birthday month. (Total called 7 months initial enrollment period)
Special Enrollment when you eligible for Medicare.
* Special enrollment period when you leave group or company health insurance, even if you obtain Medicare for reason of kidney disease.
If you have questions about your Medicare age or status call 1-800-MEDICARE or visit www.Medicare.gov
Obtain Part A & Part B through visit your United States Social Security Administration Department local office.
When you turn 65 years old, you can contact Social Security 3 months before for schedule an appointment.
If you try to search Medicare Supplement Insurance or Prescription Drug Plan, please visit www.Medicare.gov
Download PDF version of U.S. Official Handbook Medicare & You 2024 / Order Medicare & You 2024 in English or different languages and audio, CD, braille.
Download PDF Handbook or / Order Print
Medicare & You 2024
The Official U.S. Government Medicare Handbook
by U.S. Department of Health & Human Services and Centers for Medicare & Medicaid Services.
Development by the expense from US Taxpayer.
7500 Security Boulevard Baltimore, MD 21244
* Nondiscrimination Notice
CMS will not discriminate race, color, national origin, disability, sex, or age.
* You can find plan type, price and coverage by searching your Zip Code.
* Insurance agent lic. info see Legal Notice.
* This is information. Not a solicit for a kind of insurance enrollment.
Input 'My Location' and find and compare the Medicare certified doctors and clinicians nearby my place.
Find Doctors and Clinicians Enrolled in Medicare
Input 'My Location' and find and compare the Medicare certified nursing home nearby my place.
Find Nursing Homes and Rehabilitation Services
* Link to an official website of the United States government, CMS.gov (Centers for Medicare & Medicaid Services).
Agency Information - Link with CMS (12/1/2021)
"CMS.gov is the official website of the Centers for Medicare & Medicaid Services (CMS), an operating division of the U.S. Department of Health & Human Services (HHS). It is a public domain web site. You may link to CMS.gov at no cost and no special permission is required." --- from CMS Homepage
See details:
https://www.cms.gov/about-cms/web-policies-important-links/about-website/link-to-us
Confidential on Electronic Data Interchange (EDI) Transactions and HIPPA Contingency Plans:
a) about administrative simplification
b) streamline your paperwork, administrative simplification for health care providers
by U.S. Department of Health and Human Services
and Centers for Medicare & Medicaid Services
Freedom of Information Act. Title 5 of the United States Code, Section 552 (1966)
Medicare Part A and Part B
Original Medicare Part A, Part B.
A Medicare Supplement insurance plan, also called a Medigap plan, is a separate policy that works with Medicare Part A (hospital services) and Part B (doctor’s services and supplies) and helps you manage your medical costs.
Medicare Part A (Hospital Insurance)
Contact United States Social Security Administration Department, if you are eligible free for Part A.
Part A (Hospital Insurance) helps cover:
- Inpatient care in hospitals (not custodial or long-term care)
- Skilled nursing facility care
- Hospice care
- Home health care (Medicare & You 2024)
If you didn’t automatically get premium-free Part A (for example, because you’re still working and not yet getting Social Security or Railroad Retirement Board (RRB) benefits), you can sign up for it anytime after you’re first eligible for Medicare. (Medicare & You 2024)
Medicare Part B (Medical Insurance)
Part B (Medical Insurance) helps Cover:
- Doctor's services
- Outpatients services
- Medical supplies
- prevent services
- Comprehensive outpatient rehabilitation facility. A facility that provides a variety of services on an outpatient basis, including physicians' services, physical therapy, social or psychological services, and rehabilitation.
- Medical supplies include wheelchairs.
Part C Medicare Supplement Insurance
Skilled nursing facility (SNF): A nursing facility with the staff and equipment to give skilled nursing care and, in most cases, skilled rehabilitative services and other related health services.
Medicare Part D (Stand Alone Prescription and Drug Plans)
Search more information about Part D.
- How to get prescription drug coverage
- What Medicare Part D drug plans cover
- Costs for Medicare drug coverage
- How part D works with other insurance
Before you get Medicare Part C, you must have both Medicare Part A and Part B.
Medicare Part C and Part D offered by private health insurance company.
Medicare Part B enrollment may delay without pay penalty because of you are under covered by a active group health insurance.
You could get enrollment in Medicare Part B Special Enrollment Period, it is mean, after you leave the group health insurance within 8 months.
Please make sure the detail with local United States Social Security Department.
Medicare Summary Notice
It’s a notice that people with Original Medicare get in the mail every 3 months for their Medicare Part A and Part B-covered services.
The MSN shows:
- All your services or supplies that providers and suppliers billed to Medicare during the 3- month period
- What Medicare paid
- The maximum amount you may owe the provider
Medicare Enrollment Period
Open Enrollment Period is every year October 15 - December 7.
General Enrollment Period is every year January 1 - March 31.
Initial Enrollment 3 months before your 65 birthday month, your 65 birthday month and 3 months after your 65 birthday month. (Total called 7 months initial enrollment period.)
Special Enrollment when you eligible for Medicare. You are in Special enrollment period when you leave group or company health insurance within 8 months, COBRA ends. You also eligible for Medicare when you found permanent kidney disease (failure), End-Stage Renal Disease (ESRD).
Medicare Savings Programs
Medicare Savings Programs 4 Programs That Can Help You Cover Your Medical Expenses (Revised June 2022)
Because Medicare Savings Plans is available. Contact Your State. These programs are run by your state. The federal and state governments have programs to help Medicare enrollees whose income and assets fall below certain limits.
These plans can help save money on health care and prescription drugs.
Please contact your state directly. (Federal Medicaid, SHIP State Health Insurance Assistance Program)
SHIP Locator (New York)
Long Term Care
* Long-term care means, not function 6 ADLs (activities of daily living) include eating, bathing, dressing, moving, transferring, continence.
* Long-term care insurance is sold by private insurance company.
* Learn more visit www.LongTermCare.gov or call 800-677-1116
National Network Support
State Health Insurance Assistance Program (SHIP)
U.S. Administration for Community Living
Department of Health and Human Services
Washington, D.C. 20201.
This program running by State. Please contact State directly.
SHIP Locator (New York)
Medicare Part B application form submission during January 1st to March 31 every year.
If you have any question about Medicare Part A (Hospital Insurance) or Medicare Part B (Medical Insurance), please contact United States Social Security Administration Department local office in your State.
CMS 40B Application for Enrollment in Medicare Part B (Medical Insurance)
CMS L564 Request from Employment Information
* Section A to be completed by individual signing up for Medicare Part B (Medical Insurance)
* Section B to be completed by employers
CMS 10797 Application for Enrollment in Medicare Part A and Part B Special Enrollment Period (Exceptional Conditions)
Visit your Social Security office with the completed form or obtain the form in person at the Social Security office.
Social Security Office Information
Address:
2ND FLOOR
200 E. MAIN ST
ROCHESTER, NY 14604
Hours:
Monday - Friday / 9:00 AM - 4:00 PM
Enrollment Period (IEP) when you’re first eligible for Medicare.
- IEP, it lasts for 7 months. It begins 3 months before the month you reach 65, and it ends 3 months after you reach 65.
- During the General Enrollment Period (GEP) from January 1 through March 31 of each year.
- If you’re eligible for a Special Enrollment Period (SEP), like if you’re covered under a group health plan (GHP) based on current employment.
- Submit to your local Social Security Administration Department.
Health Insurance Portability and Accountability Act (HIPPA)
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