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Medicare FAQs

How can I find out if I have Medicare coverage?

 

You must call the Social Security Administration at 1-800-772-1213 or contact your local Social Security Office to verify your Medicare Part A and Part B coverage. This information can also be found on your red, white, and blue Medicare card.

Will I automatically be enrolled in Medicare when I turn 65?

 

If you are receiving Social Security or Railroad Retirement or disability benefits, you will be automatically enrolled in Medicare Part A and Part B.

About 3 months prior to your 65th birthday or 24th month of disability, you will be sent an Initial Enrollment Package that will contain information about Medicare, a questionnaire and your red, white and blue Medicare card.

If you want both Medicare Part A (hospital insurance) and Part B (medical insurance), you should sign your Medicare card and keep it in your wallet.

If you don't want Part B coverage, you must put and X in the refusal box on the back of the Medicare card form; sign the form and return it with the card to Social Security at the address shown. You will then be sent a new Medicare card showing that you only have Part A.

What medical supplies and equipment does Medicare Part B cover?

 

Medicare Part B helps pay for durable medical equipment such as oxygen equipment, wheelchairs, and other medically necessary equipment that your doctor prescribes to use in your home. Other items covered by Medicare include:

  • Arm, leg, back and neck braces
  • Medical supplies such as ostomy pouches, surgical dressings, splints and casts
  • Breast prostheses following a mastectomy
  • One pair of eyeglasses with an intraocular lens after cataract surgery

Medicare pays for different kinds of durable medical equipment in different ways. Some equipment must be rented and other equipment must be purchased.

What types of services are covered under Medicare Part B?

 

Medicare Part B helps pay for doctors' services, outpatient hospital care, blood, medical equipment and some home health services. It also pays for other medical services such as lab tests and physical and occupational therapy. Some preventive services such as mammograms and flu shots are also covered.

Medicare Part B does NOT cover:

  • Routine physical exams
  • Eye glasses
  • Custodial care
  • Dental care
  • Dentures
  • Routine foot care
  • Hearing aids
  • Orthopedic shoes
  • Cosmetic surgery

It also does not cover most prescription drugs or health care you get while traveling outside the United States (except under limited circumstances).

What is a Medicare deductible?

 

A deductible is the amount you must pay each year before Medicare begins paying its portion of your medical bill. There are deductibles for both the Part A (Hospital Insurance) and Part B (doctor services) portions of Medicare. Your deductible is taken out of your claims when Medicare receives them. Medicare will not start paying on your claims until you have met your annual deductible.

 

Other Contacts for Help

HCFA RO: Health Care Financing Administration Regional Office

 

For information on local seminars and health fairs on Medicare health plan choices, or to report a complaint directly to HCFA call:

Toll-Free Phone: 1-800-659-3656 TTY
Local Phone: 303-844-4024

RRB: Railroad Retirement Board

 

For Railroad Retirement beneficiaries only. Provides information on RRB benefits, and help with lost RRB Medicare cards, address changes, and enrolling in Medicare.

Toll-Free Phone: 1-800-808-0772

SHIP: State Health Insurance Assistance Program

 

For information on Medigap policies, long-term care insurance, Medicare health plan choices, Medicare rights and protections, and help with filing an appeal.

Toll-Free Phone: 1-888-696-7213
Local Phone: 303-899-5151
Metro Denver area: 303-894-7880 TTY

SSA: Social Security Administration

 

For help with changing an address, Medicare Part A or Part B, a lost Medicare card, and Social Security benefits.

Toll-Free Phone: 1-800-772-1213
Local Phone: 1-800-325-0778 TTY

State Department of Insurance

 

Information on Medigap policies available in the area, and help with insurance questions.

Toll-Free Phone: 1-800-930-3745
Local Phone: 1-303-894-7499
In-State Calls Only: 1-800-691-7700 TTY

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