Medicare & Hospice Benefits

Choosing hospice care is a difficult decision. The information in this booklet and support from a doctor and trained hospice care team can help you choose the most appropriate health care options for someone who’s terminally ill.

Whenever possible, include the person who may need hospice care in all health care decisions.

​“Medicare Hospice Benefits” isn’t a legal document. Official Medicare Program legal guidance is contained in the relevant statutes, regulations, and rulings. The information in this booklet describes the Medicare Program at the time this booklet was printed. The information in this booklet was correct when it was printed. Changes may occur after printing. Visit Medicare.gov, or call 1-800-MEDICARE (1-800-633-4227) to get the most current information. TTY users should call 1-877-486-2048.

To download this updated publication, click HERE: Medicare Hospice Publication

FOR IMMEDIATE RELEASE
Revised 02/01/2015

This official government booklet includes information about Medicare hospice benefits:

  • Who’s eligible for hospice care
  • What services are included in hospice care
  • How to find a hospice program
  • Where you can find more information 

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Call Toll Free  877-793-4354

FOR IMMEDIATE RELEASE
Revised 12/01/2014

​Are you a person with Medicare who’s having trouble paying for prescription drugs? Joining a Medicare Prescription Drug Plan may help, even if you have to pay a late enrollment penalty.

​There are other ways you may be able to save! 

 Consider switching to drugs that cost less. Ask your doctor if there are generic, over-the-counter, or less expensive brand-name drugs that could work just as well as the ones you’re taking now. Switching to lower-cost drugs can save you hundreds or possibly thousands of dollars a year. Visit the Medicare Plan Finder at Medicare.gov/find-a-plan to get information on ways to save money in your Medicare drug plan. You can also call 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048.

Get the publication HERE: Ways to save

4 Ways to Help Lower Your Medicare Prescription Drug Costs

Closing the Coverage Gap— Medicare Prescription Drugs Are Becoming More Affordable 

FOR IMMEDIATE RELEASE
Revised 02/01/2015

​Medicare Part B (Medical Insurance) covers up to 6 kidney disease education sessions, if you have Stage IV chronic kidney disease. Ask your doctor if you’re eligible for these important sessions that are tailored to meet your needs.  

Get the publication HERE: Kidney Disease Education

Did you know Medicare helps cover kidney disease education?

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FOR IMMEDIATE RELEASE

Revised 01/15/2015

 Medicare Appeals

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You have the right to appeal if Medicare, your Medicare health plan, or your Medicare Prescription Drug Plan denies one of these requests:

■ A request for a health care service, supply, item, or prescription drug that you think you should be able to get.

■ A request for payment of a health care service, supply, item, or prescription drug you already got.

■ A request to change the amount you must pay for a health care service, supply, item, or prescription drug.

You can also appeal if Medicare or your plan stops providing or paying for all or part of a health care service, supply, item, or prescription drug you think you still need. See the sections in this booklet for information on how to file an appeal no matter how you get your Medicare.

For more information visit Medicare.gov/appeals, or call 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048

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FOR IMMEDIATE RELEASE
Revised 12/01/2014

​Getting “Extra Help” means Medicare helps pay your Medicare Prescription Drug Plan’s (Part D) monthly premium, any yearly deductible, coinsurance, and copayments. 

​What should my costs be? 

If you qualify for full Extra Help, you should pay no more than $2.65 for a generic drug (or brand-name drug treated as a generic) and $6.60 (in 2015) for any other brand-name drug. Some people with higher incomes get partial Extra Help and pay reduced monthly premiums, deductibles, and copayments. If you qualify for partial Extra Help, you’ll pay no more than 15% of the costs of drugs on your plan’s formulary (drug list) until you reach the out-of-pocket limit. 

Get the publication HERE: Paying the correct share

FOR IMMEDIATE RELEASE
Revised 01/01/2015

​The Affordable Care Act includes benefits to make your Medicare prescription drug coverage (Part D) more affordable.

When you’re in the coverage gap (also called the “donut hole”) in your Medicare prescription drug coverage, you’ll get these:

  •  A discount on covered brand-name drugs when you buy them at a pharmacy or order them through the mail.
  •  Some coverage for generic and brand-name drugs.
  •  Additional savings on your generic and brand-name drugs during the coverage gap over the next several years until it’s closed in 2020.

The coverage gap closes by maintaining the 50% discount the manufacturers offer and increasing what Medicare drug plans cover.

Get the publication HERE: Closing the Gap

FOR IMMEDIATE RELEASE
Revised 02/01/2015

Your Medicare rights

People with Medicare have certain guaranteed rights. If your hospice program or doctor believes that you’re no longer eligible for hospice care because your condition has improved—and you don’t agree—you have the right to ask for a review of your case. Your hospice should give you a notice that explains your right to an expedited (fast) review by an independent reviewer hired by Medicare, called a Beneficiary and Family Centered Care Quality Improvement Organization (BFCC-QIO). If you don’t get this notice, ask for it. This notice lists your BFCC-QIO’s contact information and explains your rights. To get this publication released on 02.01.2015, Click HERE    Getting started with Medicare Hospice Benefits

Medicare Hospice Benefits 

FOR IMMEDIATE RELEASE
Revised 10/01/2014

​All the cost for 2015 are in this publication.

Get the publication HERE: 2015 Medicare Cost & Premium

2015 Medicare Costs 

If You Get Extra Help, Make Sure You’re Paying the Right Amount 

FOR IMMEDIATE RELEASE
Revised 01/01/2015

The information in this document explains:

• Services and supplies covered by Original Medicare • Conditions and limits for coverage

• How much you pay As you read this booklet, keep these 2 points in mind:

      1. Unless otherwise noted, in 2014, you pay a yearly $147 deductible for Part B-covered services and supplies before Medicare begins to pay its share, depending on the service or supply.

      2. Depending on the service or supply, actual amounts you pay may be higher if doctors, other health care providers, or suppliers don’t accept assignment. 

​      Doctors who don’t accept assignment may charge you more than the Medicare approved amount for a service, but they can’t charge more than 15% over the Medicare fee schedule amount for non-participating suppliers. This is called “the limiting charge.” The limiting charge applies only to certain services and doesn’t apply to some supplies and durable medical equipment. Your doctor or other health care provider may recommend you get services more often than Medicare covers. Or, they may recommend services that Medicare doesn’t cover. If this happens, you may have to pay some or all of the costs. It’s important to ask questions so you understand why your doctor is recommending certain services and whether Medicare will pay for them. If you disagree with a Medicare coverage or payment decision, you have the right to appeal. For information on how to file an appeal, see your “Medicare & You” handbook, or visit Medicare.gov/appeals.

​  Information about services and supplies listed in the booklet applies to all people with Original Medicare. If you have a Medicare Advantage Plan (like an HMO or PPO) or another Medicare health plan, you have the same basic benefits, but the rules vary by plan. Some services and supplies may not be listed because the coverage depends on where you live. To find out more, visit Medicare.gov, or call 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048.  To download this publication in pdf, click here (pop up blocker will need to be disabled)