If you have Original Medicare, Part B covers emergency room services anywhere in the U.S. Medicare Advantage Plans also must cover emergency room services anywhere in the country. Emergency room services are typically provided when you have a medical condition that requires immediate action, such as an injury or sudden
Care coordination after a hospital or skilled nursing facility (SNF) stay
Managing your care at home after an inpatient hospital or skilled nursing facility (SNF) stay can be confusing and difficult. Medicare Part B covers care coordination (also called transitional care management) if you need assistance organizing your care after leaving a facility, whether you were an inpatient or an outpatient.
Medicare and observation services
Observation services are short-term outpatient services received when you are in the hospital for monitoring purposes and/or to determine whether you should be admitted as an inpatient. It is important to know that if you are receiving observation services (sometimes referred to as under observation status), you have not been
Preventive services overview
Preventive care is care you receive to prevent illness, detect medical conditions, and keep you healthy. Medicare Part B covers many preventive services, such as screenings, vaccines, and counseling. If you meet the eligibility requirements and guidelines for a preventive service, you must be allowed to receive the service. This
Part D coverage in nursing homes
If you live in a nursing home or another qualified institution (not an assisted living facility or a group home) and receive long-term care, you should be aware of how your prescription drug coverage may be affected. Specifically, different rules apply as to when you can switch plans and how
Losing SNP eligibility
If you are enrolled in a Medicare Special Needs Plan (SNP), but no longer meet its eligibility requirements (for example, if you lose Medicaid coverage), the SNP may continue to provide coverage for a period of time if it seems likely that you will regain eligibility for the SNP within
Enrolling in a SNP
To qualify for a Medicare SNP, you must apply and prove that you meet the SNP’s eligibility criteria. The SNP will require periodic proof that you continue to meet these criteria. To enroll in a SNP, call Medicare (1-800-633-4227) or the plan directly.Chronic Condition SNP (C-SNP) eligibility requirements: You must
Medicare Special Needs Plans (SNPs)
Medicare Special Needs Plans (SNPs) SNP basics SNP costs and coverage Enrolling in a SNP Losing SNP eligibility Questions to ask before enrolling in a SNP
How to enroll in Medicare if you are turning 65
Most people become eligible for Medicare when they turn 65. Your Medicare enrollment steps will differ depending on whether or not you are collecting retirement benefits when you enter your Initial Enrollment Period (IEP). If you are receiving Social Security retirement benefits or Railroad Retirement benefits, you should be automatically
How Medicare enrollment works with Railroad Retirement benefits
ou are typically eligible for Medicare if you are eligible for either Social Security benefits or Railroad Retirement benefits. There are a few important differences when you enroll in Medicare if you are or were a railroad worker. Your enrollment will be processed by the Railroad Retirement Board (RRB) instead