About a year ago, I could tell that there were some issues with our medical insurance. It seemed like whenever we went to the doctor, we were left wondering why the bill was so high, which really made me worry about the situation. I started focusing more carefully on what to do about the situation, and within a few short weeks, I was going through our policies to see where the problem was. I found out that my claims were being processed improperly, so working with my insurance company made things better. This blog is here to help anyone who has ever had to resolve medical insurance problems.
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Resolving Medical Insurance Problems
Understanding Medicare Insurance
Wendy Bryant
Choosing the right health insurance plan involves identifying your needs, reviewing different options, and considering what you can afford. If you are turning 65 or are disabled, then you need to familiarize yourself with Medicare insurance since it will play a significant role in your healthcare. Here is some basic information about Medicare insurance.
What Is Medicare?
This is a United States health insurance program that targets individuals who are 65 years and above. Medicare is also suitable for younger adults who are suffering from specific disabilities. The distinction between Medicaid and Medicare is that the former is for low-income individuals and the latter for retirees and people with qualifying disabilities. There are also supplemental insurance plans associated with Medicare that help reduce your out-of-pocket expenses for certain medical costs.
Who Qualifies for Medicare?
To qualify for Medicare, you need to meet specific terms regarding your age, health, or disability, and also your residence status. Under the age, health, and disability requirements, you must be 65 years and above.
If you are below 65 years, then you must have received Social Security disability payments for two years consecutively. If you have not received disability payments and are under 65 years, then you must have been diagnosed with amyotrophic lateral sclerosis (ALS) or end-stage renal disease (ESRD).
Under the residence status requirements, you are eligible if you are a United States citizen or a permanent legal resident who qualifies for Medicare Insurance. A permanent legal resident only qualifies if they have been in the U.S. for the last five years.
How Does Medicare Work?
To learn how Medicare works, you have to understand the different parts of Medicare. Original Medicare has both Medicare Part A or hospital insurance and Medicare Part B or medical insurance. Members are required to pay a deductible at the beginning of every year. This deductible is 20% of the cost of the Original Medicare plan.
Medicare Advantage is an alternative to the Original Medicare. This plan consists of Part A, B, and D. In most cases, Medicare Advantage will provide extra benefits like hearing, vision, and dental.
Lastly, you can enroll for Medicare drug coverage to help you with the cost of prescription drugs. To get this coverage, you need to be a member of a Medicare-approved plan that provides drug coverage. Examples of these plans include Medicare Advantage with drug coverage and Medicare drug plans.
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