My office assists many constituents who have
questions about Medicare. Most often, these questions involve benefits
you are eligible for, how and where to file your Medicare claim forms
and explanation of your benefit forms. We also receive many questions
about nursing homes, prescriptions and Medicare supplement insurance.
If you are unable to get your problem resolved through Medicare, my
office may be able to help you.
Medicare Links Online:
Medicare Beneficiary Information
Medicare Plan Choices
Prescription Drug Plan Finder
Medicare Physicians in Your Area
Commonly Asked Medicare Questions:
How do I obtain a replacement Medicare card?
Please protect your Medicare card just as you would a credit card.
Your Medicare card in the wrong hands can be used to submit fraudulent
claims.
If you lose your
card, contact your local Social Security office at 1-800-Medicare or
visit the Medicare website immediately to get a new one. Click here for more information on replacing lost Medicare cards from the Social Security Administration.
To
protect you and ensure your receipt of your benefits, please let your
local Social Security office know that your address has changed. The number for the Social Security Administration is 1-800-772-1213.
How do I appeal a claims decision that I am not satisfied with?
After a decision has been rendered, you will receive a
Medicare Summary notice explaining whether your claim was approved or
denied. If your claim has been denied, all appeal rights will be
explained within the notice. Simply follow the directions contained
within the notice.
How do I report an instance of fraud?
If you believe Medicare has been billed for services you
did not receive or Medicare has been over billed always contact your
provider first to make sure a mistake has not been made. After you
contact your provider, if you still believe fraud exists, contact
Medicare's fraud hotline at 1-800-447-8477 or contact my office.
How do I determine if a particular nursing home is appropriate for my loved one?
Medicare and the Centers for Medicare and Medicaid
Services (CMS) provides a service called Nursing Home Compare. Nursing
homes are rated by Medicare and CMS by the quality of care they
provide. Medicare offers online information about nursing homes at its website,
as well as numerous publications. If you do not have internet access,
contact Medicare at 1-800-MEDICARE to obtain additional information.
Does Medicare pay for prescription drugs?
Medicare currently does not cover prescription drugs.
However, Medicare does maintain information on drug manufacturers'
discount programs on its website. These programs allow you to
potentially obtain your prescriptions at a reduced rate or even free of
charge. Click here to obtain additional Medicare information or contact my office to request information on these programs.
How do I know what Medigap plan is right for me?
Medicare maintains information on Medigap (Medicare
supplement insurance plans) plans available in each state. Medicare's
assessment compares each plan's coverage to its competition. Check online at Medicare to learn more about plans in Colorado or call Medicare at 1-800-633-4227.
Medicare
wheelchair and POV coverage guidelines indicate that in order to allow
payment for a wheelchair, a person with Medicare must be bed or
chair-confined without the use of a wheelchair.
Furthermore in terms of POV all of the following criteria must be met:
You require a wheelchair to maneuver in your home;
You cannot operate a manual wheelchair;
You can safely operate the controls of a POV;
You can transfer safely to and from a POV and have adequate trunk stability to safely ride in a POV
You need a prescription from your physician prior to purchasing the
POV, and the physician and supplier must complete a Certificate of
Medical Necessity (CMN).
Office Contact:
In order to open a case on your behalf , I need a signed letter or privacy authorization form
from you, giving permission to look into your case. Due to the Privacy
Act of 1974, no inquiries can be made without such written consent. As
such, an e-mail will not suffice as a release. A written signature must
be given.
For all Medicare issues, please download and fill out the privacy authorization form
and mail or fax it to Stuart Feinhor in my Boulder Office.
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