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Federal Consumer Information Center Medicare Questions and Federal Consumer Information Center: Medicare - Questions and Answers

Medicare Questions and Answers

About ...
... The Original Medicare Plan
... Other Medicare Health Plans
... Medicare Protections and Rights

Introduction

A
Advanced Beneficiary Notice
Ambulance Service
Anti- Nausea Drugs
Appeal
Approved Payment Amount
Assignment

B
Bills


C

Civil Service Retirement
Clinical Laboratory Services
Coinsurance
Custodial Care


D

Deductible
Definition of Important Terms
Dental Care
Dentures
Discrimination
Disenrollment from Medicare Managed Care Plans
Durable Medical Equipment


E

Emergency Care
Employer Insurance
End- Stage Renal Disease
Enrollment in:
Medicare Managed Care Plans
Original Medicare Plan
Enrollment Periods
Explanation of Medicare Benefits
Eye Care


F

Fiscal Intermediary
Foot Care
Fraud and Abuse


G

General Enrollment Period


H

Hearing Aids
Hospital Indemnity Insurance
Hospice Care


L

Limiting Charge
Long- Term Care Insurance
Low- Income Assistance


M

Medicaid
Medicare Benefits Notice
Medicare Carrier
Medicare Compare
Medicare Managed Care Plans
Medicare + Choice
Medicare Medical Savings Account Plan
Medicare SELECT
Medicare Summary Notice
Medigap


N

Nursing Home


O

Occupational Therapist
Original Medicare Plan
Out- of- Pocket Costs
Outpatient Hospital Care
Outpatient Prescription Drugs


P

Part A (Hospital Insurance)
Part B (Medical Insurance)
Peer Review Organization (PRO)
Physical Therapist
Premium
Preventive Care
Primary Care Doctor
Private Fee- for- Service Plan
Private Contract
Private Insurance
Protections and Rights


Q

Qualifying Individual
Qualified Medicare Beneficiary


R

Railroad Retirement Board
Referral
Routine Physicals


S

Secondary Payer
Service Area
Social Security Administration
Special Enrollment Period
Specialist
Specified Disease Policies
Specified Low- Income Medicare Beneficiary
Skilled Nursing Facility (Care)
State Health Insurance Assistance Program
State Insurance Department
State Medical Assistance Office
Supplemental Health Insurance Policy


T

Travel


U

Union Insurance
Urgently Needed Care


V

Vaccinations

This booklet answers many of the questions you may have about Medicare. It is divided into four sections:

Section Subject
1 The Original Medicare Plan
2 Other Medicare Health Plans
3 Medicare Protections and Rights
4 Definitions of Important Terms

Phone numbers of important contacts are included in Medicare & You, which was mailed to all Medicare beneficiaries in November of 1998. For more information about Medicare call 1- 800- MEDICARE (1- 800- 633- 4227 or TTY/ TDD: 1- 877- 486- 2048 for the speech and hearing impaired), or visit our website at www.medicare.gov. Your local library or senior center may be able to help you get information using their computers.

U. S. DEPARTMENT OF HEALTH AND HUMAN SERVICES

HEALTH CARE FINANCING ADMINISTRATION
7500 SECURITY BOULEVARD
BALTIMORE, MD 21244- 1850

Publication No. HCFA- 10117 May 1999

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