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Glossary | California Health Advocates

See Medicare Prescription Drug Coverage .

Participating Provider (for people in Original Medicare)

A doctor or supplier who agrees to accept assignment on all Medicare claims, meaning they agree to accept Medicare's approved amount as payment in full. (See Assignment ) These doctors and suppliers may bill the patient or patient's supplemental insurance for Medicare deductibles and/or coinsurance...

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New-to-Medicare Frequently Asked Questions (FAQs ...

Medicare is the federal health insurance program for:

Most people age 65 and over

Certain people younger than 65 with disabilities

People with end-stage renal disease (ESRD) , also known as permanent kidney failure

For more information, see our Eligibility section.

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2. If I am eligible for Medicare, how do I enroll?

If you are receiving Social Security or Railroad Retirement...

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Medi-Cal (for People with Medicare) | California Health ...

5. Medi-Cal Programs

Supplemental Security Income (SSI)

If you qualify for Supplemental Security Income (SSI) , you automatically qualify for full Medi-Cal coverage. To qualify for SSI, you must be age 65 or older, blind or disabled. Your countable monthly income may not exceed $895.72 for an individual or $1,510.14 for a couple (higher income levels apply for individuals who are blind).

Aged &...

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Costs & Benefits of Medicare Advantage Plans | California ...

Medicare Advantage (MA) plans contract with Medicare on an annual basis. Medicare pays each MA plan a fixed monthly amount for each member. This amount varies by county and is readjusted each year based on a Medicare formula. In turn, the MA plan must provide, at minimum, all Medicare-covered services. The MA plan may also offer additional services not covered by Medicare, such as hearing aids,...

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Medicare Savings Programs (MSPs) | California Health Advocates

1. Qualified Medicare Beneficiary (QMB)

The Qualified Medicare Beneficiary (QMB) program helps pay for the following Medicare costs:

Medicare Part A premium. Note: Some people are required to pay a premium for Medicare Part A because they do not have enough Social Security credits. Most people do not pay a premium for Medicare Part A because they or their spouse earned enough credits by working...

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Medicare Part A – Hospital Insurance | California Health ...

Up to 90 days of inpatient hospital services in each benefit period

An additional 60 lifetime reserve days

A benefit period begins when you are admitted to the hospital and ends when you have been out of the hospital for 60 days, or have not received Medicare-covered care in a skilled nursing facility (SNF) or hospital for 60 consecutive days from your day of discharge.

Medicare provides 60...

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What is a Medicare Administrative Contractor & Why Should ...

What is a Medicare Administrative Contractor & Why Should I Care?

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What is a Medicare Administrative Contractor & Why Should I Care?

September 26, 2013

Posted by Karen Fletcher on September 26, 2013 in Medicare Billings, Claims & Appeals , News

Are you a provider offering Medicare hospital and/or outpatient services? Are you applying to be a Medicare provider? Or are you a...

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New Medicare Cards Coming in 2018 ~ Beware of Scams ...

> New Medicare Cards Coming in 2018 ~ Beware of Scams

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New Medicare Cards Coming in 2018 ~ Beware of Scams

March 14, 2017

Posted by Karen Fletcher on March 14, 2017 in Fraud & Abuse , Professionals

Have you heard you'll be getting a new Medicare card? Wondering when or why? This isn't happening until April 2018 but scammers are already jumping on the confusion as an...

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Related topics : get new social security medicare card / medicare card social security number / how to get a new medicare insurance card / medicare social security number / medicare new card

California Health Advocates

We Are California Health Advocates

The leading non-profit focused on Medicare advocacy and education in California. We provide timely information on Medicare and long-term care, and conduct state and national policy advocacy for increased consumer rights and...

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Related topics : medicare health care coverage / medicare california providers / medicare prescription drug coverage / medicare care / health coverage medicare