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Understanding Medicare

What is Medicare?

 

Medicare is health insurance for the following:

  • People 65 or older
  • People under 65 with certain disabilities
  • People of any age with End-Stage Renal Disease (ESRD)(permanent kidney failure requiring dialysis or a kidney transplant)

 


Medicare Fact sheets:

 

INFORMATION ON MEDICARE PARTICIPATION FEDERALLY QUALIFIED HEALTH CENTER (FQHC)

This document describes how CMS recognizes the essential role FQHCs play in promoting access to preventive and primary care among medically underserved populations by utilizing a streamlined Medicare enrollment process. Learn more.


CMS NEWS

 

FOR IMMEDIATE RELEASE                                Contact: CMS Media Relations Group

March 7, 2012                                                                              (202) 690-6145

 

Medicare redesigns claims and benefits statement
Empowers seniors with clear information on health care services used

 

As part of National Consumer Protection Week, the Acting Administrator of the Centers for Medicare & Medicaid Services (CMS), Marilyn Tavenner, announced the redesign of the statement that informs Medicare beneficiaries about their claims for Medicare services and benefits. The redesigned statement, known as the Medicare Summary Notice (MSN), will be available online and, starting in 2013, mailed out quarterly to beneficiaries.

 

This MSN redesign is part of a new initiative, “Your Medicare Information: Clearer, Simpler, At Your Fingertips,” which aims to make Medicare information clearer, more accessible, and easier for beneficiaries and their caregivers to understand. CMS will take additional actions this year to make information about benefits, providers, and claims more accessible and easier to understand for seniors and people with disabilities who have Medicare. This MSN redesign reflects more than 18 months of research and feedback from beneficiaries to provide enhanced customer service and respond to suggestions and input.

 

“Consumer protection starts with making sure consumers not only get timely and accurate information, but that they understand what services they’re receiving from Medicare,” said Acting Administrator Tavenner. “The new Medicare Summary Notice empowers Medicare’s seniors and people with disabilities. The statement is easier to understand and navigate, and makes clear what information to check and how to report potential fraud. The new MSN also makes it easier for people with Medicare to understand their benefits and file appeals if a claim is denied.”

 

To see a side-by-side comparison of the former and redesigned MSNs, please visit: http://www.cms.gov/apps/files/msn_changes.pdf

 

The redesign of the MSN includes several features not currently available to Medicare beneficiaries with the current MSN:

  • A clear notice on how to check the form for important facts and potential fraud;
  • Clearer language, including consumer-friendly descriptions for medical procedures;
  • Definitions of all terms used in the form;
  • Larger fonts throughout to make it easier to read.

Starting later this week, the redesigned MSN will be available to beneficiaries on mymedicare.gov, Medicare’s secure online service for personalized information regarding Medicare benefits and services; and, in early 2013, paper copies of the redesigned MSN will start to replace the current version being mailed.


 

Medicare Links:

 

Medicare and Medicaid EHR Incentive Programs:

The Basics

EHR Tipsheets

Medicare’s Preventive Services

Other Useful Links:

Long Term Care

2011 Medicare Health and Drug Plans by State

FQHC CMS Fact Sheet

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