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Every Medicare beneficiary has the right to appeal a denial of coverage for services or items made by Medicare. However, there are some things you should know. First, you need to understand why Medicare denied coverage in the first place. Then you need to build your case for the appeal and begin the process. You need to understand that there are multiple levels of appeals you can go through if your first decision is denied and each of these has their own timeline associated. Why was your item or service denied coverage by Medicare? Make sure...
Many individuals with Medicare find themselves struggling to pay the various costs associated with monthly premiums or prescription drugs. Fortunately, there are a number of different programs available to help. Medicare Savings Program The Medicare Savings Program (MSP), or Medicare Buy-in, is a program to help with paying Medicare premiums. There are three different programs you may be qualified for based on your income and assets. These programs are administered through the State of Alaska Division of Public Assistance. If you think you may...
It’s that time of year again; the sun is warm, breakup is messy, and the snowbirds are migrating back to Alaska. It’s the time of year where the year-round residents and snowbirds alike are asking themselves, “Is this the year I finally move?” What does moving mean for your Medicare benefits? What is the process? Will your coverage change? Moving out of Alaska Medicare Parts A & B: The most important thing to do when moving is to update your address with the Social Security Administration. This will ensure you don’t miss important updates a...
What is home health care? What services are included in home health care? Who is eligible for these services? These are some common questions that people have about their Medicare benefits. Home health care includes a wide range of health and social services delivered in your home to treat illness or injury. Medicare covers skilled nursing services, such as injections and catheter changes. It covers home health aides, such as to help with bathing and dressing, and medical social services, such as counseling. It also covers skilled therapy servi...
Did you know that Medicare can help cover costs associated with behavioral health care? Behavioral health care includes mental illness and addiction-related issues. According to the National Alliance on Mental Illness (NAMI), “a mental illness is a condition that affects a person’s thinking, feeling or mood.” Substance use disorders and addiction do not fall under this definition of mental health illness, but they are considered behavioral health conditions. Examples of mental health illnesses include depression and anxiety. Examples of addic...
