Phil’s Medicare Weblinks
This list literally was years in the making. Please let me know if a link is broken. Thanks.
My Medicare
https://www.mymedicare.gov/
Help with your Medicare choices
https://www.medicare.gov/medicarecoverageoptions/
When can I join, switch, or drop a plan?
http://www.medicare.gov/sign-up-change-plans/when-can-i-join-a-health-or-drug-plan/when-can-i-join-a-health-or-drug-plan.html
Special Enrollment Periods
[THIS LINK APPLIES TO MA AND PART D]
https://www.medicare.gov/sign-up-change-plans/when-can-i-join-a-health-or-drug-plan/special-circumstances-special-enrollment-periods
Get started with Medicare
https://www.medicare.gov/basics/get-started-with-medicare
Original Medicare enrollment periods
https://www.medicare.gov/sign-up-change-plans/get-parts-a-and-b/when-sign-up-parts-a-and-b/when-sign-up-parts-a-and-b.html
Medicare’s annual enrollment period is October 15 – December 7
http://www.cms.gov/Center/Special-Topic/Open-Enrollment-Center.html
Medicare Advantage open enrollment period
https://www.medicare.gov/sign-up-change-plans/when-can-i-join-a-health-or-drug-plan/when-can-i-join-a-health-or-drug-plan.html#collapse-3192
Working past 65
https://www.medicare.gov/basics/get-started-with-medicare/medicare-basics/working-past-65
Request for Employment Information
(automatic download of PDF)
https://www.cms.gov/Medicare/CMS-Forms/CMS-Forms/Downloads/CMS-L564E.pdf
Application for Enrollment in Medicare Part B
(automatic download of PDF)
https://www.cms.gov/Medicare/CMS-Forms/CMS-Forms/Downloads/CMS40B-E.pdf
Medicare savings programs for lower-income beneficiaries
http://www.medicare.gov/your-medicare-costs/help-paying-costs/medicare-savings-program/medicare-savings-programs.html
The Federal Employees Health Benefits Program and Medicare
(automatic download of PDF)
https://www.opm.gov/healthcare-insurance/healthcare/medicare/75-12-final.pdf
Medicare & You
(automatic download of PDF)
https://www.medicare.gov/pubs/pdf/10050-Medicare-and-You.pdf
Contact Medicare
https://www.medicare.gov/Contacts/
Medicare costs
https://www.medicare.gov/basics/costs/medicare-costs
Does your provider accept Medicare as full payment?
https://www.medicare.gov/your-medicare-costs/part-a-costs/assignment/costs-and-assignment.html
Concierge care
https://www.medicare.gov/coverage/concierge-care.html
IRS Publication 969
Health Savings Accounts and Other Tax-Favored Health Plans
(automatic download of PDF)
https://www.irs.gov/pub/irs-pdf/p969.pdf
How a non-working spouse can get premium-free Part A
https://secure.ssa.gov/apps10/poms.nsf/lnx/0600801008
What Part A covers
https://www.medicare.gov/what-medicare-covers/part-a/what-part-a-covers.html
What Part B covers
https://www.medicare.gov/what-medicare-covers/what-part-b-covers.html
Form to Terminate Part A and/or B
(automatic download of PDF)
https://www.cms.gov/Medicare/CMS-Forms/CMS-Forms/Downloads/CMS1763.pdf
Inpatient hospital care
https://www.medicare.gov/coverage/hospital-care-inpatient.html
Medicare Coverage of Skilled Nursing Facility Care
(automatic download of PDF)
www.medicare.gov/Pubs/pdf/10153-Medicare-Skilled-Nursing-Facility-Care.pdf
Medicare Hospice Benefits
(automatic download of PDF)
https://www.medicare.gov/Pubs/pdf/02154-Medicare-Hospice-Benefits.PDF
How Hospice Works
https://www.medicare.gov/what-medicare-covers/what-part-a-covers/how-hospice-works
Hospice
https://www.medicare.gov/coverage/hospice-and-respite-care.html
Medicare Dental Coverage
https://www.cms.gov/Medicare/Coverage/MedicareDentalCoverage/index.html
Is my test, item, or service covered?
https://www.medicare.gov/coverage/your-medicare-coverage.html
Home health services
https://www.medicare.gov/coverage/home-health-services.html
Find a home health agency
https://www.medicare.gov/homehealthcompare/search.html
Durable medical equipment (DME) coverage
https://www.medicare.gov/coverage/durable-medical-equipment-coverage.html
Your Guide to Medicare’s Durable Medical Equipment, Prosthetics, Orthotics, & Supplies (DMEPOS) Competitive Bidding Program
(automatic download of PDF)
https://www.medicare.gov/sites/default/files/2022-02/11461-DMEPOS-Competitive-Bidding-Program-Guide.pdf
Medicare Coverage of Kidney Dialysis & Kidney Transplant Services
https://www.medicare.gov/Pubs/pdf/10128-Medicare-Coverage-ESRD.pdf
Who are the MACs
https://www.cms.gov/Medicare/Medicare-Contracting/Medicare-Administrative-Contractors/Who-are-the-MACs.html#ABandHH+H
Medicare Part B Income-Related Monthly Adjustment Amounts
https://www.cms.gov/newsroom/fact-sheets/2024-medicare-parts-b-premiums-and-deductibles
What Is the Difference Between AGI and MAGI on Your Taxes?
https://turbotax.intuit.com/tax-tips/irs-tax-return/what-is-the-difference-between-agi-and-magi-on-your-taxes/L7kHckNS3
IRMAA Life-Changing Event form
(may not be updated with 2023 IRMAA brackets)
https://www.ssa.gov/forms/ssa-44-ext.pdf
Medicare Premiums: Rules for Higher-Income Beneficiaries
https://www.ssa.gov/benefits/medicare/medicare-premiums.html
Medicare Part B IRMAA Premium Appeals
https://www.hhs.gov/about/agencies/omha/the-appeals-process/part-b-premium-appeals/index.html
Avoid late enrollment penalties
https://www.medicare.gov/your-medicare-costs/part-b-costs/part-b-late-enrollment-penalty
Acknowledgment of Request for Medicare Premium Part A Termination
(automatic download of PDF)
https://secure.ssa.gov/apps10/poms/images/Other/G-CMS-L458-1.pdf
How do I terminate my Medicare Part B (medical insurance)?
https://faq.ssa.gov/en-us/Topic/article/KA-02713
Request for Termination of Premium Hospital and/or Supplementary Medical Insurance
(automatic download of PDF)
www.cms.gov/Medicare/CMS-Forms/CMS-Forms/Downloads/CMS1763.pdf
Request for Reconsideration
[Used to appeal Social Security Medicare enrollment decisions]
(automatic download of PDF)
https://www.ssa.gov/forms/ssa-561.pdf
Workers’ Compensation Medicare Set Aside Arrangements
https://www.cms.gov/Medicare/Coordination-of-Benefits-and-Recovery/Workers-Compensation-Medicare-Set-Aside-Arrangements/WCMSA-Overview.html
What’s Medicare Supplement Insurance (Medigap)?
http://www.medicare.gov/supplement-other-insurance/medigap/whats-medigap.html
2022 Choosing a Medigap Policy
(automatic download of PDF)
www.medicare.gov/sites/default/files/2022-03/02110-medigap-guide-health-insurance.pdf
Find a Medigap policy that works for you
https://www.medicare.gov/find-a-plan/questions/medigap-home.aspx
When can I buy Medigap?
http://www.medicare.gov/supplement-other-insurance/when-can-i-buy-medigap/when-can-i-buy-medigap.html
Medigap guaranteed issue rights
https://www.medicare.gov/supplements-other-insurance/when-can-i-buy-medigap/guaranteed-issue-rights
Kaiser Family Foundation
Medigap Enrollment and Consumer Protections Vary Across States
(automatic download of PDF)
http://files.kff.org/attachment/Issue-Brief-Medigap-Enrollment-and-Consumer-Protections-Vary-Across-States
PART C – MEDICARE ADVANTAGE
Medicare Advantage Plans
https://www.medicare.gov/sign-upchange-plans/types-of-medicare-health-plans/medicare-advantage-plans
Find Medicare health & drug plans
https://www.medicare.gov/find-a-plan/questions/home.aspx
Medicare Special Needs Plans (SNP)
https://www.medicare.gov/sign-upchange-plans/types-of-medicare-health-plans/special-needs-plans-snp
PART D – PRESCRIPTION DRUGS
Your Guide to Prescription Drug Coverage
(automatic download of PDF)
https:es.medicare.gov/publications/11109-Medicare-Drug-Coverage-Guide.pdf
Monthly premium for drug plans
https://www.medicare.gov/part-d/costs/premiums/drug-plan-premiums.html
How Part D works with other insurance
http://www.medicare.gov/part-d/how-part-d-works-with-other-insurance/part-d-and-other-insurance.html#collapse-2324
Extra Help for Part D drug costs
http://www.ssa.gov/medicare/prescriptionhelp/
Costs in the coverage gap (the “donut hole”)
https://www.medicare.gov/drug-coverage-part-d/costs-for-medicare-drug-coverage/costs-in-the-coverage-gap
Part D late enrollment penalty
http://www.medicare.gov/part-d/costs/penalty/part-d-late-enrollment-penalty.html
Find a Pharmaceutical Assistance Program for the drugs you take
https://www.medicare.gov/pharmaceutical-assistance-program/
HELP
Filing complaints about your health or drug plan
https://www.medicare.gov/claims-appeals/file-a-complaint-grievance/filing-complaints-about-your-health-or-drug-plan
State Health Insurance Assistance Program (SHIP)
https://www.shiphelp.org/
Medicare Rights Center
The Center for Medicare Advocacy
http://www.medicareadvocacy.org/
National Academy of Elder Law Attorneys
https://www.naela.org/
National Association of Area Agencies on Aging
http://www.n4a.org/
OTHER RETIREE HEALTH PLANS
TRICARE For Life
http://www.tricare.mil/tfl
Veterans Health Administration
http://www.va.gov/health/programs/index.asp
