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Medicare 101
For people who are new to Medicare or who have to make changes to their existing Medicare coverage, the process can be confusing.
Fortunately, Medicare has a great Web site, www.Medicare.gov, to help people navigate the system, apply for coverage, find doctors and specialists, compare plans and much more.
If you are new to Medicare -- turning 65 -- the Ohio Senior Health Insurance Information Program (OSHIIP) hosts a series of Welcome to Medicare events across the state. If you are turning 65, you should receive an invitation to attend one of these events in your area. Take advantage of these informative presentations!
This section of Council on Aging's resource directory, Medicare 101, provides a general overview of the Medicare system and what MOST people need to know. To help you navigate this section, we've organized the Medicare topics as lessons. If you are new to Medicare -- or don't know anything about Medicare -- we suggest clicking through the lessons in order (01, 02, 03, etc.). If you are familiar with Medicare and know what information you are looking for, just click the lesson description that best meets your needs.
If you need help, you can always contact our Call Center at (513) 721-1025.
Centers for Medicare and Medicaid Services
Baltimore MD 21244
Description:
The Centers for Medicare and Medicaid Services (CMS) falls under the U.S. Department of Health and Human Services and provides four primary services for the country's Medicare and Medicaid programs: administration of Medicare health plans; Medicare financial management; Medicare fee for service operations; Medicaid and children's health, survey and certification and quality improvement.
Healthcare.gov
Description:
A federal government website managed by the Find Insurance Options" tool is a personalized search tool to help you find the health insurance best suited to your needs, whether it's private insurance for individuals, families, and small businesses, or public programs that may work for you. It was created to help consumers under the health insurance reform law, the Affordable Care Act. The tool also includes pricing information.
Medicare.gov
Lawerence KS 66044
Description:
Medicare.gov has all of the information and tools you need for questions or help with Medicare. You can:
- enroll in Medicare online
- compare and enroll in Medicare health or prescription plans
- find and compare doctors
- check to see if a test or service is covered by Medicare
- chat with a Medicare representative
- research and compare nursing homes and home health agencies
- get extra help with medical and prescription drug costs
- get a new Medicare card
Medicare Nursing Home Compare
Use the site to obtain a free copy of A Guide to Choosing a Nursing Home.You can search the site to obtain and compare nursing home information from all parts of the country, including their performance at their last Medicare state survey.
Medicare Plan Finder
Not all Medicare Advantage Plans work the same way, so before you join, take the time to find and compare Medicare Health Plans in your area.
Use Medicare's Plan Finder to find and compare Medicare Advantage (Part C) plans available in your area. Have the enrollee's zip code ready.
You can get help from your state paying your Medicare premiums. In some cases, Medicare Savings Programs may also pay Part A and Part B deductibles, coinsurance, and copayments if you meet certain conditions.
Medicare Savings Programs
There are four kinds of Medicare Savings Programs
- Qualified Medicare Beneficiary (QMB) Program
- Specified Low-Income Medicare Beneficiary (SLMB) Program
If you have income from working, you may qualify for SLMB benefits even if your income is higher than these limits. - Qualified Individual (QI) Program
You must apply every year for QI benefits. QI applications are granted on a first-come, first-served basis, with priority given to people who got QI benefits the previous year. (You can't get QI benefits if you qualify for Medicaid). - Qualified Disabled and Working Individuals (QDWI) Program
The QDWI program helps pay the Part A premium. You may qualify if any of the following apply to you:
Are a working disabled person under 65
Lost your premium-free Medicare Part A when you went back to work
Aren't getting medical assistance from your state
Meet the income and resource limits required by your state
How to Apply for Medicare Savings Programs
Many people do not know or understand if they qualify for Medicare Savings Programs. Council on Aging can help. Call us at 513-721-1025 for help in determining your eligibility.
If you qualify for a Medicare Savings Program in your state, you automatically qualify to get Extra Help paying for Medicare prescription drug coverage.
Ohio Senior Health Insurance Information Program (OSHIIP)
Columbus OH 43215
Description:
Ohio Senior Health Insurance Information Program (OSHIIP)
OSHIIP provides free health insurance information and services for Ohioans with Medicare. They will answer your questions about any of the matters listed below.
- Medicare health coverage for seniors and for people under age 65 with disabilities
- Medicare prescription drug plans
- Medicare Advantage Plans (example: HMOs and PPOs)
- Medicare supplemental insurance
- Financial assistance programs for people with limited income
- Long-term care insurance
- Home health care coverage
- Retiree health plan coverage
Toll-free Hotline
OSHIIP's Medicare experts speak with hundreds of callers daily. They provide objective, accurate information and assistance. Call toll-free from anyplace in the USA: 1-800-686-1578
Local volunteer counselors
OSHIIP is involved in your neighborhood.
- OSHIIP has trained and certified more than 800 volunteers across the state
- Volunteer counselors are experts on Medicare and related health insurance matters
- A local volunteer can meet with you in person or speak with you over the telephone
Want to become an OSHIIP volunteer?
Without volunteers, OSHIIP could not fulfill its mission. Dedicated people are needed to be volunteers in all parts of Ohio. As a volunteer, you will:
- Learn about Medicare in a free 22-hour course
- Help people in your community
- Have the satisfaction of taking part in a truly worthy cause
For more information, contact OSHIIP about the next training course in your area. Call 1-888-686-VOLS or email oshiipmail@insurance.ohio.gov.
RetireMEDiQ
Cincinnati Ohio 45242
Description:
RetireMEDiQ, formerly MB Senior Solutions, was formed in 2007 to provide Medicare-eligible individuals with the knowledge, guidance and choice needed to select a Medicare plan that is right for their specific needs. RetireMEDiQ specializes in helping individuals understand Medicare options, and advises approximately 18,000 individuals on their health care plan selection.