Government Payers Marcus Willie.pptx

Government Payers Marcus Willie.pptx - Governme nt Payers...

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Medicare Turning 65 is one of the ways you can be eligible for Medicare. You can also be under 65 years old and still qualify for Medicare if you are receiving Social Security Disability Insurance, or SSDI. In most cases, you may qualify for Medicare due to a disability if you have been receiving SSDI checks for more than 24 months (healthcareinsurance.gov) Medicare has two new provisions: Part C (Medicare Advantage) and Part D (Medicare Prescription Drug Coverage). Part C: You can enroll in a Medicare Advantage plan to get your Medicare benefits. Medicare Advantage is the term used to describe the various private health plan choices available to Medicare beneficiaries (healthcareinsurance.gov) The limiting charge applies to non-participating providers in the Medicare Part B program when they do not accept assignment. The limiting charge is 115 percent of the physician fee schedule amount. The beneficiary is not responsible for billed amounts in excess of the limiting charge for a covered service (healthcareinsurance.gov)
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Medicaid Medicaid eligibility for individuals 65 and older or who have blindness or a disability is generally determined using the income methodologies of the supplemental security income (SSI) program administered by the Social Security Administration (healthcareinsurance.gov)
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