Why Do You Need A Medicare Attorney?

You must have heard about Medicare, what exactly is Medicare? It is the federal health insurance program for the ones who are 65 or older. Nearly all seniors are engaged in Medicare, which pays for hospital stays, outpatient visits, prescription drugs, and so much more. Medicare has four different parts, and each part covers a different aspect of health care. It is best to take help of Medicare attorney to fill the application.

When Should You Enroll In Medicare

When you are eligible, you are given seven months to enroll in Medicare (called the “Enrollment Period”); otherwise, you have to pay a late enrollment fee. The majority of people pay into Medicare when they are still working; for Medicare Part A, they don't have to pay a premium – even if they own health insurance through their employer. However, everybody pays a monthly premium for Part B; it changes based on income.

What Does Medicare Cover?

Medicaid has four separate parts, and each one covers a different aspect of medical care. The majority of people are enrolled in Part A and Part B, but it is crucial to get to know about all four parts of Medicare to decide which coverage you might need.

Part A – Hospital Insurance

Part A of Medicare covers inpatient hospital stays (including emergency room visits), hospice care, care in a skilled nursing facility, and some home health care. But, Part A will not cover care in a skilled nursing facility for a long-term resident.

For long-term care of you or your loved ones in a nursing home or assisted living facility, you should consider Medicaid instead. Medicaid is a federal needs-based program, which is regulated by the states that provide coverage for people who are in need of long-term care.

Part B – Medical Insurance

Part B of Medicare covers outpatient care, medical supplies, as well as some doctors’ services.

Part C – Advantage Plans of Medicare

 The least-used type of Medicare coverage is Medicare Part C. It is a kind of health plan given by a private company that contracts with Medicare to provide benefits of Part A and Part B. If you have Medicare Part C, mostly called a Medicare Advantage Plan, the majority of Medicare services are covered through the plan instead of Medicare Parts A and B. Most of them offer prescription drug coverage.

Part D – Prescription Drug Coverage

In Medicare Part D, there is prescription drug coverage to Medicare Parts A and B, and it is offered through private insurance companies.
Do I Need a Medicare Attorney?

Medicare Denials

Are you denied Medicare coverage? You may think that it is a simple application process to apply for Medicare, but the process can be confusing. The process of appealing that decision and reapplying for the benefits can be stressful as well as confusing for many. An experienced medicare attorney can serve as an advocate for you when you have an experienced lawyer; it increases your chances of being approved for benefits.

Medicare Fraud

On the other hand, if you are accused of receiving Medicare benefits under false details (called Medicare fraud), you could face heavy fines or even jail time. A Medicare attorney can help defend you against these claims and help you reach an ideal conclusion for your circumstances.

Final Words

If you or your loved ones are applying for Medicare, it is best to take the help of a Medicare attorney, or if they are facing any abuse in treatment or at a nursing facility, you can get in touch with an elder abuse attorney.