If you don’t think you’re getting high-quality care, you have the right to file a complaint.
When you’re unhappy with the quality of your health care, it’s often useful to talk about your concerns with whoever gave you the care. But, if you don’t want to talk to that person or need more help, you can file a complaint.
How you file a complaint depends on what or who it’s about. Each health or drug plan has its own rules for filing complaints, so check out the pages below depending on what type of complaint you have:
Once you file a complaint with your plan, if you still need help, call 1-800-MEDICARE.
If you’ve contacted 1-800-MEDICARE about a Medicare complaint and still need help, ask the 1-800-MEDICARE representative to send your complaint to the Medicare Beneficiary Ombudsman. The Ombudsman staff helps make sure your complaint is resolved.
You can also let us know if you disagree with a coverage or payment decision made by Medicare, your Medicare health plan, or Medicare Prescription Drug Plan by filing an appeal.
For other kinds of Medicare-related complaints, you can call your State Health Insurance Assistance Program (SHIP) for free, personalized help.
Know that you have the right to get quality care. Also know you have the right to complain if you don’t.
Did you know that hepatitis, an inflammation of the liver caused by a virus, kills nearly 1.4 million people worldwide every year?
Hepatitis is contagious. The Hepatitis B virus spreads through contact with the blood or other body fluids of an infected person. People can also get infected by coming in contact with a contaminated object, where the virus can live for up to 7 days. Hepatitis B can range from being a mild illness, lasting a few weeks (acute), to a serious long-term illness (chronic) that can lead to liver disease or liver cancer.
Fortunately, Medicare can help keep you protected from the most common types of viral hepatitis strains—Hepatitis A, Hepatitis B and Hepatitis C.
Generally, Medicare Part D (prescription drug coverage) covers Hepatitis A shots when medically necessary.
Medicare Part B (Medical Insurance) covers Hepatitis B shots, which usually are given as a series of 3 shots over a 6-month period (you need all 3 shots for complete protection).
Medicare covers a one-time Hepatitis C screening test if your primary care doctor or practitioner orders it and you meet one of these conditions:
May is Hepatitis Awareness month. Find out more about preventing and treating hepatitis.
Did you know that more than half a million people over the age of 65 suffer a stroke each year? If you’re recovering from a stroke and suffering major side effects, like problems with hearing or vision, paralysis, balance problems, or difficulty walking or moving around in daily life, Medicare covers rehabilitation services to help you regain your normal functions.
Medicare covers medical and rehabilitation services while you’re in a hospital or Skilled Nursing Facility (SNF). It also helps pay for medically-necessary outpatient physical and occupational therapy.
If you need rehabilitation after a stroke, visit Inpatient Rehabilitation Facility Compare to find and compare rehabilitation facilities in your ZIP code. You can compare facilities based on quality of care, like how often patients get infections or pressure ulcers.
There are certain risk factors that can increase your chances of having a recurring stroke, like smoking and drinking, high blood pressure, high cholesterol, diabetes, and bad eating habits. Knowing your risk factors can help prevent a stroke from happening again. You can also prevent 80% of recurring strokes through lifestyle changes and medical interventions. Medicare covers these preventive services that can help you, and in most cases, you’ll pay nothing for these services:
Suffering a stroke can be scary, and for some the recovery can be life changing. Having the resources you need to take control of your health can help you with your recovery and perhaps prevent another stroke.
Keep an eye on your mailbox—Medicare is sending new cards with new Medicare numbers to people with Medicare. Mailing has started in certain states and will continue over the next few months nationwide. Your new Medicare card will include a new number unique to you, instead of your Social Security Number. This will help to protect you against identity fraud.
If you want to know when you’ll get your new card, visit Medicare.gov/NewCard and sign up to get email alerts from Medicare. We’ll send you an email when cards start mailing in your state, and we’ll also email you about other important Medicare topics.
You can also sign in to your MyMedicare.gov account and see when Medicare mailed your new card. If you don’t have a MyMedicare.gov account yet, visit MyMedicare.gov to create one. Once your new card has mailed, you can sign in anytime to see your new Medicare Number or print a copy of your card.
Remember that mailing takes time, so you might get your card at a different time than friends or neighbors in your area.
Once you get your new Medicare card:
About 1 in 3 U.S. adults have high blood pressure—and you could be one of them. If you haven’t checked your blood pressure lately, now’s the time to take a quick and easy test. High blood pressure usually has no signs or symptoms, but it can lead to a higher risk of heart disease, stroke, and kidney failure.
It’s important for you to know your blood pressure numbers, even when you’re feeling fine. Checking your blood pressure is easy because it’s covered in your “Welcome to Medicare” preventive visit and yearly “wellness” visits at no cost to you.
If you have high blood pressure, you can help control it with lifestyle changes and medicine. You may be at risk for high blood pressure if you:
Brittle bones could shatter your life. Every year, more Americans are diagnosed with osteoporosis—a disease that causes bones to weaken and become more likely to break. You may not know that you have this “silent” disease until your bones are so weak that a sudden strain, bump, or fall causes your wrist to break or your hip to fracture.
Medicare can help you prevent or detect osteoporosis at an early stage, when treatment works best. Talk to your doctor about getting a bone mass measurement. If you’re at risk, Medicare covers this test once every 24 months (more often if medically necessary) when your doctor or other qualified provider orders it.
May is National Osteoporosis Awareness and Prevention Month. Learn more about your risk for osteoporosis and how to prevent and treat it at the National Osteoporosis Foundation. Watch our short video to learn more about how Medicare can help you protect your bones.
You can never be too old to improve your physical, mental, and emotional wellbeing. May is Older Americans Month, and it’s the perfect time to celebrate the many ways in which older adults can make a big difference. When we come together to celebrate this year’s theme of “Engage at Every Age,” people of all ages can participate in activities that bring our communities together to learn, socialize, and celebrate!
How can you get involved? Start by striving for personal health and wellness. The best way to stay healthy is to live a healthy lifestyle, and we’re here to help! Medicare covers these services to help you get healthier and prevent disease:
Call your doctor today to set up a yearly “Wellness” visit to see if any of these services are right for you. Your doctor can also give you personalized wellness tips. Taking care of your physical and mental health will help give you energy to engage in other areas of your life.
In addition to getting and staying healthy, there are lots of activities you can do to improve your wellbeing and wellbeing of others. Here are a few ideas:
Get more great ideas on how to get involved in Older Americans Month and more information on this year’s theme of Engage at Every Age. Be sure to take a selfie (or groupie) and post the photo on social media with the hashtag #OAM18! Visit oam.acl.gov to learn more.
Your privacy is very important. That’s why we have important safeguards in place to protect the information you give us when you visit Medicare.gov. We’ve added a tool that lets you easily control some of the information we may collect from you.
When you visit Medicare.gov, we use common web tools to collect information—things like:
We use this information to help us improve Medicare.gov and our outreach to people with Medicare.
You can decide whether you want us to collect this information during your visits to Medicare.gov. Our new Privacy Manager lets you easily adjust your settings to match your comfort level.
To view or change your privacy settings, visit Medicare.gov, and select “Privacy settings” at the bottom of the page. Here’s what it looks like:
You can choose “on” or “off” for tracking certain types of information about your Medicare.gov visits, like advertising or social media. No matter what you choose, you’ll still have access to everything on Medicare.gov. But, if you choose “off,” we won’t use your visit to:
Nearly 200 countries celebrate Earth Day on April 22—a day for encouraging awareness and action for the environment. How can you make your voice heard this year? Let Medicare help! Medicare has several electronic resources to help you manage your health care better.
One great way is to sign up to get your “Medicare & You” handbook electronically. If you have an eReader (like an iPad, Kindle Fire, Surface, or Galaxy Tab) you can download a free digital version to your eReader and take it with you anywhere you go.
Don’t have an eReader? You can still sign up to get a paperless version in a few simple steps. We’ll send you an email in September when the new eHandbook is available. The email will explain that instead of getting a paper copy in your mailbox each October, you’ll get an email linking you to the online version. This online version of the handbook contains all the same information as the printed version. Even better, the handbook information on Medicare.gov is updated regularly, so you can be confident that you have the most up-to-date Medicare information!
Another way is to go paperless and get your “Medicare Summary Notices” electronically (also called “eMSNs”). You can sign up by visiting MyMedicare.gov. If you sign up for eMSNs, we’ll send you an email each month when they’re available in your MyMedicare.gov account. These eMSNs contain the same information as paper MSNs. You won’t get printed copies of your MSNs in the mail if you choose eMSNs.
Sign up today to get your “Medicare & You” information and MSNs electronically, and you’ll be making a difference for the environment. What a great way to make your voice heard and celebrate Earth Day.
As you get older, alcohol may start to effect you differently. You may become more sensitive to it, and your regular drinking habits could become a problem. Drinking too much alcohol can cause falls and fractures. Alcohol can also cause dangerous interactions when mixed with prescription or over-the-counter medications. Over a long time, it can also lead to some cancers, liver and brain damage, osteoporosis, and strokes.
Medicare covers alcohol misuse screening & counseling to provide counseling for people who misuse alcohol. The National Institute on Alcohol Abuse and Alcoholism recommends adults 65 and over who are healthy and don’t take medications have no more than 3 drinks on a given day or 7 drinks in a week.
If you think you or a loved one could be misusing alcohol, don’t be ashamed to ask for help. April is Alcohol Awareness Month, and Medicare’s here to help you stay safe and healthy.
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