Medicare for the Clueless : The Complete Guide to This Federal Program (The Clueless Guides)

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Medicare for the Clueless : The Complete Guide to This Federal Program (The Clueless Guides)

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  • 製本 Paperback:紙装版/ペーパーバック版/ページ数 208 p.
  • 言語 ENG,ENG
  • 商品コード 9780806523163
  • DDC分類 368.42600973

Table of Contents

Foreword                                           xi
Introduction xiii
Getting Started 1 (12)
What Is Medicare? 1 (1)
What Does It Cover? 1 (1)
Who Is Eligible? 2 (1)
How Much Does It Cost? 3 (1)
How Do You Enroll? 4 (1)
Where Do You Enroll? 5 (1)
When Should You Enroll? 5 (2)
Recap 7 (2)
The Medicare Card 9 (1)
Getting Help to Pay Your Health Care Costs: 9 (4)
The Medicare Savings Programs
Medicare Part A 13 (6)
Hospital Bills 13 (1)
The Deductible 14 (3)
Benefit Periods 17 (1)
Psychiatric Hospital Restrictions 18 (1)
What You Should Know Before You Enter the 19 (12)
Hospital
Medicare Myths 19 (1)
Your Rights as a Medicare patient 19 (4)
Advance Directives 23 (1)
Care in a Foreign Hospital 24 (2)
Paying Hospital Bills 26 (5)
Skilled Nursing Facilities 31 (7)
When Medicare Pays 31 (1)
What Part of the Bills Does Medicare Pay? 32 (3)
Notice of Noncoverage 35 (2)
Looking for a Nursing Home 37 (1)
Home Health Care 38 (8)
When Medicare Pays: The Rules 38 (2)
What Medicare Covers 40 (1)
What Medicare Does Not Cover 40 (1)
Your Rights 41 (1)
Advance Directives 42 (1)
How to Find an Approved Home Health Care 42 (1)
Agency
Home Health Care Advance Beneficiary Notice 43 (3)
Hospice Care 46 (4)
Who Is Eligible? 46 (1)
How the Program Works 47 (1)
What Is Covered? 47 (1)
Deductibles and Copayments 48 (2)
Doctors' Bills: The Doctors You Choose 50 (12)
Determine How Much You Will Owe
Private Contracts 51 (1)
The ``Approved Amount'' 52 (6)
Mistakes Are Made 58 (2)
How to Find Doctors Who Accept Assignment 60 (1)
Recap 61 (1)
The ``I Didn't Know'' Rule 62 (8)
How It Works 63 (2)
Can You Get a Refund? 65 (2)
Advance Beneficiary Notice 67 (3)
Services Not Covered 70 (5)
The Importance of This List 72 (1)
What Is and What Is Not ``Routine'' 73 (2)
NOT for Diabetics Only 75 (9)
Finding the Right Pharmacy or Supplier 77 (3)
Some People Do Their Jobs Better Than Others 80 (2)
For Diabetics Only 82 (2)
Diagnostic Tests 84 (4)
What Is a ``Diagnostic Test''? 84 (1)
What Kinds of Diagnostic Tests Are Covered? 85 (1)
What Other Diagnostic Services Are Covered? 85 (1)
Diagnostic Tests in Doctors' Offices and 86 (1)
Laboratories
Prohibition on Referrals 86 (1)
Paying Diagnostic Testing Bills 87 (1)
Durable Medical Equipment and Supplies 88 (8)
What Durable Medical Equipment and Supplies 88 (2)
Are Covered?
When to Rent and When to Buy 90 (2)
Participating Suppliers 92 (4)
Ambulance Bills 96 (9)
The Rules 96 (2)
Medicare Denial of Ambulance Bills 98 (3)
The New Changes to the Rules 101 (4)
Outpatient Hospital Bills 105 (3)
Services Included 105 (1)
The ``New'' Outpatient Prospective Payment 106 (1)
System
The Budget Reconciliation Act of 1997 107 (1)
The Medicare Part B Deductible 108 (4)
How Do You Know When You Have Met the 109 (3)
Deductible?
Paying Part B Bills 112 (12)
What to Do When Medicare Refuses to Pay a 112 (5)
Bill
When to Pay Part B Bills 117 (4)
The ``Rule of Anastasia'' or, ``Don't Pay 121 (3)
Bills You Don't Have to Pay''
Medicare Part C 124 (19)
Background 124 (5)
Who Is Eligible? 129 (1)
Traditional Medicare versus Medicare + 129 (1)
Choice (M+C)
What Happens If ``Harry'' joins an HMO 130 (1)
What Happens When ``Harry'' Joins a PSO 131 (1)
What Happens When ``Harry'' Joins a PFFS 131 (1)
The Pros and Cons of Joining a Medicare + 132 (1)
Choice Plan
Shopping for a Medicare + Choice Plan 133 (4)
You've Finished Shopping; It's Time to Make 137 (3)
a Decision
The Least You Need to Know When You Join a 140 (3)
Medicare + Choice Plan
Appeals 143 (6)
Appealing a Decision in a Medicare + Choice 143 (2)
Plan
Appealing a Decision Under Traditional 145 (4)
Medicare
Medigap Insurace 149 (18)
It's as Easy as A,B,C 150 (2)
The Ten Standard Medigap Policies 152 (3)
Medicare Select 155 (3)
You Have to Compare Prices 158 (1)
Prescription Drug Coverage 159 (2)
Preexisting Condition Clauses 161 (1)
Shopping for a Medigap Policy 162 (2)
Author's Note 164 (3)
Supplementary Insurance 167 (9)
When You Get Your Supplementary Insurance 167 (4)
Through a Former Employer, Does It Do the
Job?
Buying a Supplementary Policy to Supplement 171 (3)
a Supplementary Policy
Advice for the Brave 174 (1)
Who Pays First? 174 (2)
TRICARE for Life 176 (7)
Who Is Eligible? 176 (1)
How Much Does It Cost? 177 (1)
Who Pays First? 177 (3)
How the System-Medicare Plus TRICARE-Works 180 (3)
Odds and Ends 183 (8)
Medicare versus Medicaid 183 (1)
Blood Deductible 184 (1)
Prescription Drug Coverage 184 (3)
Did You Know? 187 (3)
Final Words 190 (1)
Organizations 191 (14)
Hospice Organizations 191 (4)
Long-Term Care Ombudsman 195 (2)
Peer Review Organizations 197 (4)
Durable Medical Equipment Regional Carriers 201 (4)
Index 205