Medicare Rights Center

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So far Medicare Rights Center has created 139 blog entries.

Eliminate the two-year Medicare waiting period for people with disabilities

In 1972, Congress granted Medicare benefits to people receiving Social Security disability benefits. This historic step forward was marred by an arbitrary limit, requiring that people with disabilities […]

May 13th, 2015|Categories: 50 Medicare Wishes, Modernize Benefits|

Prohibit Medicare Advantage plans from dropping doctors mid-year without cause

Beneficiaries enrolled in MA plans should be able to count on stability in their plan networks and the knowledge that their doctors will be there when they need […]

Incorporate Medicare Advantage (MA) provider network information in the Plan Finder tool

Information about which health care providers are in network and out of network is vital for helping beneficiaries make smart decisions about their coverage. Yet this critical information […]

Create an individually tailored Annual Notice of Change for Medicare Advantage (MA) and Part D plans

Annual changes to MA and Part D plan coverage rules, cost-sharing amounts, and provider networks are commonplace. At the same time, comparing and contrasting plan options during the […]

Enhance audit capacity and increase transparency on Medicare Advantage (MA) and Part D sanctions

The federal government is currently only able to audit 10 percent (about 30 of 300) of Medicare private health plan sponsors each year. Recent audits uncovered noncompliance among […]

Improve beneficiary education on low-to-no cost preventive services and screenings

Prior to the Affordable Care Act, many preventive screenings were not covered by Medicare. Now, not only are certain preventive services covered, most of the time they are […]

May 8th, 2015|Categories: 50 Medicare Wishes, Enhance Education and Choice|

Improve Medicare Advantage (MA) and Part D denial notices

The most common call to the Medicare Rights national helpline comes from a beneficiary denied access to a health care service or prescription medication, and most of these […]

May 7th, 2015|Categories: 50 Medicare Wishes, Enhance Education and Choice, Simplify Appeals|

Eliminate the 190-day lifetime cap on inpatient psychiatric hospital stays

The Medicare Improvements for Patients and Providers Act of 2008 achieved partial mental health parity in Medicare, but unequal treatment remains. For instance, Medicare caps coverage for care […]

May 6th, 2015|Categories: 50 Medicare Wishes, Modernize Benefits|

Do away with the three-day stay required for skilled nursing facility care

Medicare will only cover a beneficiary’s medically necessary stay in a skilled nursing facility if that person is first an inpatient in a hospital for three days—a rule […]

May 5th, 2015|Categories: 50 Medicare Wishes, Increase Affordability, Modernize Benefits|

Count time spent in observation (outpatient) status toward the three-day rule for nursing care

Absent elimination of the three-day stay rule, Congress should count all time a patient spends in the hospital—as an inpatient or outpatient—toward the three-day rule. Shifting hospital practices […]

May 4th, 2015|Categories: 50 Medicare Wishes, Increase Affordability, Modernize Benefits|