Medicare

When Medicare denies coverage for a health care service, supply, item, or drug or changes the cost of care, you can appeal. If you receive a coverage rejection, get guidance from an elder law attorney right away.

If you have a Medicare Advantage plan, your plan may overrule your doctor and refuse to cover a treatment or procedure that it deems to be medically unnecessary or experimental. However, there is an appeal process to resolve these conflicts. ...

Elderlaw 101

Starting October 1, 2013, people who lack health insurance can start signing up for coverage. But if you already have Medicare, you don't need to do anything, and anyone who tries to tell you otherwise is likely trying to steal...

Many people keep working well beyond age 65 - the age when most people become eligible for Medicare. If you already have health coverage from an employer, do you need to enroll? Talk to your employer first.

A number of Medicare beneficiaries are spending days in the hospital before being transferred to a nursing home, only to find that Medicare won't pay for their nursing home stay because they were considered to be under "observation" while in...

Reunions, graduations, birthdays, and holidays: Whatever the occasion, nursing home residents don't want to miss out on family gatherings, but may be afraid that they will lose Medicare or Medicaid coverage if they leave the nursing home.

You generally must be enrolled in Medicare Parts A and Part B before you can enroll in a Medicare Advantage plan. To join a Medicare Advantage plan, contact the plan and ask if it is accepting new member enrollments or...

Elderlaw 101

As they grow older, your parents may prefer to continue living in their home rather than moving to a long-term care facility. They are not alone in this; more than three-quarters of adults over the age of 50 say they...

Elderlaw 101

When Medicare costs started skyrocketing along with the rest of the health care sector, the Medicare program began contracting with managed care plans to provide services to Medicare beneficiaries who choose the managed care option (now called Medicare Advantage). ...

Elderlaw 101