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Electronically signing doctors medication order template for campers
Hi, I am Matthew Claassen with MedigapSeminars.org So you did it! You finally have your Original Medicare and your Medicare supplement. In this video we want to go over the five tips. Five things to avoid when you are new to Medicare. It's meant to give you the best experience with your new healthcare coverage. These five tips are based on many, many phone calls with beneficiaries. Medicare beneficiaries that are either new to Medicare or have switched from a Medicare Advantage plan to a Medicare supplement and they receive a surprise bill for example . We want you to avoid that. We want you to understand some of the the ways to avoid surprises with Medicare. Rule #1 or tip #1; Wellness visits. When you are new to Medicare you have a first time Welcome to Medicare visit that you can use with your doctor. The Welcome to Medicare visit is a preventive service. It is exempt from any co-pays or deductibles. But it's not a physical, or it is not a complete physical as you would get if you were to ask. Here's the thing; If you're going to have a Wellness visit, you have to first tell your doctor when you make the appointment. when you make the appointment you have to say this is a Medicare Wellness visit, or this is my Welcome to Medicare visit. Every 12-months you get to have another Wellness visit. It's called Wellcome to Medicare the first time, after that it's an annual wellness visit. Again, don't call it a physical. A physical may be something different. Call it a wellness visit our preventive care a visit for Medicare. If you don't, your doctor may give you a physical not covered by Medicare. In that case, you will be liable for the cost. So, in your first 12-months is a Welcome to medicare visit, then every 12-months after you have an annual Medicare Wellness visit. It is exempt from co-pays and deductibles, but you have to tell your doctor ahead of time. Your doctor may also, during that visit decide to provide a service that's not necessarily covered by a wellness visit. In that case it may trigger your Medicare Part B. Or may ask for lab tests or some other services that are not part of it. That's part of the investigative service of a Wellness visit. Do not assume that Medicare will pay for every service that your doctor recommends, and don't assume that every service that your doctor provides is necessarily covered by your Wellness visit. A doctor should communicate. You certainly should ask questions. But if your doctor hands you a form to sign that is just in case Medicare doesn't cover something, well that should trigger warning. We will cover that in more detail in just a minutes in this video.. This brings us up to tips #2... Many of the services that you get with Medicare are on a timetable. It might be a preventive service offered every five years or every year or two years etc. It is up to you to make sure that you know that. If you have a service that is allowable once per year... That is not a calendar year basis. That actually means every 365 days. So, if it's been 360 days and you have at last test, then you couldn't be liable for that service. You want to make sure that when you have a Medicare preventive procedure or test that you're keeping track the timetable. Let me give an example; Cardiovascular a cardiovascular preventive screening is done covered 100% by Medicare once every five years. It is a very thorough test covering lipids, triglycerides and all those things. If you've already been diagnosed with high cholesterol or another cardiovascular issue then is going to be that it becomes medically necessary for you to have those tests more often than once every five years. When it's medically necessary Medicare will cover it. But if you aren't diagnosed with any cardiovascular issues, then it's just once every five years. Some tests are done every two years, every three years and so on. On our web site, go under the Learning Zone... then Resources, a we have a guide linked below that is going to show you all the preventive services that are under a timetable. It's called Your Guide to Medicare's Preventive Services. You can look in there for .. the different services and the timetables that they have attached to them. How do you keep track of all these? That brings us to our Tip #3. As soon as you are on Medicare you need to get on the Medicare.gov website and sign up for a MyMedicare account. Go to Medicare.gov and it's under the Mange Your Health Care tab. Your first choice is Enrolled in MyMedicare. You're my Medicare account is FREE! It's a great service that will help you keep track of all of these tests are done on a timetable, of all the testing procedures you have, the Billings, everything. It's a fantastic tool. Its FREE. There is no excuse not to do it and you'll be able to manage your Medicare much, much easier. They even have a demo video and a virtual tour right there on the site to help you get started with your MyMedicare account. This brings up Tip #4 We mentioned earlier that your doctor may hand you a form to sign just in case Medicare doesn't pay a particluar service. That form gives your doctor a legal right to bill you if Medicare does not pay for a service. It also takes away some of your Medicare rights. This is typically not explained to you. That is why we are going to cover it a little bit here, and then as the subject of an entire video on a future date. That form is called your ABN form or Advanced Beneficiary Notice. According to CMS, the Center for Medicare & Medicaid Services; your doctor is required to issue you an ABN if that doctors expects that Medicare will not cover, or will deny payment for a service because the service is not considered reasonable or necessary under medicare standards. Repeat; because Medicare does not see that as a reasonable or necessary procedure or service. We are going to have an entire video on this because it is very important. Here is the issue; some doctors when you go in; and this is triggered by a story I have one person went into their Medicare Wellness visit, their welcome to Medicare, and they see a sign on the wall that says "Medicare doesn't cover all lab services" and the doctor hand them an ABN Form right away. There's a difference between what Medicare considers "medically necessary" and the way some of the doctors work. Some doctors will have a blast of lab tests run. It's like a shotgun approach throwing mud against the wall and seeing what sticks. Medicare allows those lab tests under a certain time frame, but not all the time. Outside of that certain time frame you are liable for the tests. Medicare says don't do that shotgun approach to Medicare lab work and Medicare testing. So the doctor, in order to cover their assets, make sure they get paid,have you sign a form. They often don't tell you everything that you should know about it. As a result you may sign away (this happens a lot) the patient doesn't know what the form is, they sign it and then thay call me..."why did i get a bill? you said Medicare cover these things".... You get a bill because when you sign an ABN Form you may be signing away your rights. here are a couple tips about the ABN Form First off, the ABN Form must be completed in its entirety before you sign it. Never sign a blank or partially completed form. The doctor is not allowed to give you one. It will have the procedure itself under "D", the reason that Medicare may not pay for it has to be spelled up precisely. The estimated cost has to be completed, and that has to be Medicare's costs not the doctors non negotiated fee. In addition you then get one of three choices that you get to choose here. You should read those of course very carefully. We will go over each of those choices when we go over the video specificlly on how to manage ABN forms. Then it must be signed and dated by you. That date must be within a certain time frame of the actual procedure or test. My suggestion; when presented with an ABN Form, first make sure that is completely filled out. Ask your Dr. Why they're having you do this if Medicare may not find it to be necessary. Maybe your doctor has a good reason. And since this is obviously not going to be an emergency.... So here's the thing, the doctor has to keep a copy, they're required by law to keep a copy in their office. You should be able to take a copy home with you. Then either call Medicare or look on your MyMedicare account and learn more about if you have to pay for this service. Sometimes these are exams covered only once per year and your doctor doesn't know when you have had your last exam. He just has you sign this form. You get on My Medicare and see it's allowed once per year. Then you see it has been 400 days and yu will be covered... Rather than just signing the form blindly, sit down and take the time to understand it and take the time to realize that this is not necessarily an emergency. You don't have to sign a right away You can take a copy home. Look it over carefully maybe call Medicare to talk with them. Tip # 5; never underestimate the value of an experienced insurance broker, after the sale! I am not trying to blow my own horn here..But I encourage each and every one of my clients when you have any issue, a problem with Medicare to call me first and see if I can help you with that problem. If you are shopping for Medicare and you ever get on FaceBok, check out the Medicare.gove Facebok account. What you'll find on there is a many people who have had issues with Medicare and here's what happens; they call Medicare 1-800 Medicare During the wrong time the year they may have a long hold. At the wrong time of day that can be a very long hold. What happens is that person on the other end of the line when you have a question basically reads from the Medicare & You guidebook, the guidebook you already have. if you look on the Medicare FaceBook poage you'll find many people with questions and with frustrations that they have with Medicare. That's not the place to ask questions by the way, they just tell you to call Medicare... Bbut here's the thing; when I read through those what I see are a lot of people with questions that they have an agent that they can talk to will get a handle almost immediately. I can't say I can handle everything. What I am saying is that when you have an issue I should be your first point to see if I can take care of the problem for you so you can spend your time being retired. If I can't solve the problem, I will typically know how to help you get to the root of the problem. the easiest way, spending has little time as you possibly can. That is what a good agent should do. Your agent should be knowledgeable enough with Medicare to help guide you through that process. With Original Medicare and a good Medicare supplement you have some of the best Health Care that anyone can get in this country. Now that you know some of tips, you know some of the potholes not to fall into. If you have found the information in this video useful, then chances are somebody else will too. So, help me help them. The more you LIKE this video, that is pressing the thumbs-up on the YouTube channel. Press the thumbs-up, like the video. It actually helps people searching for answers on Medicare. They will find this video and perhaps that will help them too! If you like this video some of the other ones weve done, please subscribe to the channel. If you subscribe to the channel then you'll be notified when we upload a new video on a new topic that may interest you. Lastly if you have a question you think we can help you with, use the Contact Us link below this video. Shoot us your question. We will answer you and if we can help we will. I am Matthew Claassen with MedigapSeminars.org Thank you for watching
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