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Advancing fair access to Medicare and health care


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INFORMATION BY TOPIC


Click on the
topics below for more information
 

  • Index - A complete list of topics and FAQs

  • Glossary of Terms - An alphabetical list of common terms pertaining to Medicare and health care, with additional information for Connecticut.

  • Acute Hospital Care - Includes quick screen for coverage eligibility, appeals, articles & updates

  • Chronic Conditions - Includes coverage requirements, practical tips, articles & updates

  • Coverage & Appeals - Includes discharge planning and Part D appeals tips, Articles & updates

  • Disability - Includes eligibility and coverage summary for people with disabilities, including ESRD and ALS.

  • Discharge Planning - Includes information useful for challenging a discharge or reduction in services

  • Home Health - Includes "homebound" definition, tips for reductions & terminations, articles & updates

  • Hospice - Includes relation to Home Health and Medicaid, definition of care, articles & updates

  • The Improvement Standard - A discussion of the illegal standard of denying Medicare coverage to beneficiaries whose conditions are not actively improving.

  • Medicare Advantage (Medicare Managed Care) - Includes required services, guidelines for choosing, articles & updates

  • Medicare Act of 2003 - All our latest articles & updates

  • Medicare Enrollment - Includes how and when to enroll

  • Medicare Part B - Includes covered services and amounts, preventive benefits, articles & updates

  • Medicare Part D / Prescription Drugs - Includes coverage and appeals, subsidies, timeline, guidelines for choosing a plan, articles & updates

  • Medicare Privatization (and Occasional Reform) - Includes latest private Medicare plan news, calls for reform

  • Medicare Savings Programs - Includes QMB, SLMB, QI, articles & updates

  • Medicare Secondary Payer Program - includes rights and obligations under secondary payer law.

  • Medicare Summary - Includes premiums, deductibles, co-pays, articles & updates

  • Medigap (Medicare Supplemental Insurance) - includes definition of "gaps", changes due to Medicare Act, articles & updates

  • Mental Health - Includes information on coverage, limitations, returning to work

  • Multiple Sclerosis - Includes coverage criteria, contesting denials, articles & updates

  • Observation Status - When is a hospital NOT considered a hospital stay?  When the patient is on "Observation Status"

  • Quality of Care - Includes definition, standards, articles & updates

  • Rehab Hospital Care - Includes quick screen for coverage, appeals, articles & updates

  • Related Topics & Medicaid - Includes Medicaid (Title 19), ERISA, COBRA

  • Skilled Nursing Facility (SNF) - Includes quick screen for coverage, examples of skilled services, articles & updates

  • Statistics - Includes Medicare, Medicare Advantage, Medicare Appeals, CT-specific, and more

  • CT Consumer's Guide - Includes CT-specific information

  • Other Resources - Includes links to other useful organizations and information

 
 



 

 
   
 

 

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