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Center for Medicare Advocacy

Advancing Access to Medicare and Healthcare

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Resources

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While the Center for Medicare Advocacy offers a wide array of information, there are occasionally concerns which we may not be able to address.  In those instances, it helps to have other resources available.  this page offers contact information for Medicare complaints, informational links, resources for Medicare Part D, and more.  Click on the topics below for more information.


  • Self Help Packets – Appeal Your Medicare Denial!
  • “Fully Informed” Medicare Enrollment Materials –
    Choose carefully!
  • National Medicare Advocates Alliance
  • Medicare Ombudsman
  • Helpful Links
  • Other Helpful Resources
  • Additional Part D Resources

GENERAL MEDICARE INQUIRIES

  • Inquiries regarding Medicare coverage and appeals should begin with contacting 1-800-MEDICARE.
  • If, as we often hear, this is not helpful, contact your State Health Insurance Counseling and Assistance Program (SHIP).

MEDICARE OMBUDSMAN

  • If you have complaints about Medicare, Medicare providers, Medicare processing, etc, contact the Medicare Ombudsman.The Medicare Ombudsman’s e-mail address is Medicareombudsman@cms.hhs.gov.  A description of the functions of the Ombudsman can be found online at https://www.cms.gov/Center/Special-Topic/Ombudsman/Medicare-Beneficiary-Ombudsman-Home.

HELPFUL LINKS

  • Medicare Official Web Site
  • The Medicare & You Handbook
  • Medicare Frequently Asked Questions
  • Healthcare.gov
  • How to File a Medicare Appeal (Medicare.gov – includes links to appeals forms)
  • https://www.shiptacenter.org/– Find your local SHIP organization, for assistance with Medicare and health care issues.
  • The DHHS Eldercare Locator – http://www.eldercare.gov/Eldercare.NET/Public/Index.aspx or at 800-677-1116, to find services for older adults and their families.
  • Disability.gov Information Guides on Benefits, Programs and Services
  • Materials for Unions and Employers from CMS – https://www.cms.gov/Outreach-and-Education/Find-Your-Provider-Type/Employers-and-Unions/Publications-to-share-with-employees.html (Incuding Medicare decisions for someone nearing age 65, Deciding whether to enroll in Medicare Part A or Part B when you turn 65, and Deciding whether to enroll in Medicare Part A and Part B when you are over 65 and planning to retire in the next 6 months)
  • CMS Policy Manuals
  • Code of Federal Regulations (Electronic)
  • Office of the Federal Register (Search Laws/Regulations/Statutes)
  • 20 Questions About Long-Distance Caregiving (National Institutes of Health)
  • Social Security Administration: Information for People Helping Others

ADDITIONAL RESOURCES FOR MEDICARE PART D

  • Standardized Exceptions Request Form (.pdf)
  • Additional Publications Relating to Medicare Prescription Drug Coverage
  • Request for Prescription Information or Change form (.pdf)
  • Home Infusion Therapy Coverage Information (.pdf)
  • Draft Transition Guidance From CMS (.pdf)
  • Facilitated Enrollment Letter (Partial Subsidy) (.pdf)
  • Facilitated Enrollment Letter (Partial Subsidy – SPANISH) (.pdf)
  • Facilitated Enrollment Letter (Full Subsidy) (.pdf)
  • Facilitated Enrollment Letter (Full Subsidy – SPANISH) (.pdf)
  • Facilitated Enrollment Final Fact Sheet (SPANISH) (.pdf)
  • Connecticut Prescription Drug Program (ConnPACE)

OTHER HELPFUL ENTITIES

  • AARP Foundation Litigation
  • ABA Commission on Law and Aging
  • Care.com: Home Health Aides, Nurses, and In-Home Senior Care Providers
  • Centers for Medicare and Medicaid Services (CMS) (Formerly HCFA)
  • The Christopher and Dana Reeve Paralysis Resource Center (PRC)
  • CHOICES Health Insurance Counseling
  • Connecticut Area Agencies on Aging
  • Connecticut Coalition for Elder Justice
  • Connecticut Elderly Services
  • Connecticut Legal Services
  • Connecticut Office of the health care Advocate
  • Consumer Coalition for Quality Health Care
  • Healthcare for Less Blog by Michelle Katz, M.S.N.
  • The Henry J. Kaiser Family Foundation
  • The Justice Partnership
  • Keep the Promise Coalition
  • Medicare Quality Improvement Organizations (QIOs) by State
  • National Academy of Elder Law Attorneys (NAELA)
  • National Committee to Preserve Social Security and Medicare (NCPSSM)
  • National Health Law Program (NHeLP)
  • National Senior Citizens Law Center (NSCLC)
  • Nursing Home Abuse Center (a .com, but not affiliated with any law firm)
  • The Rheumatoid Arthritis Support Network (RASN)
  • Social Security

Primary Sidebar

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    • Long Term Care Commission
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    • Medicare & Health Care “Reform”
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    • Rehabilitation Hospital Services
    • Resources
    • Self Help Materials
    • Site Neutral Payment for Rehab. Care
    • Speech Generating Devices (SGDs)

Easy Access to Understanding Medicare

The Center for Medicare Advocacy produces a range of informative materials on Medicare-related topics. Check them out:

  • Medicare Basics
  • CMA Alerts
  • CMA Webinars
  • Connecticut Info & Projects
  • Health Care Stories
  • Se habla Español

Sign Up for CMA Alerts

Jimmo v. Sebelius

Medicare covers skilled care to maintain or slow decline as well as to improve.

Improvement Isn’t Required. It’s the law!

Read more.

Medicare: Build Back Better

By prioritizing Medicare beneficiaries and the health systems that serve them, we can avoid drastic national consequences. The Center for Medicare Advocacy proposes a five-part plan that will make Medicare a bulwark against the worsening health and economic challenges facing the American people.

Learn more.

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