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New App Displays What Original Medicare Covers

Today, the Centers for Medicare & Medicaid Services (CMS) launched a new app that gives consumers a modernized Medicare experience with direct access on a mobile device to some of the most-used content on Medicare.gov.

The new “What’s Covered” app lets people with Original Medicare, caregivers and others quickly see whether Medicare covers a specific medical item or service. Consumers can now use their mobile device to more easily get accurate, consistent Original Medicare coverage information in the doctor’s office, the hospital, or anywhere else they use their mobile device. In addition to the “What’s Covered” app, through Blue Button 2.0 the agency is enabling beneficiaries to connect their claims data to applications and tools developed by innovative private-sector companies to help them understand, use, and share their health data.

“eMedicare is one of several initiatives focused on modernizing Medicare and empowering patients with information they need to get the best value from their Medicare coverage,” said CMS Administrator Seema Verma. “President Trump is delivering on his commitment to Medicare by modernizing tools that deliver health information in the most convenient way possible. This new app is the next in a suite of products designed to give consumers more access and control over their Medicare information.”

CMS created the app to meet the needs of the growing population of people with Medicare. The Medicare population is projected to increase almost 50 percent by 2030—from 54 million beneficiaries in 2015 to more than 80 million beneficiaries in 2030. As of 2016, about two-thirds of Medicare beneficiaries indicate they use the Internet daily or almost daily (65 percent). Questions about what Medicare covers are some of the most frequent inquiries that CMS receives. There are approximately 15 million page views annually for coverage-related content on Medicare.gov and 1-800 MEDICARE receives over 3 million coverage-related calls each year.

CMS launched the eMedicare initiative in 2018 to empower beneficiaries with cost and quality information. Other tools in the eMedicare suite include:

  • Enhanced interactive online decision support to help people better understand and evaluate their Medicare coverage options and costs between Medicare and Medicare Advantage.
  • A new online service that lets people quickly see how different coverage choices will affect their estimated out-of-pocket costs.
  • New price transparency tools that let consumers compare the national average costs of certain procedures between settings, so people can see what they’ll pay for procedures done in a hospital outpatient department versus an ambulatory surgical center.
  • A new webchat option in the Medicare Plan Finder.
  • New easy-to-use surveys across Medicare.gov so consumers can continue to tell us what they want.

The eMedicare initiative expands and improves on current consumer service options. People with Medicare will continue to have access to paper copies of the Medicare & You handbook and Medicare Summary Notices.

The What’s Covered app is available for free in both Google Play and the Apple App Store. The app is available in Google Play at:  https://play.google.com/store/apps/details?id=gov.medicare.coverage, and is available in the Apple App Store at: https://itunes.apple.com/us/app/whats-covered/id1444143600?mt=8.

 

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Federal Trade Commission Scam Warning

The Federal Trade Commission is getting reports about people pretending to be from the Social Security Administration (SSA) who are trying to get your Social Security number and even your money.

In one version of the scam, the caller says your Social Security number has been linked to a crime (often, he says it happened in Texas) involving drugs or sending money out of the country illegally. He then says your Social Security number is blocked – but he might ask you for a fee to reactivate it, or to get a new number. He will ask you to confirm your Social Security number.

In other variations, he says that somebody used your Social Security number to apply for credit cards, and you could lose your benefits. He also might warn you that your bank account is about to be seized, that you need to withdraw your money, and that he’ll tell you how to keep it safe.

All of these are scams. Here’s what you need to know:

  • The SSA will never call and ask for your Social Security number. It will not ask you to pay anything. It won’t call to threaten your benefits.
  • Your caller ID might show the SSA’s real phone number (1-800-772-1213), but that’s not the real SSA calling. Computers make it easy to show any number on caller ID. You cannot trust what you see there.
  • Never give your Social Security number to anyone who contacts you in this way. Do not confirm the last 4 digits. Do not give a bank account or credit card number – ever – to anybody who contacts you by phone asking for it.
  • Remember that anyone who tells you to wire money, pay with a gift card, or send cash is always a scammer no matter who they say they are.

If you’re worried about a call from someone who claims to be from the Social Security Administration, get off the phone. Then call the real SSA at 1-800-772-1213.

If you have spotted a scam, then tell the FTC at ftc.gov/complaint.

To learn more, you can go to Fake Calls about your SSN.

 

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Charles Clarkson’s guest appearance on Aging Insights

The newest episode of Aging Insights is titled, Medicare Cards and More (Episode 83). On this program, Melissa Chalker speaks with Mary McGeary, Director of the SHIP Program at NJ Div. of Aging Services and Charles Clarkson, Project Director of Senior Medicare Patrol of NJ. Our guests remind us about all of the ins and outs of Medicare coverage, how to look out for Medicare fraud and of course, everything you need to know about your new Medicare card.

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The Cost of Medicare Fraud

Medicare fraud, waste and abuse costs taxpayers an estimated $60 billion a year.  When Medicare dollars are used to pay fraudsters, all taxpayers suffer.  These are dollars that are not being used to pay for legitimate claims for Medicare services.  For this reason, the Senior Medicare Patrol program was established to assist Medicare beneficiaries to fight fraud, waste and abuse.  Let the Senior Medicare Patrol of New Jersey help you.  If you cannot resolve issues of fraud, waste or abuse on your own, we can assist you.  The Senior Medicare Patrol of New Jersey has many trained volunteers who will investigate the facts of your complaint and help you to resolve it.

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Medicare Fraud, Waste and Abuse

When Medicare providers intentionally submit claims to Medicare for services not provided, unnecessary medical services or they double bill or up-code (bill for a higher value service than the one provided), they are committing Medicare fraud.  These are but a few of the examples of Medicare fraud.  You as a Medicare beneficiary and a taxpayer can help prevent this fraud, waste and abuse by contacting the Senior Medicare Patrol of New Jersey at  732-777-1940 or our toll free hotline  at 877-SMP-4359 (877-676-4359.)  Remember, providers who are committing Medicare fraud are stealing from you, the American taxpayer.  Let’s join together and continue the fight against Medicare fraud, waste and abuse.

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Do You Worry About Your Elderly Parents?

Do You Worry About Your Elderly Parents?

SMP and Jewish Family Services do also. The following tips will help you protect your loved ones from being a victim of a Medicare scam.
TIP 1: DO NOT give out your Medicare # to anyone you do not trust. Safeguard your number as you would your bank account or credit card numbers.
TIP 2: Hang up the phone or shut the door if you are contacted by someone claiming to be a Medicare representative. Guess what… Medicare will not call you or make a home visit. “It’s shrewd to be rude.”
TIP 3: Shred your Medicare, health care, and other important documents before throwing them away. Take advantage of free community shredding events.
TIP 4: Be sure to read your Medicare Summary Notice even though it says “This is Not a Bill.” Be on the lookout for services which were not provided, services that were billed twice, or for services not ordered by your doctor. If you see something that doesn’t look right, call your doctor’s billing office right away.
TIP 5: Use a calendar or health care journal to record all of your doctor visits, medical tests and procedures. Compare your Medicare Summary Notice with your calendar or journal. If you see something that does not look right, call your doctor’s billing office right away.
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Data Breach Puts Your Medicare Identity at Risk

Data Breach Puts Your Medicare Identity at Risk

 “To make matters worse, Equifax is a critical partner of the Internal Revenue Service, Centers for Medicare & Medicaid Services, the Social Security Administration and other federal agencies that are the sources and recipients of the some of the most sensitive information affecting individuals, as well as the targets of the vast majority of identity theft fraud against taxpayers.”

ASSUME YOU’RE AFFECTED

Monitor your Medicare Summary Notices and EOB’s
Learn more on how to protect yourself: http://seniormedicarepatrolnj.org/report-fraud/