Medicare Handbook, 2016 Edition

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To provide effective service in helping clients understand how they are going to be affected by health care reform and how to obtain coverage, pursue an appeal, or plan for long-term care or retirement, you need the most current information from a source you can trust - Medicare Handbook. This is the indispensable resource for clarifying Medicare's confusing rules and regulations. Prepared by an outstanding team of experts from the Center for Medicare Advocacy, Inc., it addresses issues you need to master to provide effective planning advice or advocacy services, including: Medicare eligibility rules and enrollment requirements; Medicare covered services, deductibles, and co-payments; coinsurance, premiums, penalties; coverage criteria for each of the programs; problem areas of concern for the advocate; grievance and appeals procedures. The 2016 Edition of Medicare Handbook offers expert guidance on: Health Care Reform Prescription Drug Coverage Enrollment and Eligibility Medigap Coverage Medicare Secondary Payer Issues Grievance and Appeals Home Health Care Managed Care Plans Hospice Care And more! In addition, Medicare Handbook will help resolve the kinds of questions that arise on a regular basis, such as: How do I appeal a denial of services? What steps do I need to take in order to receive Medicare covered home health care? What are the elements of Medicare's appeal process for the denial of coverage of an item, service, or procedure? Does my state have to help me enroll in Medicare so that I can get assistance through a Medicare Savings Program? When should I sign up for a Medigap plan? If I am on Medicare, do I have to buy health insurance in the insurance marketplace created by the Affordable Care Act? Is it true that I have to show medical improvement in order to get nursing and therapy services for my chronic condition? And more! The 2016 Medicare Handbook is the indispensable resource that provides: Extensive discussion and examples of how Medicare rules apply in the real world Case citations, checklists, worksheets, and other practice tools to help in obtaining coverage for clients, while minimizing research and drafting time Practice pointers and cautionary notes regarding coverage and eligibility questions where advocacy problems arise, and those areas in which coverage has been reduced or denied And more!

Paperback: 996 pages

Publisher: Wolters Kluwer (December 21, 2015)

Language: English

ISBN-10: 145485619X

ISBN-13: 978-1454856191

Product Dimensions: 8.4 x 5.8 x 0.7 inches

Shipping Weight: 12.6 ounces (View shipping rates and policies)

Average Customer Review: 5.0 out of 5 stars  See all reviews (2 customer reviews)

Best Sellers Rank: #470,540 in Books (See Top 100 in Books) #19 in Books > Law > Family Law > Elder Law #20 in Books > Textbooks > Medicine & Health Sciences > Administration & Policy > Medicaid & Medicare #46 in Books > Medical Books > Administration & Medicine Economics > Medicaid & Medicare

This book breaks down on overly complex Medicare program, and allows even the most basic consumer understand Title XVIII. People on Medicare would benefit from this book to help them navigate and understand the regulations around Medicare and benefits.

I came across this book quite by accident in a friend's office and went to to purchase it. I have found it to be the easiest to read and understand regarding all Medicare information. It is far more easy to understand then any material I received from any agency including the government. I highly recommend it to anyone who is interested in knowing all the ins and outs of the Medicare Program. The authors have done a great job in providing the information in a simple and well written book.

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