An Explanation of Benefits (EOB) Explanation of Benefits (EOB) An Explanation of Benefits (EOB) is the notice that your Medicare Advantage Plan or Part D prescription drug plan typically sends you after you receive medical services or items. It tells you how much your provider billed Medicare, the Medicare-approved amount your plan will pay, and how much you have to pay the provider. An EOB is ...
Generally, the different parts of Medicare help cover specific services. Most beneficiaries choose to receive their Part A and B benefits through Original Medicare Original Medicare Original Medicare, also known as Traditional Medicare, is the fee-for-service health insurance program offered through the federal government, which pays providers directly for the services you receive. Almost all ...
It is important to understand your Medicare coverage choices and to pick your coverage carefully. How you choose to get your benefits and who you get them from can affect your out-of-pocket costs and where you can get your care. For instance, in Original Medicare, you are covered to go to nearly all doctors and hospitals in the country.
Medicare only covers DME if your provider says it is medically necessary for use in the home. Medicare-excluded items (including over-the-counter medications and supplies, annual physical exams, hearing aids, and eyeglasses under certain circumstances) Eligibility for VA benefits depends on several factors, including:
Medicare’s hospice benefit provides end-of-life care focused on comfort rather than cure. Learn about eligibility, covered services, and how to elect hospice care under Medicare.
All Medicare Advantage Plans must offer at least the same benefits as Original Medicare (Part A and Part B), but can do so with different rules, costs, and coverage restrictions. Plans typically offer Part D drug coverage as part of Medicare Advantage benefits.
An MSN is a quarterly notice about Medicare coverage for services you received. Learn how to read this important notice and use it to start the appeal process.
An Advance Beneficiary Notice (ABN), also known as a Waiver of Liability, is a notice a provider should give you before you receive a service if, based on Medicare coverage rules, your provider has reason to believe Medicare will not pay for the service. You may receive an ABN if you have Original Medicare Original Medicare Original Medicare, also known as Traditional Medicare, is the fee-for ...
Always confirm that you received the services listed on either your Medicare Summary Notice (MSN) or your Explanation of Benefits (EOB). Sometimes this can be hard to do if you received services from several doctors at the same time.
