Your situation: You got care with Medicare
This action plan applies to you if:
- You're having issues with a medical bill you got
- You used Medicare coverage
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Action Plan
You may be protected from unexpected medical bills if you use Medicare.
Medicare is offered through the Traditional (or Original) Medicare Fee-for-Service Program and through Medicare health plans (like Medicare Advantage).
Contact Medicare if you have billing questions. If you are enrolled in a Medicare health plan, you should also contact your plan.
Learn about your billing protections under Medicare.
Medicare doesn't pay for all medical items or services.
If your provider thinks the Medicare Fee-for-Service program (also called Original Medicare or Traditional Medicare) won't pay, they your provider may give you a written notice to let you know. This "Advance Beneficiary Notice of Non-Coverage" gives cost estimates and reasons why Medicare might not pay.
Read about your protections on Medicare.gov
If you are in a Medicare health plan, you can ask your plan to decide if a service is covered for you and your out-of-pocket costs before you get the service. Contact your plan for details on how to ask for a pre-service determination and your costs for covered services.
Reach out to Medicare.
You can talk or live chat with a staff member 24 hours a day, 7 days a week (except some federal holidays).
Call 1-800-MEDICARE (TYY users can call 1-877-486-2048) or chat with Medicare online
Get free health insurance counseling.
Contact your State Health Insurance Assistance Program (SHIP) for more help.
The SHIP Program in your State provides free local health coverage counseling to people with Medicare.
Find your SHIP office on SHIPHelp.org
Still have questions? Find the answers you need in a way that works for you.
Call the No Surprises Help Desk
Get answers about the No Surprises Act. Call our Help Desk at 1-800-985-3059. We can help you in English, Spanish and over 350 other languages.
Find a patient advocate near you
Patient advocates can help you navigate the healthcare system. Work with an advocate to get the care and resources you need.
Page Last Modified:
11/05/2024 03:38 PM