medicare coverage Archives - Page 5 of 8

Does Medicare Cover Home Blood Pressure Monitors?

Nearly 70% of people aged 65 and older have high blood pressure, also known as hypertension. High blood pressure is a major health risk that can lead to multiple problems, including heart disease, heart attack, stroke, and even death. Monitoring your blood pressure is important for preventing serious conditions from occurring or getting worse. Medicare will cover blood pressure checks done at your doctor’s office, but does it cover home monitors?

High Blood Pressure

scale with blue measurement tape over it. — *You can lower your blood pressure by exercising and losing weight if you are overweight.*

Blood pressure is the force of blood as it flows through the arteries. As you age, blood pressure rises due to the narrowing and stiffening of your arteries. You can also develop high blood pressure because of your lifestyle or from taking certain medications. There are lifestyle modifications that can help lower your blood pressure, including:

Exercising at least 150 minutes each week
Losing weight, if you are overweight
Eating less sodium, no more than 2,300 milligrams a day
Avoiding alcohol and smoking

Home Blood Pressure Monitors

There are 2 different types of blood pressure monitors that you can use at home:

Blood pressure cuffs– these are what you typically see in the doctor’s office. The pressure cuff goes around your upper arm and fills with air to squeeze your arm and stop blood flow through the artery. You then have to listen to the blood flow with a stethoscope (just like a nurse or doctor does).
Ambulatory blood pressure monitors (ABPMs) – This device is a cuff you wear on your arm continuously for 24-48 hours.

What Medicare Covers

Medicare generally does not cover home blood pressure monitors; it covers blood pressure monitoring done by a healthcare professional, with a few exceptions. Medicare Part A covers blood pressure monitoring during an inpatient hospital stay. Medicare Part B covers blood pressure checks at your doctor’s office, and might pay for a home blood pressure monitor if it is deemed medically necessary in the following situations:

Your doctor has recommended you use an ambulatory blood pressure monitor (ABPM) because they suspect you have received an inaccurate reading in their office. Many people experience “white coat syndrome, ” meaning that they get nervous in a doctors office and their blood pressure rises. Others might experience “masked hypertension,” meaning their blood pressure is lower in the doctor’s office than it normally is. The ABPM will allow you to track your blood pressure readings in 24-hour cycles in the comfort of your own home.
You are on kidney dialysis in your home. Taking blood pressure readings during dialysis is important: high blood pressure causes chronic kidney disease, and can decrease the kidney’s ability to flush toxins from the body.

If it is deemed medically necessary, Medicare Part B will pay for 80% of blood pressure cuffs, and 80% of the rental cost for ambulatory blood pressure monitors. You will be responsible for the remaining 20% out of pocket. Make sure the monitor is from a Medicare-certified medical equipment supplier; other suppliers will charge more than the Medicare-approved amount, leaving you to pay the difference.

Medicare Supplement Plan Coverage

If you are unable to pay the 20% of medical expenses that Medicare does not cover, a Medicare Supplement Plan can help. Medicare Supplement Plans will cover out-of-pocket expenses such as copays, coinsurance and more, so that you can save on healthcare costs. If you are in need of extra coverage for services that Medicare only partially pays for, a Medicare Supplement Plan might be right for you. There are 10 different plans to choose from that offer different levels of coverage at different price points.

An EZ agent can compare plans in minutes and find you one that is affordable and that meets your needs, both medically and financially. To get free quotes, simply enter your zip code in the bar above, or to speak with one of our licensed agents, call 888-753-7207. No hassle, and no obligation. Just free guidance to help you save money.

How to Identify Melanoma & How Much Does Medicare Cover

May is National Melanoma Skin Cancer Awareness Month, so there is no better time to shine a light on this type of cancer, including how to identify it, and how to protect yourself. Melanoma, the deadliest of skin cancers, is one of the most commonly diagnosed cancers in the United States. Detecting melanoma early is crucial to increasing your chances of survival; in fact, the 5-year survival rate for patients who receive an early diagnosis and get treated immediately is 98%, meaning 98 out of 100 people will survive for at least 5 years after diagnosis. The risk of melanoma increases with age, with an average diagnosis age of 65. Because this potentially deadly cancer affects many people 65 and older, knowing how Medicare covers detection and treatment is also important.

Melanoma Survival Rates

Melanoma survival rates are based on a 5-year time frame. The “5-year survival rate” refers to the percentage of patients who live at least 5 years after their cancer is diagnosed. The later the stage that the melanoma is diagnosed at, the lower the chances of survival past 5 years. This is why it is important to keep track of any changes in your skin or moles. The average survival rates for each stage of diagnosis is as follows:

a graph with different lines — *The higher the melanoma stage, then the lower the survival rate.*

Stage 0: The 5-year relative survival rate is 98%.
Stage 1: The 5-year survival rate is 90-95%. If a sentinel node biopsy shows any signs of melanoma in the lymph nodes, the 5-year survival rate is roughly 75%.
Stage 2A: The 5-year relative survival rate is approximately 85%. If a biopsy shows any signs of melanoma in the lymph nodes, the 5-year survival rate is around 65%.
Stage 2B: The 5-year relative survival rate is around 72-75%. If a biopsy shows any signs of melanoma in the lymph nodes, the 5-year survival rate is lowered to 50-60%.
Stage 2C: The 5-year relative survival rate is around 53%. If a biopsy shows any signs of melanoma in the lymph nodes, the 5-year survival rate is lowered to 44%.
Stage 3: The 5-year survival rate is around 45%. It’s higher if the melanoma has spread to only one lymph node, but if it spread to more than 3 lymph nodes, then it is lower.
Stage 4: The 5-year survival rate for stage 4 melanoma is around 10%.

ABCDEs of Melanoma

Skin cancer generally affects the skin on the neck, hands and face. It starts out on the outer layer of the skin, eventually spreading to deeper skin levels and other parts of the body. Melanoma is the most serious type of skin cancer and has distinct features that are easy to learn and remember by using the ABCDE rule:

A for Asymmetry- Most cancerous moles are asymmetrical; if you were to draw a line through the middle of it, one half would not match the other.
B for Border– The border, or edges of the mole or spot is irregular, uneven, scalloped, or poorly defined. Common moles are generally smoother.
C for Color– Another warning sign of melanoma is a mole that is different colors, including tan, shades of very dark brown or black. As the mole grows, shades of red, white, or blue might appear.
D for Diameter– Moles or spots that are wider than a pencil eraser should also be checked.
E for Evolving– If the mole changes color, shape or size, this could be a warning sign of melanoma.

Risk Factors

legs in a tanning bed — *If you used tanning beds in the past, then you are at a higher risk of developing melanoma.*

You have a higher chance of developing melanoma if you:

Are older
Have fair skin
Have a history of sunburn
Use tanning beds often
Are exposed to sunlight often

Diagnosis & Treatment

In order to check if a mole is cancerous, your doctor may order a biopsy, or removal of the skin lesion. In the event that the test results come back positive for melanoma, there are various treatments that could follow:

Surgery- cutting out the lesion
Chemotherapy
Photodynamic therapy- drugs administered followed by exposure to a light source to destroy cancerous cells.
Radiation therapy- using beams of high energy X-rays to kill cancer cells.
Immunotherapy
Chemical peel- using a chemical solution to dissolve the top layer of the skin.
Targeted therapy- use of drugs to attack cancer cells.

Medicare Coverage For Screenings & Treatment

Cancer screenings are important for early diagnosis and improving a person’s chances of surviving. Fortunately, Medicare covers these screenings, as well as treatment for cancers including melanoma. Medicare Part A will cover cancer treatments that involve inpatient hospital stays. Medicare Part B will cover cancer screenings, and if you are diagnosed with cancer, Part B will cover further assessment and the above mentioned forms of treatment as long as they are deemed medically necessary by a doctor. Part B will only cover 80% of these expenses, leaving you to pay the remaining 20% out-of-pocket.

Prevention & Extra Coverage

magnifying glass looking at a mole on someone's arm — *The best way to prevent melanoma is by checking yourself regularly.*

Your best defense against melanoma is to be aware of it! Always check yourself and take note of existing moles or lesions that grow or change, including new ones that pop up. If in doubt, get it checked, and if you have already been diagnosed with melanoma, follow up regularly with your doctor after treatment.

If the 20% out-of-pocket costs associated with Medicare are too much for you financially, you should consider a Medicare Supplement Plan to help. For the price of a low monthly premium, a Medicare Supplement Plan will cover out-of-pocket expenses, such as coinsurance and copays. There are 10 different plans to choose from, so you are sure to find one that suits your needs financially and medically.

To get free instant quotes on Medicare Supplement Plans, simply enter your zip code in the bar above. Or to speak to a licensed EZ agent in your area, call 888-753-7207. We will compare all the available Medicare Supplement Plans in your area and find a plan that will help you save money throughout the year. No hassle or obligation.

Understanding Parkinson’s & Medicare

April 11 is World Parkinson’s Day, a day to raise awareness about this debilitating disease. According to the National Parkinson’s Foundation, there are approximately 1.5 million Americans living with this disease, with 60,000 new cases joining the count each year. This condition usually affects people 65 years and older, and progresses in 5 stages. If you have been diagnosed with Parkinson’s, are in the beginning stages of the disease, or have a family history of it, you might be wondering exactly what Medicare covers when it comes to this condition. Medicare covers quite a lot to improve the quality of life of those suffering from Parkinson’s, but there are some out-of-pocket costs.

What Is Parkinson’s?

Parkinson’s disease is a neurological progressive disorder that is caused by the degeneration of cells in the nervous system. The exact cause of this degeneration is not known, but scientists believe it is the result of external and genetic factors. Men are 1.5 times more likely to develop the disease, and many usually develop symptoms around age 60. The life expectancy for those with the condition is anywhere between 10 and 20 years after being diagnosed.

What Are The Symptoms?

Symptoms of Parkinson’s Disease are both motor and non-motor and include:

Tremors of the hands, arms, legs, or face
Slow movements
Memory loss is one of the symptoms of Parkinson’s disease.

Gradual loss of spontaneous movement (bradykinesia)
Impaired balance
Lack of coordination
Reduced sense of smell
Depression
Anxiety
Sleep disturbances
Memory issues
Cognitive impairment
Difficulties with urination
Constipation
Nausea
Dizziness
Vision changes
Increased salivation and sweating

The 5 Stages Of Parkinson’s

Parkinson’s disease lowers levels of dopamine in the brain, and causes the death of nerve cells in the brain. Because of this, it affects multiple areas of the body, causing tremors and loss of spontaneous movement. The disease progresses in 5 stages, which will affect the sufferer in the following ways:

caucasian woman sitting in a wheelchair at a table — *A person with stage 5 Parkinson’s will most likely be confined to a wheelchair.*

Stage 1: Individuals will experience mild symptoms that do not interfere with daily activities. Tremors will occur on one side of the body, with possible changes in walking and facial expressions.
Stage 2: Symptoms get worse with tremors now occurring on both sides of the body, and normal daily activities will take longer to accomplish.
Stage 3: Symptoms include loss of balance and slowness of movements, and will hinder daily activities such as getting dressed and eating.
Stage 4: Symptoms are severe: the individual might be able to stand without help, but will need a walker in order to get around. At this stage, a person with the condition will no longer be able to live alone and will need assistance.
Stage 5: Symptoms include stiffness in the legs, making it impossible to stand or walk. The individual will need a wheelchair or could be bedridden at this stage, and will require nursing care at all times. Severe symptoms may include delusions and hallucinations.

Treatment & Medicare Coverage

Unfortunately, there is no treatment that can delay the progression of Parkinson’s disease. There are, however, ways to effectively manage the disease, including medications, surgeries, and lifestyle modifications such as healthy eating and exercise.

Medicare covers medically necessary treatments including medications, therapy, and hospital stays if a surgical procedure is performed. Part A will cover any inpatient hospital care, surgical procedures, hospice care, skilled home health visits, and limited skilled nursing facility care.

Medicare Part B will cover outpatient services such as doctor appointments, screenings, any tests needed, limited appointments with home health aides, durable medical equipment, occupational and physical therapy, speech therapy and mental health services.

Medicare will not cover long-term care.

While you will be covered as long as you receive care from a Medicare-approved provider, you will still have some out-of-pocket expenses. Medicare Part A has a deductible of $1,484 for each benefit period, and if you stay in the hospital for longer than 60 days, you will have to pay coinsurance for each day past the 60 days. Part B’s monthly premium is $148.50 and the annual deductible is $203. After you meet your deductible, you will be responsible for paying 20% of covered services.

Medicare Supplement Plans

Medicare Supplement Plans can help pay for the 20% coinsurance that you will be required to pay when receiving treatments. This 20% can add up quickly, but with a Medicare Supplement Plan, those costs will be covered, which will help you save money throughout the year. Parkinson’s disease is a progressive disease, which unfortunately means that it will only continue to get worse, and will require extensive treatment over time. This can become quite costly, and medical bills are the last things you should not have to worry about while dealing with this debilitating disease.

There are 10 different Medicare Supplement Plans to choose from that vary in price and coverage, and an EZ.Insure agent can help you go over the benefits of each one. We provide you with your own agent who will compare quotes of all available Medicare Supplement Plans for you for free. We are dedicated to helping you save money and getting the coverage you need to help improve your overall quality of life. To get free instant quotes, simply enter your zip code in the bar above, or to speak directly with one of our licensed agents, call 888-753-7207.

Prevent Heart Disease With Medicare Screenings

According to the Centers for Medicare and Medicaid Services (CMS), heart disease has been the leading cause of death for Americans ages 65 and over for the past several decades. One in four deaths is contributed to some form of heart disease, meaning any kind of condition, such as heart rhythm disorders, coronary heart disease, and congestive heart failure, that can lead to heart attack or stroke. The best way to prevent heart disease is to know your risk. Fortunately, because heart disease is so common – and deadly – in people aged 65 and older, Medicare offers multiple free screenings to help prevent it.

Medicare Coverage

Medicare Part B covers an annual cardiovascular disease risk reduction visit with your primary care physician. You do not need to show any signs or symptoms of heart disease in order to get screened. As long as your doctor or other health care provider accepts Medicare assignment, you will not pay anything for this screening. During the screening, your physician might:

Encourage aspirin use if the benefits outweigh the risks and:
- You are a man age 45-79
- You are a woman age 55-79
Check your blood pressure
Encourage a healthy diet

Once you get the initial screening, your doctor may advise further screenings, tests, and treatments. Medicare Part B also covers:

Aneurysm Screenings- Aortic aneurysms thin out areas in your arteries, which can weaken them. Medicare pays for a free screening for aneurysms as long you meet the following conditions: you have a family history of aortic aneurysm, or are a man between the ages of 65 and 75 who has smoked 100 or more cigarettes in his lifetime
Cholesterol Screenings- Having high cholesterol leads to build up in your arteries, which can restrict blood flow to the heart. Medicare covers one free cholesterol screening every 5 years. Any additional tests will not be free.
Medicare will only cover a cardiac stress test for people with known heart disease and symptoms.
Cardiac Stress Testing- During this test, your doctor will monitor your heart while you run or walk on a treadmill. They will also examine your heart with an electrocardiogram (EKG), echocardiogram (ultrasound of the heart), or imaging (pictures of your heart taken after you are injected with a radioactive tracer). **Medicare will only pay for the stress test for those with known heart disease and symptoms of chest pain, shortness of breath, etc. You will pay 20% coinsurance for this test.

For follow-ups after your free screenings or any outpatient services, Medicare will pay 80%, and you will pay the remaining 20% coinsurance out-of-pocket. If you are hospitalized or need surgery, Medicare Part A will cover your inpatient hospital stay as well as any skilled nursing care.

Paying The Medicare Coinsurance

If you are experiencing any symptoms that could be related to heart disease, or would simply like to get screened for heart disease, get yourself checked! Medicare will pay for one free screening related to heart disease. If there is an issue, or you have to seek further care for heart disease, Medicare will only pay 80% of the costs for visits, tests, and more. These costs can add up. Fortunately, Medicare Supplement Plans help pay for the 20% out-of-pocket costs that Original Medicare does not cover. Having one of these plans can help you better budget for and save money on medical expenses.

There are 10 different Medicare Supplement Plans. Each offers their own added coverage at different price points. They all help pay for any unexpected costs, and any further care management costs. EZ.Insure wants to protect your heart and your wallet by helping you find the right Medicare Supplement Plan for your needs. We will compare plans and guide you through the whole process, while answering any questions you might have. To get instant free quotes, simply enter your zip code in the bar above, or to speak directly with a licensed agent, call 888-753-7207.

Does Medicare Cover Chiropractic Visits?

Did you know that senior citizens over the age of 65 make up 14% of all chiropractic patients in the US? As people age, they can experience a loss of mobility due to bone and joint deterioration. This can lead to aches and pains that are felt throughout the body, especially the lower back. Some seniors experience frequent falls, which can be deadly. Approximately 9,500 deaths of older Americans each year are due to falls, and more than half of all fatal falls involve people 75 or older. One of the treatments recommended by doctors for all of these issues is to see a chiropractor. Chiropractic visits might be recommended by your doctor, but are they covered under Medicare?

What Is Chiropractic Care?

Chiropractic care is a treatment system that is meant to help align your muscles and bones. Chiropractors will manipulate your spine by adjusting you with their hands. They do this in order to assess, diagnose, and treat health issues affecting the nerves, muscles, bones and joints, as well as to improve spinal motion.

Medicare Coverage

The only chiropractic service covered by Medicare is manual manipulation of the spine (spinal adjustment), if it is considered medically necessary. It is usually considered medically necessary if you have been diagnosed with a condition known as spinal subluxation, meaning that the bones in your spine are separated or have shifted out of position.

skeleton of the spine — *Medicare will only cover visits for the manipulation of the spine.*

Spinal adjustments are covered under Medicare Part B. With Medicare Part B, you can go to the chiropractor as many times as you need, as long as your visits are considered medically necessary. Medicare will pay 80% of the Medicare-approved rate for a spinal adjustment to treat subluxation. You will pay the remaining 20% out-of-pocket, after you have met your Medicare Part B deductible.

It’s important to know that Medicare does not usually cover other services or tests that are ordered by a chiropractor. This includes x-rays, massage therapy, and acupuncture. The exceptions to this rule are acupuncture for lower back pain, and x-rays that have been ordered by your physician (not your chiropractor) to diagnose spinal subluxation.

Save More With A Medicare Supplement Plan

Chiropractic care can be beneficial, and sometimes even necessary to help ease your pain and save you from a bad fall that could lead to a broken hip or worse. But extra medical expenses can be difficult to fit into your budget when you’re living on a fixed income, even if it is just the 20% Medicare coinsurance. A Medicare Supplement Plan is a great way to save money on costs that Original Medicare does not cover. There are 10 different plans to choose from, and each will help you pay your 20% out-of-pocket costs; some even offer coverage for more services than Original Medicare.

If you are interested in learning more about these plans, an EZ agent can assist you. Our licensed agents will explain each plan’s coverage and costs, and will help you determine which is the best one to suit your specific needs. To get free instant quotes, simply enter your zip code in the bar above, or to speak directly to an agent, call 888-753-7207.

Does Medicare Cover Knee Replacement Surgery?

With age comes wear and tear to your body. Knees are especially vulnerable to damage because of how much use they get over the years. As you age, the cartilage in your knees wears down, and can become almost non-existent, causing arthritis and leaving bone to painfully rub on bone as you move. Cartilage loss in your knees can often only be treated with knee replacement surgery. This type of surgery is very common, especially for people over 60: there are over 750,000 knee replacement surgeries performed annually in the United States, and over 3 million Americans have knees that have been replaced. If your doctor recommends knee surgery, it is important to know just how much Medicare will cover.

What The Surgery Involves

x-ray of a knee with plates in it — *During knee surgery, you can receive metal implants or plates between the bones.*

Knee replacement surgery, also called knee arthroplasty or total knee replacement, is done to resurface any damage caused by arthritis. During this surgery, doctors:

Remove all damaged cartilage.
Use metal and plastic parts to cap the ends of the bones that form the knee joint along the kneecap, so that the two bones are not rubbing against each other when in use.
Put metal replacement implants into the knee.
Resurface the kneecap.

Most patients are able to resume normal daily activities within 6 weeks after surgery, and drive within 3 to 6 weeks. Depending on the surgery, though, it can take as long as 6 months or up to a year to fully recover. Even with the long recovery time, most patients who have had the surgery say that it was worth it. According to the American Academy of Orthopedic Surgeons, 90% of people who have had knee replacement surgery experience significantly reduced pain and stiffness, and an increase in vitality.

What Does Medicare Cover?

Medicare Parts A and B will cover knee replacement surgery as long as your doctor considers it medically necessary. Part A will cover in-hospital treatment, including the surgery and any inpatient recovery time, after you have met your Part A deductible of $1,408. If you are in the hospital for less than 60 days, then you will not have to pay a copay for your stay. Part B will cover medical costs before the surgery, any follow-up appointments, and outpatient visits. If you need physical therapy afterwards, Medicare Part B will cover the sessions at 80%. In addition, if you need any durable medical equipment, such as a walker or a cane after your surgery, Medicare Part B will cover the cost, again at 80%. You will be responsible for your part B deductible of $198 and 20% coinsurance.

Can A Medicare Supplement Plan Help?

Medicare Supplement Plans help you pay for your 20% coinsurance, co-payments, and, in some cases, your Medicare Part A and Part B deductibles. Different plans offer different coverage and price points, but having a Medicare Supplement Plan will most likely save you hundreds of dollars a year, if not more. There are 10 different Medicare Supplement Plans to choose from, so you are sure to find the right plan for your specific needs. If you do not have a Medicare Supplement Plan, then you should consider signing up for one to save money on medical costs, and to have more services covered than are generally covered by Original Medicare.

If you have any questions about Medicare coverage options, or about the Medicare Supplement Plans available in your area, EZ can help. One of our licensed insurance agents will compare all available Medicare Supplement Plans in your area, and will find the one that best fits your medical and financial needs. To explore your Medicare Supplement Plan options, simply enter your zip code in the bar above, or to speak directly to a Medicare agent, call 888-753-7207.

Tag: medicare coverage

Does Medicare Cover Home Blood Pressure Monitors?

High Blood Pressure

Home Blood Pressure Monitors

What Medicare Covers

Medicare Supplement Plan Coverage

How to Identify Melanoma & How Much Does Medicare Cover

Melanoma Survival Rates

ABCDEs of Melanoma

Risk Factors

Diagnosis & Treatment

Medicare Coverage For Screenings & Treatment

Prevention & Extra Coverage

Understanding Parkinson’s & Medicare

What Is Parkinson’s?

What Are The Symptoms?

The 5 Stages Of Parkinson’s

Treatment & Medicare Coverage

Medicare Supplement Plans

Prevent Heart Disease With Medicare Screenings

Medicare Coverage

Paying The Medicare Coinsurance

Does Medicare Cover Chiropractic Visits?

What Is Chiropractic Care?

Medicare Coverage

Save More With A Medicare Supplement Plan

Does Medicare Cover Knee Replacement Surgery?

What The Surgery Involves

What Does Medicare Cover?

Can A Medicare Supplement Plan Help?

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