Senior Home
Human Services Home
Caregivers
Entitlement Programs & Financial Assistance
Help Line
Health Promotion
Housing
Information & Counseling
Medical - Nursing - Home Care & Long Term Care
Municipal Agencies
News Releases
Nutrition Programs
Services to Special Needs Populations
Passes and Discounts
Publications
Recreation & Education
Related Links
Senior ID Cards
Senior Photo Album
Transportation
Volunteer and Employment
Annual Implementation
Plan 2014-2015
City, Town & Village Governments
New York State Government
U.S. Government

Office for the Aging
translate_icon
Breadcrumb Start you are here >Home/

Medicare

All persons 65 or over who qualify for Social Security benefits, and some people under 65 who are disabled, are eligible for Medicare - a health insurance program. To enroll in Medicare, telephone the local Social Security Office three months before 65th birthday. Persons who work past age 65 should apply for Medicare even if they are not applying for Social Security benefits.

Center for Medicare Services (CMS) www.medicare.gov

The Center for Medicare Services will respond to all Medicare related inquiries. CMS has also published “Your Medicare Benefits,” a free guide to what Medicare covers and what an enrollee must pay for covered health care services and supplies. Call CMS and request Publication No. CMS-10116.

1-800 MEDICARE (1-800-633-4227)
TTY: 1-877-486-2048

Medicare has two parts:

PART A- MEDICAL HOSPITAL INSURANCE

Helps pay for medically necessary inpatient hospital care, and under limited conditions may pay for some nursing home and home health care.

PART B- MEDICARE MEDICAL INSURANCE

Helps pay for medically necessary physicians' services and other medical services. Monthly premium is $78.20 as of January 2005. Empire Medicare Services, the local carrier of Medicare, reimburses 80% of the allowable charge of approved services.

Social Security, Supplemental Security Income and Medicare benefits are subject to frequent changes. Check nearest Social Security office for current information and for details regarding future changes.

HEALTH MAINTENANCE ORGANIZATIONS (HMOS) FOR MEDICARE BENEFICIARIES

www.medicarehmo.com
www.hiicap.state.ny.us/hmos

HMOs are managed care plans, and are also known as coordinated care plans. A Medicare HMO is an organized, community based network of physicians, health centers, hospitals and other health care providers that is approved by Medicare. HMOs differ from other kinds of health insurance since they combine insurance coverage with provision of care. HMO participants continue to pay the Part B premium, and, in most cases, the HMO charges a premium. HMOs differ, but most provide benefits such as preventive care, dental care, eyeglasses, etc. They also handle Medicare paperwork. HMOs contract with different doctors and hospitals, and charge different premiums.

The Nassau County Department of Senior Citizen Affairs funds Family and Children's Association to provide counseling to seniors who are considering joining an HMO or who have questions of any type regarding health care insurance and coverage. For information, call: 292-1300

MEDICARE RIGHTS CENTER
www.medicarerights.org

The Medicare Rights Center (MRC) is the largest independent source of Medicare information in the country. MRC helps older adults and persons with disabilities get good affordable health care by providing free counseling and current and comprehensive information about Medicare options and rights. MRC answers questions about coverage and assists individuals having problems accessing service.
Call: 1-800-333-4114

MEDICARE PROBLEMS

Persons experiencing problems with Medicare bills and services, or who wish to discuss issues of possible fraud and abuse, should contact:

Center for Medicare Services 1-800-MEDICARE
www.medicare.gov

Empire Medicare Services 1-800-MEDICARE
www.empiremedicare.com

Operation Restore Trust 1-877-678-4697