Issues With Medicare Post-Enrollment

Published in Member Communities on January 03, 2020

Even though the Medicare enrollment period ended last month, there are potential issues that suppliers and beneficiaries may face if they switched from Original Medicare (FFS) to a Medicare Advantage plan. When it comes to selecting a plan, customers may not have had all the information they needed to know regarding the exact benefits and coverage that are included with certain plans. It is possible that customers could have lost access to certain coverage that they had with Original Medicare, including access to their medical equipment and repairs to their current equipment.

If you know of customers who are experiencing this issue, it is important to let them know that they have the ability to change their plan any time before Feb. 14, 2020. If after Feb. 14, 2020, they have a problem in obtaining medical equipment due to their current insurance plan, they will need to file a complaint with Medicare directly at 1-800-633-4227 (1-800-Medicare). A Medicare representative will be able to assist your customer in switching back to original (traditional) Medicare if determined that is best for them. 

More information regarding this issue can be found in a recent article from HME News written by U.S. Rehab’s Director of Reimbursement, Dan Fedor. Dan also conducted a webinar that provided insight into what suppliers can do if a Medicare Advantage plan doesn't enable their customer to receive the medically necessary equipment they require. Click here to view the recording.


comments powered by Disqus

From Our Experts

Cost Effective Wound Care Management Practices thumbnail Cost Effective Wound Care Management Practices Director of VGM Wound Care, Heather Trumm talks with vendor partner, Dermarite about cost effective wound management without compromising the value of the products. The Longevity Revolution: Getting Housing Ready for Seniors to Age In Place thumbnail The Longevity Revolution: Getting Housing Ready for Seniors to Age In Place Allowing seniors to age in place has become more important. However, homes are not necessarily built for aging adults. VGM Live at Home is working with HomesRenewed Coalition on legislation allowing tax incentives for homeowners to update their homes. VGM Announces Schedule for 2021 Heartland Conference thumbnail VGM Announces Schedule for 2021 Heartland Conference VGM has announced the schedule for its annual Heartland Conference, taking place Sept. 13-15, 2021. Along with traditional in-person presentations, the conference will also feature a virtual component. VGM & Associates Releases Latest Playbook on Business Development thumbnail VGM & Associates Releases Latest Playbook on Business Development VGM & Associates has released their second playbook of 2021, “VGM Playbook: Growing Your Business in Today's Environment.” AffloVest Case Study with Advanced Medical DME thumbnail AffloVest Case Study with Advanced Medical DME In this episode of Industry Matters VGM's Midwest Regional Account Manager, Jay Kopriva talks with VGM Vendor partner, International Bio Physics and VGM Member, Advanced Medical DME about a study they conducted and the astounding results they found. House Introduces Medicare O&P Patient Centered Care Act thumbnail House Introduces Medicare O&P Patient Centered Care Act The House of Representatives recently introduced H.R. 1990, the Medicare Orthotics and Prosthetics Patient-Centered Care Act. A Comprehensive Compliance Program: Protecting and Validating Your Business thumbnail A Comprehensive Compliance Program: Protecting and Validating Your Business Wayne van Halem from The van Halem Group discusses how a compliance program can help protect your business from risk and validate your business. [Infographic] CPAP Resupply thumbnail [Infographic] CPAP Resupply Don't leave money on the table. A strong CPAP resupply program allows you to secure reorders from patients and can generate $350 a year, per patient in revenue.