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Frequently Asked Questions (FAQs)

Answers:
Q: What is the difference between Medicare and Medicaid?
A: Medicare is an insurance program. Medical bills are paid from trust funds that those who are covered have paid into. It primarily serves people over 65 and younger disabled people and dialysis patients. Patients pay part of costs through deductibles for hospital and other costs. Small monthly premiums are required for non-hospital coverage. Medicare is a federal program. It is basically the same everywhere in the United States and is run by the Health Care Financing Administration, an agency of the federal government.

Medicaid is an assistance program. Medical bills are paid from federal, state and local tax funds. It serves low-income people of every age. Patients usually pay no part of costs for covered medical expenses. A small co-payment is sometimes required. Medicaid is a federal-state program. It varies from state to state. It is run by state and local governments according to federal guidelines.

Q: I'll be 65 years old soon. When should I sign up for Medicare?
A: Generally, you should file for Medicare benefits three months before turning age 65. Remember, Medicare benefits can begin no earlier than age 65. If you are already receiving cash benefits, you will automatically be entitled to Medicare without an additional application. You will receive a Medicare card about two months before turning age 65.

Q: How is the privacy of my medical records protected?
A: You have the right to talk with health care providers in private and to have your personal health care information kept private as protected under federal and state laws. If you have any questions about the HIPAA privacy rule, look at the National Standards to Protect the Privacy of Personal Health Information, http://www.hhs.gov/ocr/hipaa, on the web.

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Freedom Health is a health Plan with a Medicare contract. Medicare approved MAPD HMO plans available to anyone entitled to Part A and enrolled in Part B of Medicare through age or disability (for MA plans, individuals must have both Part A and Part B). Medicare approved HMO Special Needs Plans (SNPs) available to anyone who meets the specific eligibility requirements of the SNP and is enrolled in both Part A and Part B of Medicare through age or disability. (To qualify for a Chronic Disease SNP, physician diagnosis of the disease must be verified prior to confirmation of enrollment. People who do not have the condition will be disenrolled. To qualify for a Dual Eligible SNP (DSNP), you must also be eligible for Medicaid assistance from the State. Premium for the DSP and copayments/co-insurance for Low Income Subsidy eligible beneficiaries may vary based on income. Enrollment period restrictions apply. Call the plan for details. You must continue to pay your Medicare applicable premiums if not otherwise paid for under Medicaid or by another third-party. Plans may be renewed annually. All plan types may not be available in all areas. Copayment and authorization rules may apply.
H5427_2010 Website—2/10/2010 Last Updated 06/14/2010
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