Times Standard (Eureka)

Helping Medicare beneficiar­ies cope with COVID-19

- By Seema Verma Seema Verma is the administra­tor, U.S. Centers for Medicare & Medicaid Services. Submitted courtesy of Jack Cheevers, public informatio­n officer, U.S. Centers for Medicare & Medicaid Services, Region 9, San Francisco.

Since older Americans are particular­ly vulnerable to coronaviru­s (COVID-19), I wanted to let you know the steps we’re taking to help our Medicare beneficiar­ies cope with the pandemic.

We’re warning Medicare beneficiar­ies that scammers may try to use this emergency to steal their Medicare number, banking informatio­n or other personal data.

Unfortunat­ely, scammers come out of the woodwork during times of uncertaint­y and change. So make sure you give your Medicare number only to your doctor, pharmacist, hospital, health insurer, or other trusted health care provider.

If someone calls you on the phone, says they’re from Medicare, and asks for your Medicare number or other personal informatio­n — just hang up.

Remember: Medicare never calls its beneficiar­ies to ask for or to “verify” Medicare numbers.

My agency finished removing Social Security numbers from all Medicare cards last year in order to reduce fraud and protect Medicare beneficiar­ies from identity theft. Even with this change, you should guard your Medicare card. Treat it like a credit card. Be sure to check your Medicare claim summaries for errors and questionab­le bills.

If you suspect Medicare fraud, please report it by calling Medicare’s toll-free customer service center at 1-800-MEDICARE (1-800633-4227) or by visiting www.medicare.gov/fraud.

I also want to inform you what Medicare covers with regard to coronaviru­s.

If your doctor orders a COVID-19 test for you, Medicare covers all of the costs. You should not have any cost-sharing.

Medicare also covers all medically necessary hospitaliz­ations. This includes extra days in the hospital for in-patients who were on the verge of being discharged, but were diagnosed with COVID-19 and had to stay longer under quarantine.

There’s no vaccine for COVID-19 at this time. However, if one becomes available, Medicare will cover it.

If you have a Medicare Advantage Plan, you have the same benefits as people with Original Medicare. Medicare Advantage plans are now required to have the same cost-sharing for COVID-19 lab tests as Original Medicare: zero.

Medicare also recently expanded its coverage of telehealth services to enable beneficiar­ies across the country to receive a wider range of healthcare services from doctors without having to travel to a healthcare facility.

These changes allow beneficiar­ies to communicat­e with their doctors without having to physically go to a health care facility, thus cutting their risk of acquiring or spreading the virus. And frontline clinicians will be better able to stay safe themselves while treating people with Medicare.

Doctors, nurse practition­ers, clinical psychologi­sts and licensed clinical social workers can deliver telehealth services via phone and video chat. Medicare beneficiar­ies can receive telehealth services in their home as well as in any healthcare facility, including a physician’s office, hospital, nursing home or rural health clinic.

Telehealth services include routine office visits, mental health counseling, and preventive health screenings for cancer and other illnesses.

By helping healthcare institutio­ns across the nation offer services remotely, telehealth can free up hospital emergency department­s and doctors’ offices to deal with the most urgent COVID-19 cases. For example, you can talk with a doctor about your diabetes management or prescripti­on refill without having to go to his or her office.

During this emergency, Medicare will pay for telehealth services at the same rates as in-person services, giving doctors and other clinicians an incentive to use this alternativ­e and reserve their offices to treat those who truly require inperson care.

We know many Medicare beneficiar­ies are concerned about the spread of coronaviru­s and the threat it poses to their well-being. That’s why we’ve taken these rapid steps to ensure that the Medicare program continues to protect our beneficiar­ies while maintainin­g trusted access to care in these uncertain times.

For your reporting purposes, the following informatio­n may be of assistance:

· Telehealth benefits: www.cms.gov/newsroom/press-releases/telehealth­benefits-medicare-are-lifeline-patients-during-coronaviru­s-outbreak

· Help fight Medicare fraud: www.medicare.gov/forms-help-resources/helpfight-medicare-fraud

· Identify theft: protect yourself: www.medicare.gov/forms-help-resources/identity-theft-protect-yourself.

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