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Insurance Factsheet: Options in the Individual Market
http://www.insurance.wa.gov/factsheets/factsheet_d
Source: Washington State Insurance Commissioner
Overview of issues consumers should consider when purchasing health insurance in Washington. Topics covered include: determining insurance needs, the three different types of health insurance in Washington, including health maintenance organizations (HMOs), health care service contractors (HCSCs), and commercial insurance companies, health screening, the individual market, and the Washington State Health Insurance Pool, managed care, and insurance agents. Also includes a list of precautions consumers should take when buying health insurance, and a list of some of the major health insurance companies in Washington.
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Medicare Fraud-Overview
http://www.medicare.gov/FraudAbuse/Overview.asp
Source: United States Department of Health and Human Services, Centers for Medicare and Medicaid Services
Describes what Medicare fraud is. Includes links to other pages explaining how Medicare beneficiaries can recognize and prevent Medicare fraud. Explains what Medicare beneficiaries should do if they do not understand the charges on, or recognize services or items listed in, their Medicare Summary Notices. Explains how to report Medicare fraud to the Medicare claims processing company involved or ask the Office of Inspector General Hotline for help.
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Medicare Eligibility Tool
http://www.medicare.gov/Basics/Overview.asp
Source: United States Department of Health and Human Services, Centers for Medicare and Medicaid Services
Main Web page with links to general information about Medicare including who is eligible, how to enroll in Plan A (hospital insurance) and Plan B (medical insurance), and programs which may help Medicare beneficiaries get additional help with prescription drug or other health care costs.
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Medicare and You
http://www.medicare.gov/publications/pubs/pdf/1005
Source: United States Department of Health and Human Services, Centers for Medicare and Medicaid Services
Comprehensive booklet on Medicare. Topics covered include: overview of the Medicare program and health plans, the Original Medicare Plan, Medicare + Choice Plans, Medicare rights, other insurance and ways to pay health care costs. Information regarding the rights of Medicare beneficiaries includes: the right to appeal decisions regarding coverage, payment, or services; the privacy and disclosure of health care information by Medicare; the right of Medicare beneficiaries to access health care information; the right to be free from discrimination by companies or providers dealing with Medicare; and preventing and reporting Medicare fraud. Also includes contact information for agencies that can answer questions about Medicare.
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Medicare Appeals and Grievances
http://www.medicare.gov/publications/pubs/nonpdf/a
Source: United States Department of Health and Human Services, Centers for Medicare and Medicaid Services
Explains the appeal rights of Medicare beneficiaries under both the Original Medicare Plan and Medicare Managed Care Plans. Describes how to appeal such actions as failure to pay for an item or service or failing to provide an item or service the patient thinks should be covered or provided.
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