Vous êtes éligible si vous avez 65 ans ou plus, ou si vous êtes handicapé depuis au moins 24 mois.
Assurance maladiePersonnes âgées
#2
Quels documents sont nécessaires pour s'inscrire à Medicare ?
Vous aurez besoin de votre numéro de sécurité sociale et de documents d'identité.
InscriptionDocuments d'identité
#3
Quand dois-je m'inscrire à Medicare ?
L'inscription peut commencer 3 mois avant votre 65e anniversaire et se termine 3 mois après.
Âge avancéInscription
#4
Quelles sont les différentes parties de Medicare ?
Medicare se compose de quatre parties : A, B, C et D, chacune couvrant différents services.
Assurance maladieServices de santé
#5
Comment vérifier mon statut d'inscription à Medicare ?
Vous pouvez vérifier votre statut en ligne sur le site de la Sécurité sociale ou par téléphone.
VérificationSécurité sociale
Symptômes
5
#1
Quels symptômes indiquent un besoin de Medicare ?
Les symptômes ne sont pas spécifiques, mais des problèmes de santé liés à l'âge peuvent nécessiter une couverture.
Santé des personnes âgéesProblèmes de santé
#2
Comment Medicare aide-t-il en cas de maladie chronique ?
Medicare couvre les soins pour les maladies chroniques, y compris les consultations et les médicaments.
Maladies chroniquesSoins de santé
#3
Y a-t-il des symptômes de confusion sur la couverture de Medicare ?
Oui, beaucoup de gens confondent les parties A et B, et leurs couvertures respectives.
ConfusionAssurance maladie
#4
Quels signes montrent que je devrais changer de plan Medicare ?
Des changements dans votre santé ou vos besoins médicaux peuvent indiquer un changement de plan.
Changement de planBesoins médicaux
#5
Comment savoir si je suis sous-couvert par Medicare ?
Si vous avez des frais médicaux élevés non couverts, cela peut indiquer une sous-couverture.
Sous-couvertureFrais médicaux
Prévention
5
#1
Comment Medicare encourage-t-il la prévention ?
Medicare offre des examens de santé gratuits et des programmes de prévention pour les bénéficiaires.
PréventionExamens de santé
#2
Quels services préventifs sont offerts par Medicare ?
Les services incluent des dépistages du cancer, des vaccinations et des bilans de santé annuels.
DépistageVaccinations
#3
Y a-t-il des programmes de bien-être dans Medicare ?
Oui, Medicare propose des programmes de bien-être pour promouvoir un mode de vie sain.
Programmes de bien-êtreMode de vie sain
#4
Comment accéder aux services préventifs de Medicare ?
Vous pouvez accéder aux services préventifs en prenant rendez-vous avec votre médecin.
Accès aux servicesMédecin
#5
Medicare couvre-t-il les conseils en nutrition ?
Oui, Medicare couvre les conseils en nutrition pour les personnes atteintes de certaines conditions.
Conseils en nutritionConditions médicales
Traitements
5
#1
Quels traitements sont couverts par Medicare ?
Medicare couvre les soins hospitaliers, les consultations médicales et certains médicaments.
Traitements médicauxMédicaments
#2
Comment choisir un plan Medicare adapté à mes besoins ?
Évaluez vos besoins médicaux, comparez les plans et consultez un conseiller en assurance.
Choix de planConseiller en assurance
#3
Medicare couvre-t-il les soins préventifs ?
Oui, Medicare couvre de nombreux services préventifs, comme les vaccinations et les dépistages.
Soins préventifsVaccinations
#4
Quels traitements ne sont pas couverts par Medicare ?
Medicare ne couvre pas les soins dentaires, les lunettes et certains traitements alternatifs.
Soins non couvertsTraitements alternatifs
#5
Comment faire appel d'une décision de Medicare ?
Vous pouvez faire appel en suivant les instructions sur votre avis de refus de couverture.
AppelRefus de couverture
Complications
5
#1
Quelles complications peuvent survenir avec Medicare ?
Des complications peuvent inclure des frais imprévus et des lacunes dans la couverture.
ComplicationsFrais imprévus
#2
Comment éviter les complications liées à Medicare ?
Lisez attentivement les documents, posez des questions et choisissez le bon plan.
Éviter les complicationsChoix de plan
#3
Que faire en cas de refus de couverture par Medicare ?
Vous pouvez contester la décision et demander une réévaluation de votre situation.
Refus de couvertureContestation
#4
Les complications de santé affectent-elles ma couverture Medicare ?
Oui, certaines complications de santé peuvent nécessiter des ajustements de votre plan.
Complications de santéAjustements de plan
#5
Comment signaler une fraude liée à Medicare ?
Signalez la fraude à Medicare en appelant le numéro de fraude ou en ligne sur leur site.
FraudeSignalement
Facteurs de risque
5
#1
Quels facteurs de risque influencent l'éligibilité à Medicare ?
L'âge, le statut de handicap et les antécédents médicaux sont des facteurs clés.
Facteurs de risqueAntécédents médicaux
#2
Comment le revenu affecte-t-il Medicare ?
Un revenu élevé peut entraîner des primes plus élevées pour certaines parties de Medicare.
RevenuPrimes
#3
Les antécédents familiaux influencent-ils Medicare ?
Oui, des antécédents familiaux de maladies peuvent affecter vos besoins en couverture.
Antécédents familiauxBesoins en couverture
#4
Quels comportements augmentent les risques de santé ?
Le tabagisme, une mauvaise alimentation et le manque d'exercice augmentent les risques.
Comportements à risqueSanté
#5
Comment gérer les facteurs de risque pour une meilleure couverture ?
Adoptez un mode de vie sain et consultez régulièrement votre médecin pour ajuster votre plan.
Gestion des risquesMode de vie sain
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"text": "Adoptez un mode de vie sain et consultez régulièrement votre médecin pour ajuster votre plan."
}
}
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Mongan Institute for Health Care Policy, Massachusetts General Hospital and Department of Health Care Policy, Harvard Medical School, Harvard University, Boston.
Amol S. Navathe is a core investigator at the Corporal Michael J. Cresencz Veterans Affairs Medical Center; an assistant professor in the Department of Medical Ethics and Health Policy, Perelman School of Medicine; and a senior fellow at the Leonard Davis Institute of Health Economics, University of Pennsylvania, all in Philadelphia.
Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, 624 N Broadway, Baltimore, MD 21205. Email: jmarr5@jhu.edu.
Financial incentives in Medicare Advantage (MA), the managed care alternative to traditional Medicare (TM), were designed to reduce overutilization. For patients near the end of life (EOL), MA incenti...
To compare receipt of potentially burdensome treatments and transfers and potentially necessary postacute services in the last 6 months of life in individuals with MA vs TM....
A retrospective analysis of Medicare claims data among older Medicare beneficiaries who died between 2016 and 2018. The study included Medicare decedents aged 66 years or older covered by TM (n = 659 ...
MA enrollment....
Receipt of potentially burdensome hospitalizations and treatments; receipt of postdischarge home and facility care....
The study included 659 135 TM enrollees (mean [SD] age at death, 83.3 [9.0] years, 54% female, 15.1% non-White, 55% with 1 or more life-limiting condition) and 360 430 MA enrollees (mean [SD] age at d...
MA enrollment was associated with lower rates of potentially burdensome and facility-based care near the EOL. Greater use of home-based care may improve quality of care but may also leave patients wit...
A growing proportion of the population is enrolling in Medicare Advantage (MA), which typically offers additional benefits compared with traditional Medicare (TM)....
To determine whether frailty and frailty trajectories differ between MA enrollees and TM enrollees....
This retrospective cohort study used data from the National Health and Aging Trends Study (2015-2016). Analyses were conducted from August 2023 to March 2024. Participants were community-dwelling Medi...
Enrollment in MA vs TM....
Frailty was calculated by a frailty index (FI) (range, 0-1, with higher values indicating greater frailty) and the Fried Frailty Phenotype (FFP) score (range, 0-5, with higher values indicating greate...
The final cohort consisted of 7063 participants (2775 [23.1%] aged >80 years; 4040 [54.7%] female), representing a sample of the 38.8 million beneficiaries. There were 2583 (35.0%) MA enrollees (13.6 ...
In this cohort study of Medicare beneficiaries from 2015, MA enrollees experienced similar declines in frailty over 1 year compared with TM enrollees. Future work should examine whether the specific t...
Compared with traditional Medicare (TM), Medicare Advantage (MA) insurers have greater financial incentives to reduce the delivery of low-value services (LVS); however, there is limited evidence at a ...
To determine whether there are differences in the rates of LVS delivered to Medicare beneficiaries enrolled in MA vs TM, overall and by the 7 largest MA insurers....
This cross-sectional study included Medicare beneficiaries aged 65 years and older residing in the US in 2018 with complete demographic information. Eligible TM beneficiaries were enrolled in Parts A,...
Medicare plan type....
The primary outcome was utlization of 35 LVS defined by the Milliman Health Waste Calculator. An overdispersed Poisson regression model was used to calculate estimated margins comparing risk-adjusted ...
The study sample included 3 671 364 unique TM beneficiaries (mean [SD] age, 75.7 [7.7] years; 1 502 631 female [40.9%]) and 2 299 618 unique MA beneficiaries (mean [SD] age, 75.3 [7.3] years; 983 592 ...
In this cross-sectional study of nearly 6 million Medicare beneficiaries, utilization of LVS was on average lower among MA beneficiaries compared with TM beneficiaries, possibly owing to stronger fina...
Medicare began paying for medications for opioid use disorder (MOUD) at opioid treatment programs (OTPs) that dispense methadone and other MOUD in January 2020. There has been little research describi...
To describe how many and which Medicare beneficiaries receive care from OTPs and how this compares to those receiving MOUD in other settings....
This cross-sectional study included all patients receiving MOUD care identified in 2019-2022 100% US Medicare Parts B and D claims. Patients receiving care in an OTP who were dually insured with Medic...
Receiving MOUD care in an OTP....
Comparisons of 2022 beneficiaries treated in OTPs vs other non-OTP settings in 2022....
The share of Medicare beneficiaries treated by OTPs rose steadily from 4 per 10 000 (14 160 beneficiaries) in January 2020 to 7 per 10 000 (25 596 beneficiaries) in August 2020, then plateaued through...
This study showed that since the initiation of Medicare OTP coverage in 2020, there has been a rapid increase in the number of Medicare beneficiaries with claims for OTP services for MOUD, and most OT...
This paper investigates how office-based physicians respond to Medicare reimbursement changes. Using variation from an Affordable Care Act policy that increased reimbursements for office-based care in...
Seasonal temperature variability remains understudied and may be modified by climate change. Most temperature-mortality studies examine short-term exposures using time-series data. These studies are l...
We aimed to carry out one of the first investigations of seasonal temperature variability and mortality across the contiguous United States. We also investigated factors that modify this association. ...
We examined the mean and standard deviation (SD) of daily temperature in the warm (April-September) and cold (October-March) season in the Medicare cohort from 2000 to 2016. This cohort comprised 622,...
For every 1°C increase in the SD of warm and cold season temperature, the mortality rate increased by 1.54% [95% confidence interval (CI): 0.73%, 2.15%] and 0.69% (95% CI: 0.22%, 1.15%) respectively. ...
Warm and cold season temperature variability were significantly associated with increased mortality rates in U.S. individuals over the age of 65 y, even after controlling for seasonal temperature aver...
To compare racial and ethnic disparities in cost-related medical care and dental care barriers and use of vision care among near-poor Medicare beneficiaries in Medicare Advantage (MA) vs traditional M...
Cross-sectional analysis of 2015-2019 data from the nationally representative Medicare Current Beneficiary Survey....
Propensity score-weighted difference-in-disparities analyses comparing Black-White and Hispanic-White disparities in MA vs TM among near-poor Medicare beneficiaries with incomes between 101% and 250% ...
For cost-related barriers to medical care, Hispanic-White disparities were narrower by 8.8 (95% CI, -14.0 to -3.6) percentage points in MA relative to TM but differences in Black-White disparities wer...
Among near-poor Black and Hispanic Medicare beneficiaries, MA was associated with greater use of vision care and narrowing of some disparities in cost-related access barriers vs TM. However, MA did no...
Understanding the association of telehealth use with health care outcomes is fundamental to determining whether telehealth waivers implemented during the COVID-19 public health emergency should be mad...
To estimate the association of telehealth use with outcomes for all Medicare fee-for-service (FFS) beneficiaries by comparing hospital service areas (HSAs) with different levels of telehealth use....
This US population-based, retrospective cohort study was conducted from July 2022 to April 2023. Participants included Medicare claims of beneficiaries attributed to HSAs with FFS enrollment in Parts ...
Low, medium, or high tercile of telehealth use created by ranking HSAs according to the number of telehealth visits per 1000 beneficiaries....
The primary outcomes were quality (ambulatory care-sensitive [ACS] hospitalizations and emergency department [ED] visits per 1000 FFS beneficiaries), access to care (clinician encounters per FFS benef...
In this cohort study of claims from approximately 30 million Medicare beneficiaries (mean [SD] age in 2019, 71.04 [1.67] years; mean [SD] percentage female in 2019, 53.83% [2.14%]) within 3436 HSAs, b...
In this cohort study of Medicare beneficiaries across all 3436 HSAs, high levels of telehealth use were associated with more clinician encounters, more ACS hospitalizations, and higher total health ca...
Given the uncertainty of US health care finances, an understanding of reimbursement trends has become increasingly important in the field of cardiac surgery. We aimed to assess Medicare reimbursement ...
Reimbursement data were extracted from the Centers for Medicare and Medicaid Services Physician Fee Schedule Look-Up Tool during the study period for 6 common cardiac operations: aortic valve replacem...
Inflation-adjusted reimbursement decreased by 34.1% during the study period. The overall compound annual growth rate was -1.8%. Reimbursement trends differed by procedure (P < .001), with all reimburs...
Medicare reimbursement significantly decreased for most cardiac surgical procedures. These trends justify further advocacy by The Society of Thoracic Surgeons to maintain access to quality cardiac sur...
To compare the adherence, persistence, discontinuation and switching rates of direct oral anticoagulants (DOACs) for Medicare patients with non-valvular atrial fibrillation (NVAF) or venous thromboemb...
This was retrospective observational cohort study design. Medicare Part D claims files were used for the study duration (2015-2018). Inclusion-exclusion criteria were applied to identify the NVAF and ...
Of all the DOACs, patients with NVAF or VTE were most adherent to apixaban (PDC = 76.88). Among all the DOACs, non-persistence and discontinuation rates were highest for warfarin. Majority of the swit...
Medicare plans need to consider adherence, persistence, discontinuation and switching rates of DOACs to make the coverage decisions....