National State Health Insurance Assistance Programs (SHIP)
Information and Support - Medicare Insurance Counseling
Learn more about a specific topic and how to connect to additional resources and services.
State-based program that offers local one-on-one counseling and assistance to people with Medicare and their families
Through the Centers for Medicare and Medicaid Services (CMS) funded grants directed to states, State Health Insurance Assistance Programs provide free counseling and assistance via telephone and face-to-face interactive sessions, public education presentations and programs, and media activities.
- Free / no cost to everyone
- Adults with disabilities
- Older adults
People with Medicare and their families
|Toll Free||(877) 839-2675|
This provider does not offer this service at other locations.
Other Services or resources
This provider does not offer other services or resources at this location.
Taxonomy Terms Used: Clicking a taxonomy term from the list below launches a new search.
LH-3500.5000Medicare Information/Counseling Definition
Programs that offer information and guidance for older adults and people with disabilities regarding their health insurance options with the objective of empowering them to make informed choices. Included is information about benefits covered (and not covered); the payment process; the rights of beneficiaries; the process for eligibility determinations, coverage denials and appeals; consumer safeguards; and options for filling the gap in Medicare coverage (Medigap supplement insurance). Also available is information relating to an individual's eligibility for benefits and assistance with evaluating their options and enrolling in a Medicare plan (A, B, C, and/or D) that will best meet their needs. These programs also address coordination of benefits when beneficiaries have other types of health insurance in addition to Medicare (e.g. Medicaid, employer coverage or retiree insurance) and provide counseling and assistance regarding the subsidies that are available to low income beneficiaries enrolled in the Part D Prescription Drug Benefit (which help pay for Part D premiums and reduce the cost of prescriptions at the pharmacy) and the Medicare Savings Programs which help pay for Medicare out-of-pocket costs. They may also provide information about Medicaid and the linkages between the two programs, referrals to appropriate state and local agencies involved in the Medicaid program, information about other Medicare-related entities (such as peer review organizations, Medicare-approved prescription drug plans, Medicare administrative contractors), and assistance in completing related Medicare insurance forms.
NS-8000.5000-480Medicare Advantage Plan Enrollment Definition
Sponsors of Medicare Advantage (MA) health care plans approved by Medicare that accept applications for enrollment in one of the Medicare Advantage options that offer Part A (hospital) and Part B (medical) coverage. Prescription drug coverage may also be included. Many MA Plans offer extra benefits (e.g., vision coverage, dental coverage, hearing care, wellness services and nurse line support) and may offer lower co-payments than Original Medicare. However, MA plans may require participants to use physicians, hospitals and other providers that are part of the plan's provider network. Medicare Advantage Plans include: Medicare Health Maintenance Organization (HMO) Plans; Preferred Provider Organization (PPO) Plans; Private Fee-for-Service (PFFS) Plans; Medicare Special Needs Plans (SNP); and Medicare Savings Account Plans (MSA Plans). To join a MA Plan, an individual must be enrolled in Medicare Part A and Part B. In addition to paying the monthly Part B premium required by Medicare, MA Plans may require a monthly premium for the extra benefits provided by the Plan. Information about Medicare Advantage plans is available in the "Welcome to Medicare" handbook people receive when they enroll, by calling 1-800-MEDICARE or by using the Plan Finder on the Medicare website.
PH-0700Benefits Screening Definition
Programs that provide benefits screening services which help individuals determine whether they are eligible for benefits through any of a wide variety of public and private federal, state and local programs. In addition to identifying the programs that a person may be eligible to receive, the service generally also provides a detailed description of the programs, local contacts for additional information (typically the addresses and phone numbers of where to apply for the programs), and materials to help successfully apply for each program. Included are programs that provide this service online and those that do benefits screening via the telephone or in-person. Some benefits screening programs may focus on specific populations such as older adults and people with disabilities; or specific aspects of benefits eligibility such as the impact that working will have on their benefits as an aid to helping people make informed decisions regarding whether to work. Also included are programs that help people complete the benefits screening form.
TJ-3000.8000Specialized Information and Referral Definition
Programs that maintain information about community resources that are appropriate for a specific target group or human services sector (for example, youth programs or addiction services) and which link individuals who are in need of specialized services with appropriate resources and/or which provide information about community agencies and organizations that offer specialized services.
YB-8000Older Adults Definition
Individuals who are age 50, 55, 60, 62 or 65 or older depending on the minimum age for qualifying as an older adult which varies by program.
YC-5100Medicare Beneficiaries Definition
Individuals, age 65 and older or younger than age 65 with a disability, who have hospital, medical and prescription drug insurance through the federally-funded Medicare program.