Normally, if you are applying for Medicare Part B as part of the SEP, your employer or your spouse’s employer would have to attest that you had health coverage within the past eight months. Because of the pandemic, federal officials have waived that requirement and are allowing applicants to fill out that form themselves and submit proof that they’ve had health coverage.
SSA officials say they realize some beneficiaries may have difficulty mailing in the forms and employment proof to apply for Part B. So you can now fax or upload both the Medicare Part B form, CMS-40B and CMS L564- Request for Employment Information, along with proof that you had health coverage through your job to 1-833-914-2016.
If you apply in April for Medicare Part B because you’ve lost your employment-based coverage, your Part B coverage will be effective in May.
Is the Medicare hotline still open for questions?
Yes. If you have questions about your coverage or the services that are covered or have other issues, the 800-MEDICARE hotline is open 24 hours a day, seven days a week.
Medicare is recommending telehealth visits. What devices can I use, and how do I access a telehealth consultation?
The best way to schedule a telehealth visit is to call your doctor or other health care provider. During the pandemic, regulations for telehealth have been relaxed, so patients can get a telehealth consultation from their homes and providers and their patients can use their phones, tablets, computers and other devices. Providers are also able to waive deductibles and copays for these appointments.
Since it began expanding telehealth services in 2020 because of the pandemic, the Centers for Medicare and Medicaid Services (CMS) has been expanding the array of medical services it will cover. CMS has now said it will cover cardia rehab, including heart monitoring via telehealth as well as pulmonary rehab services.
I was scheduled for a knee replacement. My spouse was supposed to have cataract surgery soon. Can we still have these procedures?
It depends. The CMS has appealed to doctors and their patients to postpone elective surgeries and other procedures while the coronavirus outbreak is straining hospital resources nationwide. Under the CMS guidelines, you would be asked to consider postponing your knee surgery, based on whether your condition could be life-threatening in the future. Your spouse would definitely be asked to postpone cataract surgery.
The guidelines make clear that nonelective, non-coronavirus-related care, such as transplants, cardiac procedures for patients with symptoms, cancer procedures and neurosurgery, would still be provided.
This CMS guidance was released in April, 2020 and federal officials say it has not been updated since then. So best to check with your providers about whether they have relaxed their prohibitions on elective procedures.
I'm on Medicaid. Will I still be able to get my benefits?
Medicaid is a federal-state partnership that serves low-income Americans of all ages, children and pregnant women. Each state operates its own Medicaid program, with the federal government providing funding, overall rules and guidelines.
During the pandemic federal officials have offered to relax certain requirements, such as some nursing home preadmission reviews and the ability of providers to deliver care in alternative settings if, say, a nursing home needs to close and residents must be moved to an alternate site.
States are also being allowed to temporarily modify Medicaid eligibility and benefit requirements, to enable older beneficiaries and individuals with disabilities to be cared for in their homes, including allowing states to remove restrictions on Medicaid's paying for telehealth visits.
Editor's note: This story has been updated to reflect new information and update the date.
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