The U.S. Centers for Medicare & Medicaid Services (CMS) is in charge of setting not only the rules that apply to the program but the standards in place for how Medicare operates. This includes conducting national coverage determinations (NCDs), which use research to determine which healthcare...
Mental health services may be eligible for Medicaid coverage. These may include counseling, therapy, and psychiatric care, as well as treatment for substance abuse disorders. Long-Term Care Medicaid provides coverage for long-term care services. This includes care in nursing facilities and home healt...
“To summarize, it is complicated, and people should get help from good advisers. There are a lot of sharks swimming in those waters. [The Centers for Medicare and Medicaid Services] is cracking down on those companies that run those sleazy Medicare Advantage ads on TV promising people free ...
Medicare Part B, which covers doctor bills and related services, pays for a yearly alcohol misuse screening for people who drink but don’t meet the criteria for alcohol dependency. If your primary care doctor finds that you’re misusing alcohol, Medicare will cover four counseling sessions annu...
The Centers for Medicare & Medicaid Services (CMS) is the federal agency that runs Medicare. CMS is part of the U.S. Department of Health and Human Services. Medicare is financed by a portion of the payroll taxes paid by workers and their employers. It also is financed in part by monthl...
Planned Parenthood also receives reimbursements from Medicaid for services provided to patients covered by the program. Medicaid is a state and federally-funded healthcare program that provides coverage for low-income individuals and families. In some states, Medicaid funding may be used to cover abort...
American Adoptions always prepares families financially for the worst-case scenario by collecting medical expenses to cover any: Retainers Co-pays Out-of-pocket medical expenses not covered by Medicaid or other insurance Once the adoption is finalized and all final billing is complete, unused mon...
Counseling Medication management Peer support Social work services Substance use disorder treatments Medicaid Medicaid, a joint federal and state program, assists individuals and families with low-income and limited resources. Coverage for therapy under Medicaid can vary significantly depending on the state...
“It took us a while to get there, but a lot of the hospitals and doctors are now recognizing that we pay our bills, so they are willing to negotiate. Because they want our business.” Ivan compares the rates they get as being similar to what’s seen with Medicaid/Medicare. Here’s...
Public health insurance, such as Medicaid and Medicare, also provides health care coverage to millions of Americans who don’t have employer-based or private insurance. But insurance doesn’t cover everything. Like other health services, patients will have to pay some costs out of pocket. Howeve...