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Medicare & HMO's Tipsheets
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Medicare & HMO
Tipsheets
The following is from The Medicare Rights Center (MRC) which is a not-for-profit organization dedicated to ensuring that older adults and people with disabilities get good, affordable health care.

The MRC website offers helpful and reliable Medicare information for consumers and professionals (HD social workers, HDSA Chapters, etc.).

HMO Flash 

Confused about Medicare HMOs?  HMO Flash, a series of 28 counseling tipsheets, is the definitive reference guide on Medi-care HMOs. The tipsheets are organized into the below seven categories

Tipsheets:
Tipsheets:

Disenroll/Enroll 

Tipsheets:
Tipsheets:
  1. Grievances and Appeals
  2. The Appeals Process
  3. Hospital Appeals  

Chronically Ill/Disabled 

Tipsheets:

  1. Home Health Care, Care Management and Prescription Drug Benefits
  2. Guidelines for Care, Disease Management and Mental Health Care
Tipsheets:
  1. People with Disabilities: Medicare HMOs, COBRA and Employer Group Health Plans
  2. People with Low Incomes: Medicare HMOs, Medicaid and Other Programs
  3. Employee and Retiree Coverage, Medicare and HMOs: How They Work Together
  4. Retiree Coverage: Medicare, COBRA and HMOs
Tipsheets:
  1. How Does a Medicare HMO work?
  2. The HMO Physicians
  3. The HMO Network Hospital and Home Health Benefits
  4. Medicare HMOs for People with Advanced Illnesses: Hospice Benefits
  5. Care Outside the HMO Network