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Health Insurance and Medicare/Medicaid Information

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Health Insurance Information

If your insurance company has denied your claim for treatment, the following sample letter can be used, edited to your specific condition/treatment/procedure, and sent to your state insurance commissioner.  You should send this letter by certified mail.

The Patient Advocate Foundation provides effective mediation and arbitration services to patients to remove obstacles to health care including medical debt crisis, insurance access issues and employment issues for patients with chronic, debilitating and life-threatening illnesses.  They assist patients with medical debt crisis, insurance access issues, and job retention issues.

The StateHealthFacts.org is a project of the Henry J. Kaiser Family Foundation and is designed to provide free, up-to-date, and easy-to-use health data on all 50 states. Statehealthfacts.org provides data on more than 700 health topics and is linked to both the Kaiser Family Foundation website and Kaiser Health News.

The National Association of Insurance Commissioners assists state insurance regulators in serving the public interest and achieving the following fundamental insurance regulatory goals: protect the public interest; promote competitive markets; facilitate the fair and equitable treatment of insurance consumers; promote the reliability, solvency and financial solidity of insurance institutions; and support and improve state regulation of insurance.

HealthCare.gov is geared towards consumers and provides general information about the Marketplace and health insurance.

Marketplace.cms.gov is a partnership page that has a wide variety of tools and resources to help you help people prepare to apply, enroll and get coverage.

“How Can Consumers Get Help Enrolling in Coverage?” is a resource compiled by Enroll America that explains four main types of assistance and compares them side-by-side in all three types of exchanges.


Medicare/Medicaid Information

The Centers for Medicare & Medicaid Services provides information on the services available through the U.S. Department of Health and Human Services for the Medicare and Medicaid programs.

Medicare.gov is the official U.S. Government site for Medicare.

The Medicaid Waivers and Demonstrations List is put together by the Centers for Medicare and Medicaid Services about state-specific Medicaid waiver and demonstration programs. Users can access fact sheets, copies of proposals, approval letters, and other documents related to specific programs.

The Center for Medicare Advocacy, Inc. is a national non‑profit, non-partisan organization that provides education, advocacy, and legal assistance to help elders and people with disabilities obtain Medicare and necessary health care

MAPRx's 2014 Medicare Prescription Drug Annual Open Enrollment Question and Answers sheet provides answers to some important questions that can help individuals during the Annual Open Enrollment.

The Kaiser Family Foundation is a leader in health policy and communications; it is a non-profit, private operating foundation focusing on the major health care issues facing the U.S., as well as the U.S. role in global health policy.  It serves as a non-partisan source of facts, information, and analysis for policymakers, the media, the health care community, and the public.

The Medicare Rights Center is a national, nonprofit consumer service organization that works to ensure access to affordable health care for older adults and people with disabilities through counseling and advocacy, educational programs and public policy initiatives.


Social Security Information

Social Security Administration runs disability programs including The Social Security and Supplemental Security Income disability programs.

Qualify and Apply for disability benefits through the Social Security Administration.

Medicare beneficiaries can now qualify for Extra Help with their Medicare prescription drug plan. The Extra Help is estimated to be worth about $4,000 per year.

Social Security Administration's Compassionate Allowances are a way of quickly identifying diseases and other medical conditions that invariably qualify under the Listing of Impairments based on minimal objective medical information.

Social Security Disability Help provides information and assistance to individuals who are interested in filing a disability claim for Social Security Disability Insurance or Supplemental Security Income benefits.

 
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