Medicare

Many local laws and courts have been affected by COVID-19. Please use the search for legal help tool to find a legal aid organization or self help center near you for accurate information and more support.

Most Frequently Viewed Resources

Read about where to file your lawsuit or case. Information on jurisdiction and venue.

If you cannot afford the filing fee or other court costs, you may qualify to have these fees and costs waived by the court.

The Constitution; Executive and Administrative Laws; County, Appellate, Supreme Court, and Federal Districts; State Legislation; and Legal Guides.

8 things to know about Medigap policies.

No matter how you get your Medicare, you have certain rights and protections designed to protect you when you get health care, make sure you get the health care services that the law says you can get, protect you against unethical practices, and protect your privacy.

There are resources available to you to make sure your rights are protected: The Medicare Beneficiary Ombudsman; The Competitive Acquisition Ombudsman (CAO); Your State Health Insurance Assistance Program (SHIP); The Beneficiary and Family Centered Care Quality Improvement Organization (BFCC-QIO)

You have rights when receiving medical care.

You have the right to appeal in order to get your care.

Your employer coverage, delaying Part B & D, and more.

In 2006, Medicare began providing prescription drug coverage called Medicare Part D. Medicare also provides extra help with the cost of prescription drugs for those who qualify. This is known as the Low-Income Subsidy (LIS) program.

This is an audio broadcast prepared by California Health Advocates entitled "Medicare Appeals." In this broadcast, we will briefly go over important appeal rights if Medicare, your Medicare Advantage plan, or your Part D prescription drug plan denies payment for, or coverage of, services.

Find out how you can file a healthcare complaint with HHS online and offline in English, Mandarin, Spanish, Russian, Korean, Vietnamese, Tagalog, and Polish.

Choose from 2 ways to get prescription drug coverage. You can choose a Medicare Part D plan. Or, you can choose a Medicare Advantage Plan (like an HMO or PPO) that offers drug coverage.

Call the Health Insurance Counseling and Advocacy Program.

AARP has created two easy-to-use Medicare Summary Notice "decoders": one for Part B, the other for Part A.

Private supplemental insurance for Medicare"s coinsurance and deductibles. Your rights to buy a Medigap policy and how premiums are priced.

Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services.

Your rights and options to care.

Information on getting help to pay for costs, Part A costs, Part B costs, and more.

Resources and income, Late Enrollment Penalty, If you"re an American Indian or Alaska Native, If you"re a family member, caregiver, or otherthird party, How can I get more information? Appealing the decision.

If you pass certain requirements, you can apply for help.

How often is it covered? Your costs in Original Medicare

How do Medicare Advantage Plans work? When can I join, switch, or drop a Medicare Advantage Plan? What if my plan decides to stop participating in Medicare? What if I have End-Stage Renal Disease (ESRD)?

What to do and where to go with your concerns.

Balance billing is when your providers takes your Medi-Cal or Medicare insurance but wants to charge you for the remaining expenses.

Livanta is a Beneficiary and Family Centered Care Quality Improvement Organization (BFCC-QIO). BFCC-QIOs are responsible for medical case review, which supports the rights of people on Medicare.

This section will give you general guidelines for how to best prepare yourself for court.

Whatever the reason, you have the right to represent yourself, to be your own lawyer in all cases in California.

Alphabetical Listing of Resources

How to spot a scam or fraud and report them.

How often is it covered? Who's eligible? Your costs in Original Medicare.

What happens depending on your type of plan.

Find out how Medicare works for people who have a disability.

Costs & Benefits of Medicare Advantage Plans; Enrollment & Disenrollment in Medicare Advantage Plans; Choosing a Medicare Advantage Plan; When Medicare Advantage Plans Terminate Coverage; When You Have Guaranteed-Issue Rights to Switch from a Medicare Advantage Plan to a Medigap Policy

People who qualify for both Medicare and full Medi-Cal are known as "dual eligibles" or "Medi-Medis."

Questions to ask at a medical appointment. Legal issues affecting caregivers.

Seniors: Protect yourself from fraud and financial abuse! Be vigilant, be observant. Physical or financial abuse will continue so long as no one knows about it. Listed below are our Top 10 Safety Tips to always keep in mind.