Basic Medicare Rules

Unsure about the fine print? Read more to understand some of the main rules pertaining to Medicare, including who qualifies for coverage, when they can enroll and the relationship between the government-administered Medicare program and the private insurance companies that sell Medigap policies. It is important to understand how these rules work. While the Social Security Administration is responsible for determining eligibility, many but not all other rules are interpreted and implemented by the Centers for Medicare and Medicaid Services, or CMS. Sometimes it can be hard to understand their policies. If you are concerned or unfamiliar with the rules laid out by CMS, use this page as a starting-point for a clearer understanding of how Medicare works.

Medicare Part B Coverage of Diabetes Services

Medicare covers most of the medical services you need if you have diabetes. Read this breakdown to get the most from your benefits.

Rehabilitation Hospital Coverage

If you qualify for care in a rehabilitation hospital covered by Medicare, your out-of-pocket expenditure will be equal to any other hospital stay.

Medicare Vision Coverage

Many seniors are unaware of the rules surrounding coverage of eye exams, glasses, and other vision-related issues. Find out what is covered and when.

Medicare Part B Rules

If you decide to enroll in Medicare Part B, it is important to understand the rules that surround this coverage. Read more to learn the basics.

Finding, Changing, and Ending Hospice Care

Learn about the basics involved in receiving hospice through Medicare, including how to join, change providers, and end your hospice care.

Medicare-Provided Hospice Benefits

If you are considering enrolling in hospice care through Medicare, it’s important to know which services are and are not covered and at what cost.

Medicare Coverage of Vaccines and Immunizations

Medicare may help cover the cost for some vaccines and immunizations. Learn more about this process and its regulations.

Video: Social Security Disability Requirements

Many Americans may be eligible for Medicare benefits due to a disability even if under the age of 65. Discover who qualifies for these benefits.

Rules for Beneficiaries with Higher Incomes

Medicare beneficiaries whose income reaches certain levels will have to pay higher premiums on Medicare Part B or prescription drug plans.

COBRA & Medicare: How do they work together?

What to do if you are eligible for Medicare but also qualify for COBRA's extension of benefits from previous employment.

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