Medicare and Medicaid are insurance options for the elderly and the disabled. South Carolina has implemented the State Health Insurance Assistance Program (SHIP) to help those applying for Medicare and Medicaid to make the correct choices regarding their insurance. SHIP is a free health benefits counseling service for Medicare beneficiaries and their families or caregivers. SHIP is funded by federal agencies and not associated with any insurance agency. For more information about the SHIP program, contact us.
Other Areas of Interest
Medicare Part D PDP - Compare Medicare Prescription Drug Plans
Medicare Supplemental/Medigap Plans:
Download and complete the SHIP Medicare Worksheet if you need our staff to prepare a plan comparison report for you.
Once completed, please MAIL this form to:
Appalachian Area Agency on Aging
Yes. Both the Medicare and Social Security websites have a vast amount of information addressing this particular question. Check out www.Medicare.gov or www.SSA.gov. You may also obtain a copy of Medicare and You 2012 from Medicare or our office or call Medicare directly at 1-800-633-4227. If you prefer, contact our SHIP counselor who will be able to give you the timelines on when you need to enroll and various options available to you for insurance plans that include: Prescription Drugs, Supplemets and Medigap Plans.
You may refer to the Medicare website www.Medicare.gov, the Medicare and You 2012 booklet (which is also available for view on the site) that will list the Advantage and Part D plans available in your State or contact Medicare directly at 1-800-633-4227. If you prefer, our SHIP counselor, with your help and information, can give you the options for assistance programs and plans that you are eligible for in your area. They will answer any questions you might have.
If your benefits associate at your former place of employment cannot assist you, the SHIP counselor may advocate and assist as a third party to interpret the information. There are specific Federal Guidelines for COBRA which the SHIP counselor can provide information.
Our SHIP counselor can assist in reviewing your current plan. S/he will check to see if you qualify for changing to a plan that will cover it or look into a prescription assistance program.
You may wish to review plans in your zip code utilizing the Compare Medicare Prescription Drug Programs or Compare Health Plans under the search tools on www.Medicare.gov. We can also do a complete review of your plan and give you the options available through Medicare for your situation. You can then decide on what whether to keep it or not.
There could be depending on your location, the medication needed and other personal information that the SHIP counselor can go over with you to determine what you qualify for.
Medicare can be contacted directly at 1-800-633-4227 or the billing department at the facility where you were treated for further explanation. If that is not successful, you may contact our SHIP counselor. Until the counselor can go over them, s/he cannot say for sure. The counselor will get a copy of the EOB or bill, if there is one, and review it for clarification so s/he can better advise you.
The SMP program empowers seniors through increased awareness and understanding of healthcare programs. This knowledge helps seniors to protect themselves from the economic and health-related consequences of Medicare and Medicaid fraud, error and abuse. SMP projects also work to resolve beneficiary complaints of potential fraud in partnership with state and national fraud control/consumer protection entities, including Medicare contractors, state Medicaid fraud control units, state attorneys general, the Office of Inspector General and CMS (Center for Medicare and Medicaid Services). For more information you may access www.aoa.gov which is the Administration on Aging website.
You may contact the Medicare/Medicaid Fraud Hotline at 1-800-447-8477 and they will assist you in evaluating your situation. Your local SHIP counselor may also assist you in investigating this bill and if it is thought to be a fraud case, they can assist you in taking the appropriate action through the Senior Medicare Patrol.
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