Medicare

Portrait

My office helps lots of constituents who have questions about Medicare. Most often, these questions involve benefits you are eligible for, how and where to file your Medicare claim forms and explanation of your benefit forms. We also receive many questions about nursing homes, prescriptions and Medicare supplement insurance. If you are unable to get your problem resolved through Medicare, my office may be able to help you.

Please contact our office for immediate assistance.

Summit and Medina Counties: (330) 865-8450
Lorain and Cuyahoga Counties: (440) 245-5350

Ask for the Medicare constituent services representative. Or, follow the casework process outlined on the previous page if you want to send your request by mail. Please download this Request for Assistance form to proceed.


Medicare Links Online:


Questions Asked the Most About Medicare:

How do I obtain a replacement Medicare card?

  • You may contact your local Social Security Administration office or call the National Hotline at 1-800-772-1213.

How do I appeal a claims decision that I am not satisfied with?

  • After a decision has been rendered, you will receive a Medicare Summary notice explaining whether your claim was approved or denied. If your claim has been denied, all appeal rights will be explained within the notice. Simply follow the directions contained within the notice.

How do I report an instance of fraud?

  • If you believe Medicare has been billed for services you did not receive or Medicare has been over billed always contact your provider first to make sure a mistake has not been made. After you contact your provider, if you still believe fraud exists, contact Medicare's fraud hotline at 1-800-447-8477 or contact my office.
How do I determine if a particular nursing home is appropriate for my loved one?
  • Medicare and the Centers for Medicare and Medicaid Services (CMS) provides a service called Nursing Home Compare. Nursing homes are rated by Medicare and CMS by the quality of care they provide. Medicare offers online information about nursing homes at its website, as well as numerous publications. If you do not have internet access, contact Medicare at 1-800-MEDICARE to obtain additional information.

Does Medicare pay for prescription drugs?

  • Medicare currently does not cover prescription drugs. However, Medicare does maintain information on drug manufacturers' discount programs on its website. These programs allow you to potentially obtain your prescriptions at a reduced rate or even free of charge. Click here to obtain additional Medicare information or contact my office to request information on these programs.

How do I know what Medigap plan is right for me?

  • Medicare maintains information on Medigap (Medicare supplement insurance plans) plans available in each state. Medicare's assessment compares each plan's coverage to its competition. Check online at Medicare to learn more about plans in Ohio or call Medicare at 1-800-633-4227.