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At least one in five older Americans has a mental health condition.
Beneficiaries in Traditional Medicare and enrollees in Medicare Advantage plans can protect their right to receive services and payment of claims through the grievance and appeals process.
Medicare pays for hospital inpatient services using a prospective payment system (PPS).
Medicare covers medical services under Part B, such as those provided by physicians and other clinicians (i.e., nurse practitioners and physician assistants).
Beneficiaries or their providers may ask a Medicare administrative contractor about the coverage and cost of certain services and items.
Beneficiaries enrolled in Traditional fee-for-service Medicare are exposed to significant out-of-pocket expenses.
Medicare hospital outpatient services are paid under Part B. Thus, they are subject to 20 percent coinsurance, as are most other Part B services.
There are two main types of prevention. In primary prevention, the goal is to promote good health. In secondary prevention, the goal is to detect disease at early stages when it is most treatable.
Traditional fee-for-service Medicare uses several payment systems to pay providers for services in the traditional program: prospective, episode-based, and fee-schedule payment systems.
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Under Part B, Medicare covers many medically necessary assistive technologies that improve health and functioning.