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Medicare in Cincinnati

Medicare is for seniors age 65 and over or those with certain disabilities. You can find several resources in Cincinnati to help you learn more about Medicare, enroll in the federal program, report a lost card, or choose plans.

A Brief Summary of Medicare

Medicare is made up of four distinct parts – A, B, C, and D.

Part A is the hospital insurance, that is free to seniors that have worked and paid into the Social Security tax for at least 40 quarters (10 years). This part covers hospitalization, skilled nursing, home health, and hospice care. If you did not pay into the Social Security tax or do not meet the criteria for workers, you will be required to pay a monthly premium.

Part B is the medical insurance, that covers doctor appointments, annual check-ups and preventative care, x-rays and lab tests, ambulance services, and durable medical equipment. Medicare charges a monthly premium for Part B.

Part C allows private insurances to provide services to you through the Medicare Advantage Plans. These include your usage of HMOs and PPOs.

Part D is the outpatient prescription drug coverage. It is available through third party insurance companies, that set the monthly premium as well as the low copays charged at the pharmacy counter or through a mail order service.

Cincinnati Medicare Fast Facts

There were 2.05 million Medicare beneficiaries in Ohio as of 2014.

There were 140,120 Medicare beneficiaries in Hamilton County in 2014.

In 2014, the total Medicare costs in Hamilton County was $826 million.

The average beneficiary age in the county is 71.

Inpatient care accounts for 38 percent of Medicare spending in Hamilton County.

Skilled nursing care accounts for 10 percent of Medicare spending in the county.

Home health care accounts for 6 percent of Medicare spending in Hamilton County.

Cincinnati Medicare Office Location and Services

If you qualify for Social Security benefits, you may be eligible for Medicare. The local Social Security Administration (SSA) office can help you enroll for Medicare, report a lost or stolen card, and make changes to your Medicare Parts A and B.

The Cincinnati Social Security Office 550 Main Street, Room 2000 Cincinnati, Ohio 45202 Toll-free phone number 1-800-772-1213 Office Hours are Monday through Friday, 9AM to 4PM (with the exception of Wednesdays 9AM to 12PM)

The Ohio Senior Health Insurance Information Program (OSHIIP) can help you enroll, make changes, or help you choose a Part D plan. Ohio Senior Health Insurance Information Program (OSHIIP) Ohio Department of Insurance 50 W. Town Street, Third Floor - Suite 300 Columbus, OH 43215 Toll-free phone number 1-800-686-1578

You can contact Medicare’s helpline at 1-800-MEDICARE for general information or create an account on Medicare.gov.

Finding Cincinnati Medicare Providers

To help Ohio seniors locate physicians and other health care professionals approved by Medicare, the federal insurance created the Physician Compare search tool. The tool shows the names and locations of 11 geriatric health care professionals and 87 family practice physicians in Cincinnati. You can also expand to search all of Hamilton County.

Learn more about Financial Assistance for Cincinnati Seniors here:

Medicaid in Cincinnati

Cincinnati Veterans Benefits

Social Security for Cincinnati Seniors

Top Cincinnati Senior Discounts

Cincinnati Family Caregiver Benefits

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