The majority of the people currently using Medicare in Houston are seniors and sometimes it can be a slightly confusing process. There are different rules and requirements and if you or a family member needs a little extra help with anything regarding Medicare there are resources that you can use. In this guide, you can learn what Medicare covers, how to find doctors, and search nursing homes and facilities that are approved by Medicare.
If you’re 65 and older then you have probably at least heard about Medicare if not enrolled for benefits. Medicare is also for some younger people with disabilities and those that are dealing with end-stage renal disease. Medicare comes in four different parts and based on your needs you might only need a few or all parts.
Part A takes care of hospital coverage. This includes things like hospital visits as well as stays in skilled nursing facilities, hospice care, and even some home health care options.
Part B takes care of medical insurance. This includes things like doctor visits, medical supplies, outpatient care, and certain preventative services.
Part C is Medicare Advantage Plans. This is a Medicare plan that is offered by a private company and will cover Part A and B and can include services like HMO’s and Special Needs Plans if you choose to get those. It will also include its own prescription coverage.
Part D is an optional prescription drug coverage.
In Harris County in 2014, $3.15 billion was spent on Medicare Costs.
The average age of Medicare beneficiaries in Houston is 71 and there is a total of 439,023 beneficiaries.
Harris County had a hospital readmission rate of 19.32% which is about 2.5% higher than the national average readmission rate.
More females (54.9%) receive Medicare coverage than males (45.1%).
Coronary heart disease is the condition with the most Medicare coverage in Harris County.
If you want to talk with someone about Medicare in Houston, you can go to any one of the Social Security Administration offices in the area. They can handle all Medicare questions and help you apply for benefits and any other Medicare issues you might have.
U.S. Social Security Administration 8989 Lakes at 610 Dr. Houston, TX 77054 (800) 772-1213
There is also a regional office in Dallas if you wanted to call and get help from them:
Dallas Region 6 Office 1301 Young St. Room 714 Dallas, TX 75202 (214) 767-6423
Finally, you can also call 1-800-MEDICARE (633-4227) to answer questions about your personal account and information.
In order to find physicians and care in your area that accept Medicare, you can use Medicare’s Physician Compare tool . It allows you to search for specific types of doctors or health care in Houston, or anywhere else. A quick search of geriatric physicians in Houston that accept Medicare came back with over 200 professionals. You can further refine your search to fit your needs.
This tool also lets you click on each doctor and find out where they are located, what kind of Medicare they accept and what hospitals they work at. You can also compare group practices to see which fits your needs better and soon you can also compare individual doctors.
There are also search tools for hospitals, dialysis centers, nursing homes, health and drug plans, and more at Medicare.gov. You can compare each care option so you can find the one that will work best for you and your coverage.
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