Medicare is something that most seniors have heard about and many more are receiving benefits. Most of the almost 230,000 people in Philadelphia County that get benefits are seniors. If you’re just starting to look into the process of Medicare benefits or you have a loved one who needs to apply, there are plenty of resources to use in the Philadelphia area. You can find approved doctors and facilities, learn about your coverage, and even search for Medicare-approved health care options.
If this is your first time learning about Medicare, here is a basic summary of what it is and what it covers. Medicare is a federal health care plan that is for seniors 65 and older as well as some younger people who have disabilities. It comes in four different parts that you can choose from:
Part A is for hospital visits and stays, stays in skilled nursing facilities, and hospice care as well as some home health care options.
Part B is for medical coverage like doctor visits, outpatient services, preventative care, and could cover some needed medical supplies.
Part C is what’s called Medicare Advantage Plans. This is a customizable plan that partners with private companies to cover Part A and B while offering their own prescription coverage. You can pick different services that you need to be part of this plan like HMO or PPO.
Part D is for prescription coverage. You can add this onto original Medicare plans but not Medicare Advantage Plans.
The average age of beneficiaries in Philadelphia County is 68.
$1.55 billion is spent on Medicare costs in the county and $12,852 is spent on each beneficiary.
Inpatient costs amount to about 46% of Medicare spending with outpatient care coming in second at 11%.
Philadelphia County spends about $2,868 per user on ambulances which are 132% higher than the national average.
30.8% of beneficiaries have Type 2 diabetes and 19.4% have chronic kidney disease.
Philadelphia is actually the regional hub for both Medicare and Social Security in the area. The region 3 office serves Delaware, D.C., Maryland, Virginia, and West Virginia. They can also handle Medicaid questions and State Children’s Health Insurance Program.
Suite 216, The Public Ledger Building 150 S. Independence Mall West Philadelphia, PA 19106 (215) 861-4140
You can also get Medicare assistance at any local Social Security office:
2 Penn CTR STE 2000A 1500 JFK Blvd., 20th floor Philadelphia, PA 19102 (800) 772-1213
Medicare.gov is also a good place to get information on Medicare as well as find answers to your questions.
To make it easier to find places that accept your Medicare benefits, you can use the Physician Compare tool. This search engine will allow you to find doctors and facilities in your area based on your health needs or ailments. If you wanted to find geriatric services in Philadelphia you could find 70 health care professionals within 15 miles. This tool also allows you to refine your search to specific conditions, ailments, doctors, or group practices.
You can also get more information on each doctor by clicking on their name. This will let you know where they have privileges, what Medicare they accept, their education, and where you can find them. There is also a search engine for numerous other health care services approved by Medicare. You can use it to find a health and drug plan, home health care, and hospitals.
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