With millions of Pennsylvania seniors relying on Medicare for hospital, outpatient, and prescription coverage, Pittsburgh offers a number of resources online and off to help you enroll in the program and answer your questions.
Medicare consists of four parts: A, B, C, and D. Part A covers your medically necessary hospitalization, skilled nursing care, home health care, and hospice care. A monthly premium is charged unless you worked at least 40 calendar quarters (10 years) and paid into the Social Security tax.
Part B covers your medical insurance so you can seek preventative care, attend physician appointments, use durable medical equipment, and receive services like x-rays and laboratory testing. Part B does require a monthly premium.
Part C allows private third-party insurances to provide you with care and services, including HMOs and PPOs. These are referred to as Medicare Advantage Plans.
Part D is an outpatient prescription drug coverage that charges a monthly premium. The prescriptions are charged a small copay at the pharmacy counter and vary according to the company and plan.
In 2014, there were 2.4 million Medicare beneficiaries in Pennsylvania.
The total Medicare spending for the state was $13.2 billion in 2014.
There were 233,723 Medicare beneficiaries in Allegheny County in 2014.
The total Medicare spending for the county was $787million.
The average age for a Medicare beneficiary in Allegheny County is 72.
41 percent of the total Medicare spending for the county goes towards inpatient care.
9 percent of Medicare spending is used for skilled nursing care in the county.
6 percent of Medicare spending is used for home health care in Allegheny County.
If you qualify for Social Security benefits, you may be eligible for Medicare. The fastest way to enroll into the program is through Medicare’s toll-free number: 1-800-MEDICARE. If you prefer to enroll in person or discuss the health plans with a representative, you can visit your local Social Security Administration (SSA) office. The SSA will allow you to make changes to your Medicare Parts A and B as well as report a lost or damaged card. The local SSA office is open Monday through Friday from 9AM until 4PM. They close at noon on Wednesdays.
Pittsburgh Social Security Office 921 Penn Avenue Pittsburgh, PA 15222
Toll-free phone number 1-800-772-1213
There are only 10 regional Medicare offices in the country. The closest regional office to Pittsburgh is in Philadelphia. Medicare’s toll-free phone number can give you more information if you would like to visit the regional office.
You can locate Medicare approved physician and other health care professionals by visiting Medicare’s Physician Compare search engine tool. This resource allows you to search within your local area as well as outside Allegheny County. The feature also denotes whether a physician has a Medicare assignment or can possibly accept Medicare. According to the tool, there are 37 physicians specializing in geriatric care in Pittsburgh and 226 family practice health care professionals.
Find assisted living in Pittsburgh near you.