Senior Medicare Patrol

Our Purpose

In 2010, we partnered with the Utah Department of Aging Senior Medicare Patrol (SMP) program in Salt Lake City. Our purpose is to focus on prevention, with a mission of empowering Medicare beneficiaries, their families, and caregivers to prevent, detect, and report health care fraud and identity theft, errors, and abuse through outreach and education.  We are uniquely positioned to give and be the contact source of educating and training on Medicare scams, fraud and discuss/answer the 10-Most Common Medicare Questions an individual/client may have. 

The SMP is a national program for people with Medicare of all ages. SMP is administered by the Administration for Community Living. To learn more, volunteer or to locate your local Senior Medicare Patrol please call 1-877-808-2468 or visit https://www.smpresource.org.

Do you think you are a victim of Medicare fraud or abuse?

 If you need help contacting your local SMP, fill out the form here: https://smpresource.news/Contact

With the Northern Utah Coalition, Inc. (NUC) and the Utah Senior Medicare Patrol (SMP) collaboration for over 14 years, we offer a one hour or less FREE Protecting Medicare and You from Identity Theft and discuss Medicare's 10-Most Common Questions presentation to your business or organization. For more information or to schedule a presentation, call Monday-Thursday, 9:00 am-5:00 pm at (801) 393.4153.

Guys, when is the last time you went to the doctor? It's Men's Health Month, June 2024 and the perfect time to get those annual checkups. Don't forget to take your My Health Care Tracker to take notes! #SeniorMedicarePatrol #MensHealthWeek 

Reference: www.smpresource.org

Thank you so much for participating in Medicare Fraud Prevention Week, June 3-7, 2024! #MFPW


Be sure to like and follow the SMP National Resource Center and your local SMP pages on Facebook to stay up to date on the latest Medicare scams.

What is one thing you learned during #MedicareFraudPrevention Week? Let us know in the comments.  

Reference: www.smpresource.org

Reference: www.smpresource.org

It’s no secret that Medicare can be confusing. Your healthcare needs can also change over time, and you may wonder, "Who can help me choose the right Medicare plan?" A government-funded program, the State Health Insurance Assistance Program (SHIP) is a free counseling service for all your Medicare questions. SHIP provides you with access to one-on-one, unbiased advice from a highly-trained volunteer well-versed in Medicare.

SHIPs are available to you in all 50 states, Puerto Rico, Guam, DC, and the US Virgin Islands. Depending on your area, they may be known by a different name. Visit the SHIP website www.shiphelp.org to find one near you, or call 877-839-2675.


Reminder:  Spring Clean Your Medicine Cabinet

Help protect your medical identity and fight the opioid crisis by safely disposing of medication. Find a drop location near you at: https://takebackday.dea.gov/#top.

#DEATakeBack

Reference: www.smpresource.org

Question... Did you know you can sign up for Medicare's newsletter?

Sign up for emails from #Medicare to get updates and important reminders sent right to your inbox. Visit www.Medicare.gov and scroll down to “Get important new & updates” to sign up. 

Learn how the Administration for Community Living is putting inclusion into action for people with intellectual and developmental disabilities. https://bit.ly/3PA8oWB #DDawareness2024

Reference: www.smprsource.org

The cost of your medications may change throughout the year, depending on which coverage phase you’re in. You’ll learn about it in this blog—from the deductible phase to the donut hole, as well as some new changes to look out for this year!

Read the blog post: www.shiphelp.org/about-medicare/blog/part-d-coverage-phases

#partD #MedicareHelp #MedicareCoverage

What’s New in 2024?   

Reference: What’s New in 2024? :: State Health Insurance Assistance Programs (shiphelp.org) 

December 21, 2023  |  Shea Corti

Your Medicare coverage and costs can change each year, so it’s important to understand and review your benefits. Here’s an overview of what’s new in 2024.

Let’s start with Part A costs in 2024:

Part A Premium

Free if you’ve worked 10 years or more

$278 per month if you’ve worked 7.5 to 10 years

$505 per month if you’ve worked fewer than 7.5 years

Part A hospital deductible

$1,632 each benefit period

Part A Hospital Coinsurance

$0 for the first 60 days of inpatient care each benefit period

$408 per day for days 61-90 each benefit period

$816 per lifetime reserve day after day 90 in a benefit period

(You have 60 lifetime reserve days that can only be used once. They’re not renewable.)

Skilled nursing facility insurance

$0 for the first 20 days of inpatient care each benefit period

$204 per day for days 21-100 each benefit period

Medicare Part A covers inpatient hospital services, skilled nursing facility services, home health care, and hospice. Most people don’t owe a premium for Part A, but if neither you nor your spouse have 10 years of Social Security work credits, you may owe a monthly premium. If you’re admitted to the hospital as an inpatient, you’ll owe a deductible of $1,632 at the beginning of your stay. If you have multiple hospitalizations, you may owe the deductible more than once. After you meet your deductible, your first 60 days in the hospital and your first 20 days in a skilled nursing facility cost $0 per day. After that, you owe an out-of-pocket cost each day for your continued stay.

And now Part B costs in 2024:

Part B premium (For individuals with incomes below $103,000 or couples with incomes below $206,000

$174.70 is the standard premium

Part B deductible

$240 per year

Part B coinsurance

20% for most services Part B covers

Medicare Part B covers outpatient costs, such as doctor visits and lab tests. In 2024, the standard Part B premium is $174.70. If your income is above $103,000 as a single person or $206,000 as a married couple, you may pay a higher premium. Keep in mind that if you have a Medicare Advantage Plan, you may also pay an additional monthly premium for being enrolled in that plan. If you have Original Medicare, you‘ll owe a Part B deductible of $240 in 2024. You’ll continue to owe a 20% coinsurance for most services covered by Part B.

Your prescription drug coverage costs will depend on your specific plan, but there are some numbers that are helpful for everyone to know in 2024:

National average premium for basic Part D benefit

Around $30 per month

Part D maximum deductible

$545 per year

Coverage gap begins

$5,030

Catastrophic coverage begins

$8,000

Medicare Part D covers outpatient prescription drugs. In 2024, the national average premium for the Part D basic benefit is around $30 per month. Your premium and drug costs vary based on your plan and your prescription drug needs. If your Part D plan has an annual deductible, it can be no higher than $545 in 2024. If you reach the catastrophic coverage phase in 2024, you then won’t owe any of the cost of your covered drugs. This is a new change and basically means that your Part D out-of-pocket spending will be capped at $8,000. This cap will be further lowered to $2,000 in 2025.

If your income is limited, you may qualify for help with your Medicare costs. Contact your State Health Insurance Assistance Program, or SHIP, to see if you’re eligible. Use our online SHIP Locator or call 877-839-2675 (and say “Medicare” when prompted) to find your local SHIP.

Remember that you have opportunities to change your coverage in 2024.

Many people must wait until Medicare’s Open Enrollment Period to change their coverage if they aren’t happy with it. You may have the opportunity to change your coverage earlier in 2024, though, depending on your circumstances. 

Still have questions? 

Your SHIP is here for you! You can contact your SHIP for any Medicare-related questions or concerns you have. SHIP counselors are government funded to provide trusted, unbiased Medicare counseling at no cost to you. (Depending on your state, your SHIP may go by another name.) Use our online SHIP Locator or call 877-839-2675 (and say “Medicare” when prompted) to find your local SHIP.


FYI... www.SMPResource.org

If you have Original Medicare, your health care costs depend, in part, on the type of provider you see. There are three types of providers, and each has a different relationship with Medicare. To pay the least for your care, see a participating provider when possible.

If you have Original Medicare, call 1-800-MEDICARE or visit www.Medicare.gov for help finding participating providers near you. For questions about your Medicare, call a SHIP near you (1-877-839-2675) or visit www.shiphelp.org. 


If you’re eligible for Medicare because you turned 65, you may be wondering when to sign up. If you’re over 65 & have employer coverage, in most cases, you don't need to do anything until you (or your spouse) retire or you lose employer coverage. https://go.medicare.gov/47XSfRC 


Turning 65 Soon? Congratulations!!!

Medicare: Where Do You Start?

WELCOME TO MEDICARE ARCHIVED TRAINING

Reference https://www.shiphelp.org/about-medicare/news or https://www.smpresource.org/

Watch short recordings on what you need to know when you are new to Medicare. In June 2021, expert trainers from the State Health Insurance Assistance Program (SHIP) national network present on Medicare eligibility, enrollment, costs, and coverage options. National experts from Social Security, Medicare, the Senior Medicare Patrol, and the National Council on Aging also presented on the federal government's role in Medicare, avoiding Medicare fraud, and Medicare cost assistance programs. Information from this event that is still relevant has been retained on our YouTube channel. Questions? Contact us at info@shiphelp.org.

ENROLLING IN MEDICARE THROUGH SOCIAL SECURITY

This fact sheet helps you understand how to enroll in Medicare through the Social Security Administration and how your State Health Insurance Assistance Program (SHIP) can help.

Is it time for your annual wellness visit? Medicare covers one a year. Here is what you can expect at one! Don't forget to take your My Health Care Tracker from the SMP to record what was talked about and what happens at the appointment to reference later. 

Every state including Guam, Puerto Rico, the U.S. Virgin Islands, and D.C. have a Senior Medicare Program (SMP). The state locator has so much information about the SMP like their website, toll-free, and links to their social media. Find your state: https://smpresource.org/locator/.

Social Security Online Access

Did you know you can manage your Social Security online by creating a my Social Security account? 

Reference:  www.smpresource.org

My Social Security is a secure account that puts you in control with access to your information from any device. Encourage a family member to create their personal my Social Security account today: http://ow.ly/AQVz50L1iTX.

SMP Consumer Fraud Alert

Medicare coverage for home health does not include round-the-clock nursing care or some services considered custodial in nature. Home health aides can, however, provide some personal care services, including help with bathing, dressing, hygiene, and feeding, as long as the patient also needs intermittent skilled nursing or therapy.

These personal care services are not automatically covered just because you receive home health care services. A doctor must certify your need for them. Talk to your doctor about what services are necessary and right for you.

For questions about home health care scams, contact your #SeniorMedicarePatrol.

Learn more here: https://smpresource.org/.../fraud.../home-health-care-fraud/.

FYI... www.smpresource.org

One thing you can do to be a fraud fighter is to spread the word about scams! Sharing posts, talking to friends and family, and sharing information with your community about scams can help prevent people from falling victim to them. 

The best defense against #scams is you. A Federal Trade Commission report said that people who avoided scams:

Didn’t engage with the scam offer,

Learned about the scam and scammer's tactics, and

Talked to someone about the scam.

Read more: https://smpresource.news/consumer-ftc-scam-defense.

#learn #sharewithsomeone #avoidscams #dontengage #FTC #avoidscams #SMP #SeniorMedicarePatrol #Medicare #OlderAdults #Aging #MedicareFraud #MedicareScams #PreventDetectReport

There are many types of pharmacy and prescription drug schemes. A few examples are listed here. Check Medicare statements for errors, ensuring medications match prescriptions. Contact Senior Medicare Patrol (SMP) if issues are detected for assistance and reporting potential fraud. To learn more visit www.smpresource.org SMP National Resource Center #MedicareFraud 

We are receiving alarming reports that criminals are impersonating SSA OIG agents and are requesting that their targets meet them in person to hand off cash.

SSA OIG agents will never pick up money at your door or in any type of exchange. This is a SCAM!

NEVER exchange money or funds of any kind with any individual stating they are an SSA OIG agent.

Read more: https://ow.ly/1lhh50R4vkn

Scam artists call pretending to be from Medicare, doctors' offices, or government agencies. If anyone calls and asks you to verify your personal information over the phone, don't do it. Either hang up right away or ask who is calling again.

If you know where they claim to be calling from, hang up and call that place to confirm they weren't the one calling you. If you did give out your Medicare number, contact the Senior Medicare Patrol. If you gave out your Social Security number, contact Social Security.

If you get a call asking if you just changed your Medicare number, hang up. This is a scam attempt to get you to share your Medicare number over the phone. No one will ever call you to let you know your number changed or needs to be confirmed. 

FYI... www.smpresource.org

Paper or plastic? Not when it comes to your Medicare card. Offers of a plastic Medicare card are scams. Don't accept these, no matter how good the offers sound. Medicare only offers and approves of using a paper card. If you have given out your information to receive a plastic Medicare card, contact the #SeniorMedicarePatrol. 

FYI... www.smpresource.org

Lost your Medicare card? The first step is to contact Medicare.


Call 1-800-MEDICARE (1-800-633-4227) or log in to your Medicare.gov account.

If you think someone may have taken your card and is using your Medicare number, contact your #SeniorMedicarePatrol. 

Here are 3 tips to prevent #Medicare fraud! Share this information with your friends and family so they can stay alert! #SeniorMedicarePatrol 

Here are 4 signs that the call, email, or text you got is a scam. Be sure to share this with your friends and family to help prevent scams! #SeniorMedicarePatrol 

Have you ever wondered what the difference is between fraud, errors, or abuse? This scale of intent can help show the difference. #MedicareFraud #SeniorMedicarePatrol #PreventDetectReport 

Have you heard the term DME before? DME stands for durable medical equipment: things like back braces and wheelchairs. DME scams are a huge cost to Medicare.

Share this video with your friends and family to help protect them against DME scams!

To report suspected Medicare fraud, error, or abuse, contact your Senior Medicare Patrol at 1-877-808-2468 or visit www.smpresource.org.

Are you looking for a way to give back? Volunteer with your local #SeniorMedicarePatrol! Learn more about the benefits here: https://smpresource.org/you-can-help/become-a-volunteer/. #IVD2023 

NEWS: 

Recent proposals in Congress would drastically impact Medicare beneficiaries by linking U.S. health care costs to foreign countries and encouraging government price controls. We ask Sen. Mike Lee, Sen. Mitt Romney, Rep. Rob Bishop, Rep. Chris Stewart, Rep. John Curtis and Rep. Ben McAdams to actively oppose any policies that would be harmful to Utah’s nearly 390,000 Medicare beneficiaries. Utah's representatives should support patient-centered reforms that cap out-of-pocket drug spending in Medicare Part D and ensure pharmaceutical discounts negotiated by insurance companies are shared with patients at the pharmacy counter.


SMP Monthly Newsletters

June 2024

May 2024

April 2024

February 2024

January 2024