Manage your chronic conditions with connected care

Wayne is in his early 70s, and has diabetes and a history of high blood pressure. He was overwhelmed trying to manage both conditions at the same time. His doctor told him that Medicare includes chronic care management services to better manage his health conditions. Now, a health care professional helps Wayne keep track of his medical history, medications, and all the doctors he sees.

Like Wayne, about two-thirds of people with Medicare have 2 or more chronic conditions. In fact, about a third of people with Medicare have 4 or more chronic conditions. If you live with 2 or more chronic conditions—like arthritis, asthma, depression, diabetes, osteoporosis and high blood pressure that have lasted, or are expected to last, at least a year—Medicare may pay for a health care provider’s help to manage those conditions.

Chronic care management may include:

  • At least 20 minutes a month of chronic care management services
  • Personalized help from a dedicated health care professional, like a doctor, nurse or physician’s assistant, who will work with you to create a care plan based on your needs and goals
  • Care coordinated between your doctor, pharmacy, specialists, testing centers, hospitals, and other services
  • Phone check-ins between visits to keep you on track
  • Emergency access to a health care professional, 24 hours a day, 7 days a week
  • Expert help with setting and meeting your health goals

You may have to pay a monthly copayment for chronic care management services. If you have supplemental insurance or Medicaid, they may help pay the monthly costs.

Wayne now feels reassured knowing he can make contact with a health care professional regardless of the time of day or day of week, and has his high blood pressure and diabetes under control. Get the connected care you need—talk to your doctor or health care professional to see if you’re eligible for chronic care management, and watch our video to learn more about what’s covered. Health care professionals and community partners can learn more by visiting the Connected Care page at go.cms.gov/ccm.

Take charge, take the test for HIV

Did you know that 1 in 7 of the more than 1.1 million Americans living with Human Immunodeficiency Virus (HIV) don’t know they have it?

Getting medical care, support, and maintaining safe behaviors can help improve the health and lives of people living with HIV. Medicare can help.

Medicare covers HIV screenings for people with Medicare of any age who ask for the test, pregnant women, and people at increased risk for the infection (such as gay and bisexual men, injection drug users, or people with multiple sexual partners).

HIV is the virus that can lead to Acquired Immunodeficiency Syndrome, or AIDS. There have been many advances in treatment, but early testing and diagnosis play key roles in reducing the spread of the disease, extending life expectancy, and cutting costs of care.

Take the test. Take charge. Visit Health & Human Services’ HIV.gov website to learn more about National HIV Testing Day, June 27, and watch our video.

Planning a summer vacation? Pack your health coverage!

If you’re planning a vacation abroad this summer, you already know that there’s a lot to do before you leave. There are suitcases to pack, an itinerary to plan, and perhaps a passport to renew. We want you to have the most relaxing vacation possible, so before you go don’t forget to:

  1. Look into Medicare coverage outside the United States.
  2. Think about getting additional health care coverage.

If you have Original Medicare, your health care services and supplies are covered when you’re in the U.S. (which includes Puerto Rico, the U.S. Virgin Islands, Guam, American Samoa, and the Northern Mariana Islands).

But, if you plan to travel overseas or outside the U.S. (including to Canada or Mexico), it’s important to know that in most cases, Medicare won’t pay for health care services or supplies you get outside the U.S. (except in these rare cases).

That doesn’t mean you have to travel without coverage. There are several ways you can get health coverage outside the U.S.:

  1. If you have a Medigap policy, check your policy to see if it includes coverage outside the U.S.
  2. If you get your health care from another Medicare health plan (rather than Original Medicare), check with your plan to see if they offer coverage outside the U.S.
  3. Purchase a travel insurance policy that includes health coverage.

In all 3 cases, check with your policy or plan before traveling and make sure you understand what is covered outside the U.S. For information on other foreign travel situations (like a cruise, dialysis, or prescription drugs) you can watch this video.

Taking the time to plan out your health care coverage before you travel abroad will help you to have an enjoyable and relaxing trip. For more information on how to stay healthy abroad, visit the Centers for Disease Control’s Traveler’s Health page.

Healthy men need health screenings, too

Have you ever put off doing something and later wished you’d just gotten it over with? If you’re a man with Medicare, now’s the time to talk with your doctor about getting screened for prostate cancercolorectal cancer, or both. Screening tests can find cancer early, when treatment works best.

Don’t put off screenings if you’re worried about the cost—if you’re a man 50 or over, Medicare covers a digital rectal exam and a prostate specific antigen (PSA) test once every 12 months. Also, Medicare covers a variety of colorectal cancer screenings—like the fecal occult blood test, flexible sigmoidoscopy, or colonoscopy—and you pay nothing for most tests.

Did you know that prostate cancer is the most common cancer in men, second only to lung cancer in the number of cancer deaths? It can affect 1 in every 11 men. You’re at a higher risk for getting prostate cancer if you’re a man 50 or older, are African-American, or have a father, brother, or son who has had prostate cancer.

Colorectal cancer is also common among men—in fact, it’s the second leading cause of cancer-related deaths in the United States among cancers that affect both men and women. If everyone 50 to 75 got screened regularly, we could avoid as many as 60% of deaths from this cancer.

In most cases, colorectal cancer develops from precancerous polyps (abnormal growths) in the colon or rectum. Fortunately, screening tests can find these polyps, so you can get them removed before they turn into cancer. If you’re 50 or older, or have a personal or family history of colorectal issues, make sure you get screened regularly for colorectal cancer.

June is Men’s Health Month, a perfect time for you (and the men in your life) to take the steps to live a safer, healthier life. Watch our video on how Medicare has you covered on colorectal cancer screenings, and visit the Men’s Health Network website on Men’s Health Month for more information.

Include tobacco in your spring cleaning!

This year include tobacco in your annual spring cleaning, and haul away those cigarette butts for good! Why? Because tobacco use is the second leading cause of death worldwide, responsible for 1 in every 10 adult deaths. If you or someone you love is ready, Medicare can help you quit smoking.

Medicare Part B covers up to 8 face-to-face counseling sessions in a 12-month period when you get them from a qualified doctor or other qualified health care provider. You pay nothing for these sessions if your doctor or other health care provider accepts assignment.

Bring out the trash bags and brooms—and make May 31, World “No Tobacco” Day, your day for a clean start.

Visit the Centers for Disease Control and the National Cancer Institute to learn more about how you can quit smoking. You can also watch our video to learn more about how Medicare can help you kick the smoking habit.

Not getting quality care? Let us know.

Did you know that if you’re unhappy with your medical care, there are ways to let us know? You have the right to get high-quality care, and if you think you haven’t, you can file a complaint. If you disagree with a coverage or payment decision made by Medicare, your Medicare health plan, or Medicare Prescription Drug Plan, you can file an appeal.

How you file a complaint depends on what or who it’s about. Each health or drug plan has its own rules for filing complaints, so check out the pages below depending on what type of complaint you have:

If you file a complaint with your plan and still need help, call 1-800-MEDICARE.

For other kinds of Medicare-related complaints, you can call your State Health Insurance Assistance Program (SHIP) for free, personalized help.

And, if you’ve contacted 1-800-MEDICARE about a Medicare complaint and still need help, ask the 1-800-MEDICARE representative to send your complaint to the Medicare Beneficiary Ombudsman. The Ombudsman staff helps make sure your complaint is resolved.

Remember, quality care is your right—if you’re not getting it, you can complain and be heard.

Stroke Awareness—Know the Signs

Linda was excited for her monthly appointment with her massage therapist Janine. Linda gets massage therapy to help ease chronic pain. Toward the end of her session, something strange began to happenLinda’s entire body went numb and she couldn’t move. When she tried to speak, she couldn’t. Janine saw Linda’s mouth drooping on her left side. After about 45 seconds, the symptoms disappeared.

While Linda seemed ok, Janine was concerned so she called 911. Janine wrote down everything she witnessed, including the time and how long her symptoms lasted so Linda could give it to the emergency room doctors. After many tests Linda learned that she’d had a stroke.

A stroke is a brain attack caused by blocked blood flow to the brain that can affect a person’s speech, movement, memory, and more. Some of the warning signs of a stroke include:

  • Weakness in the face, arm, or leg
  • Speech difficulty
  • Vision loss
  • Dizziness
  • Brief loss of consciousness

If you think you or a loved one is having a stroke, call 911 immediately and note the time when the first symptoms appeared.

Unfortunately, Linda’s experience isn’t uncommon, and her risk of having another stroke is higher than someone who hasn’t had one. Stroke is the fifth leading cause of death in the United States and is a major cause of serious disability for adults. About 795,000 people in the U.S. have a stroke each year. Anyone can have a stroke at any age. But certain things can increase your chances of having a stroke, like smoking and drinking, high blood pressure, high cholesterol, diabetes, and bad eating habits.

Up to 80% of strokes may be prevented by living a healthy lifestyle and taking advantage of these Medicare preventive services:

In most cases, you’ll pay nothing for these services.

Are you new to Medicare? No worries. You can get a “Welcome to Medicare” preventive visit where your doctor will give you information about all of the free screenings and preventive services that are available to you.

Talk to your doctor about ways you can take small steps now to improve your health. For more details about Medicare’s coverage of preventive services, get a copy of “Your Guide to Medicare’s Preventive Services.”