How does a caregiver manage my Medicare healthcare?

As a caregiver managing someone’s Medicare healthcare, you’ll need proper authorization to act on their behalf. Start by becoming an authorized representative through Medicare by completing form CMS-1696, which allows you to discuss their Medicare coverage and help with claims. For broader authority, obtain a durable power of attorney that specifically includes healthcare decisions.

With proper authorization, you can help select Medicare plans during enrollment periods, review coverage options, and ensure prescriptions are covered. You can communicate directly with Medicare by calling 1-800-MEDICARE on their behalf, file claims, and handle appeals if services are denied. To access their Medicare.gov account, they’ll need to designate you as their authorized representative through their online account settings.

Key caregiver tasks include organizing their Medicare cards and documents, tracking medical appointments and services, monitoring explanation of benefits statements for accuracy, and ensuring premiums are paid on time to avoid coverage gaps.

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