Topic: Glossary

What is a Comprehensive Outpatient Rehabilitation Facility? A Comprehensive Outpatient Rehabilitation Facility is a facility that provides a variety of services on an outpatient basis,…

What is a Medicare Claim? A claim is a request for payment that you submit to Medicare (or other health insurance) when you get items…

What is a Medicare Benefit Period? A benefit period is a method used in Original Medicare to measure a beneficiary’s use of hospital and skilled…

What is a Beneficiary? A person who has health care insurance through the Medicare or Medicaid programs.

What is Medicare Assignment? An agreement by your doctor (or other healthcare providers) to be paid directly by Medicare, to accept the payment amount Medicare…

What is a Medicare Appeal? An appeal is an action you can take if you disagree with a coverage or payment decision made by Medicare,…

What is an Advance Coverage Decision? An Advance Coverage Decision is a notice from a Medicare Advantage Plan letting you know whether it will cover…

MedicareWire is a Medicare insurance consulting agency. We founded MedicareWire in 2012 after seeing and hearing how confusing and frustrating it is for consumers to…

What are Medicare Advantage Trial Rights? Medicare Advantage trial rights are similar to Medicare Supplement free look period rights. However, they have different qualifying criteria…

What are Medicare Part B Excess Charges? A Medicare Part B excess charge is the difference between a healthcare provider’s actual charge and Medicare’s approved…