State of California California Department of Consumer Affairs

Medicare

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735-Other State Agencies, 814-Other Federal Agencies

MEDICARE

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The Health Care Financing Administration (HCFA) is the federal agency that administers Medicare, the nation's largest health insurance program, which covers 37 million Americans. Medicare provides health insurance to people age 65 and over, and those who have permanent kidney failure, and certain people with disabilities.



FEDERAL:

The Office of the Inspector General at the Department of Health and Human Services National Fraud Hotline will take complaints about reports of fraud against programs of the department and crimes against departmental employees or contractors and offers assistance with questions or complaints regarding Medicare hospital patient appeal rights, early discharge or denial of hospital admission.

HHSTIPS Fraud Hotline
PO BOX 23489
Washington, DC 20026
(800) 447-8477
(800) 223-8164 Fax
Email - https@os.dhhs.gov


The U.S. Department of Health and Human Services, Health Care Financing Administration (HCFA) offers assistance with questions or complaints regarding Medicare hospital patient appeal rights, early discharge or denial of hospital admission.

HCFA - Office of Medical Review
Peer Review Organization
7500 Security Boulevard
Baltimore, MD 21244-1850
(410) 786-3000
(877) 267-2323


The Social Security Administration provides information about Medicare's coverage of medical equipment or supplies, inpatient hospital expenses; and doctor services. Consumers may request a Medicare replacement card.


Qualified individuals can enroll in Medicare by completing an application form at their local Social Security Administration Office.

Social Security Administration'
(800) 772-1213
www.ssa.gov


STATE:


The Department of Insurance takes supplemental insurance complaints and complaints regarding Medicare claim problems.

Consumer Hotline
300 S Spring Street, South Tower
Los Angeles, CA 90013
(800) 927-4357 California residents
(213) 897-8921 Out-of-state
(800) 482-4833 TDD
www.insurance.ca.gov


PRIVATE ORGANIZATIONS:


LUMETRA is a Medicare Quality Improvement Organization for California. They assist Medicare beneficiaries who have questions/concerns about the quality of medical care received under Medicare or in an HMO.

LUMETRA Healthcare
Solutions Headquarters
One Sansome Street
San Francisco, CA 94104
(415) 677-2000 Main Line (800) 841-1602 Help Line
(800) 881-5980 TDD
(415) 677-2193 Fax
Email - info@lumetrasolutions.com


Health Insurance Counseling & Advocacy Program (HICAP) will assist Medicare recipients and families of recipients regarding claims, appeals, and hearings, and provides limited legal assistance. HICAP volunteer counselors are available in nine Northern California counties.

Health Insurance Counseling & Advocacy Program (HICAP)
3950 Industrial Blvd Ste 500
West Sacramento, CA 95691
(916) 376-8915
(916) 376-8795
(800) 434-0222
(916) 973-3199 Fax


See Also:
Aging (California Department of)



Consumer Resource & Referral Guide Consumer Resource & Referral Guide
Directory of State Agencies Directory of State Agencies
Directory of Federal Agencies Directory of Federal Agencies
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