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Consumer Medicare Resources

Your Rights

If you have Medicare, you have certain guaranteed rights.

The right to:

  • Receive the care you need.
  • Be fully informed about what is covered under Medicare and what you have to pay.
  • Be involved in decisions made about your care.
  • Receive emergency care.
  • Know how your Medicare health plan pays its doctors.
  • Question decisions you think aren't in your best interest. In fact, such decisions can be reconsidered by another medical expert if you wish.

A complete, detailed list of your Medicare rights and protections is contained in the Medicare Handbook. You can order the most current Medicare Handbook by calling 1-800-MEDICARE (1-800-633-4227), or visit www.medicare.gov.

What can you do if you disagree with the decisions being made about your healthcare, or if you feel you are not receiving the care you are entitled to?
Talk to your doctor and share your concerns. Ask specific questions. If you are still not satisfied with the decisions made or the answers you receive, Delmarva Foundation can help you. We want to help you take full advantage of your rights as a Medicare member.

Who is Delmarva Foundation?
Delmarva Foundation, a national not-for-profit health information organization, reviews health care problems and concerns for Medicare patients in Maryland and the District of Columbia. We also work with doctors and health care facilities to improve care for people who have certain common health troubles, such as diabetes and heart disease. Delmarva works for the Centers for Medicare & Medicaid Services (CMS), a division of the U.S. Department of Health and Human Services.

Why can Delmarva's experts assist you?
Our staff is trained to assist you when you feel that you are not receiving the quality of care you are entitled to. Our staff includes physicians, nurses, and quality improvement professionals working together with you and your physician so that you receive the best care possible.

How can you contact Delmarva?
Any Medicare member (or his or her caregiver/representative*) can contact Delmarva
by phone at 1-800-492-5811.

For general questions about Medicare, please call 1-800-MEDICARE (1-800-633-4227)

*The caregiver/representative can reside in another state.

 

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