What are your rights as a Medicare member?
1. You have a right to receive the care you need.
2. You have the right to be fully informed about what is covered under Medicare and what you have to pay.
3. You have the right to be involved in decisions made about your care.
4. You have the right to receive emergency care.
5. You have the right to know how your Medicare health plan pays its doctors.
6. You have the right to question decisions you think aren't in your best interest. In fact, such decisions can be reconsidered by another medical expert if you wish.
What should you do if you disagree with the decisions 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, MetaStar can help you.
What is MetaStar?
MetaStar is a resource and partner for Wisconsin Medicare members like you. We can assist you in protecting your Medicare rights. We are a non-profit organization funded by the Centers for Medicare & Medicaid Services (a government agency) to help Medicare members in Wisconsin with concerns about the quality of care they receive.
Who works for MetaStar and how can they help 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 who can review your concerns objectively and help determine whether there has been a valid quality of care issue. We work directly with you and your physician so that you receive the best care possible.
How can you contact MetaStar?
Any Wisconsin Medicare member (or his or her caregiver/representative*) can contact MetaStar by phone at 1-800-362-2320
Before you call us, you may want to learn more about when it is appropriate to file a quality of care complaint.
If you are enrolled in a health plan (M+CO) and your service is being terminated, learn more about how you can request a fast track appeal.
For general questions about Medicare, please call
1-800-MEDICARE (1-800-633-4227). |