Medicare & State Health Insurance Assistance Program (SHIP)

Medicare

State Health Insurance Assistance Program (SHIP)

The State Health Insurance Assistance Program (SHIP) provides free, in-depth, one-on-one insurance counseling and assistance to Medicare beneficiaries, their families, friends, and caregivers. If you have questions or concerns about Medicare, would like to learn more about your Medicare benefits or how to see if you’re eligible for the Medicare Savings Program, contact TJ Dufresne at 970-468-0295 ext. 120

SHIPs, or State Health Insurance and Assistance Programs are free, state counseling services that help seniors understand their Medicare, Medicare Advantage, Medigap (Medicare Supplemental Insurance) and Medicaid benefits. Anyone with Medicare related questions is free to call a SHIP’s counselor even if they are not currently enrolled in Medicare.

The program provides seniors with one-to-one counseling to help them take full advantage of their benefits. Appointments are available for face to face meetings as well as phone consultations.  For your appointment, Please contact TJ at 970-468-0295 ext. 120

  • Connect for Health Colorado

Connect for Health Colorado is Colorado’s Health Insurance Marketplace (Affordable Care Act). You can get financial assistance if you qualify, view and compare all health plans in your area, buy a health insurance plan, and access free, expert, in-person help from Health Coverage Guides.

You are not eligible for the Affordable Care Act if you currently receive Medicare. Medicare isn’t part of the Health Insurance Marketplace established by ACA, so you don’t have to replace your Medicare coverage with Marketplace coverage.  No matter how you get Medicare, whether through Original Medicare or a Medicare Advantage Plan, you’ll still have the same benefits and security you have now.

You Have Medicare Rights!

You have the right to:

  • File a quality of care complaint. You may contact KEPRO to file a complaint, and your medical record will be reviewed by one of KEPRO’s physicians. They will determine if you received the appropriate care for your condition.
  • File an appeal of your discharge from a hospital, skilled nursing facility, home health agency, or a hospice. During your discharge appeal, you will incur NO financial liability. You may file an appeal with KEPRO if you feel that you are not ready to be discharged from a hospital or from skilled services.
  • Request Immediate Advocacy for immediate concerns. KEPRO can contact your provider on your behalf and advocate regarding your concerns.

To file a quality of care complaint or appeal a discharge from a skilled nursing facility, home health agency, hospital, or a hospice, call KEPRO toll-free at 844-430-9504.

Visit www.keproqio.com to learn more

 

The Quality Improvement Organization (QIO) Program is the cornerstone of Medicare’s efforts to improve the quality of care and health outcomes for beneficiaries. KEPRO is the Beneficiary and Family Centered Care QIO (BFCC-QIO) for more than 30 states. KEPRO offers information and assistance to providers, patients,  and families regarding beneficiary complaints, discharge appeals, and Immediate Advocacy.

For more information about KEPRO visit the helpful links below

how-kepro-can-help-you

frequently-asked-questions

know-your-inpatient-outpatient-status

about-kepro

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