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Benefits Counselors
Who are they and do I need one?
By Sandra Fusion, Staff Writer
The types of information that benefits counselors can
examine include (but may not be limited to):
Insurance benefits
Social Security benefits
Social Security Disability benefits
Medicare, including the new prescription benefit section
(Part D)
Prescription Assistance programs (for individuals not
eligible for Medicare)
Income tax benefits and credits
Retirement benefits
Veterans benefits
Community-based benefits
State program benefits, including home care alternatives
Advocacy with agencies, if needed
Referrals to community based organizations or government
agencies.
Make sure you have your documentation available when you
speak to a benefits counselor. Things to consider taking
with you to an appointment include:
Recent statements from your insurance company
Recent bank account statements (although they may not
need them)
Medications that you are currently taking (for Medicare
Rx or other prescription benefit programs)
Retirement statements concerning benefits you are
already receiving
Social Security statements and card (if available)
Disability benefits currently receiving
Any other state, federal, or community program where you
are currently enrolled.
What if you’ve applied for services and have been
denied, yet you still feel that you qualify? A benefits
counselor can examine your case individually and try to
advocate on your behalf. Advocacy does not guarantee
services, however. Advocacy gives a voice where you may
not have the words needed to explain your situation.
Indeed, advocates for individuals may be able to sort
through the requirements and find out if there has been
miscommunication, missing documentation, or other
communication barriers that prevent you from receiving
specific benefits. If you are still denied benefits, at
least you will feel like you have received the total
attention of the “system.”
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