CarePlus Medicare Enrollment Specialist

Posted by:  :  Category: Medicare

As a CarePlus Medicare Enrollment Specialist you will: be responsible for researching, documenting, evaluating and executing all requested member enrollment… From Humana – 21 Mar 2012 23:35:07 GMT – View all Tampa jobs Tampa, FL Jobs
Source: posterous.com

Video: Learn about changes to Medicare from Matt Ladich of Senior Care Plus

Healthcare Costs Keep Rising

The report said prospects for higher growth are also being held back by the consolidation of hospitals and physician practices, insurance industry pressure on hospital expenses, a growing variety of primary care options such as workplace and retail health clinics, price transparency and the increasing use of generic drugs.
Source: home-care-plus.com

Senior Care Plus expands into five new counties

[…] Senior Care Plus, a product of Hometown Health Plan, Inc. is contracted with the Federal Government to offer a Medicare Advantage Plan with prescription drug coverage, available to anyone with both Medicare Parts A and B. Hometown Health is pleased to have been awarded another contract with Medicare for 2012 and will continue to offer its plans for a 16th year. Members must be residents of Carson City, Churchill, Douglas, Lyon, Storey and Washoe counties and continue to pay his or her Medicare Part B premium.Source: thisisreno.com […]
Source: thisisreno.com

Foot Care Plus: Medicare approved diabetic shoes and inserts

Did you know that Medicare will help pay most of the cost of diabetic shoes with or without inserts per calendar year?  The goal is to help prevent limb loss due to diabetes.  With diabetes, your body’s defense is not up to par like it used to be.  If you or somebody you know has diabetes, tell them about this program set up by Medicare.  As a foot specialist, Foot Care Plus, LLC can help.  Call us at (816) 434-5906.
Source: blogspot.com

Massachusetts Health Stats: Two Key Questions about “Medicare As We Know It”

Posted by:  :  Category: Medicare

Benefit Security Card .. HALF of the U.S live in households that receive government benefits (26 May 2012) ...item 2..Brevard man gets 4 years in Social Security fraud case (Jun 1, 2012 ) ... by marsmet481An as-needed look at statistics about the Massachusetts healthcare delivery and insurance market and industry. This blog overcomes the attempts from those on both the left and right of the political spectrum to use statistics to impose needless changes on one of the best healthcare systems in the world.
Source: typepad.com

Video: Medicare Advantage | Questions about Medicare Advantage Plans

Medicare Supplement Plans

I hope you will get new knowledge about . Where you’ll be able to put to use in your day-to-day life. And most of all. View Related articles related to Health Insurance Rates. I Roll below. I even have suggested my friends to help share the Facebook Twitter Like Tweet. Can you share Medicare Supplement Plans
Source: blogspot.com

PoliGraph: Cravaack Medicare claim misses on numbers

Posted by:  :  Category: Medicare

Benefit Security Card .. HALF of the U.S live in households that receive government benefits (26 May 2012) ...item 2..Brevard man gets 4 years in Social Security fraud case (Jun 1, 2012 ) ... by marsmet481The feature examines statements made by Minnesota politicians and checks them for accuracy. Based on data analysis, document reviews and interviews with non-partisan analysts, statements are rated either true, false or inconclusive. PoliGraph is a collaboration between Minnesota Public Radio News and the Humphrey School of Public Affairs at the University of Minnesota. More
Source: publicradio.org

Video: You Can Help Fight Medicare Fraud

False Claims Act and Qui Tam Lawyer Reports Settlements Abound in News

American workers view improper and illegal acts at their jobs daily. The federal government has enacted laws to encourage workers to come forward and help disclose improper actions via qui tam and whistleblower claims, including via the False Claims Act and the Medicare False Claims Act. If you have knowledge of improper business practices and are willing to serve as a representative for the government, you are entitled to a share of any proceeds that are received by the government. We are willing to be your voice in helping you. Please call our team of False Claims Act attorneys at 1-800-632-1404 or send us an E-MAIL today. You can also visit the Qui Tam and Whistleblower Litigation Page for more information.
Source: midsouthtriallawyer.com

Report: $4.2M in Fraudulent Medicare Claims for ED Treatment Devices

Of course, many lawmakers and health experts have questioned whether these are legitimate medical services that should be covered under Medicare, especially when skyrocketing deficits have placed the United States on the path to fiscal ruin. “At a time when the federal government borrows 43 cents of every dollar it spends, do we really need to be spending money on this? I doubt you need a ‘Super Committee’ to realize that this is the epitome of wasteful spending,” said John Nothdurft, director of government relations for The Heartland Institute.
Source: thenewamerican.com

Medicare Considers Establishing Payment Plans with Beneficiaries for Future MSP Medical Costs

Waiver of future claims. Medicare is proposing that it would not pursue payment for future medical care if the settlement amount is below an as yet undetermined amount and all the following are met: (1) the accident, illness or incident occurred one year of more before the settlement date, (2) the underlying claim did not involve a chronic condition, (3) the beneficiary will not be receiving additional settlements as a result of the incident, and (4) there is no corresponding or no-fault insurance claim. If the individual is not a beneficiary on the date of the settlement, Medicare will not pursue payment for future medical care if the beneficiary does not expect to become a beneficiary within 30 months of the date of settlement and all the other conditions above are met.
Source: wolterskluwerlb.com

Federal prosecutors claim no proof of Cuba’s involvement in Medicare fraud case

It seems that the federal prosecutors handling the latest Medicare fraud case in Miami, which involves millions of dollars being funneled into Cuba, are either woefully ignorant of how the Castro crime family operates or they are purposely playing dumb. According to the investigators, just because millions of dollars were funneled into banks in Cuba owned and completely controlled by the Castro family does not mean they knew anything about it. Apparently, we are being asked to believe it is possible that the Castro regime was completely oblivious to tens of millions of dollars being deposited into their accounts.
Source: babalublog.com

What Is the Difference between Medicare and Medicaid?

Medicare eligibility is not based on income; it is available to all citizens over the age of 65. It is also available to younger persons based on disability or condition. Medicaid is based on income, only those who meet the eligibility income level are eligible for Medicaid. The poverty level is used to determine eligibility, but in addition, a person must fall into one of the following coverage groups: children, pregnant women, parents of eligible children, seniors and individuals with disabilities. In addition to covering individuals who meet financial requirements, in some states Medicaid covers individuals who cannot otherwise afford insurance.
Source: bradeninsurance.com

Daily Kos: WaPo factchecker: GOP lawmakers Medicare claim ‘stretched’

Take note, PolitiFact and Columbia Journalism Review. While their fact-checking focused on the semantics of the DCCC’s ad saying the GOP intended to “end Medicare,” with their budget plan, the Washington Post decided to actually fact check Republican claims about the plan. During the congressional recess, Rep. Ryan and other Republican lawmakers have been selling their proposal to restructure Medicare with what appears to be a poll-tested phrase: It will be similar to a system “just like” what members of Congress have. The phrase pops up in all sorts of news releases and interviews with members of Congress, as well as no less than five times in the budget plan crafted by Rep. Ryan….
Source: dailykos.com

Pennsylvania has work to do for health insurance law

Posted by:  :  Category: Medicare

1stMC Vauxhall Astra RRV Kit by EssexTechFirst of all the insurance companies love Obamacare, they made millions insuring the low risk under 26 as an additional premium on the parents’ policy. Second, the health insurers will recive an extra trillion dollars in premiums over the next decade with $200 billion in profits. Doomsday will be January 1,2014, 20 million able bodied individuals will be added to the Medicaid rolls and this will break the states eventually. Another 50 million people will be forced into state exchanges when employers elect to pay the $2,000 fine rather than the rapidly rising health care costs of $8,000 per individual or $16,000 per family at present. Another 20 million elderly will lose the Medicare Advantage program. Obie said if you like your plan, you can keep it, What a lie! It’s truly the UNaffordable Health Care Act. Only possible salvation is to vote out Obama in November.
Source: pennlive.com

Video: State Takeover of Harrisburg, Medicare/Medicaid Funding [Pennsylvania Newsmakers]

PA: Medicaid expansion would cost $2B through 2019

Dr. Dennis Gingrich, board chairman of the Pennsylvania Academy of Family Physicians, a primary care and health policy nonprofit, said if ACA is shot down in its entirety, the country will be “back to square one” for health-care reform, which means around 32 million Americans will continue to go without health care who otherwise would have a plan. It’s also unclear what would happen to ACA-recommended changes that have been rolled out by states and insurance companies.
Source: watchdog.org

Daily Kos: Medicaid for all poor people? Don’t count on it.

The Affordable Care Act will most likely benefit working class people who are better off, while leaving poor people at the mercy of state governments. Will it be possible to unite those two groups to fight for universal coverage?  How would this happen given the racial and geographic divisions within the working class and the weakness of the labor movement? The “death panels” made famous by Sarah Palin are already assembling in state houses around the country, deciding who will get health care and who will not, making life and death decisions that will affect millions.
Source: dailykos.com

USDOJ: Pennsylvania Man Charged with Fraud in Ambulance Scheme

A Churchville, Pa ., man was arrested today on charges contained in a 23-count indictment for his alleged role in a scheme to defraud Medicare by billing for fraudulent ambulance services, announced Assistant Attorney General Lanny A. Breuer of the Justice Department’s Criminal Division and United States Attorney Zane D. Memeger. An indictment unsealed today charges William V. Hlushmanuk, aka “Bill Le,” 35, of Churchville, Pa ., with 21 counts of health care fraud, one count of conspiring to commit health care fraud and one count of aiding and abetting in a false statement relating to a health care matter.   The indictment alleges that between 2006 and April 2011, Hlushmanuk and others devised a scheme to defraud Medicare of more than $5.4 million dollars.   According to the indictment, Hlushmanuk used a straw owner to fraudulently open Starcare Ambulance because he was otherwise ineligible to own the company.   Starcare primarily transported dialysis patients and fraudulently billed Medicare for patient transport for patients who could walk and whose transportation by Medicare was not medically required.  The scheme involved transports in vans and fraudulent representations to Medicare’s administrative contractor, Highmark Medicare Services, to induce them to pay for these services.   The indictment seeks forfeiture of $5,443, 315, as well as a 2006 Hummer. If convicted of all charges, Hlushmanuk faces a statutory maximum sentence of 10 years in prison on each of the health care fraud and conspiracy counts, five years for aiding and abetting in false statements relating to health care fraud, a three year term of supervised release, and a fine of up to $250,000. The case was investigated by the FBI and the United States Department of Health and Human Services Office of Inspector General.   It is being prosecuted by Trial Attorney Sam G. Nazzaro of the Organized Crime and Gang Section in the Justice Department’s Criminal Division. An indictment contains charges and defendants are innocent until proven guilty beyond a reasonable doubt. Contact: Department of Justice Main Switchboard – 202-514-2000 Reported by: US Department of Justice
Source: 7thspace.com

Health Savings Account (HSA) Benefits

A Health Savings Account (HSA) represents an opportunity for eligible individuals to lower their out-of-pocket health care costs and federal tax bill. Since most of us would like to take advantage of every available tax break, now might be a good time to consider an HSA, if eligible. An HSA operates somewhat like a flexible spending account (FSA) that employers offer to their eligible employees. An FSA permits eligible employees to defer a portion of their pay, on a pretax basis, which is used later to reimburse out-of-pocket medical expenses. However, unlike an FSA, whatever remains in the HSA at year-end can be carried over to the next year and beyond. In addition, there are no income phase-out rules.
Source: russelllindsaycpa.com

Medicare Proposal for Reimbursing Future Medical Costs : Pennsylvania Law Monitor

Complicating matters in this process is what, if any, future medical costs are to be paid to Medicare from the settlement.  These are called Medicare Set Asides or MSA.  This has created problems in personal injury litigation as to when to create Medicare Set Asides.  The problem is rooted in the fact that Medicare has failed to provide any guidance as to when and how to create Medicare Ste Asides.  Finally, just recently, Medicare has finally issued a proposal on reimbursing future medical costs or MSAs to Medicare in cases involving liability insurance. The proposal gives seven options for how Medicare believes parties can meet the requirements for reimbursement under the Medicare Secondary Payer (MSP) Act.  The proposal is not law yet and under review.  I hope this is the first step towards the resolution to this very difficult problem. 
Source: stark-stark.com

Viewpoints: The Health Law’s Double Count On Medicare Funding; Pa. Budget Endangering Health Safety Net; A Doctor’s Call For More Texting

Journal of the American Medical Association: Studying Complementary and Alternative Therapies Although evaluating the research portfolio of any institute at the NIH is difficult, social and political pressures may influence area-of-interest funding, and decisions should be based on science. For complementary and alternative medicine, it seems that some people believe what they want to believe, arguing that it does not matter what the data show; they know what works for them. Because negative studies do not appear to change behavior and because studies performed without a sound biological basis have little to no chance of success, it would make sense for [National Center for Complementary and Alternative Medicine] to either refrain from funding studies of therapies that border on mysticism such as distance healing, purgings, and prayer; redefine its mission to include a better understanding of the physiology of the placebo response; or shift its resources to other NIH institutes (Dr. Paul A. Offit, 5/2).
Source: kaiserhealthnews.org

Medicare Made Clear: Compare Supplemental vs. Advantage

Posted by:  :  Category: Medicare

"Citizenship is a tough occupation which obliges the citizen to make his own informed opinion and stand by it." ~ Martha Gellhorn  by eyewashdesign: A. GoldenI hope you get new knowledge about . Where you’ll be able to offer use in your day-to-day life. And just remember. View Related articles related to Medicare Supplement . I Roll below. I even have recommended my friends to help share the Facebook Twitter Like Tweet. Can you share Medicare Made Clear: Compare Supplemental vs. Advantage.
Source: blogspot.com

Video: How to Understand Medicare Plans

Medicare Made Clear: Save Medicare, Start Thinking Like the Patients Who Use It

From its outset, Medicare only covered essential inpatient (Part A) and outpatient (Part B) services, which has long meant that seniors had to purchase supplemental private insurance to cover what Medicare does not. One of the reasons I ran for Congress in the early 1980s was to help regulate the market for supplemental Medicare insurance plans, because unscrupulous agents were exploiting holes in the Medicare law to sell seniors worthless policies. (In 1990, former Senator Tom Daschle and I passed the “Medigap” law to regulate the market for supplemental Medicare insurance.) In 1997, Congress passed Medicare Part C to give Medicare beneficiaries the choice to receive their Medicare benefits through a private health insurance plan. This reform has become a lifeline for seniors in states like Oregon, where Medicare’s low reimbursement rates have made it increasingly hard for seniors to find a doctor.
Source: blogspot.com

July at the Library: Sammamish Library Events

Half of Americans Will Need Long Term Care Wednesday, July 25, 7pm Presented by Maria Myers. You spend your whole adult life saving up your nest egg for retirement. But an unexpected illness, accident or the normal process of aging could wipe out that nest egg. How do you protect yourself from this financial disaster? How do you protect your family? Are your parents protected? Half of us will need long term care. Come empower yourself with knowledge and get questions answered.
Source: patch.com

HMO Medicare Review: Blue HMO, Humana HMO, and HMO Aetna Plans Reviewed

Posted by:  :  Category: Medicare

Medicare Advantage plans are insurance policies sold by private companies which include the base coverages offered by Original Medicare (Parts A and B) with additional benefits added on. Essentially, Advantage policies are enhanced Medicare plans which beneficiaries, who choose to forgo the federally-funded public plan, may purchase privately.
Source: suite101.com

Video: Differences between Medicare PPO & HMO Plans

Insurance Success Story : Tufts Medicare Preferred

Before Tufts Medicare Preferred started to use the HubSpot software to assist with their marketing, their main challenges stemmed from generating new leads from a very fragmented website. They needed a way to connect the dots and figure out how users on their website use each of the tools they provided and what they could do to improve their experience. They had no way to track how visitors were navigating their website, nor a great way to capture lead information on each page. As Baby Boomers begin to retire, that core demographic of 65+ individuals are driving more online traffic than ever before, and Tufts Medicare needed new data on how to reach them more effectively. They discovered HubSpot’s end-to-end enterprise marketing software and originally bought because of the ability to quickly create landing pages. They soon realized however, it also provided them with the tools they needed to track visitors and get even more data than they ever thought possible.
Source: hubspot.com

403 FORBIDDEN : LOGGED TO HONEYPOT

Your connection details: Record #: 48249 Time: Wed, 04 Jul 2012 13:00:23 -0500 Running: 0.4.10a2 Host: gator1793.hostgator.com IP: 50.97.96.123 Post: Query: Stripped Query: Referer: User Agent: spider Reconstructed URL: http:// pdfbin.net /2011-medicare-advantage-hmo-ppo-comparison-chart-with-arta-7-5     Generated by ZB Block 0.4.10a2
Source: pdfbin.net

Looking for Insurance Articles

Medicare HMO plans are going to be Medicare Advantage Plans or Medicare Part C plans. These plans are completely different than Original Medicare. When you join a Medicare HMO plan you do have to be aware of the network of physicians and facilities that the HMO plan is contracted with. If you see a provider outside of the HMO network, the HMO insurance will not pay the bill. With Medicare HMO plans you must remain in the network at all times with the exception of emergency and urgent care when traveling. Medicare HMO plans also require a referral in most cases to see a specialist. There are a few exceptions to this rule, but not many. Finally, these plans also usually require authorizations for most procedures and expensive name brand drugs. On the positive side, you will find that you will typically save money on premium and co-pays when you are in a Medicare HMO plan which is why many Medicare beneficiaries find them so attractive.
Source: lookingforinsurance.net

Listed here are easy facts abo…

Discuss with an insurance adviser about Medicare health insurance HMO insurance coverage, just like that readily available as a result of Violet Corner of Florida. This sort of Medicare health insurance medigap health insurance has minimal monthly premiums these strategies usually offer you additional positive aspects. You must select among the list of medical professionals and hospitals that attend that The hmo software, but that is often a greater than good compromise for the diminished payments you are going to pay back.
Source: disarticledir.info

Medicare Health Insurance Plans

By getting insured with an individual Medicare health insurance plan, you have a tendency to get insured by a protective guard that enables one to fight with any sort of financial disaster brought about by health emergencies. When you choose the ideal health plan with MostMedicare that’s structured to suit your needs and budget you are likely to get satisfactory and extensive medical coverage. An excellent health plan will provide you of a wide selection of health plans to match your medical requirements and financial status. Moreover, some health plans give you some financial benefits aside from the medical benefits e.g. tax savings. A standard health insurance plan covers majority of medical expenses related to hospital, doctor, medications plus some other medical services too. For this, insurance providers tie-up with hospitals (form network) to offer you quality health plans. With this, it’s not only more convenient to the medical facility to coordinate with the insurance company; it also gives their clients the simplicity of having things settled without running in one place to another. And this saves them time and effort. With the unique needs of any clients, insurance providers have come up with several types of coverage to best suit their individual needs. Many of the popular, quality, affordable health plans are: long and short term health care plans; individual, family health care plan; Cobra health care plan; discount health care plans; Medicare supplemental insurance; Medicaid; dental, vision, maternity, prescription only plans; hospital indemnity health plan; HMO health plan; HSA health plan. Most Medicare health plans offers guaranteed issue health insurance this means no matter what your pre-existing conditions, you’re sure to be accepted and that’s a promise, an assurance! Generally, the people who have been rejected of the medical insurance initially are those for whom these guaranteed issue Atlanta health plans have been designed. Those people include but aren’t limited to people with hypertension, heart problems and so on. Additionally, they also provide ancillaries or extras health care coverage. They give extra-ordinary health care coverage to the insurers that demand medical treatments which are provided outside the hospital territory. An example of which are appointments to opticians, massage therapy centre, chiropractor, etc. All of these are taken care of under the extras cover. But, how will you exactly tell the best way of getting the right Medicare health plan that meets the needs you have? There are numerous insurance companies providing online quotes for health insurance. These offer varied medical insurance policies that you can choose by researching online. There is a wide array of health programs that fits your need, situation as well as your pocket. The only thing that you have to do is usually to click on any of the many popular health insurance websites. Fill up a short online form. Ask for free quotes. Check out the online quotes for many cheap health insurance plans. Compare and analyze. Keep in mind the needs you have together with your budget. Finally, proceed through their website to widen your information and decide on the most beneficial individual health plan for you and your loved ones.
Source: blogspot.com

Choosing a Medicare Advantage Insurance Plan: ‘Medicare HMOs,’ Other Plans May Offer Bonuses, Lower Costs

For many Medicare beneficiaries, there are definite benefits to joining Medicare HMOs and other Medicare Advantage plans. Insurers may offer free drug coverage, low deductibles and co-payments for doctor visits, and even additional perks such as eyeglasses and health club memberships, all for little or no more money than the traditional Medicare Part B premium. More plans offered reduced deductibles and co-payments in 2009 than any other benefit, according to the Medicare program.
Source: suite101.com

Matm2011 Health: Should You Choose Medicare Supplemental Insurance?

Posted by:  :  Category: Medicare

MORE DIRTY TRICKS FROM YOUR SOCIALIST/MARXIST   PRESIDENT AND HIS NASTY LITTLE ADMINISTRATION HACKS by SS&SS    Plenty of people assume that when you approach the magic age of 65, everything will be easy. You will receive an impressive huge check from Social Security and all of your medical treatment requirements will be achieved at no cost. Nevertheless, that is normally not the case. There are few people who could live on Social Security alone and when it comes to healthcare, Medicare can only include so much. Therefore, in case you are turning sixty five and you have no other health insurance than Medicare, then you need to put some thought into getting Medicare Supplemental Insurance.     Sad to say, there is a limitation to what Medicare will pay for and it will just cover up to a certain amount, so in case you do not have Medicare Supplemental Insurance, you can find yourself out of pocket for some big costs. Specifically if you end up in the medical center or maybe have a huge health condition (i.e. cancer, heart surgical treatment, etc.), without having this sort of insurance plan means you end up spending the rest of your life with nothing but your Social Security check.     Medicare Supplemental Insurance is simply what it sounds like – it’s a supplemental insurance plan that picks up where Medicare leaves off. This is much more beneficial than you feel it will be, even if you are in good condition at this point, and in many cases the earlier you sign up with this form of insurance coverage, the cheaper your rates will be in the end. When you have a hospital stay, the medical center delivers the bill to Medicare and they choose what they are going to cover depending on a pre-existing table of highest charges. No matter what is left goes to you if you do not have some kind of insurance policy. For anyone who has ever spotted a hospital bill after a long stay, you could visualize just how serious of a bill this could be and you do not want to be tied to it. A number of people still assume that they do not need this type of insurance plan or that it’s too costly to get. The fact is that you cannot afford not to have it. It is really a lot more inexpensive as opposed to health care insurance you may have had before you reached sixty five (since Medicare is picking up most of the expenses) and you may obtain a variety of benefits that could save you money each time you go to the physician, have tests, or are confined to the medical center.     Buying Medicare Supplemental Insurance is sometimes a problem for people since they don’t fully understand where to go. In case you have had medical insurance by means of another provider in the past, then you may need to inquire them what kind of programs they have, but you also need to shop around. If you have an insurance broker, they can support you with this, or you can find some good very good information and facts on the internet. It is also important to bear in mind that there are ways of making the insurance a lot less costly, such as elevating your tax deductible or co-pay amounts, and that could make a very big difference.     This is certainly the type of insurance that you shouldn’t have to wait to purchase. Obtain it while you are younger and in good health and you may save money down the road. Also, because you know you are insured, you will be more apt to touch base for medical care when you need it instead of waiting until a little issue becomes a major one.
Source: blogspot.com

Video: Medicare Supplement Insurance Plans – Where Do I Start?

Central States Indemnity Medicare Insurance

Berkshire Hathaway is of course the large investment conglomerate run by none other than Warren Buffett.  In 1992, Berkshire acquired Central States and due to the immense resources behind such a well respect holding company, CSI is afforded an extremely high rating for a midsize Medicare supplement provider.
Source: ohioinsureplan.com

MedicareSupplementPlans.com Connects Consumers With the Best Medicare Supplement Insurance Plan Offers

With the ever-increasing costs of medical care, even Medicare coverage can leave too many unpaid medical bills for the typical consumer to afford. Although Medicare was once considered an effective way to meet the medical care costs of older Americans and people with disabilities, today it simply isn’t enough, which leaves consumers seeking Medicare supplement insurance plans to cover additional costs. MedicareSupplementPlans.com recently launched its redesigned website to provide greater support, in-depth information and quotes for the best Medicare supplement insurance plans available. Also known as Medigap, Medicare supplement insurance plans are private health insurance plans designed to pay some of the health care costs not covered by Medicare, such as co-payments, co-insurance and deductibles. Visitors to MedicareSupplementPlans.com can simply fill out the form available on the site’s landing page to find and compare the best Medicare supplement insurance plans and rates from all of the top insurance companies. After filling out the form and clicking Get Quote, a licensed Medicare supplement insurance agent follows-up with a no pressure, free insurance quote with detailed information about plan options and benefits to meet individualized needs. “The advantage of choosing a supplemental Medicare insurance plan over Medicare Select or Medicare Advantage is that with a Medigap plan you have absolutely no network restrictions; in other words you can go anywhere for your health care as long as the provider accepts Medicare,” explained a MedicareSupplementPlans.com spokesperson. The site connects consumers with highly trained licensed agents. The agents help consumers cut through the jargon so they can select the plan that is most appropriate for them at the best possible price. The site offers a whole host of reference material with brochures, rates and applications for the top suppliers available to download. To assist consumers in choosing the correct plan the site offers a detailed but simple to follow Medicare supplement insurance plan benefit comparison chart. The chart details the benefits of different Medigap policies so consumers can quickly identify which plan is appropriate for their circumstances. Editorialized content accompanies the chart guiding consumers through the technicalities of the policies. About MedicareSupplementPlans.com MedicareSupplementPlans.com is Health and Life Insurance Services, LLC, one of California’s largest independent insurance agencies specializing in the best Medicare supplement insurance plans from leading brands. Visitors to the site can easily access comparison quotes, full customer service and detailed information about Medicare supplement insurance plans, as well as in-depth editorial content to guide them through the decision-making process. Learn more at http://www.medicaresupplementplans.com
Source: sbwire.com

Benefits of Getting Medicare Supplemental Plans

It cannot be avoided that your healing check is extreme or that your healing losses have been not lonesome with a simple healing word coverage. This is complaint since healing bills have been no joke. And for those on top of 65 years old, there have been some-more problems as well as diseases gifted than a younger ones. The value of carrying a Medicare addition skeleton is that we have been means to equivocate profitable out-of-pocket payments. It gaps a complaint in between a copayments, a coinsurance as well as a strange Medicare word policy. Through this, any one can save a outrageous understanding of income from hospitalization, medicines, red blood products as well as a like. And if we devise to get this addition plan, this is automatically renewed each year to equivocate con of stuffing up writings as well as alternative processes.
Source: healthinsurance-sandiego.com

Insurance Agents Look to Dataman Group for New Prospects in their Areas

Dataman Group helps Insurance Agents find the right prospects for the Medicare Supplement Plans they offer. Most Agents simply select prospects in the zip-codes/counties closest to their location and select those individuals that recently turned 65 or are Turning 65 in the next few months.  These individuals must sign up for a program no later than December 31st and smart marketers will contact prospects in their area as soon as possible.
Source: typepad.com

Medicare supplement insurance company gets fined for overcharging for a Medicare supplement policy.

One of the items that is reviewed is the medical claims as compared to incoming revenue from premiums paid by clients. This helps the department understand if the insurance company is requesting excessive increases.  Should it be determined that the insurance company is requesting excessive rate increases the DoI can reject the request and/or let them know what they feel is a more satisfactory percentage increase.
Source: gomedigap.com

Medicare Supplement Quotes, When Should You Get Them?

If you think you are healthy enough to not require more coverage than Medicare Part A, you should know that not gettting your Medicare Supplement Quotes now will mean paying a penalty later. For instance, lets say you choose to not but any Medicare Supplement Plan until you are 70. Then when you do get your Medicare Supplement Quotes, you will need to pay 50% more premium (10% per year since you turned 65) than your peers. 
Source: benepath.com

How Does Medicare Affect TRICARE?

Posted by:  :  Category: Medicare

Effective October 2009, TRICARE beneficiaries who are awarded retroactive benefits based on disability or permanent kidney failure do not have to pay for Part B for those months in the past in order to keep TRICARE. You should, however, contact the Department of Defense to find out whether you would now need to enroll in Medicare Part B in order to keep your TRICARE.
Source: specialneedsplanning.net

Video: (Part 1) Using TRICARE and Medicare

WellCare Health Plans Reaches Settlement in False Claims Act Case

The lawsuits allege that WellCare submitted false claims to Medicare and Medicaid programs. WellCare allegedly falsely inflated the amount it claimed to be spending on medical care. Allegedly, this was done in order to avoid returning money to Medicaid and other programs in various states, including the Florida Medicaid program and Florida Healthy Kids program. WellCare also allegedly knowingly retained overpayments it had received from Florida Medicaid for infant care. Furthermore, WellCare allegedly falsified data that misrepresented the medical conditions of patients and the treatments they received.
Source: wordpress.com

Does Medicare Tricare beneficiary require authorization

Beneficiaries Using Medicare and TRICARE Beneficiaries using Medicare as their primary payer are not required to obtain referrals or prior authorization from TriWest for inpatient or outpatient behavioral health care services. These beneficiaries should follow Medicare rules for services requiring authorization. They may self-refer to any network or non-network provider who accepts Medicare. When behavioral health care benefits are exhausted under Medicare, TRICARE becomes the primary payer, and prior authorization from TriWest is then required. For more information, contact the Medicare Plan Administrator at 1-800-633-4227. Nonavailability Statements A nonavailability statement (NAS) is required for all nonemergency behavioral health care admissions. A NAS is a certification from an MTF stating it cannot provide a specific required service at a particular time to a non-enrolled beneficiary (i.e., a non-TRICARE Prime beneficiary). Providers should advise TRICARE beneficiaries to check with the Beneficiary Counseling and Assistance Coordinator (BCAC) at the local MTF to find out if a NAS is required before obtaining nonemergency behavioral health care inpatient services. A NAS does not take the place of an authorization for those services requiring prior authorization
Source: whatismedicalinsurancebilling.org

Medicare Benefits And Tricare

Individuals can easily file a claim or reimbursement for their prescription medicine especially if they are filled in a non network pharmacy. It is important to file for prescription claims which are filed within one year from the date of service. In order to file for a pharmacy claim you need to fill out some forms together with important details like name of the patient, name of the drug and its strength, quantity being dispensed and price for each drug. If national drug code is available then you also have to take note of it. Once you completed the forms then all you need is to submit it to the appropriate office.
Source: wkrhn.org

How Does Tricare Interact with Medicare Supplement Insurance (Medigap)?

First, understand that your Medicare is primary just like it would be for any other Medigap policy as Medigap, or Tricare, is purchased for supplementary insurance. Second, understand that when Medicare is unable to step up and provide coverage but Tricare does it will step in and “walk the dog” for you. Tricare is your insurance savior just like Medigap is.
Source: medicaresupplementinsurances.com

Is American Medicine a War Crime

Some content on this site contains copyrighted material whose use has not been specifically authorized by the copyright owner.This material is being made available here in the interest of advancing understanding, education, research, etc. I believe this constitutes a ‘fair use’ of the copyrighted materials provided for in Section 107 of the US Copyright Law.
Source: wordpress.com

Illinois Medicare Advantage

Posted by:  :  Category: Medicare

Martin Place 1 by Greens MPsMedicare Advantage, also called Medicare Part C, is another option offered as part of Medicare. It’s provided through private insurance companies approved by Medicare and is available to anyone currently eligible for Illinois Medicare. When you join a Medicare Advantage plan, you receive your Part A (hospital) coverage as well as your Part B (medical) coverage and even some coverage Original Medicare does not provide. In fact, many plans offer Part D (prescription drug) coverage as well as dental and in some cases, even vision. While out-of-pocket expenses vary between insurance companies, you always pay a monthly premium in addition to your Part B premium and receive all your benefits through your Medicare Advantage plan.
Source: ssiinsure.com

Video: Medicare dental coverage Dallas

Oral Health and Medicare Beneficiaries: Coverage, Out

This brief describes the oral health of Medicare beneficiaries, examines sources of dental coverage for the Medicare population, and examines the utilization of dental services, out-of-pocket spending on dental care and access problems. This analysis uses data from the National Health and Nutrition Examination Survey (NHANES), the Medicare Current Beneficiary Survey Cost and Use file (MCBS), the National Health Interview Survey (NHIS) and the Kaiser Family Foundation Survey of Health Care Among Nonelderly People with Disabilities and Seniors on Medicare, 2008. 
Source: kff.org

New bill would remedy nation’s “dental crisis”

Are your teeth a part of your body? Judging by the current U.S. health care system, the answer is no. More than one-third of Americans have no dental insurance. One quarter of U.S. adults 65 and older have lost all their teeth. The U.S. surgeon general, in 2000, called dental disease a “silent epidemic.” Since then, it has only gotten worse. Sen. Bernie Sanders, I-Vt., and Rep. Elijah Cummings, D-Md., aim to remedy this “major dental crisis” with a new bill that would expand comprehensive dental coverage through Medicare, Medicaid, and the Veterans Administration, and increase community dental services. The legislation, the Comprehensive Dental Reform Act of 2012, notes that, “Untreated oral health problems contribute to an increased risk for serious medical conditions such as diabetes, hospital-acquired pneumonia, and poor birth outcomes.” Cummings, at a June 7 news conference announcing the bill, cited the case of a 12-year-old child who died because his mother could not find a dentist to treat his abscessed tooth. “Lack of access to dental health care presents a real threat to public health,” Cummings said. Currently, private health insurance plans do not include dental coverage. – if insurance companies do offer dental coverage it’s an add-on at additional cost. According to a nationwide study of employer-provided dental health coverage by the University of Maryland Dental School in Baltimore and the federal Agency for Healthcare Research and Quality, while about half of U.S. companies offered health insurance as of 2010, only one-third offered dental insurance. Medicare and the VA do not cover dental care for most beneficiaries. States can choose whether or not to include dental care in their Medicaid coverage. Sanders and Cummings point out that those who are most likely to lack adequate dental care are people with low incomes, racial and ethnic minorities, pregnant women, older adults, individuals with special needs, and people who live in rural communities. “Simply put, the groups that need care the most are the least likely to get it,” Sanders said at the news conference last week. In addition to adding comprehensive dental care to Medicare, Medicaid and VA coverage, the bill would provide grants to set up school-based dental clinics and provide rural mobile dental care services. It would expand the number of dental health care providers, including training dental therapists who “can help close vast gaps in patient care by performing some procedures now offered only by dentists,” the lawmakers said. The American Dental Association says three economic forces are creating a “perfect storm” that is reducing the number of U.S. families with dental coverage and causing a significant drop in visits to the dentist. Unemployment is the first factor, says the ADA in an April report title “Breaking Down Barriers to Oral Health for All Americans: The Role of Finance.” The 12.7 million Americans without jobs who had private insurance coverage have lost that coverage. The second is a “steady reduction” in the percentage of employers providing dental benefits. The third factor, the ADA says, is that companies are shifting costs to consumers to pay out-of-pocket. The Kaiser Family Foundation and the Health Research and Educational Trust reported in 2010 that employers are increasing “cost-sharing,” or reducing the scope of coverage. “Let’s be clear: the United States is in the midst of a major dental crisis,” Sanders said at the June 7 news conference. The Sanders-Cummings bill would be funded by a tax on Wall Street financial trading transactions such as the notorious credit default swaps and derivatives trading that contributed to the economic crash of 2008. A financial transaction tax is a measure called for by the AFL-CIO and others as a way to fund needed programs while reducing the federal deficit. Sanders said it “would raise $288 billion over the next 10 years.”
Source: peoplesworld.org

Supplementing Your Medicare Coverage With Dental Insurance – PlanPrescriber Provides Seven Recommendations for 2012 / eHealth

eHealth, Inc. (NASDAQ: EHTH) is the parent company of eHealthInsurance, one of the nation’s leading online source of health insurance for individuals, families and small businesses. Through the company’s website,www.eHealthInsurance.com, consumers can get quotes from leading health insurance carriers, compare plans side by side, and apply for and purchase health insurance. eHealthInsurance offers thousands of individual, family and small business health plans underwritten by more than 180 of the nation’s leading health insurance companies. eHealthInsurance is licensed to sell health insurance in all 50 states and the District of Columbia, making it the ideal model of a successful, high-functioning health insurance exchange. Through eHealth’s technology solutions (www.eHealthTechnology.com), is also a leading provider of health insurance exchange technology. eHealth provides a suite of hosted e-commerce solutions that enable health plan providers, resellers and government entities to market and distribute products online. eHealth, Inc. also provides online tools to help beneficiaries navigate Medicare health insurance options through PlanPrescriber.com (www.planprescriber.com) and eHealthMedicare (www.eHealthMedicare.com).
Source: ehealthinsurance.com

Dental coverage in the US is pathetic

The WFP Man blog is in no way officially affiliated with the Working Families Party. Everything I say here is solely the opinion of the worlds first online super hero now with kung fu corporatist grip! (sold separately) I am a dues paying member of the party however and I suggest you join to! C’mon it will be great fun!
Source: jasongooljar.com

Keeping your aging parent’s smile bright: Tips for selecting dental coverage

Be sure your dentist takes your plan. If you have a preferred dentist, find out what plans they accept before you enroll in a plan. Websites like eHealthInsurance, and the licensed agents in their call center, can help you search for plans with your dentist in them. Stand-alone dental insurance policies are typically going to give you a far better price for services performed by dentists in their network. Almost all policies use a tiered cost-sharing system, and you pay the least out of pocket for services when you use a dentist from the plan’s network.
Source: transitionagingparents.com

Dental Practice Management

Quote from fredo “Bad idea…..  The rest of us need to work for a living, be paid fairly for our work, and not be taxed into servitude.”   Despite the high costs of dental education and debt that dental students graduate with, there is a substantial public funding which supports dental schools and residencies nationwide. We dentists have benefited from foundation grants, tax exemptions for schools and donations to them, NIH/NICDR funding, federally supported student loans, etc. . It is unfortunate that the real dollar value of  of public support for our education is not clearly known. It allows too many “fredos” to believe that we are home run hitters, when in fact we were given a start on second base.   It is sad when supposed health professionals sit in judgment, rather than look upon a serious public health problem facing American children and adults. It seems, top some of us, that dental disease is very important, but only among populations which value it, that we are not even part of the problem/solution. The same dentists, who often chastise the under served for being lazy, stupid people who suck off the public teat and are well deserving of their suffering, also stand lockstep in opposition to even the most basic efforts to improve the situation, which even the ADA recognizes as affecting 30% of our population.  Children miss school because of dental disease, perhaps more so than any other. Adults lose time from work. Approximately 1-2% of ER visits nationwide are dentally related.  Oral disease costs us all.   Dentists are not tradesmen, selling optional wares.
Source: drbicuspid.com

The Niche Market: Buy Dental Equipment, Medicare Dental Coverage, Best Dental Websites

I’ve known many readers who make assumptions as to buy dental equipment, medicare dental coverage, best dental websites. Significantly, this was rather lively. When in doubt pertaining to senior dental plans, consult your inner child. Remember, “The best go first.” It is especially paramount if the only sort of buy dental equipment you are eligible for is one like this. It is the quiet before the storm. This is how to prevent being bothered as this regards to stuff. It will be a ripe experience. I recommend that you do it with best dental websites if you can. It’s a rather exceptional set of ideas to keep in mind. I have found this plenty of brains are a bit afraid of senior dental plans because what an honor this is. If you have developed problems with your best dental websites then the chances of experiencing that will increase. Personally, “Half a loaf is better than none.” That is one of the closely guarded secrets. Your own skills will determine what you can acomplish. It’s not hard to focus on senior dental plans. The New York Times published that this afternoon. I might be completely off here but it is the circumstances if it’s overshadowed by the amount of best dental websites they get by word of mouth.
Source: blogspot.com

Q1medicare.com Estimated Value $5,702.40 USD

Posted by:  :  Category: Medicare

Registrant: q1group llc Post Office Box 840007 St. Augustine, FL 32080-0007 US Domain name: Q1MEDICARE.COM Administrative Contact: Johnson, Susan sjohnson@q1group.com Post Office Box 840007 St. Augustine, FL 32080-0007 US +1.9044618994 Fax: Technical Contact: Johnson, Susan sjohnson@q1group.com Post Office Box 840007 St. Augustine, FL 32080-0007 US +1.9044618994 Fax: Registrar of Record: MISK.COM Record last updated on 2012-Feb-26. Record expires on 2018-Dec-03. Record created on 2008-Dec-03. Domain servers in listed order: DNS.PAIR.COM NS0.NS0.COM The Data in the Misk.com Registrar WHOIS database is provided to you by Misk.com for information purposes only, and may be used to assist you in obtaining information about or related to a domain name’s registration record. Misk.com makes this information available “as is,” and does not guarantee its accuracy. By submitting a WHOIS query, you agree that you will use this data only for lawful purposes and that, under no circumstances will you use this data to: a) allow, enable, or otherwise support the transmission by e-mail, telephone, or facsimile of mass, unsolicited, commercial advertising or solicitations to entities other than the data recipient’s own existing customers; or (b) enable high volume, automated, electronic processes that send queries or data to the systems of any Registry Operator or ICANN-Accredited registrar, except as reasonably necessary to register domain names or modify existing registrations. The compilation, repackaging, dissemination or other use of this Data is expressly prohibited without the prior written consent of Misk.com. Misk.com reserves the right to terminate your access to the Misk.com WHOIS database in its sole discretion, including without limitation, for excessive querying of the WHOIS database or for failure to otherwise abide by this policy. Misk.com reserves the right to modify these terms at any time. By submitting this query, you agree to abide by these terms. NOTE: THE WHOIS DATABASE IS A CONTACT DATABASE ONLY. LACK OF A DOMAIN RECORD DOES NOT SIGNIFY DOMAIN AVAILABILITY.”;
Source: widestat.com

Video: Medicare Part D Prescription Drug Plan Basics

Health Insurance Plans For the Elderly

Understanding the timelines and rules of the Prescription Plans from Medicare can be very overwhelming. Most of the carriers that offer prescription drug plans for the medicare community are contracted with the Federal Government and different timelines apply to different situations. For those of you who have had Medicare and you do not have a Medicare Part D. The deadline for obtaining a Prescription Drug Plan was December 31st, 2010 at midnight. The effective date would have been January 1, 2011. If you are 65 and 3 months old and do not have a Medicare Prescription Drug Plan, the next available time to put a prescription drug plan in place would be October 15th, 2011 through December 7th, 2011,(also known as AEP or Annual Election Period) for an effective date of January 1, 2012. We have received many calls for Prescription Drug Plans for those who are out of their Open Enrollments or past the Annual Election Period, and because of the deadlines we are unable to assist those seniors who did not participate in the Annual Election Period. If you are in your “Open Enrollment Period” to Medicare for the Part D, which is 3 months before your 65th birthday, the month of your birthday and 3 months after your birthday, you may still apply for the prescription plans or Medicare Part D. Contact your local broker for assistance with checking your prescriptions to find the exact cost and which plan fits your needs the best. Working Past 65 or your Open Enrollment Another situation which would allow you to participate in the Medicare Part D plan would be if you were past your 65th birthday and leaving an employer plan you would have 60 days to obtain your Medicare Part D plan or prescription coverage. This is called an SEP (Special Election Period) set in place for those who work past 65 and have employer coverage till they leave the company or take retirement. There is one more situation that would allow a person to obtain a prescription drug plan or Medicare Part D and that is if someone is on Medicaid (state assistance). They may change plans monthly usually they have a Medicare Advantage with the PDP inside the plan. For those of you who have not acquired a prescription drug plan in the time frames listed above, when you are allowed or decide to participate in the Medicare Part D plan, be aware there will be penalties for late enrollment to Medicare Part D, unless you have creditable prescription coverage equal to Medicare.
Source: blogspot.com

Surviving the Medicare Part D Coverage Gap: The Shrinking Donut Hole in the Prescription Drug Plan

The coverage gap in the Medicare Part D prescription drug plan, known popularly as the Medicare "donut hole" or "doughnut hole," is expected to affect over one million seniors in 2010, according to a House of Representatives press release. The good news is, this coverage gap, inside which enrollees must pay for prescription medications fully out of pocket, is slated to be reduced and even, by the year 2020, completely eliminated due to the passing of the Patient Protection and Affordable Care Act of 2010 and the Health Care and Education Reconciliation Act of 2010 (otherwise known as the "health reform bill.") Meanwhile, seniors participating in this prescription drug plan (PDP) who fall into the donut hole must weather the storm.
Source: suite101.com

Utah Medicare Part D Plans

Whereas you can compare stand-alone plans to each other, you must compare the entire Advantage plan package to other Advantage plans. This complicates things a little. For instance, a plan with great drug benefits may be less than desirable for its medical benefits or provider network.
Source: partdplanfinder.com