Kentucky Appalachian Transition Services awarded funds by Centers for Medicare & Medicaid Services

Posted by:  :  Category: Medicare

Racism by elycefelizThe Centers for Medicare and Medicaid Services (CMS) has announced that the Kentucky Appalachian Transition Services (KATS) was selected to participate in the Community-based Care Transitions Program (CCTP). KATS will implement a transitional care program to improve medical treatment for people with Medicare. The program goal is to reduce readmissions by 20 percent among the partner hospitals over two years while improving the quality of transitional care and services to Medicare beneficiaries.
Source: medicalnews.md

Video: Medigap Supplements in Kentucky by Medicare Pathways

Actuarial Job at Humana for Actuary in Louisville, Kentucky

View All Actuarial Jobs Jobs by State Casualty Jobs Health Jobs Life and Annuities Jobs Pension Jobs Other Jobs Consulting Jobs View All States Arizona California Connecticut Florida Georgia Illinois Indiana Maine New York Michigan New Jersey North Carolina Ohio Pennsylvania Texas Virginia Cities Atlanta Boston Chicago Dallas Hartford Houston Los Angeles New York Orlando San Diego Seattle
Source: actuary.com

5 Ways Healthcare Providers Can Reduce Costly Hospital Readmissions

Having a home health aide or access to home care services upon discharge is a very effective way of improving a patient’s care transition. Studies show that persons who live alone have a 50 percent higher risk of readmission compared to those living with others. Home care can help reduce readmissions by providing a low-cost supplement to medical-based care transitions. In-home caregivers can provide personal care assistance, medication reminders, transportation to appointments, and act as the critical link in communicating with other care providers to raise red flags and provide early detection.
Source: hitconsultant.net

Daily Kos: House Republicans vote to end Medicare, again

whose memorization skills are awasome are lacking is a sense of time. There’s a clue in the fact that all economic theory is based on models that are focused on conditions at a specific point in time. That is, the models are all static. If there are series or sequences, those are still perceived as static isolated instances. For comparison, think of the frames in a moving picture or video or cartoon. In a movie, these static images move at the rate of 30 per second, too quick for the human eye to perceive as static. So, we see them as continuous motion. Now imagine a person who can’t see change — i.e. the relationship between prior, present, and later images. Or call it progression. Some brains just take snap shots and can’t register change, progress, motion. Kenneth Galbraith said the problem is an inability to model the economy as a dynamic system, which it is. Economists can’t track change over time. Meteorologists are trying to do it for the weather, with some success. But, I suspect people attracted to economics aren’t even interested in trying, either because they don’t understand what a dynamic system is or because what they’re really after is changing how people behave. If the economy isn’t working as they expect, then people’s behavior has to be changed. It doesn’t even occur to them that their models are wrong.
Source: dailykos.com

Medicare Targets Health Plans With Low Ratings

Medicare officials are encouraging 525,000 beneficiaries to switch out of these 26 Medicare Advantage and drug plans that have received low ratings for three consecutive years and enroll in better plans for next year. The poor performing plans will have this warning symbol next to their names on Medicare’s plan finder website to steer shoppers to other plans.
Source: kaiserhealthnews.org

Choose from Florida Blue Medicare Options

Posted by:  :  Category: Medicare

Those people without medical insurance will have to opt for emergency room care at the very crowded facilities in your area. In this case, you could be delaying medical care for a long time and can aggravate your medical condition in to a much more serious one. Your life is a lot more precious than this and such risk taking is not warranted either for yourselves or your family members. It is not fair from a moral perspective to pass the cost of your medical expenses to your fellow citizens and force them to pay for it with their hard earned tax money. As proud Americans, you must be responsible for your actions and must purchase the necessary medical insurance cover for any potential medical treatment.
Source: yogadarsana.org

Video: Florida Blue CEO Patrick Geraghty Talks Medicare on Bloomberg TV

### Discover Florida Blue Insurance

One method is to construct, by evaluating health risks. While many companies offer such discounts to their employees not to rest. Sit and talk to your discover florida blue insurance company if you accept health checks for your business. In essence, what decreases the amount you eat of salary for each billing period. Instead, it is necessary to refute certain health problems and may need a blood test. This is an opinion. Health information to help you make healthier choices in their lives and, in turn, their discover florida blue insurance, you can sculpt your premium may generate petite available
Source: saveinsurancetoday.com

Florida Blue Is New Name for BCBS of Florida

They are also trying to decrease or hold steady their Medicare supplement rates while competitor AARP is increasing their supplement rates by 5%.  This new approach is a welcome change from the old BCBS of Florida who seemed to rely on their name recognition and less on robust benefits or a value based approach.  In less than a week the new benefit information for 2013 will be released.  Starting on October 15th you will be able to enroll into one of the Florida Blue plans if you want.  I will have updated information on this site so check back regularly.  If you have not already, sign up for my free mini-course in the upper right hand corner!
Source: medicare-plans.net

Blue Cross Blue Shield of Florida – BCBSF Options for the Medicare Generation

nation above the time of 65 are valued by the side of Blue Cross Blue Shield of Florida.? The family unit of companies offers health, dental, along with pharmacy campaign representing chief citizens.? They furthermore avoid outdated together with instruction something like Medicare conscription next additional issues representing the Medicare period of life.? The healthcare campaign are called BlueMedicare Solutions, counting BlueMedicare campaign representing persons afterward BlueMedicare grouping Retiree Plans.? The dental campaign are called DentalBlue, plus BlueDental be bothered Plan, BlueDental catalog Copayment Plan, after that BlueDental array positive Plan.? BCBSF pharmacy coverage is called BlueMedicare Rx. ? BlueMedicare congregate Retiree campaign are employer-provided campaign with the intention of thoughtfulness representing retiree needs.? BlueMedicare campaign representing persons stop chief citizens sign up all the rage Medicare carve up A in addition to carve up B along with seal gaps popular coverage.? Blue Cross Blue Shield of Florida answers questions more or less Medicare enrollment, wellbeing insurance, prescription drug cards plus more.? They submit Medicare Supplement plans, Medicare substitution plans, moreover Medicare carve up D (Prescription drug coverage).? new to the job legislation touching Medicare Supplement campaign makes it indispensable representing regulars headed for convene BCBSF representing in rank taking place this now altering area.? BCBSF offers Medicare substitution campaign clothed in PPO (Participating bringer Organization) afterward PFFS (Private Fee representing Service) forms. ? BlueMedicare Regional PPO is a statewide exchange ideas map in the midst of series copayments, prescription drug coverage, plus more.? BlueMedicare PFFS offers on a national scale coverage together with thumbs down bringer networks.? It has preset copayments representing enclosed air force as a consequence prescription drug coverage.? BlueMedicare Rx campaign show your face popular three options, by predictable copayments, after that a number of together with thumbs down deductible.? Blue Cross Blue Shield of Florida shopper once-over council bottle movement clients by means of at what time after that how headed for join all the rage Medicare coverage, being fine for example ration them headed for seal a few gaps popular coverage they force experience. ? BlueDental commencing Blue Cross Blue Shield of Florida is open clothed in the whole three options headed for persons greater than the epoch of 65.? BlueDental thoughtfulness design is an in-network design by subdued or thumbs down copayment representing function visits as a consequence straightforward work.? key composition via a participating specialist is not expensive 25% commencing the prevailing fees.? BlueDental catalog added to design offers patients the knack headed for go for several dentist someplace representing their dental work.? preventive air force are enclosed fully, straightforward air force are enclosed 80%, afterward key air force are 50% covered.? BlueDental top-drawer Copayment map offers customers the safety measures of unchanging copayment amounts representing air force performed in-network.? in attendance is thumbs down blame representing a preventive place of work visit, cleanings are $10, rudimentary once-over copayments assortment commencing $15 headed for $22, then key advantage copayments depend taking place the advantage performed (from $61 headed for $382). ? ?
Source: securitylifeinsurancecompany.com

blue cross medicare florida

First Coast Service Options Inc. (FCSO) is the Medicare administrative contractor for jurisdiction 9, which includes Florida, Puerto Rico, and Related links: etymology of word football free witchcraft spells computers guitar hero 2 youtube top 100 hip hop downloads letter people using twitter that 70s show tv guide clock samples for windows vista
Source: posterous.com

Cash Advance, Debt Consolidation And Insurance Blog

I am sort of confused about what I should do when I need to switch from my company provided health insurance over to a Medicare Advantage plan. There are so many acronym and different code words, for instance my wife says I need a blue medicare regional ppo. That would Blue Cross Florida I guess and PPO stands for preferred provider organization or participating provider organization. I have not really finished my research, but it does seem as though this is probably what I need. I am right in the middle of Florida, so I should have no trouble finding participating health care providers and I am pretty near certain that our family doctor is going to be covered. I am not so certain about the local medical center, which is far more convenient than driving into Orlando for me. I am confused about how I get from here to there however.
Source: sokmotor.net

Florida Hospital Repays $3M to Medicare While Overbilling Allegations Loom

Florida Hospital in Orlando has repaid $3 million to Medicare, a move seen by prosecutors as corroborating overbilling allegations and by hospital officials as the result of a routine audit, according to an Orlando Sentinel report. Lawyers representing whistleblowers who filed suit against Florida Hospital in Orlando say the organization’s repayment of $3 million to Medicare shows merit to overbilling allegations, but hospital officials say the repayment was the result of a “normal and routine” audit. Florida Hospital and six other hospitals under the Orlando-based Adventist Health System face allegations of improper Medicare billing. A whistleblower complaint filed in July 2010 and unsealed in August 2012 alleges that seven Adventist hospitals routinely submitted duplicate claims or overbilled for radiology services for 15 years. A second complaint, filed in October 2012, claims fraudulent billing occurred for emergency services, as well. Marlan Wilbanks, JD, an attorney representing the whistleblowers, says Florida Hospital’s recent repayments to the Medicare program “further proves the credibility of our case,” according to the report. But hospital spokesperson Samantha O’Lenick says the repayment was based on a third-party audit’s findings. “It is not uncommon for us, as well as others in the industry, to conduct normal and routine audits because of the highly complex governmental billing rules,” Ms. O’Lenick said in the report. “Sometimes in doing so, we correct overcharges and undercharges.” A district judge has called the whistleblowers’ evidence of the alleged wrongdoing “extensive and sufficient,” and denied Florida Hospital’s first motion to dismiss the case. He also denied another motion to dismiss the second claim, which was filed more recently. A trial for the case is set for Dec. 2.
Source: beckershospitalreview.com

Electronic Medical Billing Software

1. Direct Electronic Claims Medisoft direct electronic claims module is a productivity and revenue enhancement program. It saves time by allowing you to send literally hundreds of claims electronically at the touch of a button, and decreases the waiting time for receiving payments which translates to a lower overall Accounts Receivable balance. Medisoft Direct Electronic Claim modules require Medisoft Advanced Patient Accounting in order to work. The Direct Electronic Claim module is an "ADD-ON" to Medisoft, and not a replacement or substitute. ERA – Electronic Remittance Advice, allows you to automatically download and retrieve your Medicare EOB electronically, AND post all Medicare Payments, with the touch of a button. This is a REAL TIME and PRODUCTIVITY saver!!! This is only available if used in conjunction WITH Medisoft Direct Electronic claims module or NDC Clearinghouse.  
Source: medicalbillingsoftware.com

Grappling With Details of Medicare Proposals

Posted by:  :  Category: Medicare

NYC TO WALL ST.: BUSH / CHENEY: DROP DEAD. by eyewashdesign: A. GoldenStill, it’s clear the proposed changes would shift costs from the federal government to retirees. An early version of a Republican plan would have more than doubled out-of-pocket health expenses for older adults, to $12,500 in 2022, the Congressional Budget Office estimated. “All scenarios will require seniors to pay more,” said Robert Moffit, senior fellow at the Heritage Foundation, a conservative research organization in Washington. To think otherwise, he said, “is a fantasy.”
Source: nytimes.com

Video: Medicare Anniversary Demonstration at Beth Israel Medical Center – NYC #OWS

Brooklyn Attorney Indicted for Collecting Medicaid, Food Stamps & Unemployment Benefits

“It is important to make sure that those who need help are able to receive government benefits to help them survive. Thousands of individuals in NYC rely on assistance such as Welfare, Rental Assistance, Cash Assistance, Unemployment Benefits, Medicaid and Food Stamps.  To these individuals, it is the difference between having a place to live, having food on their tables, and having clothes on their backs,” said District Attorney Hynes.  “Unfortunately, there are scammers who try to take advantage of the government and steal funds for which they are ineligible.  In essence, they are stealing money from those who are less fortunate and they are costing the taxpayers more of their hard earned money.  By indicting and prosecuting these offenders, we are sending a message that this fraudulent activity will not be tolerated,” he said.
Source: brooklynews.com

Therapy Plateau No Longer Ends Coverage

Beneficiaries also often lose Medicare coverage for outpatient therapy because they hit the payment limit. But under the exceptions process Congress continued for another year, the health care provider can put an additional code on the claim that indicates further treatment above the $1,900 limit is medically necessary. When treatment costs reach $3,700, the provider can submit medical documentation to support a request for another exception to cover 20 more sessions. (A Medicare fact sheet provides some additional details, but has not been updated for 2013.)
Source: nytimes.com

How do I know if a service is medically necessary according to Medicare?

If a patient is clearly unable to benefit from the service, then the service will be deemed medically unnecessary and charges of Medicare fraud will ensue. For example, the prescription of psychotherapy for patients with severe dementia are likely to be found medically unnecessary. Medicare will not cover psychotherapy services for patients with Alzheimer’s disease or dementia unless the patient’s dementia is mild, the patient is able  to recall what occurred at the therapy from one session to the next, and that capacity is documented in the patient’s record.
Source: jpoassociates.com

New York to pull students from the Judge Rotenberg Center?

“CMS made the right decision – no federal tax dollars should be going to an institution that uses these electric shock techniques on children. It’s time New York State and New York City to do the same – no city or state money should go to support an institution which subjects its students to these cruel and unusual forms of ‘behavior modification’. The Rotenberg Center in Massachusetts where 120 NYC developmentally disabled students currently attend, is in gross violation of the most fundamental standards of humane treatment of people with disabilities”, Councilman Gentile said. “With CMS pulling its funding, we are one step closer to shutting down Rotenberg once and for all.” As a New York State Senator, Councilman Gentile introduced legislation to mandate oversight and accountability when developmentally disabled students are sent out-of-state for education and treatment. Then, in late 2009, Councilman Gentile sponsored “Billy’s Law” which requires the Department of Education to provide the City Council with bi-annual reports monitoring all out-of-state residential facilities that house New York State children for specialized educational services – both pieces of legislation passed unanimously. “It is a sad fact that our City still sends children to this Center, and sadder still that it is our tax-payer dollars that fund about half of the children at this school,” Gentile wrote in a letter to Chancellor Walcott. “I know that with your leadership, we can finally remove our children from this barbaric facility. I am asking that you immediately develop a plan, if one does not already exist, to bring these students home and that you share it with my office and the New York City Council.” New York City Education officials have paid more than $13 million last year to treat 120 city kids at Judge Rotenberg Educational Center outside Boston, which until now was the only clinic in the country that uses electric shock treatments to discipline students.
Source: co.uk

New York to pull students from the Judge Rotenberg Center?

“CMS made the right decision – no federal tax dollars should be going to an institution that uses these electric shock techniques on children. It’s time New York State and New York City to do the same – no city or state money should go to support an institution which subjects its students to these cruel and unusual forms of ‘behavior modification’. The Rotenberg Center in Massachusetts where 120 NYC developmentally disabled students currently attend, is in gross violation of the most fundamental standards of humane treatment of people with disabilities”, Councilman Gentile said. “With CMS pulling its funding, we are one step closer to shutting down Rotenberg once and for all.” As a New York State Senator, Councilman Gentile introduced legislation to mandate oversight and accountability when developmentally disabled students are sent out-of-state for education and treatment. Then, in late 2009, Councilman Gentile sponsored “Billy’s Law” which requires the Department of Education to provide the City Council with bi-annual reports monitoring all out-of-state residential facilities that house New York State children for specialized educational services – both pieces of legislation passed unanimously. “It is a sad fact that our City still sends children to this Center, and sadder still that it is our tax-payer dollars that fund about half of the children at this school,” Gentile wrote in a letter to Chancellor Walcott. “I know that with your leadership, we can finally remove our children from this barbaric facility. I am asking that you immediately develop a plan, if one does not already exist, to bring these students home and that you share it with my office and the New York City Council.” New York City Education officials have paid more than $13 million last year to treat 120 city kids at Judge Rotenberg Educational Center outside Boston, which until now was the only clinic in the country that uses electric shock treatments to discipline students.
Source: cchrint.org

Why Private Medicare Plans Don't Cost Less

Many contend that the government “overpays” for people enrolled in private plans, since traditional Medicare could have covered these patients for less money. But the reason it would have cost less is partly that the government has done a woeful job in figuring out how much to pay the private plans. The government compensates insurers based on the health of their enrollees at the start of the year. Plans with healthier patients receive less money than those with sicker ones to reflect the likelihood that healthier people will use less care. Healthier patients enroll in Medicare Advantage plans, so in, principle, plans should be reimbursed less by the government for enrolling these patients (the technical term for this process is “risk adjustment”). But for decades, the government has failed to determine who is healthy and who is sick with any precision, with the result that private plans receive larger payments to cover their patients’ costs than necessary. This botched payment system gives insurers an incentive to spend more time selecting the healthiest patients, and less time treating them more efficiently.
Source: nytimes.com

For Medicare, We Must Cut Costs, Not Shift Them

In the Wyden-Ryan proposal, the government would give each older citizen a certain amount of money — basically, a voucher — with which to buy a health insurance policy. The recipients would decide which policy to buy, based on whatever combination of benefits and price they found most appealing. If they chose a plan that cost more than the voucher, they would have to pay the difference. An earlier premium support plan by Mr. Ryan would have totally replaced traditional Medicare. This latest one would preserve Medicare as an option — although, critically, it would not guarantee that the voucher was enough to make Medicare affordable or ensure that private plans could not design a benefits package to attract only the healthiest patients. If this doesn’t sound like the kind of sweeping reform that will save us … it’s because it isn’t.
Source: nytimes.com

Social Security Disability Insurance and Medicare

Posted by:  :  Category: Medicare

: Once the applicant qualifies as disabled, the recent work test and duration of work tests are administered. The recent work test is based on age; according to the Social Security administration, the age of the applicant at the time of the disability determines how long the applicant needs to have worked in order to qualify. The duration of work test is meant to prove that the applicant worked under Social Security (and paid Social Security taxes) for long enough to qualify. SSDI eligibility is based on “work quarters”, or three month periods during which the applicant needs to have worked.  Please click here to view the specific guidelines that the Social Security administration has outlined in regards to the duration of work and the recent work test.
Source: specialneedsplanning.net

Video: An Explanation of Medicare and Medicaid Coverage Available for Disabled Workers

Social Security & Medicare for Adult Disabled Children

If you or your spouse are retired or disabled and receiving Social Security benefits and have a disabled adult child who has been denied the SSDI benefits, the experienced attorneys at Littman Krooks, LLP can assist you in filing an appeal, so that your child can obtain the benefits they are entitled to. Our firm represents adult children with disabilities in SSDI appeals on a contingent fee basis, which means that there is no out of pocket legal costs for filing the appeal.
Source: specialneedsnewyork.com

Concerned Citizens For Disability Advocacy: CMS softens Medicare Advantage funding changes

Welcome to the Concerned Citizens For Disability Advocacy Blog. This Blog was created so all concerned citizens could have a place to post their views relating to disability advocacy. We encourage healthy and constructive commentary as it relates to disability advocacy by lawyers,health care workers,community leaders,teachers,law enforcement and all concerned citizens. We encourage all posters to sign your real name to postings for accountability. Anonymous posters will not be recognized.
Source: blogspot.com

Implementation of some health care changes delayed

Since learning of the OPERS solution to the health plan funding problem I have wondered why OPERS does not offer Medicare retirees Several Different Plan Levels through contract(s) with private health insurer(s). By combining the money saved from 1. stopping Spousal Coverage and 2. stopping Medicare Reimbursement with 3. the monthly allowances that will be given and 4. the savings from not Contracting with a Connector Group, it would seem that OPERS could continue to offer group Medicare retiree health insurance coverage. If necessary retirees could contribute some amount to cover the cost of the plan they selected. With 130,000 members to offer as a group rate and the fact OPERS has already researched & found that more cost effective plans are available on the market, it is hard to understand why each person (with no leverage) is better off shopping for their own insurance.
Source: opers.org

LGBT Groups Challenge Medicare’s Refusal to Provide Healthcare to Transgender Patients

As a result of the administrative challenge, the Department Appeals Board (DAB) of the U.S. Department of Health and Human Services (HHS) must review the ban, determine whether it is reasonable based on current standards of care, and reverse it if it is not. The DAB is staffed by career civil servants who have been tasked with providing an impartial independent review of disputes concerning Medicare and other HHS programs. Earlier last week, the HHS Centers for Medicare and Medicaid Services (CMS) on its own initiative included a statement on its website that it would be reconsidering the ban. CMS subsequently withdrew its proposal to reconsider the ban and through a spokesperson explained that the ban would instead be reviewed through the independent DAB process.
Source: wordpress.com

Advantra Medicare Supplement

Posted by:  :  Category: Medicare

The procedure of shopping for reasonable advantra medicare supplement starts from the step after you compare advantra medicare supplement on-line. Yes, there area unit thousands of individuals preferring to match the rates and services of all insurance underwriter via net. No doubt, net has brought a forceful modification in our lives and there area unit thousands of internet sites and social networking sites that area unit providing best comparisons of advantra medicare supplement coverage policies. the main purpose of putting this on ink article is to aware those that you ought to search your advantra medicare supplement connected queries on net instead of wasting some time by visiting every and each workplace physically.
Source: quickerinsure.com

Video: Medicare Health Insurance Chiropractic Benefits Burlington NC

Altius Health Plans Altius Advantra Medicare Review

Altius Health Plans offers Medicare health insurance programs for residence of Utah and a county in Wyoming.  Altius Advantra and Altius Advantra Preference are Medicare Advantage HMO plans available in Box Elder, Cache, Daggett, Davis, Duchesne, Morgan, Rich, Salt Lake, Summitt, Tooele, Wasatch, and Weber counties in Utah as well as Uintah county in Wyoming.  Altius Advantra is an HMO-POS plan, and Altius Advantra Preference is a plain HMO only available in Davis, Salt Lake, and Tooele counties.  The coverage does include Part D drug coverage as well as health benefits.  Below is a review of the benefits they offer:
Source: medicare-plans.net

Do You Have An Advantra Freedom Medicare Plan??

[…] You can blame this on your congressmen, senators, and yes even the president. The funding for medicare and Medicare has been drastically cut causing  some companies to raise rates and lower benefits. Other companies have simply decided to drop out of the market (which produces less competition). I would suggest writing a letter to your congressman or senator.Source: wordpress.com […]
Source: wordpress.com

Advantra Rx NOT Renewing Their Medicare Contract

one of my customer’s sent me a copy of the letter from AdvantraRX dates October 2. Here is what it says (sorry about typos, i type fast): Dear Mr. Smith, AdvantraRx Preimer by Coventry Life and Health Insurance Company, a stand-alone prescription drug plan with a Medicare Contract, will no longer operate as of January 1, 2011 so your Medicare Prescription drug coverage through AdvantraRx Premiuer will end December 31, 2010. If you want Medicare prescription drug coverage starting January 1, you need to join a new Medicare drug plan by December 31, 2010. Take Action by December 31 to avoid losing drug coverage. If you want Medicare Rx drug coverage after December 31, you need to join another Plan or medicare advantage plan that offers drug coverage. You can join a new medicare drug plan anytime between October 1 and January 31, 2011. However your AdvantraRx Premier coverage ends December 31, so you should join a new medicare drug plan by december 31 to make sure you have drug coverage january 1. If you join a new plan AFTER december 31, your new coverage won’t start until the month after you join. What happens if you don’t join another medicare drug plan? if you don’t join another medicare drug plan by January 31, your next chance to join will be from october 15 through december 7, 2011. You may also have a pay a late-enrollment penalty to join later. The the letter gives a list of a bunch of companies and the 1-800 Medicare number and website. It doesn’t state anything anywhere about automatically enrolling them into another plan if they do nothing. In fact, it states the opposite.
Source: insurance-forums.net

Geisinger Health System will No Longer Participate with Advantra Medicare in 2011

Geisinger Health System is a hospital system in Northeastern PA.  Here is a press release announcing that they will not be considered in network for Advantra Medicare PPO and will not participate with the Medicare HMO.
Source: ritterim.com

Medicare Targets Health Plans With Low Ratings

Medicare officials are encouraging 525,000 beneficiaries to switch out of these 26 Medicare Advantage and drug plans that have received low ratings for three consecutive years and enroll in better plans for next year. The poor performing plans will have this warning symbol next to their names on Medicare’s plan finder website to steer shoppers to other plans.
Source: kaiserhealthnews.org

Kathie Bracy’s Blog: Article: The Trouble With Medicare Advantage

Fillman goes on to explain: “The new accounting rules issued by the Governmental Accounting Standards Board (GASB) place a tremendous strain on public retiree health benefits and add to the lure of these private Medicare plans. The GASB rules require public employers to estimate future costs of their retiree health benefits – 35 years into the future – and publish them on their annual financial statements. To reduce this paper liability, more public employers are proposing a switch from their own solid retiree health plans, which include traditional Medicare, to these private Medicare plans. This is a major factor in public employers’ decisions to switch to Medicare Advantage private fee-for-service plans.
Source: blogspot.com

Emdeon Current: New Payer Transactions Added Recently

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Call MID America Benefits, Payer ID: Call Molina Healthcare, Payer ID: Cx083 Mutual Assurance Administrators, Payer ID: 37256 Ohana Health Plan, Payer ID: Cx083 Ohio Ppo Connect, Payer ID: Call Ozark Health Plan, Payer ID: Cx083 Palms Casino Resort, Payer ID: Cx083 Physicians United Plan-Pup, Payer ID: Cx083 Rocky Mountain Hospital & Medical Service – Osb High & High, Payer ID: Cx083 Sands Bethworks Gaming, Payer ID: Cx083 Santa Clara Family Health Plan, Payer ID: Cx083 Venetian, Payer ID: Cx083 Wellcare, Payer ID: Cx083 Highmark Blue Cross & Blue Shield Of Pennsylvania, Payer ID: Sb865 Pacificsource Medicare, Payer ID: 20377 Pacificsource Medicare, Payer ID: 20377 Eligibility Inquiry And Response: Advantra Freedom, Payer ID: Covty00453 Advantra Savings, Payer ID: 456 Advantra Savings, Payer ID: Covty00456 Altius Health Plan, Payer ID: 364 Altius Health Plan, Payer ID: Covty00364 Chc Carelink, Payer ID: Covty00160 Chc Carelink MedicaID, Payer ID: Covty00182 Chc Carenet, Payer ID: Covty00190 Chc FlorIDa/Vista/Summit, Payer ID: 512 Chc FlorIDa/Vista/Summit, Payer ID: Covty00512 Chc Group Health Plan (Ghp), Payer ID: Covty00184 Chc Health America / Health Assurance Of Pennsylvania (Hapa), Payer ID: Covty00148 Chc Southern Health Services (Shs), Payer ID: Covty00156 Chc Of Delaware, Payer ID: Covty00166 Chc Of Georgia, Payer ID: Covty00154 Chc Of Health Care Of Usa (Hcusa), Payer ID: Covty00186 Chc Of Iowa, Payer ID: Covty00170 Chc Of Kansas, Payer ID: Covty00172 Chc Of Louisiana, Payer ID: Covty00158 Chc Of Nebraska, Payer ID: Covty00176 Chc Of The Carolinas / Wellpath, Payer ID: Covty00164 Carelink Advantra, Payer ID: 160 Carelink Health Plan, Payer ID: 160 Carelink MedicaID, Payer ID: 182 Carenet, Payer ID: 190 Coventry Advantra (Texas New Mexico Arizona), Payer ID: 504 Coventry Advantra (Texas New Mexico Arizona), Payer ID: Covty00504 Coventry Health Care Federal, Payer ID: 509 Coventry Health Care Federal, Payer ID: Covty00509 Coventry Health Care Of Delaware Inc., Payer ID: 166 Coventry Health Care Of Georgia Inc., Payer ID: 154 Coventry Health Care Of Iowa Inc., Payer ID: 170 Coventry Health Care Of Kansas Inc., Payer ID: 172 Coventry Health Care Of Louisiana Inc., Payer ID: 158 Coventry Health Care Of Nebraska Inc., Payer ID: 176 Coventry Health And Life (Oklahoma), Payer ID: 441 Coventry Health And Life (Oklahoma), Payer ID: Covty00441 Coventry Health And Life (Tennessee Only), Payer ID: 455 Coventry Health And Life (Tennessee Only), Payer ID: Covty00455 Coventry Health And Life-Nevada, Payer ID: 505 Coventry Health And Life-Nevada, Payer ID: Covty00505 Coventry Healthcare National Network, Payer ID: 250 Coventry Healthcare National Network, Payer ID: Covty00250 Coventry-Missouri, Payer ID: 507 Coventry-Missouri, Payer ID: Covty00507 Coventrycares, Payer ID: 510 Coventrycares, Payer ID: Covty00510 Coventryone, Payer ID: Covon Coventryone, Payer ID: Covtycovon Diamond Plan, Payer ID: 177 Diamond Plan (Md MedicaID), Payer ID: Covty00177 Group Health Plan – Cmr, Payer ID: 184 Health America Inc./Health Assurance/Advantra, Payer ID: 148 Healthcare Usa, Payer ID: 186 Mhnet Behavioral Health, Payer ID: 514 Mhnet Behavioral Health, Payer ID: Covty00514 Mail Handlers Benefit Plan, Payer ID: 251 Mail Handlers Benefit Plan, Payer ID: Covty00251 Omnicare, Payer ID: Covty00413 Omnicare – A Coventry Health Plan, Payer ID: 413 Personalcare/Coventry Health Of Illinois, Payer ID: 179 Personalcare/Coventry Health Of Illinois, Payer ID: Covty00179 Southern Health Services Inc., Payer ID: 156 University Of Missouri, Payer ID: Covtycovum University Of Missouri, Payer ID: Covum Vista (MedicaID FlorIDa Health KIDs Long Term Care Products Only), Payer ID: 508 Vista (MedicaID FlorIDa Health KIDs Long Term Care Products Only), Payer ID: Covty00508 Wellpath, Payer ID: 164 Coventry Nebraska MedicaID, Payer ID: 511 Coventry Nebraska MedicaID, Payer ID: Covty00511 Ohio MedicaID, Payer ID: AID09 Ohio MedicaID, Payer ID: Oh Claim Satus And Response: Advantra Freedom, Payer ID: COVTY00453 Advantra Savings, Payer ID: 456 Advantra Savings, Payer ID: COVTY00456 Altius Health Plan, Payer ID: 364 Altius Health Plan, Payer ID: COVTY00364 CHC Carelink, Payer ID: COVTY00160 CHC Carelink MedicaID, Payer ID: COVTY00182 CHC Carenet, Payer ID: COVTY00190 CHC FlorIDa/VISTA/Summit, Payer ID: 512 CHC FlorIDa/VISTA/Summit, Payer ID: COVTY00512 CHC Group Health Plan (GHP), Payer ID: COVTY00184 CHC Health America / Health Assurance Of Pennsylvania (HAPA), Payer ID: COVTY00148 CHC Southern Health Services (SHS), Payer ID: COVTY00156 CHC Of Delaware, Payer ID: COVTY00166 CHC Of Georgia, Payer ID: COVTY00154 CHC Of Health Care Of USA (HCUSA), Payer ID: COVTY00186 CHC Of Iowa, Payer ID: COVTY00170 CHC Of Kansas, Payer ID: COVTY00172 CHC Of Louisiana, Payer ID: COVTY00158 CHC Of Nebraska, Payer ID: COVTY00176 CHC Of The Carolinas / Wellpath, Payer ID: COVTY00164 Carelink Advantra, Payer ID: 160 Carelink Health Plan, Payer ID: 160 Carelink MedicaID, Payer ID: 182 Carenet, Payer ID: 190 Coventry Advantra (Texas New Mexico Arizona), Payer ID: 504 Coventry Advantra (Texas New Mexico Arizona), Payer ID: COVTY00504 Coventry Health Care Federal, Payer ID: 509 Coventry Health Care Federal, Payer ID: COVTY00509 Coventry Health Care Of Delaware Inc., Payer ID: 166 Coventry Health Care Of Georgia Inc., Payer ID: 154 Coventry Health Care Of Iowa Inc., Payer ID: 170 Coventry Health Care Of Kansas Inc., Payer ID: 172 Coventry Health Care Of Louisiana Inc., Payer ID: 158 Coventry Health Care Of Nebraska Inc., Payer ID: 176 Coventry Health And Life (Oklahoma), Payer ID: 441 Coventry Health And Life (Oklahoma), Payer ID: COVTY00441 Coventry Health And Life (Tennessee Only), Payer ID: 455 Coventry Health And Life (Tennessee Only), Payer ID: COVTY00455 Coventry Health And Life-Nevada, Payer ID: 505 Coventry Health And Life-Nevada, Payer ID: COVTY00505 Coventry Healthcare National Network, Payer ID: 250 Coventry Healthcare National Network, Payer ID: COVTY00250 Coventry-Missouri, Payer ID: 507 Coventry-Missouri, Payer ID: COVTY00507 Coventrycares, Payer ID: 510 Coventrycares, Payer ID: COVTY00510 Coventryone, Payer ID: COVON Coventryone, Payer ID: COVTYCOVON Diamond Plan, Payer ID: 177 Diamond Plan (MD MedicaID), Payer ID: COVTY00177 Group Health Plan – CMR, Payer ID: 184 Health America Inc./Health Assurance/Advantra, Payer ID: 148 Healthcare USA, Payer ID: 186 Mhnet Behavioral Health, Payer ID: 514 Mhnet Behavioral Health, Payer ID: COVTY00514 Mail Handlers Benefit Plan, Payer ID: 251 Mail Handlers Benefit Plan, Payer ID: COVTY00251 Medical Mutual Of Ohio, Payer ID: 211 Medical Mutual Of Ohio, Payer ID: MMO00211 Omnicare, Payer ID: COVTY00413 Omnicare – A Coventry Health Plan, Payer ID: 413 Personalcare/Coventry Health Of Illinois, Payer ID: 179 Personalcare/Coventry Health Of Illinois, Payer ID: COVTY00179 Southern Health Services Inc., Payer ID: 156 University Of Missouri, Payer ID: COVTYCOVUM University Of Missouri, Payer ID: COVUM VISTA (MedicaID FlorIDa Health KIDs Long Term Care Products Only), Payer ID: 508 VISTA (MedicaID FlorIDa Health KIDs Long Term Care Products Only), Payer ID: COVTY00508 Wellpath, Payer ID: 164 Coventry Nebraska MedicaID, Payer ID: 511 Coventry Nebraska MedicaID, Payer ID: COVTY00511 For a complete list of the payers in our network, visit our website at www.emdeon.com/payerlists/
Source: blogspot.com

The Sullivan Independent News

The Visiting Nurses Association will hold a flu shot clinic at the Sullivan Senior Center on Tues., Oct. 13 from 12 p.m.- 3 p.m. In order to be sure a vaccine is available for you, you must call or stop by the Senior Center and have your name put on the vaccine list. The VNA will be bringing 150 vaccines, but more will be available if we see more people are signing up. This will be a one-time clinic. Those planning to receive their vaccine may show up anytime from 12 p.m.-3 p.m. To avoid the congestion and long waiting periods, you may wish to wait a little later and not all show up at 12 p.m. Insurances accepted by the VNA for this clinic include: Medicare Advantage Plans, Essence, Coventry Advantra Freedom, GHP, Advantra, GHP Advantra Freedom, GHP Gold Advantage, Humana Choice PPO, Humana Gold Choice PFFS, Humanna Gold Plus HMO and Mercy Medicare Advantage. Other insurances that did not contract with the VNA and will not be accepted are: Medicare Advantage Plans, Secure Horizons, Aetna Medicare, Anthem Senior Advantage, Cigna Medicare Access, Sterling Option, Wellcare, Evercare or any other Medicare Advantage or out-of-state plans. Medicaid is not accepted. If you have another primary insurance, you may not use Medicare or Medicare Advantage. Those wishing to pay “out of pocket” for the vaccine may do so. The cost is $30. Visiting Nurses Association is a non-profit community based organization dedicated to serving the healthcare needs of your community. Please help us by giving us your correct insurance at the time of service.
Source: mysullivannews.com

About Our Back Specialists

I had consultations with two independent surgeons and after MRI’s, X Rays, they independently arrived at the same conclusion, surgery would likely not be beneficial for me and I would likely suffer ongoing pain.  After being briefed on the neuro stimulator, I decided to have the procedure performed.  I am here to say it was the best decision I’ve ever made regarding my back pain.  After the test procedure was complete I had the procedure.  I would without hesitation recommend that anyone who has tried everything and had no success that they should give this procedure and implant a serious look.
Source: carolinabackinstitute.net

#NH Congressional Reps Sternly Oppose Rep #Ryan’s Budget Cuts To #Medicare And Other Programs #NHpolitics #1u #p2

Posted by:  :  Category: Medicare

“We need to reduce the deficit and cut government spending. But instead of offering proposals that have no chance of earning broad bipartisan support and becoming law, Republicans and Democrats in the House and Senate need to come together and compromise on a balanced plan to reduce the deficit, grow the economy, and protect seniors and the middle class. That type of responsible compromise remains the best and only way to address our fiscal challenges and move our country forward.”
Source: nhlabornews.com

Video: Romney, Ryan defend Medicare plan with NH voters

Doubts Raised About Cutting Medicare Pay In High

While not overtly giving advice to lawmakers, the panel’s interim report identified many downsides to adjusting Medicare payments to hospitals, doctors and other providers based on region. Such a practice, it suggested, “would likely mischaracterize the actual value of services” and result “in unfair payments” to physicians and institutions that were careful in using Medicare services but were located in regions that were overall heavy spenders.
Source: nhpr.org

NH Hospital Keeps Medicare Funding Despite Outbreak

Thousands of patients in Arizona, Georgia, Kansas, Maryland, Michigan, New York and Pennsylvania have since been tested for hepatitis C, a blood-borne viral infection that can cause liver disease and chronic health issues. In addition to the New Hampshire patients, a handful of patients in Kansas and one in Maryland have been found to carry the strain Kwiatkowski carries.
Source: cbslocal.com

N.H. hospital in danger of losing Medicare funding

“CMS has determined that the deficiencies are of such a serious nature as to substantially limit the hospital’scapacity to provide adequate care,” the agency wrote in a letter to the hospital dated Oct. 11. In a statement Friday, the hospital said it will continue to work to thoroughly address each of the agency’s findings and that it already has taken steps to resolve many of them and is confident it will fix the rest in the next several weeks. “We take quality and patient safety extremely seriously and will continue to make all necessary improvements to further improve the health system,” CEO Kevin Callahan said. The centers’ full report won’t be made public for 30 days or when CMS receives an acceptable plan of correction, whichever comes first, a CMS spokeswoman said. The letter sent to the hospital outlines four areas where Medicare conditions have not been met: infection control, patient’s rights, the hospital’s quality assessment and performance improvement program and its governing body. In the July report, CMS said nurses at the cardiac lab left syringes unattended after removing medication from machines. The hospital has since implemented a policy that requires filled syringes to be placed in a locked drawer until needed. Kwiatkowski, a traveling medical worker whom prosecutors describe as a “serial infector,” was hired in Exeter in April 2011 after working in 18 hospitals in Arizona, Georgia, Kansas, Maryland, Michigan, New York and Pennsylvania. He moved from hospital to hospital despite having been fired twice over allegations of drug use and theft. Thousands of patients in those states are being tested to see if they, too, were infected with hepatitis C, a sometimes life-threatening virus. A handful of patients in Kansas also have been found to carry the same strain Kwiatkowski carries. “Hospitals across the country and the regulators who oversee them continue to learn from this tragic event that was created by an alleged criminal who circumvented some of the best systems and protocols at leading institutions across the nation,” Callahan said. Kwiatkowski, who has told authorities he did not steal or use drugs, has pleaded not guilty to illegally obtaining drugs and tampering with a consumer product. Prosecutors recently were given until Nov. 30 to indict him after saying they needed more time because investigators are still conducting interviews and performing scientific analysis in multiple states.
Source: modernhealthcare.com

NH Medicare recipients' privacy violated

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Source: americablog.com

NH Seniors to Pay More Under GOP Budget

The report shows that under the Republican budget, seniors will pay more out-of-pocket for health coverage, preventive care, and prescription drugs. The budget will increase seniors’ health care costs by re-opening the ‘donut hole’ and raising seniors’ costs for preventive services, converting Medicare into a voucher program, and reducing access to nursing home care. 
Source: patch.com

Daily Kos: Tennessee Republicans pushing to cut welfare benefits if kids’ report cards don’t measure up

Posted by:  :  Category: Medicare

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Source: dailykos.com

Video: 2013 Medicare Plans in Tennessee – TN Medicare Supplements and Advantage Plans

Tennessee Exchange rejected; Medicaid decision looms

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Source: wordpress.com

TN Hospital Association Poll: 60 Percent Favor Medicaid Expansion

67 percent believed accepting the funds would mean critical money for Tennessee hospitals that are financially struggling today. 62 percent believed the federal government would meet its commitment to pay 100 percent of the cost for the first three years and 90 percent or more in subsequent years. 59 percent agreed it is a good deal for Tennessee taxpayers when the federal government would pay nine dollars for every dollar the state spends to expand needed health coverage. 55 percent agreed the state’s acceptance of the funds would help control the cost that people with private health insurance pay for health care as hospitals now would be paid for the care they are providing free to the eligible population. 65 percent concurred that since most other states are accepting the federal government’s funds, the state should make sure Tennessee’s hardworking taxpayers see their money being spent here to provide health coverage and strengthen community hospitals rather than having their tax dollars spent in other states that have opted into the plan.
Source: knoxnews.com

Expanding TennCare would hurt patients, taxpayers

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Source: beacontn.org

Medicare agrees to cover TMS treatment for depression in TN, GA, AL

“TMS will now be available to more patients, giving them the hope of living a life free of depression,” said Burton Hills-based Dr. Scott West, who was the first local psychiatrist to acquire the TMS machine, a space-age contraption that looks similar to a dentist’s chair. West has been using TMS to treat patients since 2010. (See our September magazine story here.)
Source: nashvillepost.com

REC Partnership Proves Beneficial

Over the past two years, Regional Extension Centers (RECs) have been working with health care providers to help them overcome the challenges of adopting and implementing electronic health records (EHRs). This week, the Government Accountability Office (GAO) found that health care providers who partnered with an REC were more than twice as likely to receive an incentive payment under the Medicare EHR Incentive Program.
Source: tnrec.org

Hospice Employee To Receive $1.8 Million For Blowing The Whistle On Medicare Fraud

that the defendants pressured staff to find more patients eligible for Medicare, adopted procedures that delayed and discouraged staff from discharging patients from hospice when they were no longer appropriate for such services, and did not implement an adequate compliance program that might have addressed these problems.
Source: barrettlawofficetn.com

Fewer Medicare Advantage Plans for Seniors

Posted by:  :  Category: Medicare

When I'm 64 by MuffetIn the ongoing legislative tussle over how to trim the Medicare program to help pay for a health care overhaul, the Senate recently voted down an amendment by Senator Orrin G. Hatch, Republican of Utah, that would have blocked planned cuts to the subsidies that private insurers receive under the Medicare Advantage program. The extra money, 14 percent more per beneficiary on average than the government pays for seniors in traditional Medicare, has been targeted by the Democratic leadership and the White House as a giveaway to insurance companies that unfairly raises premiums for all Medicare beneficiaries.
Source: nytimes.com

Video: PFFS Medicare Private Fee For Service

Cigna Cancels Medicare PFFS plans for 2011

This may be the first of many announcements from Medicare Advantage providers that they will not renew plans for 2011. New rules requiring companies to establish a provider network will prompt plans in all but a few counties to eliminate PFFS plans in 2011. 
Source: mysenioradvisorsgroup.com

CIGNA PFFS MEDICARE Plans ???

CIGNA has some good plans in some counties in Upstate, NY area……..I completed the CIGNA certification,,,and would like to sell there plans however trying to get enrollment materials for 2009 is not possable…ALL log- ins do not work……..My FMO can not even get through their VERY bad customer service for agents….CIGNA does NOT have a agent service 800 number…….when you call they say call your FMO………NO BROKER service at all…Has anyone had this or any other expericense with CIGNA…any ideas on how to get enrollment materials?? or a secret phone number to call……Right now if they can not service me how are they going to service my clients????……..Any one out their deal with CIGNA MEDICARE before?? Mike King Rochester, NY
Source: insurance-forums.net

Medicare Advantage Plans and PFFS Plans

GA_googleAddSlot(“ca-pub-0753968927722499″, adslot_Header); GA_googleAddSlot(“ca-pub-0753968927722499″, adslot_Mid); GA_googleAddSlot(“ca-pub-0753968927722499″, adslot_Mid2); GA_googleAddSlot(“ca-pub-0753968927722499″, adslot_Right_Top); GA_googleAddSlot(“ca-pub-0753968927722499″, adslot_Right_Bottom); GA_googleAddSlot(“ca-pub-0753968927722499″, adslot_
Source: merchantcircle.com

Carriers Dumping Medicare Advantage Private Fee

Medicare Advantage plans are specific types of Medicare plans that are in place to cover the cost of healthcare related expenses for Medicare participants. These plans are similar to traditional Medicare plans in that they provide financial support for individuals seeking medical or health-related services. However, Medicare Advantage plans generally have more benefits and lower copayments than other types of Medicare plans. In order to have a Medicare Advantage plan, Medicare participants need to have Medicare Part A and Medicare Part B plans.
Source: medicaidbuyin.org

MEDICARE: Are Private Fee

One solution we have used is risk contracting. We have been very successful in the Medicare HMO environment. When looked at from the perspective of risk-adjusted capitation payment, we are a very efficient provider. We have turned this into a business model. Not only can we stay in business this way, but we can create an environment which emphasizes care coordination and embodies the principles of geriatrics. We have social workers, an on-site pharmacist, case managers, and trained geriatricians who can spend somewhat more time than your average primary care doctor seeing our high complexity patients. We share risk with another 150 primary care docs, but our aggregate HCC scores are about 40% higher than the rest of our IPA.
Source: healthaffairs.org

Medicare Advantage PFFS Plans Slowy Disappearing

A new MIPPA law in 2008 required PFFS plans to start having a network in most counties starting in 2011.  The few counties that were excluded were typically rural counties.  This forced the PFFS plans to either drop their plan or go out and create a network.  The result was the PFFS plans being dropped for the most part.  You will be able to find some PFFS plans still in 2011, and there will be some in 2012 as well.  As stated before though, they are few and far between now.  Some Medicare beneficiaries will see this as an improvement since they will be able to use a directory to look up a doctor.
Source: medicare-plans.net

An explanation of Medicare

Part D is coverage for prescription drugs, and like Part C, the program is administered by private insurance companies. Part D plans have their own list of covered medicines, with a tiered pricing system. This means that some drugs, such as generics, may be in the lowest tier and have the lowest copayment. Drugs in the highest tiers would have the highest copayment. If you sign up for a Part D plan when you are first eligible you avoid paying a penalty. A penalty would be assessed if you don’t join when you were first eligible and you don’t have other drug coverage or don’t receive “Extra Help”. Beneficiaries with limited income and assets may qualify for “Extra Help” to help pay for prescription drugs. This program is administered through the Social Security program and Medicare. For more information, please visit www.SSA.gov/prescriptionhelp/.
Source: utu.org

Coventry Medicare Advantages In A Nutshell

The last two remaining programs in the Coventry Medicare Plans are the Coventry Advantra-POS and the Coventry Advantra Freedom. The Advantra POS is still basically the same as HMO and PPO plans; they have the same coverage of benefits and a set of network providers.  But, they are given the privilege to see health care providers outside their network.  Of course, this comes with much higher premiums.  For a little more cost, enrollees can have the freedom to choose their own physicians with the Advantra Freedom plan.  CAF is a private-fee-for-service (PFFS) which also includes Part A and B benefits.  Enrollees may consult any physician or specialist they prefer without the need for any referrals, given that the provider accepts the guidelines and resolutions within the PFFS agreement.
Source: medicarebase.com

Compare Quotes on Medicare Supplement Insurance

Posted by:  :  Category: Medicare

MORE DIRTY TRICKS FROM YOUR SOCIALIST/MARXIST   PRESIDENT AND HIS NASTY LITTLE ADMINISTRATION HACKS by SS&SSEvery program, Prograde supplements A through L, has a distinct set of benefits. Every single insurance coverage organization decides for itself which of the A via L policies it desires to sell. An insurance coverage business need to, nevertheless, sell plan A if it sells any other Medicare supplement insurance coverage program. The advantages in plans A via L vary, but they are the very same for any insurance organization. That is, strategy A has a different set of benefits from strategy B, but plan A has the exact same rewards no matter who sells it. Nonetheless, diverse insurance businesses can charge diverse premiums. So, although program A has the same rewards no matter who sells it, different insurance organizations can charge different premiums for a plan A policy.
Source: pakchom.net

Video: What is a Medicare Supplement

Have The Medicare Supplemental Health Insurance Policies ImmediatelyWorld Order of Forest Watchers

Acknowledge that there is in fact more to a new actual cost akin to Medicare than an initial premiums when it comes to Medicare Part An actual and B. You will have co-pays and subjected office visits to meet. This is where the different products in Medicare supplement insurances come straight to play. Medicare health insurance supplemental plans while policies help to cover deductible and additionally co-pays. Any single policy offers very different coverage options. You will yearn to determine exactly what policy will give good results best for your situation.
Source: forestwatch.org

Comparing Medicare Supplemental Insurance Benefits

These plans, called “Medigap” plans, each have different medical care coverage. Variable benefits of coverage to be considered are: • Coinsurance plus coverage that last 365 days after medicare benefits end (Medicare Part A) • Coinsurance/Copayment for medicare part B. • Pints of blood (transfusions, first three pints) • Hospice care copayments or coinsurance • Coinsurance for Skilled Nursing Facilities • Part A medicare deductible • Part B medicare deductible • Part B excess charges • Emergencies during foreign travel • Preventative care coinsurance, per Medicare Part B If any of these are important for you to have covered, comparing medicare supplemental plans that include benefits is the only way to ensure they are included.
Source: seniorcorps.org

Kazor.com World Community News

The fact of Medicare is that while it does cover a great number of things, there are still gaps in coverage. Medicare supplements act to help relieve the worry and anxiety seniors may feel about having the right kind of health coverage. That of course is your job; to educate and explain the various supplements and how they may help a potential client. Keep in mind that many seniors do not understand how the system works and do not want to hear jargon about an insurance policy. They just want something that works for them and protects them. Follow that bottom line and you will get sales.
Source: kazor.com

Medicare Supplement Insurance Plans in Texas — Texas Insurance Blog

First, let’s start with Original Medicare. Medicare is separated into different Parts, A and B. Part A deals with your inpatient hospital coverage and your Part B deals with your outpatient medical services. Many people think that Original Medicare is an 80/20 insurance coverage. This is the case for the Part B portion, after the annual Part B deductible has been met. Part A is a little different though. There is a per benefit period deductible that must be satisfied per admittance and daily co-pays for specific numbers of days admitted in the hospital and/or skilled nursing facility. To simplify things, there is quite-a-bit of out-of-pocket exposure by just having Original Medicare by alone.
Source: texasinsuranceknowledge.com

Maintain A Positive Attitude And Live In Size With Medicare Health Supplement Plans

The very Top 5 VC funding deals throughout the 2012 were: Castlight Health, a service of healthcare globe wide web and mobile-based transparency solutions that enable comparisons of doctors, hospitals and treatment procedures based during price and quality, which raised 0 million, 23andMe, a personal genetics company that helps sufficient reason for the understanding associated with wellness and disease prevention through its personal genome service, which raised million, GoHealth, an online portal in which it helps compare while shop health health care insurance coverage, which mentioned million, Kinnser Software, a provider of clinical encourage to home health companies, which farmed million, and Practice Fusion, this provider of free web-based electronic medical records (EMR), that typically raised squillion.
Source: letsgocostabrava.org

Greatest Medicare Supplement

You be capable of comprehend proficient assistance to equate Medicare Supplement campaign from the Medicare scheduling players at MediGap Advisors. With time of come into contact with in Medicare Supplement cover, these experts distinguish Medicare Supplement campaign and the insurers donation them. Just phone call MediGap Advisors at 866-681-7712 to comprehend the answers you ought and locate the greatest Medicare Supplement campaign. MediGap Advisors be capable of assistance you individual all through the 10 Medicare Supplement campaign now accessible by comparing your post and requests to the reimbursement of apiece map. Theyll withstand a air at your largest shape bother expenses and present you the greatest Medicare Supplement campaign to safeguard you from charges that Medicare doesnt envelop.
Source: manchuheart.net

Guarantee Issue Medicare Supplement

It is extremely hard to make a blanket statement response to your question… Ultimately the answer varies from company to company and even from state to state with each given company. Also, it depends on what type ‘GI’ case you’re referring to. I don’t know that this response really answers your specific question, but I wanted to at least qualify the responses that you do get. It’s always important to check with each carrier on how they consider each individual case/situation. Senior Market Design, Inc 888-495-8038
Source: insurance-forums.net

Georgia BCBS Medicare Supplement

Are you an Insurance Forums member yet ? To sign up for your FREE INSTANT account, please fill out the form below ! Username:     Password:   Confirm Password:     E-Mail:   Confirm E-Mail:     Question of the day:   What is 17 minus one? Agree to forum rules 
Source: insurance-forums.net

CareFirst BCBS’s Medicare plan gets high ranking from CMS

Posted by:  :  Category: Medicare

The ranking is for Medi-CareFirst’s BlueRx standard and enhanced prescription drug plans (Part D), and is an improvement over last year’s 4-star ranking. The CMS Medicare program each year rates all health and prescription drug plans in four categories, with ratings of up to five stars.
Source: ifawebnews.com

Video: Excellus BCBS Medicare: When can I enroll?

Medicare Advantage Plans Connecticut « Insurance News from Crowe & Associates

Aetna- Currently offer plans in Fairfield, Hartford, Litchfield and New Haven county. They have a $0 premium plan HMO, $94.00 HMO and a $90 PPO plan. The $0 premium plan has benefits second only to Wellcare when compared to the other $0 premium plans in the state. They also have a substantial network to go with the plan and allow for access to any Aetna Medicare HMO provider nation wide. The Aetna PPO is not competitive at this point due to a $1,000 out of network deductible.
Source: croweandassociates.com

Newsroom – Blue Cross Blue Shield of Michigan broadens Medicare options with new Medicare Advantage PPO product

October 1 is the first day BCBSM and Medicare Advantage carriers across the nation can market their Medicare Advantage products for 2010. Beneficiaries in BCBSM Medicare Advantage products will receive letters in the next 10 days about the new product line-up. "Blue Cross remains fully committed to providing products to Medicare beneficiaries and will continue to have the broadest array of Medicare Advantage products in the state," said Mark Owen, BCBSM vice president for federal and individual business. "It’s important for Medicare beneficiaries to know that there is no immediate change to their coverage. They have until the end of the year to make their selection for 2010." In addition to the three BCBSM products for 2010, seniors also can select from three Medicare Advantage products offered by Blue Care Network, the BCBSM-affiliated HMO. "We will be working with insurance agents and other groups across the state to reach out to Medicare beneficiaries to help them navigate these product and premium changes," said Owen. Seniors who meet low income guidelines can receive subsidies from the state and/or federal government to pay for all or part of their premiums. Medicare Advantage premiums vary by product and region. The new PPO product is expected to provide beneficiaries with value for their premium. For example, the BCBSM Medicare Plus Blue PPO, which includes Part D prescription drug coverage, will cost between $61 and $141 a month (premiums vary by geographic region), while traditional BCBSM Medicare Supplemental (Medigap) Plan C plans cost $183 when combined with a stand-alone Part D BCBSM prescription drug program. Medicare Advantage plans offer Medicare benefits through private health insurance plans and most include Part D prescription drug coverage. When you purchase a Medicare Advantage plan, you do not need to also purchase a Medigap policy. Medicare Advantage plans are regulated solely by the federal government, while Medigap plans are regulated by the state. The announced product changes are only for Medicare beneficiaries who directly purchase their Medicare Advantage products, not for beneficiaries enrolled in a group plan. Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association.
Source: bcbsm.com