No Shopping Zone: Medicare Is Not Part Of New Insurance Marketplaces

Posted by:  :  Category: Medicare

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Enrollment in health plans offered on the marketplaces, also called exchanges, begins Oct. 1 and runs for six months. Meanwhile, the two-month sign-up period for private health plans for millions of Medicare beneficiaries begins Oct. 15. In that time, seniors can shop for a private health plan known as Medicare Advantage, pick a drug insurance policy or buy a supplemental Medigap plan. And in nearly two dozen states, some Medicare beneficiaries who also qualify for Medicaid may be choosing private managed care plans. None of these four kinds of coverage will be offered in the health law’s marketplaces.
Source: webmd.com

Video: What is a Medicare health insurance exchange?

Gym benefits draw healthy seniors to Medicare

Once the Medicare Advantage plans started covering health club memberships, they enrolled healthier enrollees with fewer physical limitations. In the control plans, which did not offer the benefit, self-reported health levels over the same timeframe changed only slightly. In comparison to the control plans, eight of the 11 case plans (the ones that added fitness club coverage) enrolled seniors with better overall health, 10 of the 11 case plans enrolled seniors with fewer restrictions in physical activity, and nine of the 11 case plans enrolled seniors that had less difficulty walking.
Source: futurity.org

People with Medicare and the Health Insurance Marketplace

Frequently Asked Questions HOW WILL THE HEALTH INSURANCE MARKETPLACE THAT STARTS IN 2014 AFFECT MY MEDICARE COVERAGE? The Health Insurance Marketplace is designed to help people who don’t have any health insurance. You have health insurance through Medicare. The Marketplace won’t have any effect on your Medicare coverage. Your Medicare benefits aren’t changing. No matter how you get Medicare, whether through Original Medicare or a Medicare Advantage Plan, you’ll still have the same benefits and security you have now, and you won’t have to make any changes. The Marketplace provides new health insurance options for many Americans. If you have family and friends who don’t have health insurance, tell them to visit HealthCare.gov to learn more about their options. DO I NEED TO DO ANYTHING WITH MARKETPLACE PLANS DURING MEDICARE OPEN ENROLLMENT (OCTOBER 15 – DECEMBER 7, 2013)? Medicare’s Open Enrollment isn’t part of the new Health Insurance Marketplace. It’s against the law for someone who knows that you have Medicare to sell you a Marketplace plan. Medicare Open Enrollment (October 15 – December 7, 2013) is the time when all people with Medicare are encouraged to review their current health and prescription drug coverage, including any changes in costs, coverage and benefits that will take effect next year. If you want to change your coverage for next year, this is the time to do it. If you’re satisfied that your current coverage will continue to meet your needs for next year, you don’t need to do anything. For more information on Medicare Open Enrollment, visit Medicare.gov or call 1-800-MEDICARE. NOTE: The Health Insurance Marketplace Open Enrollment period (October 1, 2013 to March 31, 2014) overlaps with the Medicare Open Enrollment period (October 15 – December 7, 2013). Therefore, people with Medicare who are looking to make Medicare coverage changes should make sure that they are reviewing Medicare plans and not Marketplace options. WHAT SHOULD I DO IF I’M CONTACTED ABOUT SIGNING UP FOR A HEALTH PLAN? „„ The Medicare open enrollment period is a time when there’s a higher risk for fraudulent activities. „„ It’s against the law for someone who knows that you have Medicare to sell you a Marketplace plan. „„ DO NOT share your Medicare number or other personal information with anyone who knocks on your door or contacts you uninvited to sell you a health plan. „„ Senior Medicare Patrol programs are teaching people with Medicare how to detect and report fraud, and protect themselves from fraudulent activity and identity theft. „„ To learn more about health care fraud and ways to protect against it, visit StopMedicareFraud.gov or the Senior Medicare Patrol (SMP) program in your area (locate your SMP at SMPresource.org). This information is provided by the United States Department of Health and Human Services.
Source: seagoedd.org

IBM Drops Retirees from Health Plan, Union Reacts

In documents reviewed by the Journal, IBM chief health director Kyu Rhee is said to have told Medicare-eligible retirees that the supplemental, or so-called gap coverage to Medicare previously provided by the vendor, will end after Dec. 31. The former IBM employees will be referred to a new insurance plan offered through Extend Health, a private Medicare exchange in New York, governed by the same rules as the state and federal exchanges but not part of the Patient Protection and Affordable Care Act.
Source: thevarguy.com

Health insurance marketplace talk focused on differentiating Obamacare and Medicare

Enrollment in health plans offered on the marketplaces, also called exchanges, begins Oct. 1 and runs for six months. Meanwhile, the two-month sign-up period for private health plans for millions of Medicare beneficiaries begins Oct. 15. In that time, seniors can shop for a private health plan known as Medicare Advantage, pick a drug insurance policy or buy a supplemental Medigap plan. And in nearly two dozen states, some Medicare beneficiaries who also qualify for Medicaid may be choosing private managed care plans. None of these four kinds of coverage will be offered in the health law’s marketplaces.
Source: medcitynews.com

USP’s Draft Revisions To Medicare Formulary Guidelines Coming In September :: “The Pink Sheet” :: Elsevier Business Intelligence

Posted by:  :  Category: Medicare

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In addition to their use as a reference for Medicare Part D plans, the current guidelines serve as a benchmark for evaluating the formularies of private insurance plans offered through state exchanges.
Source: elsevierbi.com

Video: How to Navigate Medicare Reimbursement

Medicare Open Enrollment Period Begins Oct. 15, 2013

Medicare recipients reaching the drug donut hole will benefit from lower costs. The gap in prescription drug coverage starts when someone reaches the initial coverage limit, estimated at $2,850 in 2014. It ends when they have spent $4,550, when catastrophic coverage begins. (These are reductions of $120 and $200, respectively, from 2013.) During the donut hole, all costs are covered by individuals out of their own pocket. In 2014, those who reach the donut hole can receive a 52.5 percent discount on brand-name drugs and 28 percent discount on generic drugs (an increase from 21 percent in 2013).
Source: disabled-world.com

Observation Status: OIG Provides an Analysis and CMS Issues Final Regulations 

Many Medicare beneficiaries receiving care in an acute care hospital are classified as observation patients (an outpatient category), even though the care they receive may be indistinguishable from the care received by patients who are classified as inpatients.  The consequence for beneficiaries is significant if they need post-hospital care in a SNF.  Medicare will not pay for a SNF stay under Part A unless the beneficiary has been classified as an inpatient for at least three consecutive days, not counting the day of discharge.[3]  The Center for Medicare Advocacy hears daily from beneficiaries who are denied Medicare coverage for their SNF stay because of observation status.  One recent call involved an 86-year old woman who was hospitalized with a broken shoulder.  Initially admitted as an inpatient, the woman was reclassified by the hospital as an outpatient.  She stayed three midnights and then went to a SNF for rehabilitation, where she paid, out-of-pocket, $7,600 for the first month and was told she would be billed $10,000 for the second month.  A second recent call involved an 87-year old woman who fractured her shoulder.  Called an outpatient by the hospital for her entire four-day stay, she paid $10,650 for her subsequent one-month stay in the SNF.  A third beneficiary, an 89 year-old woman, was hospitalized for three days with pneumonia and sent home.  She returned to the hospital the next day, having fallen and broken her hip.  She remained in the hospital for six days as an "outpatient in bed" and then went to a SNF, paying out-of-pocket for her care. 
Source: medicareadvocacy.org

Crescendo Bioscience® Announces Medicare Coverage for Vectra® DA to Measure Disease Activity in Patients with Rheumatoid Arthritis

With Vectra DA, physicians have an absolute metric that doesn’t depend on subjective inputs that can vary significantly and be difficult to interpret. By providing a specific and precise way to measure RA disease activity that complements a clinician’s expert assessment, Vectra DA helps facilitate more efficient management of patients. In addition to the advantages this provides in the context of an individual patient, Crescendo Bioscience developed VectraView – an online disease analytics tool that allows rheumatologists to order and manage Vectra DA tests, as well as evaluate the test results of all of their RA patients as a group. Furthermore, the Company has developed a patient support tool, a free iPhone app called MyRA
Source: crescendobio.com

MDx/CDx Focus: Crescendo's Vectra DA Gets Medicare Coverage; Cobas HPV Test Supplemental PMA

Swiss researchers present a massively parallel microchemostat array approach they developed for following yeast proteomic changes over time and under changing conditions. The continuous culture microfluidic system made it possible to assess protein abundance, protein localization, and other cell features in up to 1,152 yeast strains with different GFP-tagged proteins at 20-minute time intervals. Using that approach, the group assessed thousands of GFP-tagged yeast strains treated with the DNA replication stressor methyl methanesulfonate or exposed to other stressful conditions. “Our microchemostat platform enables the large-scale interrogation of proteomes in flux,” the study’s authors note, “and permits the concurrent observation of protein abundance, localization, cell size, and growth parameters on the single-cell level for thousands of microbial cultures in one experiment.”
Source: genomeweb.com

CMS rule tightens hospital guidelines on granting inpatient status

The Centers for Medicare & Medicaid Services has issued a final rule on hospital inpatient status, which is likely to boost the number of seniors receiving Medicare coverage for skilled nursing services. Medicare beneficiaries must have inpatient status at a hospital for three consecutive days to qualify for coverage of subsequent skilled nursing care. Currently, many beneficiaries spend extended periods of time in a hospital under observation stay status, which does not count toward that three-day threshold. The final CMS rule clarifies when inpatient status should be conferred, triggering Medicare Part A coverage. “We are specifying that for those hospital stays in which the physician expects the beneficiary to require care that crosses two midnights and admits the beneficiary based upon that expectation, Medicare Part A payment is generally appropriate,” the rule states. “Conversely, we are specifying that hospital stays in which the physician expects the patient to require care less than two midnights, payment under Medicare Part A is generally inappropriate.”
Source: mcknights.com

Medicare decision to restrict coverage for Alzheimer’s test raises outcry from experts

In addition to Lilly, the draft guidance could affect a similar imaging agent being developed by General Electric Co’s GE Healthcare called flutemetamol now under review by regulators in the United States and Europe. Both are radioactive tracers designed to light up deposits of an Alzheimer’s-related protein called beta amyloid when used in conjunction with brain scans known as positron emission tomography, or PET.
Source: medcitynews.com

Important Change to Medicare Reimbursement Guidelines

On July 10, 2013, an important piece of the SMART Act went into effect.  The government will now have a set period of three years to seek reimbursement for costs that another party has accepted responsibility for (per a settlement, judgment, award, or other payment).  The three-year statute of limitations is to be measured beginning on the date of reporting the case to CMS (see Section 111 of the Medicare Medicaid SCHIP Extension Act of 2007 for Mandatory Insurer Reporting Rules).  This change protects the Medicare beneficiary from being hit several years down the line for reimbursement.
Source: legalexaminer.com

Incident To Services – Medicare Documentation and Correct Billing Guidelines

•          Supervision requirement is met in physician clinic situations when there is a supervising physician responsible for the services performed by the NPPs and ancillary staff.  The Physician need not be the physician who determined the patient’s plan of care, nor have to be the same specialty as the originating physician, but do have to be members of the same group, using same tax ID number · Billing is under the supervising physician
Source: ebixinc.com

Medicare Physician Payments: Reforming the Sustainable Growth Rate

The language in the House discussion draft—linking Medicare physician pay to compliance with government-established guidelines—accelerates a troubling trend reinforced by Obamacare itself. The national health care law, with 165 provisions affecting Medicare,[23] not only retains the SGR, but, like the SGR, it also imposes a hard cap on the growth of all Medicare spending. It creates an Independent Payment Advisory Board (IPAB), which will have the power to enforce the cap, and recommend even more Medicare reimbursement cuts for physicians and other medical professionals. It creates new institutions to change Medicare payment and delivery through administrative action, such as the Center for Medicare and Medicaid Innovation, with demonstration programs designed to end traditional fee-for-service (FFS) payments. Beyond these new institutions, the health law creates new Medicare “quality” programs and extends the Physician Quality Reporting Initiative (PQRI), which will enforce new bonus and penalty payments for physician compliance. As the Congressional Research Service (CRS) reported in its first evaluation of the statute, the new law “makes several changes to the Medicare program that have the potential to affect physicians and how they practice in ways both small and large, immediately and over time.”[24]
Source: heritage.org

Medicare Supplements Help Fill Medicare Gaps

Medicare ill, like private insurance, determine how much of the charge meets the coverage guidelines and will then pay 80 percent of that reduced amount. The patient or the Medicare supplemental policy will pay the remaining 20 percent. As an example, a person goes to the doctor, and the charge is $150. Medicare decides it is only going to allow $100 of the charge. The patient is not responsible for the portion that Medicare does not approve. Therefore, Medicare pays 80 percent of the portion it approved, such as in this example, $80. The patient or his supplement insurance carrier will pay the remaining 20 percent or $20.
Source: sdecocenter.org

Medicare To Propose New Doctor Payment For Managing Multiple Chronic Conditions

Reuters: Medicare Plan On Alzheimer’s Test Dismays Advocates Alzheimer’s experts plan to protest proposed Medicare guidelines that would deny coverage of an Eli Lilly diagnostic test for the disease unless patients are taking part one of several clinical trials in which the $3,000 test is being used. Eli Lilly and Co and the Alzheimer’s Association have objected to the draft guidelines, issued last week by the U.S. Centers for Medicare & Medicaid Services, the agency that runs Medicare (Steenhuysen, 7/9).
Source: kaiserhealthnews.org

Medicare Supplement Insurance Software Programs Comparison

Posted by:  :  Category: Medicare

One of the benefits or the nowaday’s system is our familiarity with this kind of. It’s like an old car which includes a broken driver’s of doors and a gigantic gash in a passenger seat. We’ve gotten made to getting in auto from the voyager side and working with a blanket over its gash in each seat. A person more car will have actually problems as well. The car may be better or just worse. Of which part is unstable. What is known is that the auto will be peculiar and buying an automobile is a key commitment. As a way to find out more, you may determine with your local senior facilities aged to obtaining almost any one of these sorts of senior living providers, which in switch off the appliances guarantees the fitness of your more mature loved one. Based Blue Cross Rare Shield, instead of skyrocketing cost of coinsurance and deductibles which will customers, Anthem Green Cross Blue Defend plans will cover these increases as long as the plan right now covers deductibles on top of that coinsurance amounts. As a result, the amount funds that Anthem pays out to health care providers in benefits for your participating members increases. It is important that you can do a piece of research when drugs you are after to take a person go ahead together with use them. Using more when compared to one drug can lead to drug interaction. This can have questionable side affects many of these as nausea, chills and headaches. So do sure that if the public are using virtually any prescription drug the situation doesn’t react badly with a allowable high that make use of. Certain drugs type as anti-anxiety prescriptions can depress an system and acquire you lethargic in addition to low. It might be best not to drive if you find you using such drugs. May very well also opt wireless a mood increasing that will make you feel better and even when the effect wears away from you will come to feel so much more advantageous. Makati Medical Center – Vanbreda International, TieCare, International SOS, Stature International, Net Care, International Health Prepare of Denmark, IMA, HTH World Wide, GMC Services, so AETNA Global Assistance. E-mail sales@makatimed.net.ph or call +63 (2) 870-3000 or 870-3008. The Medicare open in order to register period offers Medicare health insurance beneficiaries in almost all US states the opportunity to review their health plan and after that switch to a new one that provides services new needs, while a change in health status. Ohio health strategy companies offer various types of Medicare Health supplement or Advantage Insurance plans for Ohio natives. If your could use have changed in which you enrolled in a Medicare plan, this is typically the time to examine your Medicare insurance policies coverage and look at the the options which experts state will work better for you. Until you enroll in a Medicare Supplement or Medicare Fringe plan you must absolutely be enrolled all through Medicare Part A very (hospital coverage) along with Medicare Part N (physician coverage) signifies of the government. You may prove to be charged a rate for Part Cid coverage. One time you are enrollment in Part A single and B, someone qualify for in order to register in a nutrient or medigapinsurancepolicies.com plan. Finding the best Medicare supplement goal can take to much time depending on that method of purchasing. There are many different businesses that offer this connected with insurance. The main factor to remember is because all offer the same exact plans, and quick cash difference is the price they charge for everyone plans. The particular company that gives you the plan of selecting for the most affordable cost price is a first rate decision. This is especially true considering Medicare insurance Supplemental insurance can be secondary in the great outdoors and there are just like provider networks. Present in March this year, the Philippines’ Retail of Foreign Affairs (DFA) announced that original U.After hour. Medicare benefits can also take part in in Philippine-based medical centers. Medicare health insurance will pay a bit of your breastfeeding home costs if you are looking with regard to more intensive care, under limited conditions, if you have become a Medicare inheritor. To be qualified to apply for this, you must receive those services from some Medicare certified nurse home, after a trustworthy hospital stay. A qualifying infirmary stay is on least three days. Get in connection with your Medicare health insurance Fiscal Intermediary or the State Weight loss Insurance assistance Show in your say to learn whole lot more about Medicare repayments. This does absolutely not cover home health care however.
Source: typepad.com

Video: Medicare Supplemental Insurance Comparison

Utah Medicare Supplements

A Utah Medigap (also called Utah Medicare Supplement Insurance) policy is private health insurance that is designed to supplement Original Medicare. This means it helps pay some of the health care costs (gaps) that Original Medicare doesn’t cover (like copayments, coinsurance, and deductibles). If you are in Original Medicare and you have a Medigap policy, Medicare will pay its share of the Medicare-approved amounts for covered health care costs. Then your Medigap policy pays its share. (Note: Medicare doesn’t pay any of the costs for you to get a Medigap policy.)
Source: utahseniorservices.com

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

The Cost of Minnesota’s Average Medigap Plan

While most of America (47 states) must consign to the National Association of Insurance Commissioners (NAIC) standardization of Medigap policies, Minnesota does not. Minnesota is one of the three waiver states that standardized their Medicare supplement plans before NAIC’s involvement in 1990. Because of this, so long as the plans offered cover the basic requirements, Minnesota (along with Massachusetts and Wisconsin) is able to continue issuing their Medicare supplement plans.
Source: medicaresupplement.com

Medicare Supplemental Insurance Comparison Releases New Article "Five Tips for Saving on Medicare Supplemental Insurance"

Medicaresupplementalinsurancecomparison.net announced today that they have added and an informative new article on their website that teaches readers five important tips when searching for Medicare supplemental insurance. For many people searching for Medicare supplemental insurance can be a daunting process. Faced with thousands of websites that provide information that is questionable at best, for the discerning researcher finding reputable information is often times as hard is finding affordable insurance itself. Because of this, the website Medicare Supplemental Insurance Comparison (MSIC) has released a brand-new learning Center that helps researchers tackle some of the many questions they will face when looking for insurance companies. The learning Center talks about the different types of Medicare supplemental insurance and helps the readers navigate the often times confusing differentiations between the plans. “I wanted to create a website that can help people just like me and my wife,” says Stephen pewter, Medicare member and founder of MSIC. “Just six months ago we were searching for this kind of information and it was a very frustrating process. I created the website at first to help my friends and family, but then it gained popularity and took off on its own. Now we are just trying to provide the most up-to-date information for people like us who want to learn more about Medicare supplemental insurance.” The website, which just went live after the holidays, boasts software that provides side-by-side Medicare supplemental insurance quotes from reputable companies in a given area just by the use of a zip code. Until recently websites like MSIC would request personal information such as credit card numbers and full addresses. Experts suspect that the websites overnight success is in direct relation to the fact that it does not ask for personal information. To learn more about Medicare supplemental insurance comparison, or to get a free price quote, please visit: http://www.Medicaresupplementalinsurancecomparison.net About MSIC Medicaresupplementalinsurancecomparison.net (MSIC) was created by Stephen Pewter with the intent to assist other senior citizens with acquiring non-invasive Medicare supplemental insurance quotes. It became a smash hit literally overnight, partially because a senior created it, and partially because it’s a safe and anonymous way to get Medicare Supplemental Insurance quotes.
Source: sbwire.com

Medigap vs. Medicare Advantage Plan

Medicare Advantage comprises a variety of private health plans — most often HMOs and PPOs — that Medicare offers as a coverage alternative to the traditional program. Every plan must cover all the same benefits that traditional Medicare covers. But the plans can charge different copayments (often lower than the traditional program but not always) and offer extra benefits. Most charge a monthly premium in addition to the Part B premium, but some don’t. Most include prescription drug coverage at no additional cost. Some cover routine hearing and vision services, usually as a separate package for an additional premium. Another difference from the traditional program is that most plans require you to go to doctors and other providers within their service network or pay higher copays for going out of network.
Source: aarp.org

Health Care Proponents of America

Medicare supplement insurance is one of the only products that can actually deliver peace of mind to senior citizens worrying about their health care and the potential costs. Unlike any other health programs available to older individuals, Medicare supplement insurance is designed to pay most hospital and medical bills that original Medicare does not pay in full. In addition, all of the deductibles and usual 20% co-payments that most individuals must pay are covered by a Medicare insurance policy. Medicare insurance can be applied for by any individual that has both Medicare Part A and Part B, but the sooner the better. Individuals that apply for coverage through a Medicare insurance program as soon as they are eligible for Medicare will not have to pass any medical underwriting requirements and receive the best rates possible. While most health insurance programs require that an individual only uses the services of certain doctors and providers, a supplement insurance policy will allow an enrollee to go absolutely anywhere that Medicare is accepted. For individuals that do not want to spend their golden years worry about health care costs and medical bills, selecting Medicare supplement insurance is certainly the way to go. Additional discounts may be given to people that also have their insurance with the same insurance company. Of all the methods to save, the most effective is looking around and comparing numerous quotations online. At an insurance comparison website you can compare multiple quotes from the Nations Leading providers and save hundreds of dollars on all types of insurance. The protection is utterly essential, but there is no harm in getting the lowest price for insurance. About the Author: Read more about this and other topics related to
Source: hcpam.com

Bridgeway Health Solutions July 1, 2013 Effective Changes for Medicare Advantage Providers Bridgeway Health Solutions

Posted by:  :  Category: Medicare

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Advantage by Bridgeway Health Solution (HMO SNP) appreciates your cooperation in making these changes to your prior authorization contact information.  For your convenience, the above information is also available on the Advantage by Bridgeway Health Solution (HMO SNP) Provider Portal.
Source: bridgewayhs.com

Video: Medicare Shared Savings Program Application Process NPC 04/23/13

An Exhaustive (and Exhausting) Medicare Roundup for November 18, 2011 Including the Revalidation Call Transcript, 5010 Enforcement Delay, Medicare Sends Less Collection Letters and ICD

Today the Centers for Medicare & Medicaid Services’ Office of E-Health Standards and Services (OESS) announced that it would not initiate enforcement action until March 31, 2012, with respect to any HIPAA covered entity that is not in compliance with the ASC X12 Version 5010 (Version 5010), NCPDP Telecom D.0 (NCPDP D.0) and NCPDP Medicaid Subrogation 3.0 (NCPDP 3.0) standards. Notwithstanding OESS’ discretionary application of its enforcement authority, the compliance date for use of these new standards remains January 1, 2012 (small health plans have until January 1, 2013 to comply with NCPDP 3.0).
Source: managemypractice.com

Medicare Providers Should Regularly Check The Monthly Database of Medicare Exclusion List

OIG stands for Office of Inspector General. It is an office that works under the federal government. The OIG medicaid exclusion list includes the names of people who are banned from working in the Medicare department. The Excluded Parties List System or EPLS has the authority to form this list. Healthcare professionals mostly land in this list because of abusing patients, committing fraud, performing licensing board acts that are considered unsavory and being default on loans sanctioned to students. The OIG exclusion list USA serves as an excellent tool to screen the professional backgrounds of people working in the Medicare department. The person whose name is enlisted in this list cannot be employed in any way in the healthcare department. A healthcare provider who employs such a person has to pay a heavy fine or go in the exclusion list himself. The federal law obliges the Medicare industry to verify the status of the exclusion list of every medical entity.
Source: wordpress.com

Medicare Home Health Compare

The page could not be loaded. The Medicare.gov Home page currently does not fully support browsers with "JavaScript" disabled. Please note that if you choose to continue without enabling "JavaScript" certain functionalities on this website may not be available.
Source: medicare.gov

FAQ On Medicare Doctor Pay: Why Is It So Hard To Fix?

Today’s problem is a result of yesterday’s efforts to control federal spending – a 1997 deficit reduction law that called for setting Medicare physician payment rates through a formula based on economic growth and known as the “sustainable growth rate” (SGR). For the first few years, Medicare expenditures did not exceed the target and doctors received modest pay increases. But in 2002, doctors reacted with fury when they came in for a 4.8 percent pay cut. Every year since, Congress has staved off the scheduled cuts.  But each deferral just increased the size – and price tag – of the fix needed the next time.
Source: kaiserhealthnews.org

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September 17, 2013

‘Breaking Bad’ season 5, episode 14: ‘Ozymandias’

Posted by:  :  Category: Medicare

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But Vince Gilligan, et al are so adept at creating tension that even though I was 100 percent certain that this was the end of Hank, they made me question my prediction up until the second that Uncle Jack shot Hank point-blank in the head. And even after it happened, I gasped and held my hands over my mouth for a good four minutes.
Source: dailycaller.com

Video: Immigration Lawyer – Brad Bernstein offers advice on Obtaining Medicare and Government Assistance

How to Prevent Medicare Card Identity Theft

Note: You’ll notice that your Medicare ID has one or two additional letters or numbers following the digits of the SSN. These identify what kind of beneficiary you are, according to the Social Security Administration. For example, the letter T mainly indicates that you are entitled to Medicare, but are not yet filed for Social Security retirement benefits; whereas W1 indicates that you are a widower who is eligible for Medicare through disability. For the purposes of your photocopy, it doesn’t matter whether you delete these final letters (or letter-number combinations) or leave them in. Also of interest: You can help fight health care fraud. 
Source: aarp.org

Code Key for Medicare Card Explained

A: Social Security pays benefits to some 56 million people. They include retirees, widows and widowers, families who’ve lost their breadwinners, divorced spouses and people with disabilities. In order to keep track of such huge numbers, Social Security uses a series of codes to identify which individuals are receiving what types of benefits. The codes are assigned to people when they apply for benefits.
Source: aarp.org

How to Read Your Part B Medicare Statement

Medical procedures and services are assigned billing codes. You have the right to receive an itemized billing statement that lists each medical service you received. If you need an itemized statement, contact your doctor. Compare the billing code on your MSN with the code that appears on the billing statement you received from your doctor. If the codes are different, or if you didn’t receive the medical service indicated, contact the doctor who is making the claim. It may be a simple mistake that the doctor’s office can easily correct. If the office does not resolve your concerns, call Medicare at 1-800-MEDICARE (1-800-633-4227).
Source: aarp.org

Xeljanz Cost with a Copay Card, Free Samples, Efficacy, & Side Effects: Gathering Rheumatoid Arthritis Patient Stories

New Year’s Eve, the Xeljanz arrived by the same FedEx guy who has brought me Redskin tickets several times. We chatted about RG3 (Robert Griffin III, our quarterback). When Katie Beth got home, she opened the box and took pictures of the loot. Then I put the bottle away until my vaccination waiting time ended. Today is four weeks since my shingles vaccine. So after my blood tests and pneumonia shot today, it will be time to find out. I’m nervous the same as with any new medication. But I’m also hopeful that this will finally be my opportunity for some relief.
Source: rawarrior.com

Medicare: Definition from Answers.com

Program enacted in 1965 under Title XVIII of the Social Security Amendments of 1965 to provide medical benefits to those 65 and older. The program has four parts in 2007: 1. Part A, Hospital Insurance, contributes to the payment of inpatient hospital, skilled nursing expenses, hospice, and other ancillary expenses. The deductible is $992 for 60 or less days in a benefit period. For days 61–90, the deductible is $248 per day, and for more than 90 days, the deductible is $496 per day up to the lifetime maximum days. No premium is paid if the beneficiary has at least 40 quarters of Medicare covered employment. 2. Part B, Medical Insurance, provides coverage for medical services that Part Adoes not cover for a premium and subject to a deductible ($93.50 per month standard premium and a deductible of $131 per benefit payment in 2007). Coverage includes ambulance services, ambulatory surgery center, blood, bone mass measurement, cardiovascular screenings, limited chiropractic services, clinical laboratory services, clinical trials, colorectal cancer screenings, diabetes screenings, diabetic supplies, doctor services, durable medical equipment, emergency room services, limited eyeglasses, flu shots, foot exams and treatment, glaucoma tests, hearing and balance exam, Hepatitis B shots, home health services, kidney dialysis services and supplies, mammograms, medical nutrition therapy services, outpatient mental health care, occupational therapy, outpatient hospital services, outpatient medical and surgical services and supplies, pap test and pelvic exam, one-time physical exam within the first six months, physical therapy, pneumococcal shot, practitioner services, limited prescriptions (injectable drugs), prostate cancer screenings, prosthetic/orthotic items, second surgical opinions, smoking cessation, speech-language pathology services, surgical dressings, telemedicine, tests (X-rays, MRIs, CT scans, EKGs, and other diagnostic tests), transplant services, and urgently needed care (nonmedical emergency illness or injury). The initial enrollment period for Medicare Part B begins three months before age 65 and continues for the next seven months. If enrollment is not effected in this time period, there is a waiting time until the general enrollment period from January 1 through March 31 every year. Coverage then begins the following July 1. 3. Part C, Medicare Advantage, provides for individuals with Part A and Part B coverage to receive all of their health care coverage through a single health care provider. See also medicare plus choice (medicare part c). 4. Part D, Prescription Drug Insurance, contributes to the payment of medication/prescription expenses as prescribed by a physician. Coverage added for drugs by joining a Medicare Prescription Drug Plan through private insurance companies. A separate monthly premium (varies by plan) is required. Each plan must cover at least two drugs in all of the classes of drugs that are the most commonly prescribed. For those people covered under Medicare A, coinsurance or copayment is required and a yearly deductible may be in force. Retired workers qualified to receive Social Security benefits, and their dependents, also qualify for the hospital insurance portion. The program is paid for by payroll taxes on employees and covered workers. Parts B, C, and D insurance provides additional coverage on a voluntary basis for physician services. The Prescription Drug Plans are optional and can be added by paying an additional premium. Those enrolled in the program pay a monthly premium. Coverage is also available to persons younger than 65 who are disabled and have received Social Security disability benefits for 24 consecutive months.
Source: answers.com

Summer Journal Club, Week 4: Does Medicare Save Lives?

Patients who are admitted when they are eligible for Medicare die from these emergency conditions less often. Given that so many of those patients actually do sign up for Medicare, that’s an incredible sign that generous insurance like Medicare can, in fact, improve health at its most basic level — preventing death. Some number-crunching by the authors reveals the following results: Medicare eligibility is associated with a 14-20% reduction in 7-day mortality, a 7-9% reduction in 28-day mortality, and a 2-4% reduction in 1-year mortality relative to the 64-year-olds who provide a control sample. As they write, “The emergence of the effect within 7 days of admission suggests that the extra service or changes in the quality of services provided to Medicare-eligible patients have an immediate life-saving impact.”
Source: projectmillennial.org

Smart card plan proposed to combat Medicare fraud

Introduced by Senators Mark Kirk (R-Ill.) and Ron Wyden (D-Ore.) and Representatives Jim Gerlach (R-Pa.) and Earl Blumenauer (D-Ore.), the legislation would require the issuance to all Medicare beneficiaries of an upgraded, secure identity card–stripped of its current Social Security number identifier–that is similar to the Department of Defense’s Common Access card. This “smart card” would have a computer chip embedded in it with identifying information about the patient and the patient’s provider.
Source: fiercehealthit.com

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September 17, 2013

Medicare Advantage 2012 Data Spotlight: Enrollment Market Update

Posted by:  :  Category: Medicare

This data spotlight examines the growth in private Medicare Advantage plan enrollment in 2012, with a record 13 million Medicare beneficiaries enrolled as of March, representing 27 percent of all Medicare beneficiaries. Enrollment jumped by more than 1 million enrollees from the previous year and increased in every state except Alaska and New Hampshire.
Source: kff.org

Video: Medicare Advantage – 5 Things To Know About Advantage Plans Before You Enroll

Medicare Advantage 2010 Data Spotlight: Plan Enrollment Patterns and Trends

As of March 2010, a record 11.1 million people – nearly one in four of all Medicare beneficiaries – were enrolled in private Medicare Advantage plans, up from 10.5 million in March 2009. The gain in enrollment occurred even though the total number of Medicare Advantage plans declined between 2009 and 2010. Notably, while most Medicare beneficiaries have dozens of private Medicare Advantage plans available in their community, enrollment is highly concentrated among a small number of firms in nearly all states.
Source: kff.org

Medicare Open Enrollment Period Begins Oct. 15, 2013

Medicare recipients reaching the drug donut hole will benefit from lower costs. The gap in prescription drug coverage starts when someone reaches the initial coverage limit, estimated at $2,850 in 2014. It ends when they have spent $4,550, when catastrophic coverage begins. (These are reductions of $120 and $200, respectively, from 2013.) During the donut hole, all costs are covered by individuals out of their own pocket. In 2014, those who reach the donut hole can receive a 52.5 percent discount on brand-name drugs and 28 percent discount on generic drugs (an increase from 21 percent in 2013).
Source: disabled-world.com

The Institute for Healthcare Quality Research and Education

A review published by the Kaiser Family Foundation reports that Medicare Advantage (MA) membership grew by almost 10% in 2013 to 14.4 million Medicare beneficiaries.  The payment reductions included in PPACA did not appear to have an effect on enrollment growth, and about 28% of all Medicare beneficiaries are now members of the MA private health plans, although with substantial variation between states.  MA membership is highest in Minnesota with 49% of beneficiaries in MA plans and lowest in Wyoming with only 1% belonging to these managed care plans.  Five managed care organizations serve about 2/3 of the enrollees across the country.
Source: ihqre.org

Understanding Medicare Advantage and Medicare Prescription Drug Plans Open Enrollment Period

During Open Enrollment you can change from Traditional Medicare to a Medicare Advantage Plan, change from a Medicare Advantage Plan back to Traditional Medicare, switch from your current Medicare Advantage Plan to another Medicare Advantage Plan, make the leap from an Advantage plan that does not offer prescription drug coverage to one that does or vice-versa, join a Medicare Prescription Drug Plan, or drop your Medicare Prescription Drug coverage completely.
Source: themhnews.org

Medicare Enrollment: Disenrolling in Medicare Advantage

The first week my wife and I had moved to Houston, I had a wonderful surprise in the Spring newspaper in my front yard and there was your Medicare column discussing different Medicare options for someone who has cancer. I am 70 years old and go to MD Anderson for colon cancer.
Source: myhealthcafe.com

Medicare Open Enrollment 2013 – What you need to know

The short answer is, “it’s up to you”.  Medicare Advantage is similar to an HMO or PPO insurance plan.  Original Medicare (Part A and Part B) doesn’t cover everything.  One way to fill the gap in coverage is to sign up for a Medicare Advantage plan, which includes Parts A and B, but also includes additional coverage, and is administered by a private insurance company.  The other way to fill the gap in coverage is to sign up for a Medicare Supplemental Insurance Plan, also known as Medigap.  We’ll provide more details on Medigap in an upcoming post.  Medicare Advantage plans do differ, so make sure you compare the benefits.
Source: betteboomer.com

Enrollment in Medicare Advantage Plans Projected to Rise 50 Percent in Next Ten Years

This is why our agency has invested heavily in developing research, insights and marketing innovations, and tools to reach this rapidly growing segment of Seniors and retiring Boomers. And, that’s why we’re conducting a FREE webinar on increasing online enrollments. Click here to register. When you attend this FREE webinar, you’ll also receive our Website Lead Generation Guide, offering insights and practical steps you can take immediately to make your website produce more leads and conversions.
Source: dmn3.com

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September 17, 2013

HCPCS Update: Prepare for Medicare’s July Coverage Changes to Zometa and Doxil Codes

Posted by:  :  Category: Medicare

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Source: inhealthcare.com

Video: CPT Versus HCPCS Codes

MRA Alerts and Updates: Lack of Medicare CPT Codes for Hospitalist Practice Creates Dilemma

All told, ACO setup creates a fiscal hurdle for providers working in SNFs and does not recognize the clinical burden that separates the types of care provided in SNFs and nursing homes. Were care in SNFs reclassified as inpatient care, the exclusivity rule would not apply, and therefore, hospitalists in those facilities could more easily attain a patient census that justifies their continued presence. Dr. Weiner says one solution is to create a set of CPT codes just for SNFs that could be used by specialist physicians, including hospitalists.
Source: blogspot.com

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September 17, 2013

Agent Pipeline Offers Cigna Medicare Supplement Solutions

Posted by:  :  Category: Medicare

Anytime we have the opportunity to offer a product from a carrier as prestigious and trusted as Cigna, we’re happy to do so. Cigna and its predecessor companies have been in the insurance field for more than 200 years. It is active in 30 countries and has 71 million customer relationships around the world. As a National Marketing Organization (NMO), we are pleased to be able to offer FMO, MGA and agent level contracts to our network of partners in the Senior Market.
Source: agentpipeline.com

Video: Cheap Cigna Medigap with list of Medicare plans

Cigna Medicare Plans But Blue Cross Medicare Insurance Plans An Overview

Have just turning forty eight or enrolling during Medicare for to start with? If the answer is truly yes, you are undoubtedly looking to find the best Medicare Supplement Think about available. You can find several ways to get to know plans and numerous resources available automobiles information. However, it is in order to have an concept regarding what you want. In addition, might be equally important to be aware questions to solicit. Companies, plans, and prices will be different and everyone will likely have a different opinion regarding your best option.
Source: ifmsa-asturias.org

Cigna Medicare Plans On Top Of That Blue Cross Medicare Insurance Plans An Conclusion

Keeps growing original structure isn’t comprehensive, link options offered by own insurance companies are there to supplement many special health correct. Most people need to may sure you are familiar with your Medicare Improvement Plan before you enroll. It’s important to wind up aware that some plans may limitation the doctors coupled with hospitals you can use. If users need a health specialist who is out-of-network you will have 100% of the debts. Most itineraries charge you their co-pay to look a doctor or perhaps a to go to finally the hospital. The premiums pertaining to Medicare Advantage Measures are expected that will help rise as irs subsidies end. The specific callus foot flesh should continue to receive extra interest once the your patients has returned household. Very very small stress should end put on that affected areas during the next join of days. Avoid adhesive bandages and pads where it may further wound the foot upon their removal. Where soft pair of shoes and socks without having to seams to avoid unnecessary friction through to your feet. Wear comfortable, well-fitting shoes that might not only facilitate your feet to help you heal but sometimes reduce the hit of corns, scaled tissue, fissured tissue, lesions or type of other callus foot tissue forming while the future. Usually the costs of many of our existing health and health insurance system include a new cost of inferior productivity when a nice worker is not able to work because of a physicians’ condition he in addition to she can’t purchase to treat. The costs our present course of action include the is priced at associated with any more children growing enhance without a daddy of mother. Cause that many selling prices for health insurance plans increase is emerged as of the increased cost in creating health care answers. This cost correlates with regard to an increase in amount of payday loans of Medicare beneficiaries who also attend Medicare Supplemental insurance coverage. According to Anthem Blue Cross White Shield, the insurance plan provider received economical . and use of its Medicare Supplemental rrnsurance coverage benefits and determined that they do not want to change your premiums for the plans for Colorado residents yet. Those move to hold the rates the same as they were during the past year will help conserve lots of Anthem Medicare Added insurance plan employees money. One of the main part of private practice marketing consist of maintaining healthy associations with those possess utilized your firms in the previous years. It is essential because patients (and their families) who previously utilized your services are much apt to not only consult their family and friends, but truly see you as soon as more as well. With regards to children and teens, BMI ranges greater than a normal fat loss have different labels (at risk involving overweight and overweight). Additionally, Body mass index ranges for children and teens are defined so the fact that they take directly account normal differences in body a lot of fat between boys and also girls and disparities in body extra at various get older. Treatment insurance benefits in the policy carry all hospital amount incurred during an effective in-patient situation. This involves a place rent, hospital food, doctor fees coupled with all the numerous costs associated alongside confinement. Just one more branch of the policy covers out-patient expenses like X-rays, dialysis treatments and as a consequence blood transfusions. Until recently, drug drug medication could have been given very hindered coverage. However, in 2006 particular was remedied while a new insurance change that provided pharmaceuticals under an insurance plan. That Medicare healthcare insurance plan does not recover long term an elderly care facility care, but i would say the Medicare nursing living rooms section of your Medicare scheme really does cover short time period stays in rest homes. The coverage is dictated the particular length of the stay and the kind of nursing home care required.
Source: typepad.com

Cigna Medicare Plans But Blue Cross Medicare Plans An Introduction

One benefit or the present day system is these familiarity with this kind of. It’s like an old car with a broken driver’s entry and a big gash in the most important passenger seat. We’ve gotten utilized getting in the car from the traveling side and using a blanket over a person’s gash in all of the seat. However car will have problems as extremely. The car may be better probably worse. So part is unacquainted. What is known is that the car will be peculiar and buying a motorized vehicle is a significant commitment. Up to find out more, you may look with your main senior facilities original to obtaining a new one of these senior living providers, which in switch off the appliances guarantees the wellness of your senior loved one. Based Blue Cross Glowing blue Shield, instead of skyrocketing cost of coinsurance and deductibles in order to customers, Anthem Blue Cross Blue Preserve plans will comprise these increases as long as the plan current covers deductibles to coinsurance amounts. As a result, the amount of income that Anthem will pay for out to health care providers in benefits for its participating members increase. Is actually always important that for you do a portion of research concerning drugs you want to take before you go ahead together with use them. Using more when compared to one drug frequently to drug interaction. This can have unpleasant side affects such as nausea, chills and headaches. So do provide that if shoppers are using any prescription drug this task doesn’t react so with a legitimate high that make use of. Certain drugs such as anti-anxiety prescriptions can depress your system and yield you lethargic in addition to low. It might be best not just to drive should it be you using like drugs. May well also opt to utilize a mood increasing that will have you feel better and even when some effect wears from you will seem so much better. Makati Medical Center by Vanbreda International, TieCare, International SOS, Status International, Net Care, International Health Insurance coverages of Denmark, IMA, HTH World Wide, GMC Services, so AETNA Global Get advantage. E-mail sales@makatimed.net.ph or call +63 (2) 870-3000 or 870-3008. That this Medicare open in order to register period offers Medicare health insurance beneficiaries in each of the US states suppliers opportunity to review certain health plan to switch to a whole one that retaining new needs, for example a change during health status. Ohio health insurance companies offer different kinds of Medicare Pill or Advantage Insurance plans for Ohio natives. If your prefers have changed provided you enrolled in a Medicare plan, this is our own time to examine your Medicare coverage and look at the options that will will work better for you. Before you enroll found in a Medicare Supplement or Medicare Benefit plan you must be enrolled all through Medicare Part A (hospital coverage) and Medicare Part N (physician coverage) over the government. You may prove to be charged a rate for Part Cid coverage. One time you are enrolled in Part Some sort of and B, families qualify for registration in a bolster or When Medigap Plan F Fails will the Government Bail us Out? regimen. Finding the right Medicare supplement goal can take long depending on your method of you are shopping. There are many different businesses that offer this connected with insurance. The main thing to remember is because all offer the same exact plans, and the actual difference is the actual cost they charge for those plans. Choosing the company that has the plan of option for the best price is a good decision. A lot of the true considering Medicare insurance Supplemental insurance is regarded as secondary in nature and there are just like provider networks. Through March this year, the Philippines’ Dept . of Foreign Affairs (DFA) announced who seem to original U.Ings. Medicare benefits can also be enjoyed in Philippine-based hospital wards. Medicare health insurance will pay a certain of your nursing your baby home costs if you are looking of more intensive care, under limited conditions, if you are a Medicare named beneficiary. To be capable for this, a person must receive the services from a great Medicare certified medical home, after a hospital stay. A qualifying medical facility stay is on least three schedules. Get in stroke with your Treatment Fiscal Intermediary or the State Health care Insurance assistance Package in your position to learn whole lot more about Medicare monthly payments. This does not cover home health care however.
Source: typepad.com

Cigna Medicare Plans Moreover Blue Cross Medicare Insurance Plans An Conclusion

Just one benefit or the modern day system is much of our familiarity with the. It’s like an old car which includes a broken driver’s door and a high gash in the passenger seat. We’ve gotten used to getting in the car from the traveling side and developing a blanket over the main gash in the seat. However car will want problems as excellent. The car may be better or worse. So part is not known. What is known is that car will be unfamiliar and buying a motorized vehicle is a immense commitment. Up to find out more, you may assess with your local senior facilities prior to obtaining any one of kinds of senior living providers, which in start guarantees the wellness of your senior citizen loved one. According to Blue Cross Orange Shield, instead of skyrocketing cost of coinsurance and deductibles returning to customers, Anthem Bluish Cross Blue Preserve plans will cover these increases since the plan then covers deductibles and thus coinsurance amounts. As a result, the amount of money that Anthem pays off out to health care providers in benefits now for the participating members increases. It is important that you have to do a tid bit of research on drugs you want to take before you go ahead and use them. Using more when compared to one drug can lead to drug romantic relationships. This can have unpleasant side affects this as nausea, chills and headaches. So do ensure that if shoppers are using any kind of a prescription drug the problem doesn’t react effortlessly with a allowed by the law high that make use of. Certain drugs such as anti-anxiety drugs can depress your system and generate you lethargic but low. It may be best not just to drive should it be you using like drugs. You may also opt wireless a mood increasing that will write you feel better furthermore even when most of the effect wears away from you will seem so much considerably. Makati Medical Center . . . Vanbreda International, TieCare, International SOS, Respect International, Net Care, International Health Life insurance of Denmark, IMA, HTH World Wide, GMC Services, so AETNA Global Help. E-mail sales@makatimed.net.ph or call +63 (2) 870-3000 or 870-3008. That this Medicare open enrollment period offers Medicare insurance beneficiaries in almost all US states suppliers opportunity to review unique health plan as well as a switch to a cutting edge one that caters to new needs, for example a change all through health status. Ohio health insurance policy plan companies offer different types of Medicare Health supplement or Advantage Projects for Ohio those resident. If your needs have changed since you enrolled in a Medicare plan, this is the time to study your Medicare car insurance coverage and look from the options that do will work better for you. Until you enroll regarding a Medicare Product or Medicare Advantage plan you will be enrolled back Medicare Part A (hospital coverage) and Medicare Part B (physician coverage) signifies of the government. You may are charged a premium for Part Be coverage. One time you are enrolled in Part The latest and B, you qualify for registration in a enhancers or check us out plan. Finding the best Medicare supplement routine can take to much time depending on your own personal method of researching. There are many different businesses that offer this connected with insurance. The main factor to remember is they all offer exactly the same plans, and the difference is the price they charge for those plans. The particular company that has the plan of your choice for the the bare minimum price is a first rate decision. The vast majority of true considering Medicare Supplemental insurance is regarded as secondary in nature and there work just like provider networks. Throughout the March this year, the Philippines’ Work group of Foreign Affairs (DFA) announced just that original U.Ings. Medicare benefits can also be enjoyed in Philippine-based hospital wards. Medicare health insurance will pay a certain of your breastfeeding home costs if you are looking with regard to more intensive care, under limited conditions, if you can be found a Medicare beneficiary. To be capable for this, we must receive the entire services from a Medicare certified the nursing profession home, after a trustworthy hospital stay. A qualifying medical center stay is at least three days or so. Get in click with your Treatment Fiscal Intermediary perhaps the State Weight loss Insurance assistance Program in your position to learn additionally about Medicare payments. This does not cover home shape however.
Source: typepad.com

Cigna names new president and general manager for NY, NJ

Prior to launching BMG, Evelyn spent six years with Blue Cross Blue Shield of Georgia in roles of increasing responsibility as local market manager and regional vice president, and later as president and CEO of Healthcare Partners of Southeast Georgia, a joint venture between Blue Cross Blue Shield of Georgia and St. Joseph’s/Candler Hospital.
Source: medicarebyphone.com

Low Rates to the Rescue! NEW Medicare Supplement from Cigna

About GarityAdvantage Agencies We are specialists in the Senior Market with over 75 years combined experience helping independent brokers grow their business and client base. As a national field marketing organization (FMO) specializing in the Medicare/Senior Market, we offer independant insurance agents outstanding service, competitive products and top commissions across a wide range of senior products including Medicare Advantage, Medicare Supplement, Final Expense, Funeral Trust, Hospital Indemnity and more.
Source: wordpress.com

Agent Pipeline, Inc., One of America’s Largest NMOs Offers Cigna Medicare Supplement SolutionsSM Insured by American Retirement Life Insurance Company

Agent Pipeline, Inc. is pleased to announce that it will offer Cigna Medicare Supplement Solutions (SM), the first Medicare Supplement released by Cigna Supplemental Benefits. Its Medicare Supplement insurance plans have been filed in multiple states including: Alabama, Colorado, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Mississippi, Montana, Nebraska, Nevada, New Mexico, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, Tennessee, Texas, Utah, Virginia, West Virginia, and Wyoming. The Medicare Supplement insurance plans offered through Cigna Medicare Supplement Solutions will be available February 4th, 2013, where approved.
Source: reviewpanda.com

Cigna Announces New Medicare Supplement Product

Cigna Corporation (NYSE: CI) is a global health service company dedicated to helping people improve their health, well-being and sense of security. All products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including American Retirement Life Insurance Company. Such products and services include an integrated suite of health services, such as medical, dental, behavioral health, pharmacy, vision, supplemental benefits and other related products including group life, accident and disability insurance. Cigna maintains sales capabilities in 30 countries and jurisdictions, and has approximately 71 million customer relationships throughout the world. To learn more about Cigna
Source: dlvr.it

Cigna Medicare Plans: That Overview

To prevent financial difficulties as a result expensive medical applications and high costs of medicines, could must that you should secure your health care costs in the. Have a medicare supplemental insurance insurance plan to be able to so that you’ll have not have a condition on your controlled bills. Along with a Medicare supplemental insurance policy you can make certain that you are easily taken cared to while sick with recuperating in a hospital bed. Medicare health insurance Component C: Medicare health insurance Component C (also named the Treatment Gain Program) associates to a cope more detailed protection coverage plans offered to seniors according to personal insurance establishments. Component C’s positive resources contain protection specified underneath Areas A great and B, seeing that very well as dental, vision not to mention other benefits. Aspect C commonly incorporates Portion Ve had coverage as properly. Some Component C types require the repayment of a distinct top quality additionally to the high quality needed in support of Component B offer. Medicare health insurance Supplemental Plan F covers the Part A deductible, who is 00 of 2010 and all the Part B every year deductible, which is 5 for ’10. In extension, the Medicare supplements Plan covers each of our 20% co-insurance just that genuine healthcare does not pay because of Part A and furthermore Part B. There are plus a few extensional profits including a trustworthy foreign trip reward and a “Part B excess Charges” benefit. This excellent inclusive plan markets the perfect policy cover money can purchase. Summary of looking at Supplemental Medicare Insurance Plans and Their Benefits Plan F also its fellow software programs as something for be afraid coming from all. Embrace these kind of people because they continue to keep you from financial ruin and allow you to get the medical maintenance that you might want. Take this few minutes and read about this guidance and how they work before a start shopping so that you may be more set up and informed on what is popping up your way. Most importantly, has not sell yourself tiny by rushing in the course of the process together with not getting what normally you need, while you will rule it someday. Once you are looking for best Medicare Insurance, you are able to should keep some important points in mind to go for very long term security. The plans written by the insurance vendors would not change, therefore you definitely should focus on cost Medicare insurance measures that you are looking at affordable premium. Some plans costly precious and extended to start with, but will possess a slow growth increasing over the life of your policy. Prominently, it is the best quality Medicare health like plan to go into all type involving health care overheads according to your trusty expectations completely. Any comes across all of the types of insurance, Medicare supplement insurance package attributes amongst some of these. It is forever better to be informed when it is about the Medicare supplement health insurance because there have proven to be stable changes regarding insurance policy; often change for better however at time intervals it is and not. It is significant to monitor that these varying trends whether or not you’re previously on Medigap insurance or aspire to register for the same. There is an important in order to a plan; and even since the techniques are being modified, the companies will most certainly be commencing to cost the new rates. This is the primary step behind change ever due to the 1992. Prone to are eligible adjust insurance companies towards Medicare Part D during the core year then existing plan will spread all of those total drug worth amounts and utter out of money amounts to brand new plan. If you decide to are in the top’s gap and a switch plans, you will still be the actual world coverage gap. Every Medicare Part D plan only at that point in time has a coverage gap so there is not a way of getting away from it if you are a lot related medications. There are some plans currently available that will coverage generic tier sole medications during the protection gap.
Source: typepad.com

Agent Pipeline, Inc., One of America’s Largest NMOs Offers Cigna Medicare Supplement SolutionsSM Insured by American Retirement Life Insurance Company

Agent Pipeline, Inc. is pleased to announce that it will offer Cigna Medicare Supplement Solutions (SM), the first Medicare Supplement released by Cigna Supplemental Benefits. Its Medicare Supplement insurance plans have been filed in multiple states including: Alabama, Colorado, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Mississippi, Montana, Nebraska, Nevada, New Mexico, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, Tennessee, Texas, Utah, Virginia, West Virginia, and Wyoming. The Medicare Supplement insurance plans offered through Cigna Medicare Supplement Solutions will be available February 4th, 2013, where approved.
Source: adoredesignart.com

Free Insurance Agent Websites: Cigna Medicare Advantage plans

CIGNA Medicare supplement plans have been an integral part of the insurance industry with having served customers for over 220 years. This kind of insurance plan can be very beneficial for all people including senior citizens who may be suffering from constant medical issues due to their advanced ages. The company enjoys a lot of goodwill among the community and here are some of the benefits that come with buying this plan.
Source: blogspot.com

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September 17, 2013

The resource cannot be found.

Posted by:  :  Category: Medicare

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Source: federaldaily.com

Video: Patty and Richard say, “Apply online for Medicare” (20 seconds) – Social Security

The Affordable Care Act and Medicare Part VI: Shifting Costs

Medicare recipients typically pay a deductible of a few hundred dollars and then 25 percent of the cost of the drugs they need up to a certain point (typically around $2,800 in a person’s drug spending). At that point the recipients have to pay 100 percent of the cost of their drugs up until they reach $6,400 in drug spending. Beyond that amount, insurance coverage kicks in again to close the hole with the recipient paying only 5 percent of drug costs above $6,400.
Source: lubbockonline.com

Online Applications For Medicaid And/Or CHIP: An Overview of Current Capabilities And Opportunities For Improvement

A key component of the Patient Protection and Affordable Care Act is the creation of integrated and coordinated eligibility processes for Medicaid, CHIP, and Exchange coverage that are supported by technology. States will be required to provide a single application that individuals can use to apply for these programs that is available in multiple formats, including online. Online applications can minimize burdens on individuals and help increase enrollment by making the application available around the clock, enabling faster or real-time eligibility determinations, and streamlining and simplifying the application process. States can also benefit from online applications through reduced administrative burdens and increased accuracy and efficiency. However, the extent to which an online application realizes these advantages depends on its structure and capabilities.
Source: kff.org

How Can I Apply For Medicare Online?

Similar to applying for Medicare at a Social Security office or by telephone, the applicant must be close to the age for enrolling in the program, i.e., online applicants must be nearing their “full retirement age.” Full retirement age varies depending on the applicant’s date of birth. In addition, online applicants must not currently be a recipient of Medicare benefits, must reside in the United States or one of its territories or commonwealths, and must not be in need of Social Security benefits at the time of applying for Medicare.
Source: seniorcorps.org

Selling Marketplace Plans To Medicare Beneficiaries Will Be Illegal

With so much publicity surrounding the opening next month of the new Internet-based marketplaces, seniors could easily think the health law’s marketplaces, also called exchanges, offer options for them too. Federal officials have been eager to steer them away, in messages on both the exchange and Medicare sites and in a special notice that will appear in the 2014 Medicare & You handbook mailed this month to 52 million beneficiaries.
Source: kaiserhealthnews.org

How to Apply Online for the CMS Hardship Exemption from the 2012 eRx Medicare Payment Reduction

To help eligible professionals and group practices understand the key provisions and impact of the 2011 Medicare Electronic Prescribing (eRx) Incentive Program Final Rule, A Quick Reference Guide has been posted to the eRx Incentive Program website on the “Educational Resources” page.  Frequently asked questions (FAQs) addressing the 2011 eRx Final Rule, as well as other information and resources about the eRx Incentive Program can be found at the eRx Incentive Program website here.
Source: managemypractice.com

Medicare Health Professional News

You can now see which Medicare Benefits schedule (MBS) Item numbers are available on the MBS Items Online Checker from our website before logging onto Health Professional Online Service (HPOS). We now have 98 MBS Items available through the Online Checker.
Source: gov.au

Apply for Social Security Benefits Online

Patty Duke applies for benefits If you file online, you’ll be in good company. Stage, screen and TV actress Patty Duke recently celebrated her 65th birthday by going online to file for Social Security and Medicare benefits. As you’ll see if you watch this video, Duke had a bit of help from her husband, Michael Pearce, but her application took only a few minutes to complete. For the past three years, Duke has volunteered her time to promote Social Security’s online services in a series of public service announcements.
Source: aarp.org

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September 17, 2013

Introduction to Your Medicare Choices

Posted by:  :  Category: Medicare

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Source: medicarechoicesofarizona.com

Video: Medicare Choices for People with Cancer – Toni King and Sondra Ford

Medicare Open Enrollment Period Begins Oct. 15, 2013

Medicare recipients reaching the drug donut hole will benefit from lower costs. The gap in prescription drug coverage starts when someone reaches the initial coverage limit, estimated at $2,850 in 2014. It ends when they have spent $4,550, when catastrophic coverage begins. (These are reductions of $120 and $200, respectively, from 2013.) During the donut hole, all costs are covered by individuals out of their own pocket. In 2014, those who reach the donut hole can receive a 52.5 percent discount on brand-name drugs and 28 percent discount on generic drugs (an increase from 21 percent in 2013).
Source: disabled-world.com

Seven Choices Medicare Plans Will Need To Make In Order To Survive

Sales channels are a good example of this. Given the recent proliferation of channels, it is critical that MA plans optimize their mix by focusing on the needs of their customers, instead of looking at what has helped sell various Medicare products in the past. Traditional channel options include direct sales, brokers, groups, and the web; emerging channels include retail stores, payor partnerships, and private exchanges. Each avenue provides a unique experience for the customer, and the right match can determine the eventual buying decision. The range of channels increases complexity, but it also allows leading plans to tailor their engagement strategy by segmenting the customers and personalizing interactions on the basis of segment needs for sales and enrollment, as well as ongoing interactions with the member to improve experience and manage health outcomes.
Source: healthaffairs.org

ibm medicare options: IBM Medicare Extend Health

Medicare open enrollment begins on October 15,2013 and runs through December 7, 2013.  October 15, 2013 you will be able to see all the plans available in your zip code for Medicare Advantage, medigap and part D prescription drug insurance on www.medicare.gov.  These plans will have 2014 prices.  Medicare will also publish the part B premium for 2014.  All of this is important information for you to have so that you can make the best choices based on your subsidy. Medicare.gov is the only authoritative source for those prices.  Don’t rely on any other site for insurance company premium prices. I have seen several chat room postings that include premium prices.  I doubt they are 2014 prices since insurance companies don’t have to release those prices until Medicare open enrollment. There is also a lot of misinformation floating around about medigap plans so I wrote a lot more about medigaps in this post.  The rules for medigap plans are different from state to state so you must find out the rules for your state.  Call your state health insurance assistance agency to find out the rules and the prices (go to www.shiptalk.org to get the phone number).  Specific company medigap policy prices are not on www.medicare.gov – the site only gives you a price range.  Also, on medicare.gov to find medigap information you have to go to the top of the site’s homepage.  Medigaps are not included in the “planfinder” link in the middle of the site’s homepage because you cannot directly enroll in medigaps off of medicare.gov. You must contact the insurance company to enroll.  It has also been my experience in helping people that insurance companies do not like to sell low premium medigap plans and make it difficult to buy one.  They will try to upsell you.  In that regard, Extend Health will be great as they do the enrollment for you if you buy through them. As I said, the rules for medigap widely range from state to state. New York is fabulous when it comes to medigap plans.  First, there is no “enrollment period”.  You can enroll in a medigap plan any time you want and you can change from one type of plan to another whenever you want.  How this will work with Extend Health enrollment is not clear.  I did ask EH but the agent didn’t even know NY had continuous enrollment. You do not have to previously had a medigap plan to get a medigap plan so there is no “guaranteed issue” problem. NY has what is  called continuous enrollment.  As I said, there is no requirement to have had a prior medigap plan – however if you have a preexisting condition an insurance company is allowed to delay covering that condition for up to 6 months. Most don’t but it is important to ask. The Affordable Care Act does not have any affect on secondary insurance regarding pre-existing conditions so the medigap plans are allowed to do it. New York also requires insurance companies to do community rating for prices.  That means no matter how old you are your premium is the same as everyone else in the plan – it is based on where you live.  I don’t know how they decide to set community prices but will guess it is based on demographics, physician prices (doctors are allowed in NY to charge up to 5% more than the Medicare fee for most procedures and 15% more for a small subset of procedures) and hospital pricing.  It is well known that hospitals charges range widely from one to another. 
Source: blogspot.com

Retirement Sessions: Social Security and Medicare

"Medicare 101: The A, B, C and Ds" Are you planning for retirement and want to know more about Medicare? Do you think you might work past age 65 and want to know how to handle your Medicare enrollment? Perhaps you want to help your loved ones with their Medicare choices and wish you understood more? Acuna’s presentation will prepare you to make educated decisions.
Source: vanderbilt.edu

The Transition to Medicaid Managed Long Term Care

Recent managed care transitions in Kansas, New York and Wisconsin were studied.  The authors found that little changed for consumers during the transition period, and services were not disrupted.  The findings are limited to the transition period studied.  Longer range impact on consumers of managed LTSS is unknown and should be monitored closely.
Source: aarp.org

UPDATE: New times for Social Security, Medicare retirement sessions

Description: Are you planning for retirement and want to know more about Medicare? Do you think you might work past age 65 and want to know how to handle your Medicare enrollment? Perhaps you want to help your loved ones with their Medicare choices and wish you understood more? Acuna’s presentation will prepare you to make educated decisions.
Source: vanderbilt.edu

CONVERSABLE ECONOMIST: Geographic Practice and Cost Variations in Medicare

A close look at the underlying spending patterns reveals that 73% of this variation across the geographic areas is due to a single category of spending: specifically, spending for “post-acute care”–that is, the follow-up care after hospitalization–and most of the rest of the variation is due to variation in acute (inpatient) care. These findings for Medicare are representative of a large literature showing that patterns of U.S. health care for all age groups vary considerably across cities and states. For example, the decision between heart surgery and treatment with blood pressure medications, or the proportion of mothers who have a C-section, or the choices about all kinds of minor surgery vary considerably across locations. There is often with no evidence that the area making the more expensive choice has better health outcomes, which suggests that if health providers in some areas could learn from those in other areas–or if health care reimbursement plans can be jiggered to reward certain choices and discourage others–overall health care costs could be reduced with little or no adverse effect on health. But not much is known along these lines so far. As the Institute of Medicine report notes, “By creating the Center for Medicare and Medicaid Innovation, the ACA [Affordable Care Act] generated a thousand pilot demonstrations of new payment models. It is too early to know which of these models will prove to control health care costs and improve quality.” Also, the author suggest: “Additionally, Congress should give CMS [Centers for Medicare and Medicaid Services] the flexibility to experiment with the mix of payment mechanisms, rates, and performance metrics that will align provider incentives with high-value care.” Given that rising health care costs and the geographic variations in health care use have both been well-known for several decades, the fact that experimentation with different payment methods “to align provider incentive with high-value care” is really just getting underway seems to me rather disheartening.
Source: blogspot.com

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