NC DMA: Medicaid for Medicare Recipients

Posted by:  :  Category: Medicare

Medicare-Aid is a free Medicaid program for people who have Medicare and also have limited income and resources. The program can help pay your Medicare premiums, co-payments and deductibles. It is also known as Medicare Savings Program. There are three different levels of Medicare-Aid. All are based on an individual’s countable income.
Source: ncdhhs.gov

North Carolina Medicare Plans

To qualify for any one of these programs, participants must have assets below $6,600 or be part of a couple with assets below $9,910. State Health Insurance Assistance Program (SHIP) North Carolina’s Seniors’ Health Insurance Information Program (SHIIP) can be reached via its statewide toll-free line or at one of the 110 sponsored counseling sites across the state’s 100 counties. There are 122 SHIIP coordinators and over 800 trained SHIIP volunteers serving the state’s population. SHIIP also presents to church and civic groups, writes a monthly newspaper column, and appears on live television call-in programs. The interactive “Medicare Supplement Comparison Database” is available on the SHIIP website and staff members provide “e-counseling” through the office e-mail address. State Disability Insurance Program North Carolina offers a high-risk pool available on the basis of Medical, HIPAA and HCTC eligibility. http://www.chand.org/ Low-Income Subsidy (“extra-help”) for Prescription Drugs This program is a subsidy for Part D recipients with resources under $13,070 (or $26,120 for a couple) to receive money towards a Medicare prescription drug plan. The benchmark of support is different depending on which region of the country you live in. In North Carolina in 2012, the low-income subsidy was $33.00 per month.
Source: medicaresolutions.com

North Carolina Medicare Supplement Plans

- A – Cities in North Carolina that begin with the letter “A”. Aberdeen, NC Advance, NC Ahoskie, NC Alamance, NC Albemarle, NC Albertson, NC Alexander, NC Alexis, NC Alliance, NC Almond, NC Altamahaw, NC Andrews, NC Angier, NC Ansonville, NC Apex, NC Arapahoe, NC Ararat, NC Arden, NC Ash, NC Asheboro, NC Asheville, NC Atkinson, NC Atlantic, NC Atlantic Beach, NC Aulander, NC Aurora, NC Autryville, NC Avon, NC Ayden, NC Aydlett, NC – B – Cities in North Carolina that begin with the letter “B”. Badin, NC Bahama, NC Bailey, NC Bakersville, NC Balsam, NC Balsam Grove, NC Banner Elk, NC Barco, NC Barium Springs, NC Barnardsville, NC Barnesville, NC Bat Cave, NC Bath, NC Battleboro, NC Bayboro, NC Bear Creek, NC Beaufort, NC Belews Creek, NC Belhaven, NC Bellarthur, NC Belmont, NC Belvidere, NC Bennett, NC Benson, NC Bessemer City, NC Bethania, NC Bethel, NC Beulaville, NC Biscoe, NC Black Creek, NC Black Mountain, NC Bladenboro, NC Blanch, NC Blounts Creek, NC Blowing Rock, NC Boiling Springs, NC Bolivia, NC Bolton, NC Bonlee, NC Boomer, NC Boone, NC Boonville, NC Bostic, NC Brasstown, NC Brevard, NC Bridgeton, NC Broadway, NC Browns Summit, NC Brunswick, NC Bryson City, NC Buies Creek, NC Bullock, NC Bunn, NC Bunnlevel, NC Burgaw, NC Burlington, NC Burnsville, NC Butner, NC Buxton, NC Bynum, NC – C – Cities in North Carolina that begin with the letter “C”. Calabash, NC Calypso, NC Camden, NC Cameron, NC Camp Lejeune, NC Candler, NC Candor, NC Canton, NC Caroleen, NC Carolina Beach, NC Carrboro, NC Carthage, NC Cary, NC Casar, NC Cashiers, NC Castalia, NC Castle Hayne, NC Catawba, NC Cedar Falls, NC Cedar Grove, NC Cedar Island, NC Cedar Mountain, NC Cerro Gordo, NC Chadbourn, NC Chapel Hill, NC Charlotte, NC Cherokee, NC Cherry Point, NC Cherryville, NC Chimney Rock, NC China Grove, NC Chinquapin, NC Chocowinity, NC Claremont, NC Clarendon, NC Clarkton, NC Clayton, NC Clemmons, NC Cleveland, NC Cliffside, NC Climax, NC Clinton, NC Clyde, NC Coats, NC Cofield, NC Coinjock, NC Colerain, NC Colfax, NC Collettsville, NC Columbia, NC Columbus, NC Comfort, NC Como, NC Concord, NC Conetoe, NC Connellys Springs, NC Conover, NC Conway, NC Cooleemee, NC Corapeake, NC Cordova, NC Cornelius, NC Corolla, NC Council, NC Cove City, NC Cramerton, NC Creedmoor, NC Creston, NC Creswell, NC Crossnore, NC Crouse, NC Crumpler, NC Culberson, NC Cullowhee, NC Cumberland, NC Cumnock, NC Currie, NC Currituck, NC – D – Cities in North Carolina that begin with the letter “D”. Dallas, NC Dana, NC Danbury, NC Davidson, NC Davis, NC Deep Gap, NC Deep Run, NC Delco, NC Denton, NC Denver, NC Dillsboro, NC Dobson, NC Dover, NC Drexel, NC Dublin, NC Dudley, NC Dunn, NC Durants Neck, NC Durham, NC – E – Cities in North Carolina that begin with the letter “E”. Eagle Rock, NC Eagle Springs, NC Earl, NC East Bend, NC East Flat Rock, NC East Spencer, NC Eden, NC Edenton, NC Edneyville, NC Edward, NC Efland, NC Elizabeth City, NC Elizabethtown, NC Elk Park, NC Elkin, NC Ellenboro, NC Ellerbe, NC Elm City, NC Elon College, NC Emerald Isle, NC Enfield, NC Engelhard, NC Enka, NC Ennice, NC Ernul, NC Erwin, NC Ether, NC Etowah, NC Eure, NC Everetts, NC Evergreen, NC – F – Cities in North Carolina that begin with the letter “F”. Fair Bluff, NC Fairfield, NC Fairmont, NC Fairplains, NC Fairview, NC Faison, NC Faith, NC Falcon, NC Falkland, NC Fallston, NC Farmville, NC Fayetteville, NC Ferguson, NC Flat Rock, NC Fleetwood, NC Fletcher, NC Fontana Dam, NC Forest City, NC Fort Bragg, NC Fountain, NC Four Oaks, NC Franklin, NC Franklinton, NC Franklinville, NC Fremont, NC Frisco, NC Fuquay Varina, NC – G – Cities in North Carolina that begin with the letter “G”. Garland, NC Garner, NC Garysburg, NC Gaston, NC Gastonia, NC Gates, NC Gatesville, NC Germanton, NC Gerton, NC Gibson, NC Gibsonville, NC Glade Valley, NC Glen Alpine, NC Glendale Springs, NC Glenville, NC Glenwood, NC Gloucester, NC Godwin, NC Gold Hill, NC Goldsboro, NC Goldston, NC Graham, NC Grandy, NC Granite Falls, NC Granite Quarry, NC Grantsboro, NC Grassy Creek, NC Greenmountain, NC Greensboro, NC Greenville, NC Grifton, NC Grimesland, NC Grover, NC Gulf, NC Gumberry, NC – H – Cities in North Carolina that begin with the letter “H”. Halifax, NC Hallsboro, NC Hamilton, NC Hamlet, NC Hampstead, NC Hamptonville, NC Harbinger, NC Harkers Island, NC Harmony, NC Harrells, NC Harrellsville, NC Harris, NC Harrisburg, NC Hassell, NC Hatteras, NC Havelock, NC Haw River, NC Hayesville, NC Hays, NC Hazelwood, NC Henderson, NC Hendersonville, NC Henrico, NC Henrietta, NC Hertford, NC Hickory, NC Hiddenite, NC High Point, NC High Shoals, NC Highfalls, NC Highlands, NC Hildebran, NC Hillsborough, NC Hobbsville, NC Hobgood, NC Hobucken, NC Hoffman, NC Hollister, NC Holly Ridge, NC Holly Springs, NC Hookerton, NC Hope Mills, NC Horse Shoe, NC Hot Springs, NC Hubert, NC Hudson, NC Huntersville, NC Hurdle Mills, NC – I – Cities in North Carolina that begin with the letter “I”. Icard, NC Indian Trail, NC Ingold, NC Iron Station, NC Ivanhoe, NC – J – Cities in North Carolina that begin with the letter “J”. Jackson, NC Jackson Springs, NC Jacksonville, NC Jamestown, NC Jamesville, NC Jarvisburg, NC Jefferson, NC Jonas Ridge, NC Jonesville, NC Julian, NC – K – Cities in North Carolina that begin with the letter “K”. Kannapolis, NC Kelford, NC Kelly, NC Kenansville, NC Kenly, NC Kernersville, NC Kill Devil Hills, NC King, NC Kings Mountain, NC Kinston, NC Kipling, NC Kittrell, NC Kitty Hawk, NC Knightdale, NC Knotts Island, NC Kure Beach, NC – L – Cities in North Carolina that begin with the letter “L”. La Grange, NC Lake Junaluska, NC Lake Lure, NC Lake Toxaway, NC Lake Waccamaw, NC Lakeview, NC Landis, NC Lansing, NC Lattimore, NC Laurel Hill, NC Laurel Springs, NC Laurinburg, NC Lawndale, NC Lawsonville, NC Leasburg, NC Leicester, NC Leland, NC Lemon Springs, NC Lenoir, NC Lewiston Woodville, NC Lewisville, NC Lexington, NC Liberty, NC Lilesville, NC Lillington, NC Lincolnton, NC Linden, NC Linville, NC Linville Falls, NC Linwood, NC Little Switzerland, NC Littleton, NC Locust, NC Longwood, NC Louisburg, NC Lowell, NC Lowgap, NC Lowland, NC Lucama, NC Lumber Bridge, NC Lumberton, NC Lynn, NC – M – Cities in North Carolina that begin with the letter “M”. Macclesfield, NC Macon, NC Madison, NC Maggie Valley, NC Magnolia, NC Maiden, NC Mamers, NC Manns Harbor, NC Manson, NC Manteo, NC Maple, NC Maple Hill, NC Marble, NC Margarettsville, NC Marietta, NC Marion, NC Mars Hill, NC Marshall, NC Marshallberg, NC Marshville, NC Marston, NC Matthews, NC Maury, NC Maxton, NC Mayodan, NC Maysville, NC McAdenville, NC Mccain, NC Mccutcheon Field, NC McFarlan, NC McGrady, NC McLeansville, NC Mebane, NC Merritt, NC Merry Hill, NC Micaville, NC Micro, NC Middleburg, NC Middlesex, NC Midland, NC Midway Park, NC Mill Spring, NC Millers Creek, NC Milton, NC Milwaukee, NC Mineral Springs, NC Minneapolis, NC Misenheimer, NC Mocksville, NC Moncure, NC Monroe, NC Montezuma, NC Montreat, NC Mooresboro, NC Mooresville, NC Moravian Falls, NC Morehead City, NC Morganton, NC Morrisville, NC Morven, NC Mount Airy, NC Mount Gilead, NC Mount Holly, NC Mount Mourne, NC Mount Olive, NC Mount Pleasant, NC Mount Ulla, NC Mountain Home, NC Moyock, NC Murfreesboro, NC Murphy, NC – N – Cities in North Carolina that begin with the letter “N”. Nags Head, NC Nakina, NC Naples, NC Nashville, NC Nebo, NC New Bern, NC New Hill, NC New London, NC Newell, NC Newland, NC Newport, NC Newton, NC Newton Grove, NC Norlina, NC Norman, NC North Wilkesboro, NC Norwood, NC – O – Cities in North Carolina that begin with the letter “O”. Oak City, NC Oak Island, NC Oak Ridge, NC Oakboro, NC Ocean Isle Beach, NC Ocracoke, NC Old Fort, NC Olin, NC Olivia, NC Oriental, NC Orrum, NC Otto, NC Oxford, NC – P – Cities in North Carolina that begin with the letter “P”. Palmyra, NC Pantego, NC Parkton, NC Parmele, NC Patterson, NC Paw Creek, NC Peachland, NC Pelham, NC Pembroke, NC Pendleton, NC Penland, NC Penrose, NC Pfafftown, NC Pikeville, NC Pilot Mountain, NC Pine Hall, NC Pine Level, NC Pinebluff, NC Pinehurst, NC Pineola, NC Pinetops, NC Pinetown, NC Pineville, NC Piney Creek, NC Pink Hill, NC Pinnacle, NC Pisgah Forest, NC Pittsboro, NC Pleasant Garden, NC Pleasant Hill, NC Plumtree, NC Plymouth, NC Point Harbor, NC Polkton, NC Polkville, NC Pollocksville, NC Pope A F B, NC Poplar Branch, NC Potecasi, NC Powells Point, NC Powellsville, NC Princeton, NC Proctorville, NC Prospect Hill, NC Providence, NC Purlear, NC – R – Cities in North Carolina that begin with the letter “R”. Raeford, NC Raleigh, NC Ramseur, NC Randleman, NC Red Oak, NC Red Springs, NC Reidsville, NC Rex, NC Rhodhiss, NC Rich Square, NC Richfield, NC Richlands, NC Ridgecrest, NC Ridgeway, NC Riegelwood, NC Roanoke Rapids, NC Roaring Gap, NC Roaring River, NC Robbins, NC Robbinsville, NC Robersonville, NC Rockingham, NC Rockwell, NC Rocky Mount, NC Rocky Point, NC Rodanthe, NC Roduco, NC Rolesville, NC Ronda, NC Roper, NC Rose Hill, NC Roseboro, NC Rosman, NC Rougemont, NC Rowland, NC Roxboro, NC Roxobel, NC Ruffin, NC Rural Hall, NC Rutherford College, NC Rutherfordton, NC – S – Cities in North Carolina that begin with the letter “S”. Saint Pauls, NC Salemburg, NC Salisbury, NC Salter Path, NC Saluda, NC Salvo, NC Sandy Ridge, NC Sanford, NC Sapphire, NC Saratoga, NC Saxapahaw, NC Scaly Mountain, NC Scotland Neck, NC Scotts, NC Scottville, NC Scranton, NC Seaboard, NC Seagrove, NC Sealevel, NC Sedalia, NC Selma, NC Semora, NC Seven Springs, NC Severn, NC Shallotte, NC Shannon, NC Sharpsburg, NC Shawboro, NC Shelby, NC Sherrills Ford, NC Shiloh, NC Siler City, NC Siloam, NC Simpson, NC Sims, NC Skyland, NC Smithfield, NC Smyrna, NC Sneads Ferry, NC Snow Camp, NC Snow Hill, NC Sophia, NC South Brunswick, NC South Mills, NC Southern Pines, NC Southmont, NC Southport, NC Sparta, NC Speed, NC Spencer, NC Spindale, NC Spring Hope, NC Spring Lake, NC Spruce Pine, NC Stacy, NC Staley, NC Stanfield, NC Stanley, NC Stantonsburg, NC Star, NC State Road, NC Statesville, NC Stedman, NC Stella, NC Stem, NC Stokes, NC Stokesdale, NC Stoneville, NC Stonewall, NC Stony Point, NC Stovall, NC Stumpy Point, NC Sugar Grove, NC Summerfield, NC Sunbury, NC Sunset Beach, NC Supply, NC Swannanoa, NC Swanquarter, NC Swansboro, NC Swepsonville, NC Sylva, NC – T – Cities in North Carolina that begin with the letter “T”. Tabor City, NC Tar Heel, NC Tarawa Terrace, NC Tarboro, NC Taylorsville, NC Teachey, NC Terrell, NC Thomasville, NC Thurmond, NC Tillery, NC Timberlake, NC Toast, NC Tobaccoville, NC Todd, NC Topton, NC Townsville, NC Traphill, NC Trenton, NC Trinity, NC Troutman, NC Troy, NC Tryon, NC Tuckasegee, NC Turkey, NC Turnersburg, NC Tuxedo, NC Tyner, NC – U – Cities in North Carolina that begin with the letter “U”. Union Grove, NC Union Mills, NC – V – Cities in North Carolina that begin with the letter “V”. Valdese, NC Vale, NC Valle Crucis, NC Vanceboro, NC Vandemere, NC Vass, NC Vaughan, NC Vilas, NC – W – Cities in North Carolina that begin with the letter “W”. Waco, NC Wade, NC Wadesboro, NC Wagram, NC Wake Forest, NC Walkertown, NC Wallace, NC Wallburg, NC Walnut Cove, NC Walstonburg, NC Wanchese, NC Warne, NC Warrensville, NC Warrenton, NC Warsaw, NC Washington, NC Watha, NC Waves, NC Waxhaw, NC Waynesville, NC Weaverville, NC Webster, NC Welcome, NC Weldon, NC Wendell, NC Wentworth, NC West End, NC West Jefferson, NC Westfield, NC Whitakers, NC White Oak, NC White Plains, NC Whiteville, NC Whitsett, NC Whittier, NC Wilkesboro, NC Willard, NC Williamston, NC Williston, NC Willow Spring, NC Wilmington, NC Wilson, NC Wilsons Mills, NC Windsor, NC Winfall, NC Wingate, NC Winnabow, NC Winston Salem, NC Winterville, NC Winton, NC Wise, NC Woodland, NC Woodleaf, NC Wrightsboro, NC Wrightsville Beach, NC – Y – Cities in North Carolina that begin with the letter “Y”. Yadkinville, NC Yanceyville, NC Youngsville, NC – Z – Cities in North Carolina that begin with the letter “Z”. Zebulon, NC Zionville, NC Zirconia, NC
Source: medicaresupplementsolutions.com

Blue Cross Blue Shield (BCBS) Health Insurance in North Carolina

Medicare only covers some of your medical costs. That’s why Blue Cross and Blue Shield of North Carolina (BCBSNC) offers dependable Medicare supplement plans for Medicare beneficiaries to help lessen the worries over costs for those covered services that Medicare doesn’t pay for. Choose from our 11
Source: ncmedicarecoverage.com

Coventry Medicare: Advantra (PPO)

Whether you are an employer, health care provider, interested in enrolling, or already a member, our goal is to provide you with valuable and convenient online resources and information. Come explore the ways in which we can help you take charge of your Medicare Advantage coverage.
Source: coventryhealthcare.com

Medicare.gov: the official U.S. government site for Medicare

Posted by:  :  Category: Medicare

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

2015 South Carolina Medicare Part D Prescription Drug Plan Highlights www.Q1Medicare.com

Coverage Gap the Donut Hole: In the CMS Standard Plan, the beneficiary must pay the next $3720 in drug costs (the Donut Hole). The Healthcare Reform provides that for Plan Year 2015, ALL formulary generics will have at least a 35% discount and ALL brand drugs will have at least a 55% discount in the coverage gap. The Gap Coverage Types discussed in this section are in addition to the Healthcare Reform mandated discounts. In our chart, you will see one of the following:
Source: q1medicare.com

Oregon Insurance Division: Medicare eligibility and Cover Oregon

Posted by:  :  Category: Medicare

No. It’s against the law for someone who knows that you have Medicare to sell you a health plan through Cover Oregon or an insurance company. This is true even if you have only Part A or only Part B. If you want coverage to supplement Medicare, contact the Oregon Insurance Division sponsored Senior Health Insurance Benefit Assistance (SHIBA) program at 1-800-722-4134 (toll-free) to learn more about Medigap policies. You can also learn more about other Medicare options, such as Medicare Advantage plans, by calling SHIBA or visiting Medicare.gov.
Source: oregon.gov

Oregon Insurance Division: Medicare FAQs

Instead of getting your Medicare benefits through the original federal government program, you can get them through a private insurance company’s Medicare Advantage (MA) plan. These plans combine all your Medicare-covered Part A and Part B benefits in a single package and can include prescription drug coverage (Part D). You must have Parts A and B before you can enroll in a Medicare Advantage plan. Medicare Advantage plan members pay a premium for Part B, plus usually a premium for the Medicare Advantage plan, and co-pays or co-insurance for services. Medicare Advantage plans are not the same as Medicare supplements (Medigaps), which work only with Original Medicare.
Source: oregon.gov

Medicare.gov: the official U.S. government site for Medicare

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

Oregon Medicare Advantage Plans with Part D (Prescription Drug) Coverage

The plans below offer Medicare Advantage and Part D coverage to Oregon residents. Medicare Advantage plans, also known as Medicare Part C, are alternatives to original Medicare. These plans help cover the costs of services provided by hospitals, doctors, lab tests and some preventive screenings. These plans’ Part D component helps cover prescription drugs. Even if a plan’s monthly premium is $0, you would still pay the equivalent of the original Medicare premium. Not all plans shown here will be available to you; enter your zip code to see plans in your area. You can read about whether Medicare Advantage is right for you. If you only want plans with drug coverage, browse Prescription Drug (Part D) Plans.
Source: usnews.com

2015 Medicare Advantage Plans Available to Residents of Oregon

AK  AL  AR  AZ  CA  CO  CT  DC  DE  FL  GA  HI  IA  ID  IL  IN  KS  KY  LA  MA  MD  ME  MI  MN  MO  MS  MT  NC  ND  NE  NH  NJ  NM  NV  NY  OH  OK  OR  PA  RI  SC  SD  TN  TX  UT  VA  VT  WA  WI  WV  WY
Source: q1medicare.com

2015 Oregon Medicare Part D Prescription Drug Plan Highlights www.Q1Medicare.com

Coverage Gap the Donut Hole: In the CMS Standard Plan, the beneficiary must pay the next $3720 in drug costs (the Donut Hole). The Healthcare Reform provides that for Plan Year 2015, ALL formulary generics will have at least a 35% discount and ALL brand drugs will have at least a 55% discount in the coverage gap. The Gap Coverage Types discussed in this section are in addition to the Healthcare Reform mandated discounts. In our chart, you will see one of the following:
Source: q1medicare.com

Helpful phone numbers and websites for Oregon Medicare beneficiaries

The resources listed on these pages are provided for your convenience and information only.  Acumentra Health does not endorse specific resources. The links listed on this page may take you to websites that are not owned by Acumentra Health. Please note that the statements in Acumentra Health’s Internet privacy policy apply only to our website. If you wish to know the privacy policy of another website, contact the webmaster of that site.
Source: acumentra.org

Dental Coverage Under Medicare

Posted by:  :  Category: Medicare

You may also have group dental insurance available, if either you or your spouse is employed. Be sure to read the plans carefully. Some dental plans require you to stay within a network of dental care providers. The premiums may be a bit higher for this type of plan, but the costs are offset by lower out-of-pocket fees, like copayments, coinsurance, and deductibles, mainly because network dentists usually agree to charge discounted rates to members of the dental plan. Other plans let you go to any licensed dental professional, but you may have to pay more at the time of service.
Source: ehealthmedicare.com

Dental Insurance for Seniors on Medicare

Senior citizens all across the U.S. are seeking coverage to aid in reducing their dental expenditures. Currently, minimal government assistance is available for seniors who need dental insurance. The majority of Medicare and Medicaid programs do not include dentistry. Even those programs that do include coverage for seniors only contain provisions for extractions of teeth, and exclude the majority of the common oral procedures often required for older patients. Practically no help is available for obtaining primary tooth repair or for having missing teeth replaced. Usually Medicare and Medicaid supply virtually no aid for just about any type of oral care.
Source: medicarewire.com

Medicare Advantage Dental, Medicare Advantage Dental Plan

Aetna Medicare is an HMO/PPO/PDP plan with a Medicare contract. Enrollment in Aetna Medicare depends on contract renewal. The benefit information provided is a brief summary, not a complete description of benefits. For more information, contact the plan. Limitations, copayments, and restrictions may apply. Benefits, formulary, pharmacy network, provider network, premium and/or copayments/coinsurance may change on January 1 of each year.
Source: aetnamedicare.com

Best Medicare Supplement Insurance Quotes

Posted by:  :  Category: Medicare

Every Medicare supplemental insurance plan must follow federal and state laws designed to protect you. Medicare supplement plan insurance companies can only sell you a “modernized” Medicare supplemental insurance plan identified by letters A through N. Each modernized Medicare supplemental insurance plan must offer the same basic benefits, no matter which insurance company sells it.
Source: medicaresupplementplans.com

Medicare Supplement Insurance Quote Engine

In addition to Medicare supplement insurance, we are pleased to be participating in the Medicare Advantage market. The Medicare Advantage policy is a low cost alternative to a Medicare supplement policy and is especially advantageous for those less than 65 years old. The Private Fee For Service (PFFS) is a type of Advantage plan that allows Medicare recipient to visit any doctor, any hospital, anywhere. Therefore, many Medicare recipients are well served by the lower cost Private Fee For Service plan.
Source: bestmedicaresupplement.com

Medicare Supplement Plans & Quotes

Turning 65 is stressful, and the amount of information people receive leading up to their birthday is astounding. From the stacks of mail piling up on your desk, to the seemingly endless phone calls and quotes from insurance companies and agents, the task of gathering honest, unbiased information can feel impossible. Our goal is to offer what nobody else will, which is why we provide medicare supplement quotes, financial ratings, benefit information, application fee data, price history, and pricing methodology for all supplemental insurance companies in one clean, concise report. Our free, no obligation service is designed to give you the information you need regarding Part D and Medicare Supplement Plans in order to make an educated purchasing decision. In addition, we offer continued support for all of our customers to ensure they have no claims or billing issues. On an annual basis we review all medicare supplement insurance quotes and plan options in an effort to notify our customers of any new or better plans that may be available.
Source: medicaresupplementshop.com

Compare Medicare Supplement Insurance Plans & Medigap Plans and Rates for
2011. See Plan Chart for AL, AR, AZ, CO, FL, GA, IA, ID, KS, KY, LA, MD, MI, MO, MN, MS,
NC, NE, NM, OH, OK, SC, TN, TX, VA & WV. Medigap Insurance Plans including the
Popular Plan F & G

Year after year we have found Medicare Supplement Plan F or Medicare Supplement Plan G to be the best value for the dollar. The new Plan N is a great alternative to a Medicare Advantage plan.  Plan N might be recommended depending on which state you live in and how much the supplement cost in relation to available Medicare Advantage plans. A plan N will provide more coverage and a very reasonable premium. In Florida we have the lowest rate for plan F & plan N. See the Medicare Supplement Plan chart below. In general, the higher you go up in the plan chart the more Gaps the plan fills. Medicare Supplement Plan F is the most comprehensive supplement plan and there is not a better plan than F. Most people will select a Plan F. However, depending on your personal situation there may be a more cost efficient choice.
Source: themedicarechannel.com

Costs in the coverage gap

Mrs. Anderson reaches the coverage gap in her Medicare drug plan. She goes to her pharmacy to fill a prescription for a covered brand-name drug. The price for the drug is $60, and there’s a $2 dispensing fee that gets added to the cost. Mrs. Anderson will pay 47.5% of the plan’s cost for the drug ($60 x .475 = $28.50) plus 47.5% of the cost of the dispensing fee ($2 x .475 = $0.95), or a total of $29.45, for her prescription. $59.45 will be counted as out-of-pocket spending and will help Mrs. Anderson get out of the coverage gap because both the amount that Mrs. Anderson pays ($29.45) plus the manufacturer discount payment ($30.00) count as out-of-pocket spending. The remaining $2.55, which is 2.5% of the drug cost and 52.5% of the dispensing fee paid by the drug plan, isn’t counted toward Mrs. Anderson’s out-of-pocket spending.
Source: medicare.gov

Medicare Supplemental Health Insurance Information and Medicare Supplement Insurance Plans

Unlessyou buy a Medicare SELECT policy, you may go to any doctor or hospitalfor treatment. The Medicare supplemental insurance policy pays for itsshare of the expenses and your Medicare policy covers its share. Thelevel of benefits you receive will depend on which plan you choose. Youwill pay for your Medicare supplemental insurance and pay the Medigap insurancecompany on a separate invoice. You will receive a Medicare Summary oncea month by mail and your Medigap insurance company will also send you Medicare health insurance planinformation on what has been paid. A Medicare supplemental health insurance policy doesnot replace your original Medicare coverage. It simply provides additional benefits to help cover themedical expenses that are not paid for by the original Medicare policy.You may also want to join a Medicare Advantage Health Plan that willhelp with drug costs and coinsurance deductibles.
Source: healthinsurancefinders.com

How Part D works with other insurance

Posted by:  :  Category: Medicare

While prescription drug coverage is an essential health benefit, prescription drug coverage in a Marketplace or SHOP plan isn’t required to be at least as good as Medicare Part D coverage (creditable). However, all private insurers offering prescription drug coverage, including Marketplace and SHOP plans, are required to determine if their prescription drug coverage is creditable each year and let you know in writing.
Source: medicare.gov

Medicare Plans & Coverage: Part A, Part B, Part C, Part D

Medicare is a federal insurance program that covers hospitalization expenses as well as doctor and medical expenses. To be eligible for Medicare, one must be an American citizen 65 years or older, or younger with a qualifying disability.
Source: medicareconsumerguide.com

How to Enroll in a Medicare Part D Drug Plan

Medicare Rights Center The Medicare Rights Center, an independent, non-profit group, is the largest organization in the United States (aside from the federal government) that provides information and assistance for people with Medicare. Its site has a section about Medicare Part D drug coverage, including information about programs that could help you pay for your prescription drug costs. A unique feature of the site is the Medicare Interactive Counselor, a tool that walks you through the process of finding the drug plan that makes sense for you.
Source: about.com

Understanding the Medicare Part D Donut Hole

Once you and your Part D drug plan have spent $2,840 for covered drugs, you will be in the donut hole. Previously, you had to pay the full cost of your prescription drugs while in the donut hole. However, in 2011, you get a 50% discount on covered brand-name prescription medications. The donut hole continues until your total out-of-pocket cost reaches $4,550. This annual out-of-pocket spending amount includes your yearly deductible, copayment, and coinsurance amounts.
Source: about.com

Compare Medicare Advantage & Supplemental Plans

Medicare Advantage insurance is offered by private insurance companies with a Medicare contract, and replaces Original Medicare Part A and Part B. You must continue to pay your Part B premiums. Medicare Advantage plans typically offer additional benefit options and have less cost-sharing than Original Medicare, and you may have to pay a monthly premium in return for the extra benefits. Medicare Advantage plans come in a variety of formats, such as HMO, PPO and PFFS plans, as well as special needs plans. Medicare beneficiaries can enroll in Medicare Advantage plans if they have Medicare Part A and Part B, but only during designated enrollment periods. These enrollment periods change from time-to-time, so please call us to get the most-up-to-date information.
Source: medicaresolutions.com

www.Q1Medicare.com Your Source for Medicare Part D Plan Information

You can enroll into a stand-alone Medicare Part D Prescription Drug plan or a Medicare Advantage plan during the Annual Enrollment Period (or AEP) or open enrollment period starting October 15th and continuing for seven weeks through December 7th with your newly selected Medicare plan starting on January 1st of the following year. Please note that if you are just turning 65 or are newly eligible for Medicare, you will be granted a seven (7) month enrollment period when you can join a Medicare Part D or Medicare Advantage plan. The seven month period begins three months before your Medicare eligibility (or birthday) month, includes your eligibility month, and continues for three months after your Medicare eligibility month. However, your Medicare plan can begin no sooner than the first day of your Medicare eligibility month. Enrolling in a Medicare Part D or Medicare Advantage plan is easy and takes little time. : : Click here if you already know       which Medicare Part D plan you want : : Click here to search for a       Medicare Part D plan : : Click here to search for a       Medicare Advantage plan The good news about enrollment is that you always pay the same amount for a Medicare D plan or Medicare Advantage plan, no matter where or how you enroll. As an expanded feature, we now provide enrollment options for all 2015 Medicare Part D plans and Medicare Advantage plans across the country. If you wish, you can also enroll directly with Medicare (1-800-Medicare) or with an insurance agent or the Medicare plan provider. No matter how you enroll in to a Medicare plan, the enrollment result should always be the same and in 7 to 10 business days you should receive your Medicare Part D new Member information. Once enrolled into a Medicare Part D or Medicare Advantage plan, you can contact the plan’s Member Services department with any questions or concerns. The toll-free number will be on the back of your Member ID card. Please note that the Medicare Advantage Dis-Enrollment Period (MADP) for Medicare Advantage Plans beginsJanuary 1st and continues through February 14th — during the MADP members of Medicare Advantage plans can switch back to original Medicare and join a stand-alone Medicare Part D drug plan.
Source: q1medicare.com

Medicare Drug List – Drug Formulary

Posted by:  :  Category: Medicare

Below are the lists of covered drugs in our Cigna-HealthSpring Medicare Advantage and Rx plans. If your drug appears on the drug list, then it is a covered drug under that plan. However, there may be certain requirements, such as prior authorization or quantity limits that need to be fulfilled as part of your prescription drug coverage. If you have questions, please visit our Drug List Frequently Asked Questions (FAQ) page.
Source: cigna.com

Medicare Part D Formulary, List of PDP Drugs

Medicare Part B covered drugs include a limited number of prescription drugs such as those you get in a hospital outpatient department under certain circumstances, injected drugs you get in a doctor’s office, certain oral cancer drugs, and drugs used with some types of durable medical equipment (like a nebulizer or infusion pump).  Medicare Part B drugs include, but are not limited to, the following types of drugs.
Source: coventryhealthcare.com

Medicare Plan Finder for Health, Prescription Drug and Medigap plans

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

Medicare Part D Formulary Drug List FAQs

We may make certain changes to our list of covered drugs throughout the year. Changes in the drug list may affect which drugs are covered and how much you will pay when filling your prescription. If we remove drugs from our drug list, or add prior authorization, quantity limits and/or step therapy restrictions on a drug or move a drug to a higher cost cost-sharing tier, we will post a notice on this site at least 60 days before the change becomes effective. In addition, you will be notified on your Explanation of Benefits (EOB) mailing, if you are taking the impacted drug.
Source: cigna.com

Coventry Medicare: Formulary (Drug List)

A formulary is a list of prescription medications that are covered by your plan and are available in a booklet format and an online searchable tool.  A pharmacy directory is a listing of pharmacies in your plan’s network, including retail chain pharmacies, preferred and non-preferred mail-order pharmacies, home infusion and long-term care pharmacies. 
Source: coventryhealthcare.com

Browse Any 2015 Medicare Part D or Medicare Advantage Plan Formulary

- Copay / Coinsurance – These figures apply to the initial coverage phase of your plan. This is the phase after the initial deductible has been met and before you reach the Coverage Gap (Donut Hole). Plans often cover drugs in “tiers”. Tiers are specific to the list of drugs covered by the plan. Plans may have several tiers, and the copay for a drug depends on which tier the drug is in. The drug Tier is shown to the left of this column. These cost sharing figures DO NOT necessarily apply to the Coverage Gap. The plan may have a separate copay/coinsurance for the same drug while in the Coverage Gap. There are two figures shown under this “Cost Sharing” category:
Source: q1medicare.com

Annual Statistical Supplement, 2011

Posted by:  :  Category: Medicare

Beginning January 1, 2006, upon voluntary enrollment in either a stand-alone PDP or an integrated Medicare Advantage plan that offers Part D coverage in its benefit, subsidized prescription drug coverage. Most FDA-approved drugs and biologicals are covered. However, plans may set up formularies for their drug coverage, subject to certain statutory standards. (Drugs currently covered in Parts A and B remain covered there.) Part D coverage can consist of either standard coverage or an alternative design that provides the same actuarial value. (For an additional premium, plans may also offer supplemental coverage exceeding the value of basic coverage.) Standard Part D coverage is defined for 2006 as having a $250 deductible, with 25 percent coinsurance (or other actuarially equivalent amounts) for drug costs above the deductible and below the initial coverage limit of $2,250. The beneficiary is then responsible for all costs until the $3,600 out-of-pocket limit (which is equivalent to total drug costs of $5,100) is reached. For higher costs, there is catastrophic coverage; it requires enrollees to pay the greater of 5 percent coinsurance or a small copay ($2 for generic or preferred multisource brand and $5 for other drugs). After 2006, these benefit parameters are indexed to the growth in per capita Part D spending (see Table 2.C1). In determining out-of-pocket costs, only those amounts actually paid by the enrollee or another individual (and not reimbursed through insurance) are counted; the exception is cost-sharing assistance from Medicare’s low-income subsidies (certain beneficiaries with low incomes and modest assets will be eligible for certain subsidies that eliminate or reduce their Part D premiums, cost-sharing, or both) and from State Pharmacy Assistance Programs. A beneficiary premium, representing 25.5 percent of the cost of basic coverage on average, is required (except for certain low-income beneficiaries, as previously mentioned, who may pay a reduced or no premium). For PDPs and the drug portion of Medicare Advantage plans, the premium will be determined by a bid process; each plan’s premium will be 25.5 percent of the national weighted average plus or minus the difference between the plan’s bid and the average. To help them gain experience with the Medicare population, plans will be protected by a system of risk corridors, which allow Part D to assist with unexpected costs and to share in unexpected savings; after 2007, the risk corridors became less protective. To encourage employer and union plans to continue prescription drug coverage to Medicare retirees, subsidies to these plans are authorized; the plan must meet or exceed the value of standard Part D coverage, and the subsidy pays 28 percent of the allowable costs associated with enrollee prescription drug costs between a specified cost threshold ($250 in 2006, indexed thereafter) and a specified cost limit ($5,000 in 2006, indexed thereafter).
Source: ssa.gov

2011 Medicare Part D Program Compared to 2010, 2009, 2008 and 2007

Pharmaceutical manufacturers will be required to provide certain beneficiaries access to discount prices for certain brand drugs purchased under Medicare Part D. The manufacturer discount prices will be equal to 50% of the plan’s negotiated price defined (minus any applicable dispensing fees). These discount prices must be applied prior to any prescription drug coverage or financial assistance provided under other health benefit plans or programs and after any supplemental benefits provided under the Part D plan. The discounted prices will be charged at the pharmacy (point-of-sale). The beneficiary will not have to do additional paperwork, etc. to receive the benefit. These manufacturer discount prices will be made available to Part D enrollees who are in the coverage gap or donut hole (they have reached or exceeded the initial coverage limit and have incurred costs below the annual out-of-pocket threshold). Medicare beneficiaries will not be eligible to receive these discount prices if they are enrolled in a qualified retiree prescription drug plan or are eligible for the low-income subsidy. The costs paid by manufacturers towards the negotiated prices of drugs covered under this manufacturer discount program shall be considered incurred costs for eligible beneficiaries and applied towards their out-of-pocket threshold. This means that the total negotiated retail drug price will be applied to the TrOOP and will count toward getting out of the doughnut hole.
Source: q1medicare.com

Oregon Insurance Division: Medicare eligibility and Cover Oregon

Posted by:  :  Category: Medicare

No. It’s against the law for someone who knows that you have Medicare to sell you a health plan through Cover Oregon or an insurance company. This is true even if you have only Part A or only Part B. If you want coverage to supplement Medicare, contact the Oregon Insurance Division sponsored Senior Health Insurance Benefit Assistance (SHIBA) program at 1-800-722-4134 (toll-free) to learn more about Medigap policies. You can also learn more about other Medicare options, such as Medicare Advantage plans, by calling SHIBA or visiting Medicare.gov.
Source: oregon.gov

Oregon Insurance Division: Medicare FAQs

Instead of getting your Medicare benefits through the original federal government program, you can get them through a private insurance company’s Medicare Advantage (MA) plan. These plans combine all your Medicare-covered Part A and Part B benefits in a single package and can include prescription drug coverage (Part D). You must have Parts A and B before you can enroll in a Medicare Advantage plan. Medicare Advantage plan members pay a premium for Part B, plus usually a premium for the Medicare Advantage plan, and co-pays or co-insurance for services. Medicare Advantage plans are not the same as Medicare supplements (Medigaps), which work only with Original Medicare.
Source: oregon.gov

Oregon Medicare Advantage Plans with Part D (Prescription Drug) Coverage

The plans below offer Medicare Advantage and Part D coverage to Oregon residents. Medicare Advantage plans, also known as Medicare Part C, are alternatives to original Medicare. These plans help cover the costs of services provided by hospitals, doctors, lab tests and some preventive screenings. These plans’ Part D component helps cover prescription drugs. Even if a plan’s monthly premium is $0, you would still pay the equivalent of the original Medicare premium. Not all plans shown here will be available to you; enter your zip code to see plans in your area. You can read about whether Medicare Advantage is right for you. If you only want plans with drug coverage, browse Prescription Drug (Part D) Plans.
Source: usnews.com

2015 Oregon Medicare Part D Prescription Drug Plan Highlights www.Q1Medicare.com

Coverage Gap the Donut Hole: In the CMS Standard Plan, the beneficiary must pay the next $3720 in drug costs (the Donut Hole). The Healthcare Reform provides that for Plan Year 2015, ALL formulary generics will have at least a 35% discount and ALL brand drugs will have at least a 55% discount in the coverage gap. The Gap Coverage Types discussed in this section are in addition to the Healthcare Reform mandated discounts. In our chart, you will see one of the following:
Source: q1medicare.com

Helpful phone numbers and websites for Oregon Medicare beneficiaries

The resources listed on these pages are provided for your convenience and information only.  Acumentra Health does not endorse specific resources. The links listed on this page may take you to websites that are not owned by Acumentra Health. Please note that the statements in Acumentra Health’s Internet privacy policy apply only to our website. If you wish to know the privacy policy of another website, contact the webmaster of that site.
Source: acumentra.org

Medicare.gov: the official U.S. government site for Medicare

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

Affordable Health Coverage

Posted by:  :  Category: Medicare

Rating and national average are based on Controlling High Blood Pressure 2013 ratings from the Healthcare Effectiveness Data and Information Set (HEDIS) for commercial plans published by the National Committee for Quality Assurance. HEDIS is a tool used by more than 90 percent of America’s health plans to measure performance on important dimensions of care and service. HEDIS is a registered trademark of the National Committee of Quality Assurance (NCQA). For more information, visit ncqa.org.
Source: kaiserpermanente.org

Medicare Advantage Fact Sheet

Since 2006, Medicare has paid plans under a bidding process.  Plans submit “bids” based on estimated costs per enrollee for services covered under Medicare Parts A and B; all bids that meet the necessary requirements are accepted.  The bids are compared to benchmark amounts that are set by a formula established in statute and vary by county (or region in the case of regional PPOs).  The benchmarks are the maximum amount Medicare will pay a plan in a given area. If a plan’s bid is higher than the benchmark, enrollees pay the difference between the benchmark and the bid in the form of a monthly premium, in addition to the Medicare Part B premium.  If the bid is lower than the benchmark, the plan and Medicare split the difference between the bid and the benchmark; the plan’s share is known as a “rebate,” which must be used to provide supplemental benefits to enrollees.  Medicare payments to plans are then adjusted based on enrollees’ risk profiles.
Source: kff.org

Kaiser Permanente Advantage Plus

Kaiser Permanente is an HMO plan with a Medicare contract. Enrollment in Kaiser Permanente depends on contract renewal. Benefits, formulary, pharmacy network, provider network, premium and/or copayments/coinsurance may change on January 1 of each year. The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan. Limitations, copayments, and restrictions may apply. You must reside in the Kaiser Permanente Medicare health plan service area in which you enroll. You must be a Kaiser Permanente Senior Advantage individual plan member to apply, and you must continue to pay applicable Senior Advantage and Medicare Part B premiums and any other applicable Medicare premium(s), if not otherwise paid by Medicaid or another third party. The Silver&Fit Program is provided by American Specialty Health Fitness, Inc., a subsidiary of American Specialty Health Incorporated (ASH). All programs and services are not available in all areas. Silver&Fit, The Silver Slate, and the Silver&Fit Signature Series Classes are federally registered trademarks of ASH. Other names and logos may be trademarks of their respective owners.
Source: kaiserpermanente.org

What is Medicare: Medicare Benefits

These plans are an alternative to Medicare Advantage. Cost plans are available in certain areas of the country and give members the option of seeing a provider outside of the approved network. Kaiser Permanente offers Medicare Cost plans in Maryland, Virginia, and Washington, D.C. Learn more…
Source: kaiserpermanente.org

Affordable Care Act: Obamacare & Health Reform Facts

Choice and the information to make good choices — With Health Insurance Marketplaces and the requirement for easy-to-understand language in a Summary of Benefits and Coverage, Americans will have more information and more options to choose what is best for them.
Source: kaiserpermanente.org

Medicare Advantage Plans: Medicare Health Plans

All of our available doctors accept Medicare health plan members – and you can switch at any time, for any reason. Find a Kaiser Permanente doctor, medical facility, or other service in your area. Most services are usually in the same location — giving you connected and convenient care.
Source: kaiserpermanente.org

Senior Advantage Dental Plan

Enroll Now: Click here to download a Kaiser Permanente Healthy Smile brochure with application. Click here to enroll online today. Reminder: you must be a current Northwest Region Kaiser Permanente Senior Advantage member to enroll in Healthy Smile Dental Discount Program for Senior Advantage members. Application Effective Date: Your Healthy Smile Dental Discount Program for Senior Advantage members will be effective the date that your application is processed. This date will be on your Healthy Smile Program ID card that will be mailed to you. This program is not insurance. It is a discount program. You are responsible for the full cost of any health care services purchased. You will receive discounts for dental services at certain dental providers who have contracted with the program. Card holders have the right to cancel registration within a 30 day period. This program does not make payments directly to dental providers. A list of all program providers within the prospective card holder’s geographic area which includes their name, city & state, and specialty is available prior to purchase, upon request. Discounts for hospital services are not available. This program is administered by Group Dental Service of Maryland, Inc. (GDS-MD), your Discount Medical Plan Organization, 111 Rockville Pike, Suite 700, Rockville, MD 20850, 866-498-7909. The program and its administrators have no liability for providing or guaranteeing service or the quality of service rendered.
Source: kaiserpermanentedentalnw.org