Arizona Medicare Advantage and Medicare Supplement Plans 2012

Posted by:  :  Category: Medicare

State Pharmaceutical Assistance Program The pharmaceutical assistance program in Arizona is known as the Arizona Health Care Cost Containment System (AHCCCS). Through this system, the state covers the cost for many medical services including: acute care services, prescription drugs, long-term services and supports, all depending on personal needs.  To be eligible, an individual must:
Source: medicaresolutions.com

Arizona Medicare Insurance Broker Medicare Supplement & Advantage

Medicare Advantage, Medicare Supplement & Medicare Part D plans Serving all of Arizona, Including Phoenix, Sedona, Flagstaff, Verde Valley, Tucson & Prescott as well as Maricopa, Pinal, Pima, Yavapai, Coconino and Mohave counties 602-390-8573
Source: arizonamedicareadvisors.com

Help with Paying Medicare Costs Only

You are invited to participate in a survey regarding your experience using the AHCCCS website. This survey will take approximately two minutes. Your responses will help us ensure that you have a high quality experience.
Source: azahcccs.gov

2015 Medicare Advantage Plans Available to Residents of Arizona

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

Original Medicare appeals

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

Office of Medicare Hearings and Appeals (OMHA)

Please note that the Office of Medicare Hearings and Appeals is responsible only for the Level 3 claims appeals and certain Medicare eligibility and Part B premium appeals. OMHA is not responsible for levels 1, 2, 4, and 5 of the appeals process. OMHA provides additional information on other levels of appeals to help you understand the appeals process in a broad context.
Source: hhs.gov

Medicare Part C Appeals > Home

Attention Medicare Health Plans- Updated Medicare Advantage Process Manual, Appendix, Reconsideration Background Data Form, and NEW Dismissal Case File Data Form are now available under the ‘Health Plans’ section. Plans should begin using the new Reconsideration Background Data Form for appeals submitted to MAXIMUS Federal Services effective 1/1/2014. For dismissal review cases files submitted to MAXIMUS upon request after 1/1/14, health plans must use the NEW Dismissal Case File Data Form.
Source: medicareappeals.com

Office of Medicare Hearings and Appeals (OMHA)

* In each part of the Medicare program, the Medicare contractor administering the program (usually an insurance company) makes a decision about your Medicare benefits.  In most cases, the decision is whether or not a medical service or item is covered and how much the Medicare program will pay for the service or item.  There are different names for these decisions depending on the part of the Medicare program covering the benefits. 
Source: hhs.gov

How to File a Medicare Appeal: The Process

Medicare Advantage. Filing an appeal is potentially a little trickier with Medicare Advantage plans. You’re dealing not only with Medicare, but with the rules set by the private insurance company that runs your program. So, you start by working through the individual insurer, which should have provided you instructions on how to make a Medicare appeal. If the insurer denies your claim, it is then reviewed by an independent group affiliated with Medicare. If you think that your Medicare Advantage program’s refusal is jeopardizing your health, ask for a “fast decision.” The insurer is legally bound to get you a response within 72 hours.
Source: webmd.com

Medicare Advantage Leads That You Can Close

Posted by:  :  Category: Medicare

For the last few years, since the passage of the Medicare Prescription Drug, Improvement, and Modernization Act, more and more seniors have begun shopping for Medicare Advantage plans from private insurers. Precise Leads can provide you with access to this rapidly growing segment of new consumers.
Source: preciseleads.com

Medicare Supplement Leads

US Leads WORLD is a telemarketing company based in Texas since 2006. We generate quality Medicare leads in the form of preset appointments such as Turning 65 Leads (Seniors 64 and 65 years old), Medicare supplement leads, dual eligible leads and special needs as well as Home Care Non-Medical and Home Health Care marketing lead services. US Leads has the highest quality trained staff within the market. Staffing is solely based on client directives for prospect generation such as yours. Our market allows for quick and effective training and staffing of a high quality work force. Here you will be able to order absolutely exclusive and affordable telemarketing Medicare leads in the form of preset appointments or phone referral leads. To accommodate a large customer base our companies have a huge online support which will assist to host all call center service operations and reduce cost of generated Medicare supplement leads.
Source: medicare-leads.com

Health Insurance Leads, Medicare Leads, Medicare Supplement and Advantage, Life Insurance Leads, Auto Insurance Leads

If you are looking to generate new business Precise Leads can help! We provide the best insurance leads in the business. Our real-time system and verification technology give you the edge. Join us and find out what countless agents and insurance companies have known for years

Highmark to Limit Access to UPMC for Medicare

Posted by:  :  Category: Medicare

UPMC East is a 156-bed full-service community hospital built to meet the growing demand for world-class care in the eastern suburbs. UPMC East will provide patient-centered clinical care and amenities with the latest technology and environmentally efficient design and construction. The hospital is synergistic with an array of outpatient healthcare services already provided by UPMC in Monroeville, including primary care and specialty physicians, advanced diagnostic services and outpatient surgery. UPMC East is expected to create more than 400 new jobs upon its opening.
Source: upmc.com

Highmark Medicare Services is now Novitas Solutions

Physicians and medical billing companies should not face many disruptions as a result of this transition. According to Novitas Solutions, the current Highmark Medicare website will be fully transitioned to the new Novitas site by March 30, 2012. During the transition, visitors to the old website (https://www.highmarkmedicareservices.com) will be automatically re-directed to the new Novitas Solutions website (https://www.novitas-solutions.com), where a new header and page logo can be seen. Bookmarks that users may already have for the Highmark website will purportedly still work with the new page. The Electronic Payer ID has not appeared to change, so claims submission and processing should remain unaffected by the transition. For more information, see the Informational Alert here: https://www.novitas-solutions.com/partb/info-alerts.html.
Source: healthcarebiller.com

Highmark Medicare Services Inc Becomes Novitas Solutions Inc

Effective March 10, Novitas Solutions will begin to migrate the current HMS Web site to the new Novitas Solutions Web site, www.novitas-solutions.com. Novitas is targeting completing the name change to all active Web page content by March 30. Although main headers throughout the Web site will be changed, some historical documents, such as Medicare reports issued under HMS, will not be changed to reflect the new name.
Source: apta.org

Hospitals sue Highmark over Medicare Advantage

The lawsuit was filed Monday in the Allegheny County Court of Common Pleas, and it alleges Highmark and subsidiary Keystone Health Plan West Inc. began improperly shorting the hospitals 2 percent of Medicare Advantage reimbursement at the beginning of the year. Highmark notified the hospitals in October 2013 it would cut payments by 2 percent as part of an across-the-board federal budget reduction plan called sequestration. Sequestration was mandated by the federal Budget Control Act of 2011, which cut all government spending by 2 percent. In March of last year, CMS began cutting payments to Medicare Advantage carriers by 2 percent.
Source: bizjournals.com

Highmark: Your Health Care Partner

Highmark Inc. is a national, diversified health care partner serving members through its businesses in health insurance, dental insurance, vision care and reinsurance. Our mission is to make high-quality health care readily available, easily understandable and truly affordable in the communities we serve.
Source: highmark.com

Georgia Medicare Supplements

Posted by:  :  Category: Medicare

Georgia Medicare Supplements provides an added bonus as well as competitive rates: a staff that is dedicated to helping you complete your application and answer any questions you may have before or after you receive coverage. This includes discussing health conditions, the six-month waiting period, rate guarantees, and premium changes that might matter to you while getting your coverage. Finding an agent that specializes in this area is important so that no mistakes are made.
Source: georgiamedicaresupplements.com

Medicare Information for Retirees

Annuitants and certain individuals on subsidized extended coverage age 65 or older who wish to pay subsidized rates for health insurance premiums must enroll in the Medicare Advantage (MA) PPO Standard or Premium option offered by Blue Cross Blue Shield of Georgia (BCBSGa).  See Plan Documents for rate resolutions and annuitant subsidy policies.
Source: georgia.gov

Georgia Medicare Plans Insurance Enrollment Forms Premium Rates Toll Free Helpline For 2010 2011

Medicare And Insurance Plans Welcome to Georgia Medicare Plans. This site has been designed to assist Georgia Residents in understanding Medicare and Insurance in simple, basic terms. Our goal is to help guide Georgia residents through the complex world of Medicare and Medicare insurance plans. You may call our toll free number or contact us online We have compiled an assortment of helpful videos, general information, and documents to help the consumer. You may browse our site for free and call our toll-free helpline as needed. Our services are 100% free to the consumer. Our staff is available to assist you in all areas of Medicare insurance plan enrollment. If you are eligible for any extra help programs we will be happy to guide you through the process and assist you with any type of enrollment materials that you may require. Our knowledgeable advisors will walk you through the complex wotld of Medicare and simplify the process. Please feel free to call our toll free number at any time for assistance. Below Is A Short Video Compliments Of Humana    
Source: georgiamedicareplans.net

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

PECOS Instructional Video

Posted by:  :  Category: Medicare

Do you need training on PECOS?  We can help. We have a library of videos available or can walk you through training through an online training session.  Our PECOS experts have completed hundreds of PECOS Medicare applications and can help you complete yours.  We are well versed in all aspects of the Medicare enrollment process and can help you through the most challenging situations.
Source: medicareapplications.com

MEDICARE PECOS for Physicians, Staff, and HME

Please note, this is not a CMS or Medicare website. Our goal is to educate physicians so that they register for the PECOS system before it is fully implemented on January 4, 2010. This site was designed to help you find information related to registration quickly and easily. Please let us know how we’re doing at: feedback@getpecos.com
Source: getpecos.com

MEDICARE PECOS for Physicians, Staff, and HME

If you are not enrolled in internet PECOS claims for items that you prescribe or previously prescribed (if being rented) will begin to deny as of April 5, 2010. Registration is simple and can be completed online here.
Source: getpecos.com

PECOS Exemption for Medicare Opted

“Under section 1802(b) of the Act and the implementing regulations at 42 CFR 405.400 et seq., physicians and nonphysician practitioners can opt out of the Medicare program and enter into private contracts with Medicare beneficiaries. By entering into these types of contracts, these suppliers do not bill the Medicare program for services that they furnish to Medicare beneficiaries. We require that physicians and eligible professionals who have properly filed an appropriate affidavit with a Medicare contractor in order to opt out of the Medicare program be required to be identified in claims by their names and their NPIs if they order or refer covered items or services for Medicare beneficiaries. We are creating an exception to the requirement that ordering and referring suppliers be required to have an approved enrollment record in PECOS for those physicians and non-physician practitioners who have validly opted out of the Medicare program. Therefore, physicians and non-physician practitioners who have validly opted out of Medicare are eligible to order and refer covered items and services for Medicare beneficiaries. If they have properly completed the appropriate affidavit in order to opt out of Medicare, they will have records in PECOS that contain their NPIs and that indicate that they have validly opted out of the Medicare program. In January 2009, there were approximately 10,000 physicians and eligible professionals who had opted out of the Medicare program. Compared to the more than 800,000 enrolled physicians and eligible professionals, there are relatively few physicians and eligible professionals who have opted out of Medicare. Accordingly, the physicians or eligible professional that opted out must meet the following:

Texas Medicare Part D & Medicare Advantage Plans

Posted by:  :  Category: Medicare

Choosing a Texas Medicare Part D plan that fits your circumstances is very important as there are many plans to choose from. Texas Medicare Part D plans are offered by private insurance companies so there are plans with different deductibles, copays and premiums. Before you choose a Medicare Part D plan in Texas you should determine your annual out-of-pocket expenses for prescription medications. Make sure the Texas Medicare Part D plan you select covers all of your prescriptions. You should consider the copays, deductibles and premiums of each plan to determine which Medicare Part D plan offers the most savings. You can compare Texas Medicare Part D plans by using the PlanPrescriber Medicare Part D plan comparison tool to find a plan in Texas that works for you.
Source: mytexasmedicare.net

Texas Medicare Supplement and Medicare Advantage Plan Information

From Houston to Plano, San Antonio to Corpus Christi, Dallas/Ft. Worth to Austin, El Paso to Arlington, Amarillo, Beaumont, Brownsville, Denton, Frisco, Garland, Irving, Laredo, Lubbock, Pasadena or Waco it is important that you find the medicare coverage that fits your life and your lifestyle. We feel that the best care is received when you have your choice of Doctors, and you and your Doctor make your medical decisions. Medigap plans in Texas are available with no medical underwriting during your open enrollment period. This is when you become eligible for Medicare Part B. You may however, apply to a company and fill out the medical underwriting questions at any time. We are pleased to introduce our Texas Medicare Supplement Comparison Quoting System. It is a very simple process where you enter a few bits of information and then we will quote all of the medicare supplement plans offered by several companies. The companies that we select to quote are based on their strong reputations and competitive pricing. Some of the companies that we represent are: Aetna, BlueCross BlueShield of Texas, Combined Insurance, Equitable Life, Forethought Life, Gerber Life, GPM Life, Heartland National, Omaha Insurance Company, Oxford Life, Standard Life & Casualty, UCT, United American and UnitedHealthcare
Source: medicare-texas.net

Medicare Coverage in Texas

People with Original Medicare can join a Medicare Supplement (Medigap) plan to help offset some of their out-of-pocket costs. There are 10 plans available, with each type designated by a different letter (for example, Medigap Plan A). Medigap coverage is standardized, so no matter which insurer you purchase from, the benefits across each plan letter will be the same. States aren’t required to offer every plan type, so if you are looking for a Medicare Supplement plan in Texas, you may have different options available than someone in another state.
Source: planprescriber.com

Medicare Advantage Plans in Texas

Medicare Advantage plans provide Part A and Part B benefits through private insurance companies have a contract with the federal program. If you have Medicare Advantage, you are still in Medicare, and you will still get all of the same benefits that you would in Original Medicare (except hospice care, which is still covered by Medicare Part A). Some plans offer other benefits not included in Original Medicare, such as health and wellness programs, routine vision and dental benefits, or prescription drug benefits. You will need to continue to pay your Part B premium if you have Medicare Advantage.
Source: planprescriber.com

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

Medicare Part D Drug Coverage in Texas

The drug coverage offered by a Medicare Part D plan is known as the plan formulary. The formulary must include Medicare drug coverage for the most commonly prescribed drugs. This does not guarantee Medicare drug coverage for your specific prescription; your Medicare Part D plan coverage may only offer drug coverage for the drug’s generic version. If coverage for a drug is eliminated from your Medicare Part D plan your provider will notify you 60 days in advance. You may have to switch to a comparable drug. Most plans use a tiered approach to determine the copay for each drug. Most generic drugs are on Tier 1 and have the lowest copay amount; Tier 2 has a medium copayment and offers drug coverage for common brand name drugs. Tier 3 and the Specialty Tier have the highest copay and offer Medicare drug coverage for unusual and high cost drugs. If your medications are in the higher tiers you may want drug coverage with a higher premium and lower copayments. Visit PlanPrescriber.com to compare Medicare Part D plan rates and drug coverage in your area.
Source: mytexasmedicare.net

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

Medicare.gov Physician 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

Finding Medicare Providers

Once you click “Search,” you will see a list of all the Medicare providers in your area who meet the selection criteria you entered. You can further refine or expand your search criteria by selecting sub-specialties or changing the number of miles you are willing to travel from your zip code. The list of Medicare doctors will include the physician’s name, address, telephone number, distance from your zip code or city, group practice locations, and the type of services provided. You may also see a link to “Map and Directions.” If the provider has any additional information (such as gender or Medicare assignment), you will also see that information displayed on the initial list of Medicare doctors.
Source: medicare.com

2015 Medicare Advantage Plans Available to Residents of Utah

Posted by:  :  Category: Medicare

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

Coventry Medicare: Advantra (HMO)

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

Utah Health Insurance Consumer Help

The page could not be loaded. The CMS.gov Web site currently does not fully support browsers with “JavaScript” disabled. Please enable “JavaScript” and revisit this page or proceed with browsing CMS.gov with “JavaScript” disabled. Instructions for enabling “JavaScript” can be found here. Please note that if you choose to continue without enabling “JavaScript” certain functionalities on this website may not be available.
Source: cms.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

Utah Department of Health

The mission of the Division of Family Health and Preparedness is to assure care for many of Utah’s most vulnerable citizens. The division accomplishes this through programs designed to provide direct services, and to be prepared to serve all populations that may suffer the adverse health impacts of a disaster, be it man-made or natural.
Source: utah.gov

How Medicare Advantage Plans work

Posted by:  :  Category: Medicare

Medicare Advantage Plans, sometimes called “Part C” or “MA Plans,” are offered by private companies approved by Medicare. If you join a Medicare Advantage Plan, you still have Medicare. You’ll get your Medicare Part A (Hospital Insurance) and Medicare Part B (Medical Insurance) coverage from the Medicare Advantage Plan and not Original Medicare.
Source: medicare.gov

Medicare Advantage Plans Marked By Shortcomings

Philadelphia Inquirer: Medicare Advantage Rate Shifts Hits Insurance Firms, Seniors In June, Anthony Capone said he liked his AmeriHealth Medicare Advantage plan so much he persuaded his 89-year-old mother and aunt to make the switch. Things were going along fine until recently, when the Mount Laurel businessman’s renewal notice arrived in the mail. He opened the package and was taken aback. His monthly premium had spiked to $62 a month, a $23 rise. Other fees – in-hospital co-pay (up to $175), Part D deductible ($25), and ambulance ($100) – have also risen. The hikes, Capone says, weren’t a catastrophe for him. But his mother and aunt are another story. “She’s on Social Security and has a small pension,” Capone, 66, says. “Although it’s only $30 or $40 a month, it affects her and people in her generation with a limited income.” Across the country, Medicare Advantage beneficiaries are opening renewal letters and finding higher monthly premium payments, co-pays, and other fees. (The enrollment period is Oct. 15 to Dec. 7) (Calandra, 10/12).
Source: kaiserhealthnews.org

Medicare Advantage: Is it right for you?

Last year, UnitedHealthcare, the nation’s largest provider of Medicare Advantage plans, made big cuts to its physician network, including an estimated 2,100 doctors cut in the New York area, according to the New York State Medical Society. United­Healthcare declined to provide numbers.
Source: nydailynews.com