Medicare Nursing Home Quality Measures Risk Adjustment

Posted by:  :  Category: Medicare

Data and risk adjustment are important parts of calculating the quality measures. However, a detailed understanding of the adjustment procedures isn’t necessary for the average user of this website. Scientists involved in research on the measurement of quality in nursing home care have advised CMS on the methods of risk adjustment, and CMS believes this is the best science available at this time. The following detailed information is presented for those who are interested. The quality measures on this website were adjusted using exclusions and resident-level adjustment.
Source: medicare.gov

Provider Resources Medicare Risk Adjustment

HPSM encourages physician providers to document patient health information accurately for appropriate Medicare reimbursement. The Centers for Medicare and Medicaid Services (CMS) uses risk adjustment diagnosis codes and demographic data reported for one year to determine payment for the next year. Calculations for payment are based on patient risk scores. For more information about CMS risk adjustment, view our FAQs.
Source: hpsm.org

CMS Risk Adjustment Models

The research activities of the NBER are funded by grants from federal research agencies, by private foundations, and by generous donations from our corporate associates and from private individuals. The NBER is a non-profit, 501(c)(3) organization. For information on supporting the NBER, please contact: Mr. Denis Healy, Director of Development NBER 1050 Massachusetts Avenue Cambridge, MA 02138-5398
Source: nber.org

CMS Risk Adjustment Data Submission Deadlines and Payment Schedule

The July 2012 funding payment that Medicare Advantage plans receive from CMS is based on the data that was received by CMS by March 2, 2012 and represents dates of service from the prior calendar year, January 1, 2011 to December 31, 2011. It’s important to understand that encounter data with dates of service outside the parameters in our example will be accepted by CMS but will not factor into the payment calculation at that time. So, if a plan submits data with dates of service in February 2012 by the March 2
Source: askccg.com

Florida Department of Children and Families

Posted by:  :  Category: Medicare

This may result in fines of up to $250,000, a prison term or both, if you are convicted of public assistance fraud. In addition you will not be able to get benefits for 12 months the first time, 24 months the second time, and permanently the third time that you provide false or inaccurate information.
Source: myflorida.com

Florida Medicare Supplement Plans

It’s all about the Open Enrollment Period for Medigap. After you turn 65 and are enrolled in Medicare Part B, you have six months to enroll in a Medicare Supplemental insurance plan. If you enroll during this six month window, the insurance company cannot refuse to cover you. However, if you have a pre-existing condition, the insurance company may make you wait up to six months for coverage to begin (although your coverage through Original Medicare will be in effect).
Source: ehealthmedicare.com

Florida Medicare Providers & Carriers

Florida Medicare providers offer services at different prices depending mainly on location and network availability. A Medicare provider is a medical practitioner or supplier who falls into a carrier network and performs services or offers supplies that are reimbursed by Medicare. To become a Medicare provider in Florida, a practitioner must submit an application, have a valid state medical license, and comply with United States non-discrimination standards. Examples of providers include fee-for-service providers, pharmacists, physicians, and skilled nursing facilities.
Source: myfloridamedicare.net

Medicare Advantage California

Posted by:  :  Category: Medicare

*All information submitted is private and not shared with third parties. We have a no spam or solicitation policy. All data is used expressly by medicareadvantagecalifornia.com and qualified associated medicare brokers to provide consumers with requested California Medicare Advantage information and assistance. By clicking on ‘Submit’, you consent to receiving a phone call and/or email from a licensed insurance representative representing a top health insurance company such as Aetna, Anthem, Blue Cross Blue Shield, Humana, United Healthcare and WellPoint regarding Medicare Advantage, Medicare Supplement and / or Medicare Drug Plans. When calling our toll free number you will be connected to a qualified associated medicare broker to assist you.
Source: medicareadvantagecalifornia.com

Medicare Supplemental Insurance

Finding the best Medicare Supplemental insurance, Medicare Advantage, and Medicare Part D has gotten more complicated nearly every year. In 2010 Medicare Supplement Insurance added 2 new plans Medigap plan N and Medigap Plan M. At the same time they eliminated several other Medicare Supplement options. Medicare Advantage insurance plans redefine benefits and premiums every year. And, with future Medicare subsidies uncertain due to changing regulation from healthcare reform who can keep up. For many individuals Medicare Supplement Insurance is becoming the best option. Unfortunately, comparing Medicare Supplemental Insurance Plan premiums (Medigap) and Medicare Advantage plans can be a time consuming endeavor. Our highly trained insurance advisors can explain all of your supplemental Insurance options, and assist in finding the best Medicare supplement and Medicare Part D combination that best fits your specific needs. With all the options affecting Supplement insurance and Part D it makes sense to have an expert assist you through the maze.
Source: mysenioradvisorsgroup.com

Medicare Application & Enrollment Guide: How to Enroll in Medicare Insurance Programs

Posted by:  :  Category: Medicare

Getting your hands on a copy of a death certificate or other birth records can be difficult. Many countries, states, counties and cities handle the process for ordering public records differently. Here at the birth records directory, we aim to provide you with quick and easy access to public and private death records, no matter the location. Take a minute and look around the site here. Find the article or resource related to the location you need to order birth records and follow the directions. Good luck!
Source: medicareapplication.org

North Carolina Medicare Supplement Insurance

Posted by:  :  Category: Medicare

Applying for Medigap insurance is relatively easy with North Carolina Medicare Supplement. In most cases we will simply mail you the application though some companies are starting to offer online applications or faxed applications.   Other benefits of getting your insurance through North Carolina Medicare Supplement are we will pay all postage, help you with the application if you need it, and track your application until completion.  Here is what you should know about applying for a Medicare Supplement plan:
Source: northcarolina-medicaresupplement.com

Medicare in North Carolina

Medicare Advantage Organizations and Prescription Drug Plan Sponsors must have a contract with Medicare in order to sell Medicare insurance plans (such as a Medicare HMO or a Medicare Part D Plan. Depending on the terms of the contract between the plan and Medicare, not every plan is available statewide or in all service areas. Each year, the plan must renew their contract with Medicare, so the availability of a plan in a specific service area is subject to change as a result of the annual contract renewal.
Source: ehealthmedicare.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

2015 North 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

North Carolina Board of Pharmacy : Medicare and Medicaid Information

INFORMATION FROM NORTH CAROLINA DIVISION OF MEDICAL ASSISTANCE REGARDING WAIVER OF CO-PAYS FOR MEDICAID RECIPIENTS.  Board of Pharmacy staff often receive questions about whether and to what extent state and federal law permit a pharmacy to waive co-payments for Medicaid recipients.  Board staff refer such questions (and others concerning North Carolina Medicaid issues) to staff of the North Carolina Division of Medical Assistance (“NCDMA”), which administers the North Carolina Medicaid program.  Pharmacists and pharmacies should note, however, that the NCDMA published an article in the October 2013 edition of the Medicaid Pharmacy Newsletter on the subject of waiving of Medicaid co-payments to provide additional information in light of a new state law that went into effect on October 1, 2013.  North Carolina Session Law 2013-145 (http://www.ncleg.net/Sessions/2013/Bills/Senate/HTML/S137v5.html) prohibits waiving of Medicaid co-payments as a regular business practice.  NCDMA’s October newsletter, which contains the article at pages 5-7, may be found here. Pharmacists or pharmacies with additional questions should contact NCDMA for further information.
Source: ncbop.org

Blue Medicare Supplement Plans for North Carolina

When you enroll in an attained-age plan, your rates will increase as you age. Our rates will only increase due to age when you move from one age band to the next. In addition, rate adjustments will also be due to medical inflation or overall claims experience. Rates are subject to change June 1 of each year and are guaranteed for 12 months. Any change in rate will be preceded by a 30-day notice. Members will not be singled out for premium increases based on their individual health. Medicare policies that are attained-age should be compared to issue-age rated policies. Premiums for issue-age policies do not increase due to age as the insured ages.
Source: bcbsnc.com

Medicare Dental Insurance Plans in North Carolina ~ MedicareWire

This is a private website and is not associated, endorsed or authorized by the Social Security Administration, the Department of Health and Human Services or the Center for Medicare and Medicaid Services nor do we claim to be. This site contains basic information about Medicare, services related to Medicare and services for people with Medicare. If you would like to find more information about the Government Medicare program please visit the Official US Government Site for People with Medicare located at www.medicare.gov.
Source: medicarewire.com

Florida Blue Medicare Advantage Plans for 2015

Posted by:  :  Category: Medicare

Are you a Florida senior citizen who is trying to maximize your Medicare benefits? Just as each senior citizen has her own unique needs and preferences, insurers offer a variety of different ways to enjoy these hard-earned health benefits and even help you plan for medical expenses that original Medicare does not completely cover. At Secure Health Options, we want to help all Floridians find the right plan that assures them of convenient and affordable access to the best medical providers. You can request information on Medicare Advantage plans and Florida Medicare supplemental insurance in your own local area by entering your home ZIP code in the box at the top of this page. If you have questions or would like help signing up, be sure to give us a call.
Source: floridamedicareadvantageplans.com

Florida Medicare Advantage Plans - Compare Florida Medicare Part C Plans

It is important to compare all your available plan options when selecting a Florida Medicare Advantage plan. The availability and cost of Medicare Advantage plans varies depending on your state and county of residence. Premiums for a Medicare Advantage plan with the same coverage and benefits can vary between different counties within the state of Florida. Please note that some Medicare Advantage plans in Florida may offer premiums as low as $0.
Source: planprescriber.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

2015 Medicare Advantage Plans Available to Residents of Florida

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

Florida Medicare Advantage Plans

To be eligible to enroll in a Medicare Advantage plan in Florida, individuals must be enrolled in both Medicare Part A and Part B, reside in the service area of the plan in which they choose to enroll, and not have End-Stage Renal Disease (ESRD). Beneficiaries may enroll in or switch plans during their Initial Election Period (IEP), the Annual Election Period (AEP), or during a Special Election Period (SEP) for which they are eligible. The Initial Election Period differs for each individual and begins three months before they become eligible for Medicare, and lasts for a total of seven months. On the other hand, the Annual Election Period occurs from October 15 to December 7 of each year. Qualifying beneficiaries may also have the option of enrolling during a Special Election Period as well. Medicare has neither reviewed nor endorsed this information.
Source: ehealthmedicare.com

Florida Medicare Advantage Plans

Remember, Florida Medicare Advantage plans are also called Part C.  These plans are offered through private insurance companies that are approved by Medicare.  These plans have premium costs (in addition to your part B premium) as little as $0 each month.  Having no additional premium can lead to questions about the benefits you get.  One key point of Florida Medicare Advantage plans is that they carry a mamimum out of pocket which means you will only be responsible for any co-payments to a set maximum amount during the plan year.
Source: floridamedicareplans.com

How Medicare Advantage Plans work

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

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

The plans below offer Medicare Advantage and Part D coverage to Florida 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

HIP Health Plan Medicare Plans

Posted by:  :  Category: Medicare

HIP VIP (HMO) There is a $98.90 monthly plan premium in addition to the beneficiary’s monthly Medicare Part B premium.  Members must go to in-network doctors, specialists and hospitals and referral is required for in-network specialists.  For hospital stays, members pay $150 per day from days 1-7, and there is a $0 co-pay for additional hospital days.  There is a $0 co-pay per stay in an inpatient mental care facility and members are given 190 days per lifetime.  Members pay $25 per day from days 1-20 in a skilled nursing facility and $50 per day from days 21-100.  There is a $5-20 copay for each primary care doctor visit, a $30 copay for each urgent care visit, and a $20-30 copay for each specialist visit.
Source: medicaresolutions.com

Medicare Rankings Show Where to Go for a Knee or Hip Replacement

Joint replacement is often considered an elective surgery, which means a senior may have some say in where they would like the procedure to be performed. While it may not be possible for your loved one to go to one of the highest-ranked hospitals, there are plenty of institutions that offer good quality care, as long as you know what to look for.
Source: agingcare.com

Manual Muscle Testing of the Hip

The patient is short sitting with thighs supported on table and legs hanging over side. The therapist stands lateral to the test leg while placing one hand on the lateral side of the knee and using the other hand to grasp the medial anterior surface of the distal leg. Hand at knee gives downward and inward resistance. Hand at ankle gives upward and outward resistance. Patient flexes, abducts, and externally rotates the hip and flexes the knee.
Source: uwa.edu

UN Health and Life Insurance Section

The HIP Prime HMO plan (underwritten by HIP Health Plan of New York, an EmblemHealth company) follows the concept of total prepaid group practice hospital and medical care, that is, there is no out-of-pocket cost to the staff member for covered services at numerous participating medical groups in the Greater New York area. The costs of necessary emergency treatment obtained outside the covered area are included in the plan coverage. In addition, prescription drugs are covered with a $5 co-payment when obtained through an EmblemHealth participating pharmacy and prescribed by EmblemHealth physicians or any physician in a covered emergency. Durable medical equipment (DME) is covered in full when obtained through EmblemHealth participating DME vendors and prescribed by EmblemHealth physicians or any physician in a covered emergency. Participants in the HIP Prime HMO plan may select a physician at an EmblemHealth medical centre or from a listing of 31,000 affiliated physicians for primary care and specialist services. The affiliated physician is visited in his or her private office. If you require specialty care, your primary care physician will refer you to an EmblemHealth specialist. To select an affiliated physician, the HIP Prime HMO participant should call EmblemHealth at 1-800-447-8255, go to the web site at www.emblemhealth.com or call the physician you wish to visit. Most languages may be accessed through Customer Service at 1-800-447-8255. Additional information regarding EmblemHealth providers for the HIP Prime HMO plan will be provided to participants during the annual enrolment campaign and also mailed by EmblemHealth to all participants upon request.
Source: un.org

Department of Human Services

Posted by:  :  Category: Medicare

For questions about New Jersey Medicaid, call 1-800-356-1561 or your County Welfare Agency For questions about NJ FamilyCare call 1-800-701-0710 You can also get information by visiting NJHelps.org, where you can self-screen for eligibility for NJ FamilyCare/Medicaid, as well as for many other social service programs.
Source: nj.us

New Jersey Office of the State Comptroller

The New Jersey “Medicaid Program Integrity and Protection Act”, C.30:4D-53 et seq. established the Office of the Medicaid Inspector General to detect, prevent, and investigate Medicaid fraud and abuse, recover improperly expended Medicaid funds, enforce Medicaid rules and regulations, audit cost reports and claims, and review quality of care given to Medicaid recipients. On June 29, 2010, Governor Chris Christie signed P.L. 2010, Chapter 33, which officially transferred these functions, powers and duties of the Office of the Medicaid Inspector General to the Office of the State Comptroller. The Office of the State Comptroller then created the Medicaid Fraud Division. The Division conducts investigations of fraud, waste and abuse, performs background checks on all Medicaid provider applicants, and coordinates oversight efforts among all State agencies which provide and administer Medicaid services and programs, including FamilyCare and Charity Care. The Medicaid Fraud Division also works to recover improperly expended Medicaid funds, enforces Medicaid rules and regulations, audits cost reports and claims, reviews the quality of care given to Medicaid recipients, and excludes or terminates providers from the Medicaid program where necessary. Additionally, the Division refers criminal prosecutions to the Attorney General’s office, issues recommendations for corrective or remedial actions to the Governor, President of the Senate, and Speaker of the General Assembly and conducts educational programs for Medicaid providers, vendors, contractors and recipients.
Source: nj.gov

NEW JERSEY MEDICAID APPLICATIONS

are arguably the most difficult to navigate in the country. The rules are based partly in written law, partly in case law, and partly in unwritten policy. To further complicate matters, all of the above are subject to the whims of the 21 Medicaid county offices.
Source: njmedicaidapplications.com

New Jersey Medicare Plans

State Disability Insurance Program The New Jersey Temporary Disability Insurance Plan provides temporary wage replacement for those who become disabled in the course of working for a New Jersey-based employer. http://lwd.dol.state.nj.us/labor/tdi/tdiindex.html State Health Insurance Assistance Program (SHIP) The State Health Insurance Assistance Program is administered by the New Jersey Department of Health and Senior Services and is run alongside the federally funded SHIP program. The Division of Aging & Community Services–which contracts with each of New Jersey’s 21 Area Agencies on Aging–oversees SHIP activities at the local level. Counselors are ready and waiting (in person and on the phone) to answer your specific questions about Medicare. Some counties have specific sites where counselors are available on given days of the week at given times. Other counties provide locations for counselors to meet with clients as needed. A toll-free line is staffed by trained staff. Administrative staff and local programs conduct many outreach and educational events. http://www.state.nj.us/health/senior/ship.shtml 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 New Jersey in 2012, the low-income subsidy was $36.00 per month.
Source: medicaresolutions.com

New Jersey Medicaid Eligibility

Medicaid Coverage In New Jersey The program offers inpatient and outpatient hospital treatment, laboratory tests and x-rays, early and periodic screening, diagnostic and treatment services, home health care, physician services, nurse-midwife services, assistance with family planning and any necessary supplies, nursing facilities for people over 21.
Source: medicaidoffice.net

New Jersey Office of the Medicaid Inspector General

The New Jersey Medicaid regulations, N.J.A.C., Title 10, Chapters 49-79, are hosted by the LexisNexis free public access site for the N.J.A.C.  The New Jersey Administrative Code database is updated quarterly. To access these regulations, click on the link below (a new window will open).  Please note that pop-ups must be enabled to view the manuals. After agreeing to the Terms and Conditions, click on the N.J.A.C. folder on the left, then click Title 10. From here you can select the chapter, subchapter and section of the rule that you would like to view. http://www.lexisnexis.com/njoal
Source: nj.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

New Mexico Medicare Plans

Posted by:  :  Category: Medicare

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) The ADRC/ SHIP is the single point of entry for older adults, people with disabilities, their families and the general public to access a variety of services, including state and federal benefits, adult protective services, prescription drugs, in-home and community-based care, housing, and caregiver support. New Mexico State Health Insurance Assistance Program (SHIP) is a national program that offers one-on-one counseling and assistance to people with Medicare and their families. Coordinators provide benefits counseling on Medicare, Medicare prescription drug program, Social Security, Medicaid, and Veteran’s benefits. NM SHIP ensures that older New Mexicans receive accurate, unbiased information about health care options and other entitlements. It does not sell, endorse or recommend any specific insurance or other health plans. www.nmaging.state.nm.us State Coverage Options
Source: medicaresolutions.com

New Mexico Medicare Supplement Plans

- A – Cities in New Mexico that begin with the letter “A”. Abiquiu, NM Alamogordo, NM Albuquerque, NM Alcalde, NM Algodones, NM Alto, NM Amalia, NM Amistad, NM Angel Fire, NM Animas, NM Anthony, NM Anton Chico, NM Aragon, NM Arenas Valley, NM Arrey, NM Arroyo Hondo, NM Arroyo Seco, NM Artesia, NM Aztec, NM – B – Cities in New Mexico that begin with the letter “B”. Bard, NM Bayard, NM Belen, NM Bell Ranch, NM Bent, NM Berino, NM Bernalillo, NM Blanco, NM Bloomfield, NM Bluewater, NM Boles Acres, NM Bosque, NM Bosque Farms, NM Brimhall, NM Broadview, NM Buckhorn, NM Buena Vista, NM – C – Cities in New Mexico that begin with the letter “C”. Caballo, NM Canjilon, NM Cannon AFB, NM Canones, NM Capitan, NM Caprock, NM Capulin, NM Carlsbad, NM Carrizozo, NM Carson, NM Casa Blanca, NM Causey, NM Cebolla, NM Cedar Crest, NM Cedarvale, NM Cerrillos, NM Cerro, NM Chacon, NM Chama, NM Chamberino, NM Chamisal, NM Chaparral, NM Chimayo, NM Church Rock, NM Cimarron, NM Claunch, NM Clayton, NM Cleveland, NM Cliff, NM Clines Corners, NM Cloudcroft, NM Clovis, NM Cochiti Lake, NM Cochiti Pueblo, NM Columbus, NM Conchas Dam, NM Continental Divide, NM Cordova, NM Corona, NM Corrales, NM Costilla, NM Counselor, NM Coyote, NM Crossroads, NM Crownpoint, NM Cuba, NM Cubero, NM Cuervo, NM – D – Cities in New Mexico that begin with the letter “D”. Datil, NM Deming, NM Derry, NM Des Moines, NM Dexter, NM Dixon, NM Dona Ana, NM Dora, NM Dulce, NM – E – Cities in New Mexico that begin with the letter “E”. Eagle Nest, NM Edgewood, NM El Paso, NM El Prado, NM El Rito, NM Elephant Butte, NM Elida, NM Embudo, NM Encino, NM Espanola, NM Estancia, NM Eunice, NM – F – Cities in New Mexico that begin with the letter “F”. Fairacres, NM Farmington, NM Faywood, NM Fence Lake, NM Flora Vista, NM Floyd, NM Folsom, NM Fort Bayard, NM Fort Stanton, NM Fort Sumner, NM Fort Wingate, NM Fruitland, NM – G – Cities in New Mexico that begin with the letter “G”. Gallina, NM Gallup, NM Gamerco, NM Garfield, NM Garita, NM Gila, NM Gladstone, NM Glencoe, NM Glenwood, NM Glorieta, NM Grady, NM Grants, NM Grenville, NM Guadalupita, NM – H – Cities in New Mexico that begin with the letter “H”. Hachita, NM Hagerman, NM Hanover, NM Hatch, NM Hernandez, NM High Rolls Mountain Park, NM Hillsboro, NM Hobbs, NM Holloman Air Force Base, NM Holman, NM Hondo, NM Hope, NM House, NM Hurley, NM – I – Cities in New Mexico that begin with the letter “I”. Ilfeld, NM Isleta, NM – J – Cities in New Mexico that begin with the letter “J”. Jal, NM Jamestown, NM Jarales, NM Jemez Pueblo, NM Jemez Springs, NM – K – Cities in New Mexico that begin with the letter “K”. Kenna, NM Kirtland, NM Kirtland AFB, NM – L – Cities in New Mexico that begin with the letter “L”. La Jara, NM La Joya, NM La Loma, NM La Luz, NM La Madera, NM La Mesa, NM La Plata, NM Laguna, NM Lake Arthur, NM Lakewood, NM Lamy, NM Las Cruces, NM Las Vegas, NM Lemitar, NM Lincoln, NM Lindrith, NM Lingo, NM Llano, NM Loco Hills, NM Logan, NM Lordsburg, NM Los Alamos, NM Los Lunas, NM Los Ojos, NM Loving, NM Lovington, NM Luna, NM – M – Cities in New Mexico that begin with the letter “M”. Magdalena, NM Malaga, NM Maljamar, NM Maxwell, NM Mayhill, NM McAlister, NM McDonald, NM McIntosh, NM Medanales, NM Melrose, NM Mentmore, NM Mescalero, NM Mesilla, NM Mesilla Park, NM Mesquite, NM Mexican Springs, NM Miami, NM Milan, NM Mills, NM Milnesand, NM Mimbres, NM Montezuma, NM Monticello, NM Monument, NM Mora, NM Moriarty, NM Mosquero, NM Mount Dora, NM Mountainair, NM Mule Creek, NM – N – Cities in New Mexico that begin with the letter “N”. Nageezi, NM Nara Visa, NM Navajo, NM Navajo Dam, NM New Laguna, NM Newcomb, NM Newkirk, NM Nogal, NM – O – Cities in New Mexico that begin with the letter “O”. Ocate, NM Ojo Caliente, NM Ojo Feliz, NM Organ, NM Orogrande, NM – P – Cities in New Mexico that begin with the letter “P”. Paguate, NM Pecos, NM Pena Blanca, NM Penasco, NM Pep, NM Peralta, NM Petaca, NM Picacho, NM Pie Town, NM Pinehill, NM Pinon, NM Pinos Altos, NM Placitas, NM Playas, NM Polvadera, NM Ponderosa, NM Portales, NM Prewitt, NM Pueblo Of Acoma, NM – Q – Cities in New Mexico that begin with the letter “Q”. Quay, NM Quemado, NM Questa, NM – R – Cities in New Mexico that begin with the letter “R”. Radium Springs, NM Rainsville, NM Ramah, NM Ranchos De Taos, NM Raton, NM Red River, NM Redrock, NM Regina, NM Rehoboth, NM Reserve, NM Ribera, NM Rincon, NM Rio Rancho, NM Rociada, NM Rodeo, NM Rogers, NM Roswell, NM Rowe, NM Roy, NM Ruidoso, NM Ruidoso Downs, NM – S – Cities in New Mexico that begin with the letter “S”. Sacramento, NM Saint Vrain, NM Salem, NM San Acacia, NM San Antonio, NM San Cristobal, NM San Fidel, NM San Jon, NM San Jose, NM San Juan Pueblo, NM San Miguel, NM San Patricio, NM San Rafael, NM San Ysidro, NM Sandia Park, NM Sanostee, NM Santa Clara, NM Santa Cruz, NM Santa Fe, NM Santa Rosa, NM Santa Teresa, NM Santo Domingo Pueblo, NM Sapello, NM Sedan, NM Seneca, NM Serafina, NM Sheep Springs, NM Shiprock, NM Silver City, NM Smith Lake, NM Socorro, NM Solano, NM Springer, NM Stanley, NM Sunland Park, NM Sunspot, NM – T – Cities in New Mexico that begin with the letter “T”. Taiban, NM Tajique, NM Taos, NM Taos Ski Valley, NM Tatum, NM Tererro, NM Tesuque, NM Texico, NM Thoreau, NM Tierra Amarilla, NM Tijeras, NM Timberon, NM Tinnie, NM Tohatchi, NM Tome, NM Torreon, NM Trampas, NM Trementina, NM Tres Piedras, NM Truchas, NM Truth Or Consequences, NM Tucumcari, NM Tularosa, NM Tyrone, NM – U – Cities in New Mexico that begin with the letter “U”. Ute Park, NM – V – Cities in New Mexico that begin with the letter “V”. Vadito, NM Vado, NM Valdez, NM Vallecitos, NM Valmora, NM Vanderwagen, NM Vaughn, NM Veguita, NM Velarde, NM Villanueva, NM – W – Cities in New Mexico that begin with the letter “W”. Wagon Mound, NM Waterflow, NM Watrous, NM Weed, NM White Sands Missile Range, NM Whites City, NM Willard, NM Williamsburg, NM Winston, NM – Y – Cities in New Mexico that begin with the letter “Y”. Yatahey, NM Yeso, NM Youngsville, NM – Z – Cities in New Mexico that begin with the letter “Z”. Zuni, NM
Source: medicaresupplementsolutions.com

Medicare Rehab in New Mexico

Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington, DC West Virginia Wisconsin Wyoming
Source: sober-solutions.com

Medicare Supplement Insurance

* Plan F also has an option called a high-deductible Plan F. This high-deductible plan pays the same or offers the same benefits as Plan F after one has paid a calendar year $2,110 deductible. Benefits from high-deductible Plan F will not begin until out-of-pocket expenses are $2,110. Out-of-pocket expenses for this deductible are expenses that would ordinarily be paid by the policy. These expenses include the Medicare deductibles for Part A and Part B, but do not include the plan’s separate foreign travel emergency deductible. ** Hospital benefits must be provided by facilities participating with Medicare. Payments are limited to the reasonable charge as determined by Medicare. *** After 90 days of hospitalization, Medicare benefits are paid from a one-time lifetime reserve of 60 additional days (days 91-150) which are not renewable each benefit period. See your Outline of Coverage for details and limitations of these benefits.
Source: bcbsnm.com

2015 New Mexico 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

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 Plan Finder for Health, Prescription Drug and Medigap plans

Posted by:  :  Category: Medicare

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Source: medicare.gov

Medicare drug plans: rating and reviews.

Part D Medicare prescription drug plan ratings and reviews to help you evaluate and find the best Medicare drug plan for 2015. Compare costs of Medicare Part D plans to save money. You can also rate and review your Medicare prescription drug plan to help others learn from your drug plan experience. On our forums, read comments, complaints, and suggestions about Medicare plans, the coverage gap (the “doughnut hole”) and low-cost medications from reputable online pharmacies. To find ratings and compare plans, click your state on the map below.
Source: medicaredrugplans.com

Prescription Drug Coverage

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

Extra Help with Medicare Prescription Drug Plan Costs

Medicare beneficiaries can qualify for Extra Help with their Medicare prescription drug plan costs. The Extra Help is estimated to be worth about $4,000 per year. To qualify for the Extra Help, a person must be receiving Medicare, have limited resources and income, and reside in one of the 50 States or the District of Columbia.
Source: socialsecurity.gov

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

Medicare Prescription Drug, Improvement, and Modernization Act

The bill came to a vote at 3 a.m. on November 22. After 45 minutes, the bill was losing, 219-215, with David Wu (D-OR-1) not voting. Speaker Dennis Hastert and Majority Leader Tom DeLay sought to convince some of dissenting Republicans to switch their votes, as they had in June. Istook, who had always been a wavering vote, consented quickly, producing a 218-216 tally. In a highly unusual move, the House leadership held the vote open for hours as they sought two more votes. Then-Representative Nick Smith (R-MI) claimed he was offered campaign funds for his son, who was running to replace him, in return for a change in his vote from “nay” to “yea.” After controversy ensued, Smith clarified no explicit offer of campaign funds was made, but that he was offered “substantial and aggressive campaign support” which he had assumed included financial support.
Source: wikipedia.org

Michigan Medicare Health Insurance Plans

Medicare is a health insurance program run by the government for people age 65 and older, and for people under 65 with certain disabilities. Understanding more about Medicare will make it easier to choose the right plan. Our Medicare 101 section has resources to help you do that.
Source: bcbsm.com