Application status lookup tool

Posted by:  :  Category: Medicare

First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.
Source: fcso.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 Coverage of Physical Therapy

Posted by:  :  Category: Medicare

My sister is in an assisted living place in Houston. It provides a PT for the residents. She has not had what would be called good threapy. First the woman is not a certified PT but under that. SHe has been out on vacation for 2 weeks of this month and has told my sister she can’t work with her on mnay occasions of this last month. SHe has also left early without working with my sister who is really anxious to get the PT. Now a woman has come in and looked at my sister’s record of last month with the PT gone so much and has told my sister she hasn’t improved enough last month to stay on Medicare PT. How could she with the actions of the PT there? I know enough about PTs as I taught pre PT persons at the university here and this PT is not who I would want or who I want for my sister. What can we, as her family do??
Source: caring.com

Medicare Coverage Database – Centers for Medicare & Medicaid Services

Contextual Help & Page Help – Contextual Help is a new feature that provides users with the ability to receive onscreen help for specific elements on the page. To use the feature, click the "Contextual Help" link and move the mouse to the onscreen location of the associated page element. The user can turn the feature off when help is no longer required. Users who are unable to use this feature, or who prefer to have a link to a single page of help for the entire page, may continue to use the "Page Help" link to get assistance.
Source: cms.gov

Medicare Power Wheelchair Coverage Guidelines

Medicare requires that the following criteria must be met in order for your power wheelchair to be covered by Medicare.  Hoveround ensures that this process is followed for each case.  Take this Mobility Exam Packet with you to your doctor to help ensure correct documentation.
Source: hoveround.com

Medicare Part B Coverage and MNT Billing Guidelines

Current Procedural Terminology (CPT) codes and billing procedures for Medical Nutrition Therapy (MNT) services within government funded programs and private sector insurance plans have varied and been widely interpreted by carriers and billing agencies. The interpretation and regulations for billing Medicare Part B for MNT services has become clear as a result of legislation and regulations established respectively by Congress and the Centers for Medicare & Medicaid Services (CMS). This article provides members with specific guidelines for billing Medicare Part B for current and future MNT services. Billing procedures for private insurance companies or Medicaid are not discussed in this article.
Source: cdrnet.org

Will Medicare Pay for Oral Surgery?

This information is inaccurate!! Please correct this. Usually, Medicare Part B doesn’t cover oral surgery. That’s because Medicare considers most work performed by an oral surgeon to be "dental" rather than "medical." But Medicare Part B can cover oral surgery in a few instances. If the treatment involves not teeth but a problem with tissue inside the mouth, or with the bones of the mouth and jaw, Medicare might cover it. The key to whether Medicare will pay is whether physicians (M.D.s) as well as dentists and non-M.D. oral surgeons also perform the same kind of treatment. If so, the surgery might be considered "medical" care covered by Medicare Part B even if performed by a non-M.D. oral surgeon. Also, the oral surgeon who performs the operation must participate in Medicare — not all oral surgeons do. If you are in the process of scheduling oral surgery, ask the oral surgeon’s office whether they participate in Medicare and if so, to request in advance that Medicare cover the procedure. It may take some written documentation by the oral surgeon’s office, which could take some time. If the oral surgeon’s office receives approval from Medicare, you will know ahead of time that the surgery will be covered. If the oral surgeon does not participate in Medicare but the surgery is of the type Medicare might cover, consider asking for a referral to a different oral surgeon who does Medicare-covered work.
Source: caring.com

Medicare Plans for Different Needs

Posted by:  :  Category: Medicare

If you would like to provide feedback regarding your Medicare plan, you can contact Customer Service toll-free at 1-877-699-5710 (TTY: 711), 8 a.m. – 8 p.m., local time, 7 days a week or you can provide feedback directly to Medicare through their Complaint Form about your Medicare health plan or prescription drug plan.
Source: uhcmedicaresolutions.com

AARP United Healthcare Medicare Advantage Plans 2011

The AARP United Healthcare plan is the same throughout Florida!  It is also known as AARP Medicare Complete Choice Plan 2.  Probably everybody has heard of United Healthcare as they are a national insurer that covers a lot of group plans as well as individuals.  Most people were probably covered by United Healthcare at some point in their life.  The AARP plan in Florida is a PPO, and is an outstanding value since it has NO monthly plan premium!! 
Source: medicare-plans.net

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

Provider Medicare Applications

Posted by:  :  Category: Medicare

If you are an individual who is 65 or older and would like to enroll in the Medicare program, you need to visit Medicare.gov to learn more about when you are eligible and how to enroll.  This website is only for the actual providers of Medical services under Medicare Part B.
Source: medicareapplications.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

Free Cell Phones for Medicare Recipients

Posted by:  :  Category: Medicare

This sounded like a blessing for us. My dad really needs such a cell phone so that I could keep in contact with him. We checked the cell phone provider in his state to see if they offered the free cell phone program. Luckily for us, there was one such provider. So we made contact with them and got them the information that they needed in order for my dad to get his free phone. Basically, they wanted to see his income statements. Once my dad received his phone, he was immediately able to start making free calls. His phone plan had about 50 minutes free for each month. This was certainly enough for him to make a few calls each month. It is probably not a good idea to chat for a long time using these phones though.
Source: hubpages.com

Does Medicare Pay for Assisted Living

Posted by:  :  Category: Medicare

In some states, though, Medicaid can pay for assisted living in certain participating facilities. If the state Medicaid program where your parents live does cover some assisted living, you would have to find an assisted living facility that participates in Medicaid. But all this depends on whether your mother would qualify for Medicaid, which she can do only if your parents have low income and assets (other than their home). To see about the Medicaid eligibility rules for assisted living in the state where they live, you can go to the Medicaid information page at the federal government’s Govbenefits web page.
Source: caring.com

Medicare and Assisted Living

I am having problems with mobility and some daily things are difficult for me to do where I am staying now. In a facilty that does not provide personal attention when needed. So I am thinking of moving to an assisted living facilty where I can get some help when needed such as bathing, dressoing and light house keeping. As personal attendents are not covered any more and my income is low I don’t know if I can afford an assisted living place.or not. Also I am very independent but have muktiple health problems that have become more pronlematic over the last few years. I have all myown furniture and possesions and live in an apartment which is small but practical. And I also have a person to come in twice a month to help with the more difficult chores. However, I have fallen amjy many times in the last 5 years and safety is a concern here. The oher reisdents cannot help and neither can the employees due to liability. I have not wanted to move again but the last time I fell I was amulanced to the hospital and had a real scare as I am on a blood thinner and when I banged my head the blood was pouring out of me. Luckily my helper was due and she clled the EMT’s and I went to the hoslital where they took good care of my injuries. My son and daughters are worried that I don’t have any immediate help when I fall as no one here is going to help me. For wxample, some folks who have fallen were not checked and have been lying on the floor for quite a few hours. or it could be days. So as far as an assisted living facility I would get more help when needed and still have my independence. I still drive and shop and do light cleaing and the usual daily tasks. But I don’t feel safe here any longer. Thank you, Shadowdancer_ap
Source: caring.com

Medicare Supplemental Insurance

Medigap policies don’t cover everything – long-term care, vision or dental care, hearing aids, eyeglasses, or private-duty nursing like medical and non-medical care provided to people who are unable to perform basic activities of daily living; dressing or bathing. Long-term supports and services are provided at home, in the community, in an assisted living, or in a nursing home. Individuals may need long-term supports and services at any age. Medicare and most health insurance do not pay for long-term care.
Source: assistedlivingfacilities.org

Assisted Living Facilities

In most cases, these homes put together a custom care plan specially tailored to the needs of the individual resident. If all someone needs is some help with their laundry and maybe a little reminder to take their medications every day, that’s all they’ll get, leaving them a great deal of freedom to enjoy their daily life and interact with other residents. On the other hand, a critical patient with a terminal diagnosis will receive around the clock care to ensure maximum comfort and to minimize suffering. These different levels of service and care will obviously weigh in on the price of staying at assisted living facilities. Prices in some cases are all inclusive, but extra services might also be added on individually to a base cost of residency. It is up to families to research pricing and care options and to choose long term care based on the factors that matter most to them.
Source: assistedlivingfacilities.net

Assisted Living: MedlinePlus

Assisted living is for adults who need help with everyday tasks. They may need help with dressing, bathing, eating, or using the bathroom, but they don’t need full-time nursing care. Some assisted living facilities are part of retirement communities. Others are near nursing homes, so a person can move easily if needs change.
Source: nih.gov

Medicare Plans for Different Needs

Posted by:  :  Category: Medicare

If you would like to provide feedback regarding your Medicare plan, you can contact Customer Service toll-free at 1-877-699-5710 (TTY: 711), 8 a.m. – 8 p.m., local time, 7 days a week or you can provide feedback directly to Medicare through their Complaint Form about your Medicare health plan or prescription drug plan.
Source: uhcmedicaresolutions.com

MercyCare Medicare Advantage

Posted by:  :  Category: Medicare

To learn more about MercyCare’s Medicare Advantage 2014 plans’ lower rates and new benefits, to enroll, or for information about our free seminars, call MercyCare daily, 8 am-8 pm, (855) 517-6280 or (800) 947-3529 TTY/TDD. MercyCare Sales Representatives Tracy Craker or Sherrie Sargent will be present at all seminars with information and applications.
Source: mercycarehealthplans.com

Obamacare’s Impact on Medicare Advantage

Build on the steady progress in risk adjustment. Risk adjustment is a tool used to address selection bias in Medicare Advantage and other private insurance programs. The goal is to mitigate an insurer’s ability to tailor plans to attract a disproportionate share of the most profitable enrollees—healthier enrollees that consume less medical services. Every major Medicare reform proposal, based on premium support, would provide risk adjustment or significantly improve the risk-adjustment formulas or mechanisms that currently exist in the MA or Medicare Part D program. Risk adjustment could either be prospective or retrospective. Prospective risk adjustment already characterizes Medicare Advantage and Medicare Part D, where government per capita payments are adjusted by demographic factors, such as age, sex, institutional or Medicaid status, and medical conditions. Retrospective risk adjustment—back-end adjustments—would be based on new pooling arrangements, such as a risk-transfer pool. In that arrangement, health plans that attracted higher-risk or more costly patients would be cross-subsidized by plans that attracted fewer high-risk or less costly patients. The value of these types of arrangements is that they would be based on hard data and not on educated guesswork or projections. The Wyden–Ryan plan, for example, includes such an approach. The Heritage proposal would include both prospective and retrospective risk adjustment. Applying the lessons from MA’s risk-adjustment experience could mitigate the risks that only the unhealthy would be stuck in Medicare fee-for-service plans, leaving the plans’ costs to escalate and grow further away from the premium support benchmark, and thus more expensive for enrollees. Over the past decade, as Alice Rivlin and others have noted, the risk-adjustment mechanism used in Medicare Advantage has significantly improved and succeeded in reducing favorable selection in the program. In the future, with the adoption of defined-contribution financing for the entire Medicare program, one can expect further refinements and innovative approaches to adjusting government per capita payments. One particularly interesting approach has been developed by Zhou Yang, professor of economics at Emory University. Professor Yang’s proposal, to be implemented within an environment of competitive health plans, would tie Medicare payments to positive behavioral changes: Enrollees would be rewarded for enrollment in wellness or preventive-care programs that promote a healthier (and thus less costly) lifestyle.[44]
Source: heritage.org

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

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

NCPC List: Organizations Approved by Medicare to Offer Medicare Advantage and Part D Prescription Drug Plans

AARP Advantage Health Solutions, Inc Abrazo Advantage Health Plan AdvantageCare Advantra PPO Aetna Medicare Alliance Medicare HMO Alliance Medicare PPO AlohaCare American Health Medicare American Pioneer Life Insurance Company American Progressive Life & Health Ins Co of NY AmeriHealth Advantage AmeriHealth Mercy Plan AmeriHealth Rx Anthem Blue Cross and Blue Shield Arkansas Blue Cross and Blue Shield Arkansas Community Care, Inc Asuris Northwest Health ATRIO Health Plans Auxilio Platino Avalon Health, LTD AvMed Medicare Plan BC Life & Health Insurance Company Blue Care Network Blue Cross & Blue Shield of Rhode Island Blue Cross and Blue Shield of Florida, Inc. Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Massachusetts Blue Cross and Blue Shield of Minnesota Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Nebraska Blue Cross And Blue Shield Of Oklahoma Blue Cross and Blue Shield of Vermont Blue Cross Blue Shield Healthcare Plan of Georgia Blue Cross Blue Shield of Alabama Blue Cross Blue Shield of Georgia Blue Cross Blue Shield of Michigan Blue Cross Blue Shield of North Carolina Blue Cross Blue Shield of North Dakota Blue Cross Blue Shield of Wisconsin Blue Cross Blue Shield of Wyoming Blue Cross of Idaho Blue Cross Of Idaho Hlth Services Inc Blue Cross Of Illinois Blue Shield of California BlueChoice HealthPlan BlueCross BlueShield of South Carolina BlueCross BlueShield of Tennessee California Health Plan Capital Advantage Insurance Company Capital Health Plan Advantage Carelink Advantra PPO CarePlus Health Plans, Inc. CareSource Cariten Senior Health CDPHP Medicare Choice Chinese Community Health Plan CIGNA HealthCare Citizens Choice Healthplan Citrus Health Care, Inc. Clear Choice Health Plans CommunityCare HMO, Inc. Dean Health Insurance, Inc. Desert Canyon Community Care Educators Mutual Insurance Association Elder Health Mid-Atlantic, Inc. Elderplan, Inc. Empire BlueCross BlueShield Essence Inc. Evercare Of Texas, LLC Excellus Health Plan, Inc. Fallon Community Health Plan Familycare Health Plans, Inc. First Health Premier First Medical Health Plan, Inc. First United American Life Insurance Company FIRSTCARE Advantage Florida Health Care Plan, Inc. FOX Insurance Company Freedom Health, Inc. Fresenius Medical Care Health Plan Fresenius Medical Care Health Plan, Inc. – Texas Geisinger Health Plan Gold Generations Healthcare GHI Medicare Choice PPO Group Health Cooperative Gundersen Lutheran Health Plan, Inc. HAP Senior Plus HMO Harvard Pilgrim Health Care Health Alliance Medical Plans Health Net HealthCare Select Healthfirst Medicare Plan HealthNow New York Inc. HealthPartners HealthPlus of Michigan Healthspring Healthsun Health Plans, Inc. Highmark Inc. HIP Health Plan of Greater New York HomeTown Health Plan Horizon Blue Cross Blue Shield of New Jersey, Inc. Humana Independent Health InStil Health Insurance Company Inter Valley Health Plan John Deere Health Plan, Inc. Kaiser Permanente Keystone 65 Leon Medical Centers Health, Inc. Liberty Health Advantage, Inc. Lovelace Insurance Company Mapfre Life Insurance Company Marquette National Life Insurance Company MCS Classicare Medco Health Solutions, Inc. Medcore HP Medica HealthCare Plans, Inc. Medical Associates Clinic Health Plan of Wisconsin Medicare y Mucho M

Medicare Benefits Schedule (MBS)

Posted by:  :  Category: Medicare

MBS service statistics broken down by Commonwealth Electoral Division (CED) are available in the PDF files below. File 1 details Medicare Safety Net statistics for the 2010 calendar year of service by CED and File 2 details Medicare Bulk Billing statistics for the 2010 – 11 financial year of processing by CED. It is important that you read all notes on these files.
Source: gov.au

Schedule of Pharmaceutical Benefits

The Schedule of Pharmaceutical Benefits is available online via the Department of Health website. This Schedule provides information on the arrangements for the prescribing of pharmaceutical benefits by medical practitioners and participating dental practitioners, and the supply of pharmaceutical benefits by approved pharmacists, approved medical practitioners and approved hospital authorities. 
Source: gov.au

Medicare Fee Schedule, Payment and Reimbursement Benefit Guideline, CPT Code Billing: Medicare Fee Schedule for Office Visit CPT Codes

MedicarePaymentandReimbursement.com provides Medicare Payments, Billing Guidelines, Fees Schedules 2010, Medicare Eligibility, 2011 Medicare Deductibles, Allowables, CPT Codes for Medicare, Phone Number, Hearing Aids, Denial, Address, Medicare Appeal, PQRI, EOB, Medicare and Medicaid Services.
Source: medicarepaymentandreimbursement.com

Medicare Fee Schedule, Payment and Reimbursement Benefit Guideline, CPT Code Billing: Medicare payment fee schedule download.

MedicarePaymentandReimbursement.com provides Medicare Payments, Billing Guidelines, Fees Schedules 2010, Medicare Eligibility, 2011 Medicare Deductibles, Allowables, CPT Codes for Medicare, Phone Number, Hearing Aids, Denial, Address, Medicare Appeal, PQRI, EOB, Medicare and Medicaid Services.
Source: medicarepaymentandreimbursement.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 Supplement Plans & Quotes

Posted by:  :  Category: Medicare

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 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 Supplement Insurance & Medicare Advantage Personal Service

Medicare Supplement Insurance, also known as MediGap Insurance, is designed to help cover some of the medical costs that are not covered by Medicare.  These Medigap coverage plans are available to anyone enrolled in Part A and B of Medicare.  There is an open MediGap Insurance enrollment period for the first six months after you turn age 65, in which you do not need to qualify or answer any questions about your prior medical history.
Source: medigapadvisors.com

AARP Medicare Supplement Plan N

One thing is certain. Medicare Advantage plans are changing and in many instances, monthly premiums are increasing. Some Advantage plans now cost more than a Medicare supplement. An Advantage plan will certainly  require cost sharing for hospital inpatient charges. Most plans require you to pay a couple hundred dollar co-pay, for a fixed number of days, as part of your cost sharing responsibility. You may even be required to pay more than if you had only Medicare. This is not the case with AARP Medicare supplement Plan N.
Source: seniorsupplementinsurance.com

Get Medicare Part D Quotes in Seconds

As could be expected, prices for Humana policies rocketed for the 2014 calendar year. Mean premiums for Humana Part D jumped from $21.80 to $38.70. Medicare Part D is priced at $41.55 and Part D Medicare comes in at the slightly lower price of $38.80. Humana’s standalone market share coverage has dropped to 18.6% whereas their Medicare Part D policies have increased to a market share of 12.8%.
Source: medicareaide.com