Medicare Part B Cost & Benefits

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Even though Roger’s doctor doesn’t accept Medicare assignment in this case, Medicare still limits the excess charges he must pay to 15% of the Medicare-approved amount. The doctor receives $240. This is less than the usual and customary fees of $300 but more than the Medicare-approved amount.
Source: medicaremadeclear.com

Medicare Part B outpatient medical insurance

Medicare Part B provides patients with medically necessary outpatient health care. Part B fills in some of Part A’s gaps by providing coverage for doctors in an outpatient setting as well as for approved medical equipment and supplies when necessary. Physician services, nursing services, vaccinations, cardiovascular and diabetes screenings, lab services, and other preventative services can all be covered by Part B. Routine physical exams are not covered by Part B.Medicare Part B will not pay for cosmetic surgery, custodial care, prescription drugs, dental care, or vision care, as well as other services.
Source: medicaresolutions.com

Medicare Part B and Your Coverage

Q. I turn 65 soon and hear that the Social Security Administration deducts $99.90 a month from your benefit for Medicare Part B. I’m a low-income veteran and get all my medical care from the VA, including drugs. The VA charges me nothing. Can I continue going to the VA and have Social Security not deduct the $99.90 for Part B, which I won’t be using? A. Yes, you can choose not to enroll in Medicare Part B. The question is: Do you really want to make that choice?
Source: aarp.org

Part B late enrollment penalty

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Your Initial Enrollment Period ended September 30, 2009. You waited to sign up for Part B until the General Enrollment Period in March 2012. Your Part B premium penalty is 20%. (While you waited a total of 30 months to sign up, this included only 2 full 12-month periods.) You’ll have to pay this penalty for as long as you have Part B.
Source: medicare.gov

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

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

Medicare Part B outpatient medical insurance

Medicare Part B provides patients with medically necessary outpatient health care. Part B fills in some of Part A’s gaps by providing coverage for doctors in an outpatient setting as well as for approved medical equipment and supplies when necessary. Physician services, nursing services, vaccinations, cardiovascular and diabetes screenings, lab services, and other preventative services can all be covered by Part B. Routine physical exams are not covered by Part B.Medicare Part B will not pay for cosmetic surgery, custodial care, prescription drugs, dental care, or vision care, as well as other services.
Source: medicaresolutions.com

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

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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 Coding Rules for SLP Services

Untimed CPT codes represent “typical” visit lengths or times to conduct a typical test unless the time is specified in the CPT descriptor. For significantly atypical procedures, a “-22″modifier can be used to indicate that the work is substantially greater than typically required and a “-52″modifier for an abbreviated procedure. Modifier “-22″ should not be used frequently because the Medicare contractor could make the determination that the procedure reflects typical service delivery. For claims with the “-22″ modifier a description of the need for extended services should accompany the claim. Modifier “-59″ is used to establish one procedure as distinct from another procedure billed on the same day. Part B services provided under plans of care for speech-language pathology or dysphagia services require a GN modifier as a suffix to the CPT code. The requirement applies to physician offices as well as facilities and private practices. Occupational therapy and physical therapy modifiers are GO and GP, respectively. For therapy services that exceed the annual therapy cap, a -KX modifier is required, indicating services are medically necessary and the documentation is available for review.
Source: asha.org

Medicare CPT Coding Rules for Audiology Services

Untimed CPT codes represent “typical” visit lengths or times to conduct a typical test unless the time is specified in the CPT descriptor. For significantly atypical procedures, a “-22″modifier can be used to indicate that the work is substantially greater than typically required and a “-52″modifier for an abbreviated procedure. Modifier “-22″ should not be used frequently because the Medicare contractor could make the determination that the procedure reflects typical service delivery. For claims with the “-22″ modifier a description of the need for extended services should accompany the claim. Modifier “-59″ is used to establish one procedure as distinct from another procedure billed on the same day.
Source: asha.org

Participating Medical Insurance, Aetna, GHI, Medicare, United Healthcare

Posted by:  :  Category: Medicare

A big advantage to using WESTMED Medical Group is the wide range of insurance coverage accepted. This means you should be able to keep your doctors even if you find you have to change insurance plans. We care equally about every patient regardless of the insurance provider.
Source: westmedgroup.com

Addresses & Telephone Numbers of Medicare Supplement Insurers

Mailing Address: P.O. Box 13599, Albany, NY 12214-5767 Physical Address: 257 West Genesee St., Buffalo, NY 142202 1-888-989-9905 Hearing Impaired (TTY): 1-877-513-1470 web site address: www.healthnowny.com
Source: ny.gov

Location of Medicare Offices

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If you are seeking office opening hours, the Department of Human Services Service Centre locator contains information updated weekly, a search function and maps. Please visit the Service Centre locator here: humanservices.findnearest.com.au
Source: gov.au

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

Contact Information and Websites of Organizations for Medicare

You have the option of downloading the data used by the Helpful Contacts tool onto your computer. The data will be downloadable as zipped Microsoft Access databases. Health policy researchers and the media primarily use this function. For information about contacts in a particular geographical area, you should use the Helpful Contacts tool instead of downloading the data.
Source: medicare.gov

Social Security (United States)

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Due to changing needs or personal preferences, a person may go back to work after retiring. In this case, it is possible to get Social Security retirement or survivors benefits and work at the same time. A worker who is of full retirement age or older may (with spouse) keep all benefits, after taxes, regardless of earnings. But, if this worker and/or your spouse are younger than full retirement age and receiving benefits, and earn “too much”, the benefits will be reduced. If working under full retirement age for the entire year and receiving benefits, Social Security deducts $1 from the worker’s benefit payments for every $2 earned above the annual limit of $15,120 (2013). Deductions cease when the benefits have been reduced to zero and the worker will get one more year of income and age credit, slightly increasing future benefits at retirement. For example, if you were receiving benefits of $1,230/month (the average benefit paid) or $14,760 a year and have an income of $29,520/year above the $15,120 limit ($44,640/year) you would lose all ($14,760) of your benefits. If you made $1,000 more than $15,200/year you would “only lose” $500 in benefits. You would get no benefits for the months you work until the $1 deduction for $2 income “squeeze” is satisfied. Your first social security check will be delayed for several months—the first check may only be a fraction of the “full” amount. The benefit deductions change in the year you reach full retirement age and are still working—Social Security only deducts $1 in benefits for every $3 you earn above $40,080 in 2013 for that year and has no deduction thereafter. The income limits change (presumably for inflation) year by year.
Source: wikipedia.org

Disability Planner: Social Security Protection If You Become Disabled

While we spend a great deal of time working to succeed in our jobs and careers, few of us think about ensuring that we have a safety net to fall back on should we become disabled. This is an area where Social Security can provide valuable help to you.
Source: ssa.gov

Benefits for People with Disabilities

The Social Security and Supplemental Security Income disability programs are the largest of several Federal programs that provide assistance to people with disabilities. While these two programs are different in many ways, both are administered by the Social Security Administration and only individuals who have a disability and meet medical criteria may qualify for benefits under either program.
Source: ssa.gov

Social Security Disability. Secrets & Advice To Win Benefits. Apply & Appeal SSDI & SSI

Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware D.C. 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 West Virginia Wisconsin Wyoming
Source: disabilitysecrets.com

When and How to Apply for Medicare

Posted by:  :  Category: Medicare

If you are not yet receiving Social Security benefits (or benefits from the Railroad Retirement system) you are eligible to sign up for Medicare 3 months prior to the month you turn 65, but your enrollment will not happen automatically. You must call or apply online – details below. It is to your benefit to sign up for Medicare Part A as soon as you are eligible, even if you still have coverage through a group health plan.
Source: about.com

When & how to sign up for Part A & Part B

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

How to Apply Online For Social Security Retirement Benefits

Social Security offers an online retirement application that you can complete in as little as 15 minutes. It’s so easy. Better yet, you can apply from the comfort of your home or office at a time most convenient for you. There’s no need to drive to a local Social Security office or wait for an appointment with a Social Security representative.
Source: socialsecurity.gov

How To Apply for the Medicare Part B Plan

There are specific issues you should keep in mind. First, it is not inconceivable for a physician to “negotiate” with you and accept the payment from Medicare, essentially meaning that the plan will cover the entire visit. Secondly, bear in mind that there are those “unscrupulous” practitioners that will charge one payment for people with Medicare and a different payment for those who pay for their own medical coverage. This is fraud. If you know this has occurred, it is your responsibility to let Medicare know about the incident.
Source: howtodothings.com

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

Posted by:  :  Category: Medicare

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

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

Tufts Health Plan Medicare Preferred

In 2015, our HMO plans earned 4.5 out of a possible 5 Stars by the Center for Medicare and Medicaid Services. This rating combines the scores our plans received for the various medical and/or prescription drug services our plans offer.
Source: tuftsmedicarepreferred.org

Affordable Medicare Plans

Medicare-Plans.org makes it easy to save time and reduce your premiums by letting you compare all Medicare plans from providers like BlueCross BlueShield, Aetna, United Healthcare, CIGNA, and more, in one place.
Source: medicare-plans.org

Medicare Plans for Different Needs

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

NEBRASKA MEDICAID PROGRAM

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To apply for medical assistance, an application must be completed and given to the Nebraska Department of Health & Human Services. For more information, contact your nearest Department of Health and Human Services Office; Or, you may download an application form and mail it to the nearest Department of Health and Human Services Office.
Source: ne.gov

Nebraska DHHS: Division of Medicaid & Long Term Care

The State Unit on Aging collaborates with public and private service providers to ensure a comprehensive and coordinated community-based services system that will assist individuals to live in a setting they choose and continue to be contributing members of their community. Nebraska’s aging network includes eight Area Agencies on Aging.
Source: ne.gov

NEBRASKA MEDICAID PROGRAM

The Nebraska Medicaid Program has received approval of a 1915(b) waiver which authorizes the operation of the Nebraska Health Connection, Nebraska’s Medicaid Managed Care Program. The waiver authorizes mental health and substance abuse services for managed care clients statewide in addition to primary care services for Children with Special Health Care Needs and the American Indian/Alaskan Native population in Douglas, Sarpy, and Lancaster Counties.  The balance of the managed care population receives primary care services under the authority of the State Plan.  The Nebraska Medicaid Program also has received approval of several home and community-based waivers under section 1915(c) of the Social Security Act. 
Source: ne.gov

NEBRASKA MEDICAID PROGRAM: Provider Information

A provider is any individual or entity which furnishes Medicaid goods or services under an approved provider agreement with the Department. To be eligible to participate in the Nebraska Medical Assistance Program (NMAP), the provider shall meet the general standards for all providers in Nebraska Administrative Code, Title 471, Chapters 1-000, 2-000, and 3-000 , if appropriate, and the standards for participation for that provider type.
Source: ne.gov

Nebraska Medicaid program

Currently, there are specific prior authorization (PA) forms for Proton Pump Inhibitors (PPIs), NSAIDs: CoxI, Single Entity or Combination Brand Name, and Low/Non-Sedating Antihistamines (LSAs) located at separate links on the website (nebraska.fhsc.com) on the tab, Prior Authorization, and the drop down for PA Forms. Beginning August 27, 2012, these drug class specific PA forms will be replaced by the Documentation of Medical Necessity form which currently exists at its own link under PA forms. When going to the link for these drug class specific forms, the Documentation of Medical Necessity form will be provided and should be used to request prior authorization. Additionally, the PDL Exception Request form will also be replaced by the Documentation of Medical Necessity form and will be provided at the link on the same website on the tab, Preferred Drug List, and the drop down for PDL Exception Request.
Source: fhsc.com

Nebraska Medicaid Insurance

Nebraska Medicaid coverage includes a broad variety of services for medical treatment, prevention and long-term care, including things like screenings and preventive services, limited vision and dental services, limited visits to the doctor and related services and podiatry. The program provides assistance for emergency ambulance service, a limited amount of hospital inpatient or outpatient care and nursing home care.
Source: medicaid-help.org

What’s Medicare Supplement Insurance (Medigap)?

Posted by:  :  Category: Medicare

Some Medigap policies also offer coverage for services that Original Medicare doesn’t cover, like medical care when you travel outside the U.S. If you have Original Medicare and you buy a Medigap policy, Medicare will pay its share of the Medicare-approved amount for covered health care costs. Then your Medigap policy pays its share.
Source: medicare.gov

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

Learn About Supplemental & Life Insurance

Sounds great, right? But is it affordable? Supplemental insurance – especially considering the benefits are paid to you – is generally very affordable. In fact, some policies can be secured for under $10 a month, depending on the amount of coverage you choose. Consider the high cost of healthcare these days. Consider, too, lost wages if you’re sick or have an accident and can’t work. Supplemental insurance can help you with those costs, and more, making a difficult situation a little easier to bear. Now that you know more about supplemental insurance, the real question is – can you afford not to have it?
Source: combinedinsurance.com

Should I Buy Supplemental Health Insurance?

Hospital Indemnity Insurance Hospital Indemnity Insurance (also known as Hospital Confinement Insurance) provides a cash benefit if you are “confined” to a hospital due to an illness or serious injury. The cash benefit – doled out in one lump sum or as daily or weekly payments – may not start until after a minimum waiting period. Similar to other types of supplemental insurance, the additional coverage is meant to help you pay for services and needed items not covered by your regular health plan.
Source: about.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