Legislative News, Studies and Analysis

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Through NCSL meetings, webinars and professional training opportunities, you’ll connect with legislators and staff with your same interests and concerns. Visit our Meetings and Training page and find out what’s coming up next.
Source: ncsl.org

Health insurance in the United States

The Pre-existing Condition Insurance Plan, or PCIP, is a transitional program created in the Patient Protection and Affordable Care Act (PPACA). Those eligible for PCIP are citizens of the United States or those legally residing in the U.S., who have been uninsured for the last 6 months and “have a pre-existing condition or have been denied health coverage because of their health condition.” However, if one has health insurance or is enrolled in a state high risk pool, they are not eligible for PCIP, even if that coverage does not cover their medical condition. PCIP is run by the individual states or through the U.S. Department of Health and Human Services, which has a contract with the Government Employees Health Association, or GEHA, to administer benefits. Both will be funded by the federal government and provide three plan options. These options are the standard, extended, and the Health Savings Account option. PCIP only covers the individual enrollee and does not include family members or dependents. In 2014, the Affordable Care Act provision banning discrimination based on pre-existing conditions will be implemented and PCIP enrollees will be transitioned into new state-based health care exchanges.
Source: wikipedia.org

Medicaid & Children’s Health Insurance Program

Posted by:  :  Category: Medicare

Medicaid provides health insurance to people with low incomes. The Children’s Health Insurance Program, CHIP, provides health insurance to children of low-income families. Find out if you or your family members are eligible for health insurance through Medicaid or CHIP so you can stop worrying about how to pay for healthcare.
Source: about.com

Chapter 1 Health Care Benefits

Posted by:  :  Category: Medicare

VA may authorize reimbursement for medical services for service- connected disabilities or any disability associated with and found to be aggravating a service-connected disability for those Veterans living or traveling outside the United States. This program may also reimburse for the treatment of foreign medical services needed as part of an approved VA vocational rehabilitation program. Veterans receiving health care services in the Philippines should register with the U.S. Veterans Affairs office in Pasay City. Veterans calling from within the Philippines may contact the VA office in Pasay City at 1-800-1888- 8782. If calling from outside of the Philippines, the number is 011- 632-318-8387. Veterans may also register by email at IRIS.va.gov. All other Veterans living or planning to travel outside the U.S. should register with the Foreign Medical Program, P.O. Box 469061, Denver, CO 80246-9061, USA; telephone 303-331-7590. For information visit: www.va.gov/hac/forbeneficiaries/fmp/fmp.asp.
Source: va.gov

Minneapolis VA Health Care System Home

Attention A T users. To access the menus on this page please perform the following steps. 1. Please switch auto forms mode to off. 2. Hit enter to expand a main menu option (Health, Benefits, etc). 3. To enter and activate the submenu links, hit the down arrow. You will now be able to tab or arrow up or down through the submenu options to access/activate the submenu links.
Source: va.gov

Medicare Supplemental Insurance Quotes

Posted by:  :  Category: Medicare

Because the Medicare system is standardized, Medicare Supplement coverage is identical with all companies. The only difference between companies is price. Medicare Supplements Made Easy provides you with free Medicare Supplement Insurance Quotes from the leading Insurance Companies.
Source: medicaresupplementsmadeeasy.com

Florida Medicare Supplemental Insurance

If you live in Florida and have basic Medicare health coverage, you may find that you have to pay more for your health care costs than you can afford. Because there are certain health needs that Medicare does not cover, private insurance companies are able to offer two different customized options that Medicare users can purchase to help lower the cost of health care. Medigap insurance pays some additional costs, such as co-pays and deductibles, and may also cover services not covered or fully covered by Medicare. Medicare Advantage are totally custom and cover as much or as little of your costs as you choose. You must have Medicare in order to qualify for Medigap.
Source: medicaresupplementalinsurance.com

Medicare Supplemental Insurance & Medigap

Learn how a Mutual of Omaha Medicare supplement insurance plan can reduce your out-of-pocket health care costs. Review Medicare supplement insurance basics, determine which Medicare supplement insurance policy is best for you, or get a Medicare supplement insurance quote.
Source: mutualofomaha.com

Medicare Supplement Insurance Quote Engine

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

Medicare Supplemental Health Insurance Information and Medicare Supplement Insurance Plans

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

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

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

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

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

Shingles Vaccine Medicare: Insurance Coverage Information

Posted by:  :  Category: Medicare

If your health care professional cannot submit and process a claim for your Medicare Part D plan, and the vaccine is covered, you may be required to make an upfront payment and then submit your claim for reimbursement. Please note that even if you have some coverage for ZOSTAVAX, the amount reimbursed to you by your Part D plan may be less than the amount of your upfront payment. It is a good idea to contact your Medicare Part D plan to learn what coverage is available to you and what process your plan has for submitting a claim.
Source: zostavax.com

Does Medicare pay for the Shingles vaccine?

You are probably wondering, since the shingles virus comes from the same virus as chickenpox, are the symptoms the same as chickenpox? Shingles usually starts with a headache and then a rash on a band or section of skin, typically on one side of the face or body. Symptoms can also include general achiness and fatigue, fever and chills. The rash then turns into clusters of blisters, which fill with fluid and crust over. Itching can also be a symptom. Shingles can be very painful. The virus travels along nerve pathways, causing inflammation and damage. The pain tends to be more severe and last longer in older people. In the worst cases, the shingles virus can cause blindness, if it infects the eyes or the area around your eyes, as well as hearing problems, brain inflammation (encephalitis) or death. Mild scarring usually occurs where shingles appear on the skin. If you believe you may have shingles you should seek medical attention promptly.
Source: medicarepathways.com

Why won't Medicare pay for the Shingles Vaccine which is very painful for the elderly?

It only came out in 2006 (and Medicare’s budget was already set, so that might be the problem,  budgets are set way in advance) Medicare started covering the drug in January of 2007, but not as a regular vaccination but as a part of the prescription drug plan or the D part of medicare   And it is definitely cost effective for them to pay for the vaccine as opposed to the costs of treatment of shingles,  And as someone who got shingles in the left eye 2 weeks before they announced the vaccine I can attest to the fact regardless of the cost, if you had chicken pox  before you should definitely get the vaccine now!  Not getting the vaccine should not be an option for you.  Even with Medicare paying for all the pain medicine the costs of having shingles is far greater than the cost of the vaccine.  And the pain is about as painful as you can get. Luckily I caught it early and my ophthalmologist prescribed antiviral for the eye but now a year later, i still get those nerve pains every now and then and I would pay anything not to get them And you should contact AARP and your congressman about this too.  More people clamoring for the coverage as a regular vaccine will eventually make it happen thru the appropriations process.
Source: amazon.com

Does Medicare Pay for Shingles Vaccine

No, it won’t. In general, Medicare doesn’t do a very good job of covering preventive medical care . The only immunizations it covers are a yearly flu shot, the pneumonia vaccine, and the vaccine against hepatitis B (if you are at medium or high risk for contracting the disease).
Source: caring.com

Shingles Vaccine Medicare Coverage and Cost Information

Shingles, or Herpes zoster, is caused by the same virus (varicella zoster, VZV) that causes chickenpox. It is characterized by pain, red rash, and painful fluid filled blisters. The virus is never eliminated from the body, but instead lives in a dormant stage in the nervous system. The virus can be reactivated when the person is subject to prolonged stress, or through the treatment certain illnesses such as cancer. Getting vaccinated with Zostavax, a chickenpox booster, can help prevent it’s painful occurrence, as well as reduce the risk of complications such as posterherpetic neuralgia.
Source: clivir.com

Shingles Vaccine Protects Seniors and Is Covered by Medicare 

Shingles Overview Shingles, also known as herpes zoster, is a burning, blistering, often excruciating skin rash that affects about 1 million Americans each year. The same virus that causes chickenpox causes it. What happens is the chickenpox virus that most people get as kids never leaves the body. It hides in the nerve cells near the spinal cord and, for some people, emerges later in the form of shingles.
Source: huffingtonpost.com

Medicare Insurance: Medicare and the Shingles Vaccine (Zostovax)

As with any medication, check with your Part D plan to confirm that the Shingles vaccine (Zostovax) is part of their formulary. Many Part D plans have a deductible and most have copays. The Shingles vaccine is expensive. It is a higher tier drug on most plans, around $170 retail on average, so also check your cost. Most Part D plans have agreements with their network participating pharmacies to administer the Shingles vaccine at the pharmacy for a reduced charge (similar to the flu vaccine). Check with your Part D plan~Check with your pharmacy BEFORE getting the injection.
Source: medicareanswersfromconnie.com

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

WellCare of Ohio, Inc : Home

Posted by:  :  Category: Medicare

WellCare of Ohio members will have access to covered benefits through June 30, 2013 or through their disenrollment date if earlier. Providers should continue to bill for covered services rendered for eligible dates of service. Claims will be accepted through June 30, 2014.
Source: wellcare.com

WellCare of Ohio, Inc : Contact Us

Do you have a question, comment, or suggestion? If so, we want to hear from you. Please complete the form below to contact us by email. You may also contact us by phone.     WellCare 1 (800) 951-7719  TTY/TDD 1 (877) 247-6272  
Source: wellcare.com

Republic of the Philippines Social Security System

Posted by:  :  Category: Medicare

SSS Congressional Branch Inauguration and Blessing Social Security System (SSS) President and Chief Executive Officer Emilio de Quiros, Jr. and Quezon City First District Representative Francisco A. Calalay, Jr. lead the ribbon-cutting ceremony along with QC District 1 Administrator Juan Untalan, Senior Vice President for NCR Operations Group Jose Bautista and SSS Congressional Branch Head Dr. Juanillo Delcalzo III during the inauguration and blessing of the SSS Congressional Branch on September 26. Also in photo is Fr. Nemesio Tolentin, OAR.
Source: gov.ph

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

International Social Security Association

Improvements in the design and administration of social security systems which are making a positive social and economic impact on the lives of millions of Africans will be the main focus of the Regional Social Security for Africa, in Casablanca, Morocco, 3-5 December 2014.
Source: issa.int

Best Medicare Supplement Insurance Quotes

Posted by:  :  Category: Medicare

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

What’s Medicare Supplement Insurance (Medigap)?

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

Learn Which Medigap Insurance Plans and Policies are Best

Because Medicare will automatically enroll you in Part B if you are collecting a Social security check, many people are still working and receiving medical benefits from their employer but also have Part B Medicare in effect. In most instances your employer coverage is primary and Medicare is secondary. In this case if you are retiring and your group plan is primary you will likely have 63 days from the termination date of your group coverage to enroll in a Medicare supplement policy with no medical underwriting. This is called “guaranteed issue”. This does not mean you cannot enroll in a supplement plan after this period. If you did wait you would simply have to go through medical underwriting. Therefore if you are in this situation and have health conditions then you will likely want to enroll in a plan during the 63 days.
Source: medigapinsurancepolicies.com

Compare Medicare Supplement (Medigap) Plans and Rates in Your Area

"Times have changed since my mother had an AARP J plan and I was totally confused by the options available. Stan walked me through the process in a very educational, methodical, friendly way, and I feel secure now that we’re making the correct decision to provide the best possible coverage for my husband." – Pat K.
Source: medigap360.com

Medicare Supplement (Medigap) Insurance Plans

MedSupp plans can help pay Original Medicare’s copayments and deductibles. Each type of plan offers a different level of coverage, and is named with a different letter (such as Plan A). The plans are standardized, so that all plans of the same letter offer the same benefits. In other words, the benefits for a Medicare Supplement Plan D enrollee in Rhode Island are the same for a Medicare Supplement Plan D enrollee in Tennessee. However, the premiums can differ among these private insurance companies.
Source: planprescriber.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

Best Medicare Supplement Insurance Quotes

Posted by:  :  Category: Medicare

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

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 Plan Finder for Health, Prescription Drug and Medigap plans

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

Medicare.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

Compare Medicare Supplement Plans 2015Compare Medicare Supplement Plans 2015

With ever increasing numbers of people turning 65 and needing Medicare health care benefits, the choices are numerous. Is a Medicare Supplement plan the best option, or perhaps a Medicare advantage plan? Several people have turned to supplemental insurance for Medicare Part A and Part B and have been extremely happy with their coverage. We’ll help you to compare Medicare Supplement Plans in 2015 so you can choose the best coverage to fit your needs, as well as not overpay for it.
Source: comparemedicaresupplementplans2015.com

Medicare Hospital Compare Quality of Care

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 Supplement (Medigap) Plans and Rates in Your Area

"Times have changed since my mother had an AARP J plan and I was totally confused by the options available. Stan walked me through the process in a very educational, methodical, friendly way, and I feel secure now that we’re making the correct decision to provide the best possible coverage for my husband." – Pat K.
Source: medigap360.com

Compare All Medicare Plan Options

Coverage is available to residents of the service area and separately issued by one of the following plans: Wellmark Blue Cross and Blue Shield of Iowa,* Blue Cross and Blue Shield of Minnesota,* Blue Cross and Blue Shield of Montana,* Blue Cross and Blue Shield of Nebraska,* Blue Cross Blue Shield of North Dakota,* Wellmark Blue Cross and Blue Shield of South Dakota,* Blue Cross Blue Shield of Wyoming.*
Source: wellmark.com

Compare Medicare Advantage Plans in 2015

The Kaiser Family Foundation also says that plans and costs are bound to differ wildly in different areas of the country or even regions of the same state. Available plans and premiums can differ when you cross a ZIP code boundary or into a new county. The key is to find different options in your local area and select the one that suits your needs and budget the best. Your own right choice will depend upon the premium, options available in your town or city, the network of medical providers, covered benefits and benefit amounts, and the potential for out of pocket costs.
Source: medicareadvantageplans2015.net