Medicare Eligibility Requirements

Posted by:  :  Category: Medicare

Note: You can qualify for Medicare on your spouse’s work record if he or she is at least age 62 and you are at least age 65. You also may qualify on the work record of a divorced or deceased spouse. Following the Supreme Court’s ruling on the Defense of Marriage Act in June 2013, people in same-sex marriages may qualify on their spouse’s work record if they live in the state where they were wed or in another state that recognizes same-sex marriage, or if they are civilian or military employees of the federal government. It’s currently unclear whether same-sex couples outside of these categories have the same rights — but if you’re in this position, you should apply anyway.
Source: aarp.org

Requirements to qualify for Medicare

Have Medicare, but Still Paying Out-of-Pocket? Compare Prescription Drug Plans and Medicare Supplement Plans with SelectQuote Senior. We Shop. You Save. Click here or call (888) 392-2469 to get a FREE Quote.
Source: agingcare.com

When do I qualify for Medicare?

- Would be entitled to Social Security benefits based on your spouse’s (or divorced spouse’s) work record, and that spouse is at least 62 (your spouse does not have to apply for benefits in order for you to be eligible based on your spouse’s work)
Source: aarp.org

How to sign up for Medicare if you have ESRD

When you enroll in Medicare based on End-Stage Renal Disease (ESRD) and you’re on dialysis, Medicare coverage usually starts on the first day of the fourth month of your dialysis treatments. This waiting period will start even if you haven’t signed up for Medicare. For example, if you don’t sign up until after you’ve met all the requirements, your coverage could begin up to 12 months before the month you apply.
Source: medicare.gov

Do Government Employees Qualify For Medicare?

As mentioned above it is the same process as any other citizen would have to go through. Even federal employees have to pay 6.2% of their earnings into the Medicare system. That in turn allows them to some benefits if they meet certain financial criteria. The system is set up so that anybody who truly needs assistance past the age of 65 should be able to get it. There is no need to worry if government employees qualify for Medicare, because the system works just the same for them. Just apply for insurance and you will find out how much and what services will be covered.
Source: seniorcorps.org

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.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

What is Medicare? What is Medicaid?

Posted by:  :  Category: Medicare

Medicare Part A, or Hospital Insurance (HI), helps pay for hospital stays, which includes meals, supplies, testing, and a semi-private room. This part also pays for home health care such as physical, occupational, and speech therapy that is provided on a part-time basis and deemed medically necessary. Care in a skilled nursing facility as well as certain medical equipment for the aged and disabled such as walkers and wheelchairs are also covered by Part A. Part A is generally available without having to pay a monthly premium since payroll taxes are used to cover these costs.
Source: medicalnewstoday.com

UnitedHealthcare Medicare Plans

A Medicare Advantage Plan (Part C) is a type of Medicare health plan offered by a private insurance company that contracts with Medicare to provide Original Medicare (Parts A and  B) benefits. Medicare Advantage Plans can combine hospital, doctor and drug coverage in one plan, and may include extra benefits not offered by Original Medicare.
Source: uhc.com

What is Medicare: Medicare Benefits

These plans are an alternative to Medicare Advantage. Cost plans are available in certain areas of the country and give members the option of seeing a provider outside of the approved network. Kaiser Permanente offers Medicare Cost plans in Maryland, Virginia, and Washington, D.C. Learn more…
Source: kaiserpermanente.org

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

Frequently Asked Questions (FAQs)

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

Find a Medigap Policy in Your Area

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 Questions, Medicare Coverage Questions

Part C (Medicare Advantage Plans) is offered by private companies like Aetna, who contract with the federal government, to cover the same or more benefits than Original Medicare (Parts A and B). Medicare Advantage Plans may offer extra coverage, such as vision, hearing, dental, and/or health and wellness programs. Some Medicare Advantage plans also include Medicare prescription drug coverage (MA-PD plans); others do not (MA plans).
Source: aetnamedicare.com

Senior Benefit Services, Inc.

Posted by:  :  Category: Medicare

Cigna (NYSE: CI) is a global health service company dedicated to helping people improve their health, well-being and sense of security. All products and services are provided exclusively through operating subsidiaries of Cigna Corporation, including Connecticut General Life Insurance Company, Cigna Health and Life Insurance Company, Life Insurance Company of North America and Cigna Life Insurance Company of New York
Source: srbenefit.com

CIGNA Medicare Supplemental Insurance

There are many different CIGNA Medicare plans that seniors can choose from in their quest for the best type of health insurance. For those who may need prescription drug coverage, these benefits can be acquired via a few different CIGNA plans such as CIGNA Medicare Access Plus Rx and CIGNATURE Rx to name two of the main types. No matter what seniors are searching for with regard to Medicare health plans they are sure to find the answer with CIGNA Medicare.
Source: seniors-health-insurance.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

Arizona Medicare Advantage and Medicare Supplement Plans 2012

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

2015 Arizona 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

WellCare Health Plans, Inc : Medicare : Member Materials

Posted by:  :  Category: Medicare

Request for Medicare Prescription Drug Coverage Determination Use this printable form to ask us for a decision about a prescription drug and your specific plan coverage. This is the same form as above but cannot be submitted electronically. Providers and members should fax form to
Source: wellcare.com

WellCare Questions Medicare Ratings

A study published last month by the data analytics company Inovalon found significant differences in quality measures between dual-eligible populations and other Medicare patients. For example, duals were less likely to take anti-depressants and other drugs as prescribed, the study said; the worst compliance was found among patients who were disabled, had substance abuse or lived in doctor-shortage areas.
Source: usf.edu

Medicare Supplemental, Advantage, and Part D Plans

Posted by:  :  Category: Medicare

Because of the significant amount of out-of-pocket payments required by traditional Medicare, a booming market of private-sector insurance products has grown up around the government programs. These Medicare-related insurance products are one of the fastest-growing segments of the U.S. health insurance industry overall. And they are the part of the market on which a smart consumer should focus his or her attention. Medicare Providers mission is to help seniors understand these products and provide tools assist in the decision making process.
Source: medicare-providers.net

Medicare Advantage PPO Plans (Preferred Provider Organization)

Generally, beneficiaries can receive their health care from any doctor or health care provider while enrolled in a PPO plan. These plans have network doctors and providers, but plan members are still given the flexibility to choose out-of-network doctors. Be aware that out-of-network care will cost more for the beneficiary as the PPO plan will cover less of the expenses. Some Medicare Advantage plans require beneficiaries to choose a primary care doctor to coordinate their health care, but PPO plans do not have this requirement. Additionally, referrals from a primary care doctor are not required for a beneficiary to see a specialist. Like with other aspects of care under a PPO plan, using an in-network plan specialist will usually cost less than using an out-of-network specialist.
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

HealthCare Administrative Solution

Posted by:  :  Category: Medicare

NOTE: In the Final Rule published in the Federal Register on April 15, 2010, CMS clarified that providers “who have met the fraud, waste, and abuse certification requirements through enrollment into the Medicare program or accreditation as a Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) are deemed to have met the training and educational requirements for fraud, waste, and abuse.”
Source: hcasma.org

MedicareAgentTraining.com | Medicare training on how to sell Medicare Supplements by phone

This is our opportunity… A huge disparity in Medicare Supplement rates across the country lets us become the hero.. We help seniors find the best plan, saving them money, and making a client for life.
Source: medicareagenttraining.com

AHIP Medicare + Fraud, Waste & Abuse Training: Login to the site

Now there’s one single source for both Medicare and Fraud, Waste and Abuse (FWA) training. Our comprehensive online program gives you the background to make informed decisions on Medicare, including plan options, marketing, enrollment requirements, and FWA guidelines.
Source: ahipmedicaretraining.com

Gorman Health Group – Medicare Sales Training

gormanhealthgroup.com Gorman Health Group, LLC (GHG) is a leading consulting and software solutions firm specializing in government health programs, including Medicare managed care, Medicaid and Health Insurance Exchange opportunities. For nearly 20 years, our unparalleled teams of subject-matter experts, former health plan executives and seasoned health care regulators have been providing strategic, operational, financial, and clinical services to the industry, across a full spectrum of business needs. Further, our software solutions have continued to place efficient and compliant operations within our client’s reach. Learn more at gormanhealthgroup.com.
Source: medicaresalestraining.com

Medicare Open Enrollment 2015

Posted by:  :  Category: Medicare

Doughnut hole: A gap in prescription drug benefits. In 2015, Part D enrollees will pay a monthly premium and may, depending on the plan, pay a deductible on prescriptions. Once any deductible is met, they pay copayments or co-insurance for their drugs until total drug spending – what the plan pays and what the enrollee pays combined – reaches $2,970 for the year. Then the enrollee pays 47.5 percent of the cost of brand-name drugs and 79 percent of the cost of generics until total out-of-pocket expenses for the year reach $4,750. After that, the enrollee reaches catastrophic coverage and pays only a small portion of drug costs, either 5 percent or copayments of $2.65 for generics and $6.60 for brands, whichever is more.
Source: medicarehealthinsurancefacts.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 Open Enrollment FAQ

A: If you’re enrolled in Medicare, you’re not eligible for the tax credits that some people qualify for on the marketplaces, but you already get a substantial break on costs. The overall costs of care under Medicare Part B, which pays doctors’ visits, and Part D, the prescription drug benefit, are subsidized 75 percent from federal general revenues. Plus, if you’re a Medicare beneficiary with limited resources and income, you may qualify for low-cost Part D drug coverage under the Extra Help program. Go to www.ssa.gov, call 800-772-1213 or visit your local Social Security office.
Source: aarp.org