Medicaid Spend Down and Medicare Part D

Posted by:  :  Category: Medicare

Each fall, Medicare uses data from the states to decide whether a person will continue to automatically qualify for Extra Help for the coming year. Using the example from the previous page, let’s say Medicare determines that Julie no longer automatically qualifies for Extra Help. Medicare reviews data from her state for a month where she doesn’t qualify for Medicaid (Month 2). Medicare sends her a gray letter saying she doesn’t automatically qualify and encourages her to apply for Extra Help through Social Security to see if she qualifies based on her income and resources. Even though she no longer automatically qualifies, Julie may still qualify for Extra Help if she applies. After not qualifying (month 2), Julie can meet spend down again in a later month (month 3). Her state tells Medicare, and she gets a letter from Medicare saying she automatically qualifies for Extra Help beginning from the month she qualified for Medicaid at least until December 31 of the same year.
Source: q1medicare.com

Growth In Medicare Spending Per Beneficiary Continues To Hit Historic Lows

The aging of the US population will put strain on the financing of the Medicare program. Although growth in spending per beneficiary is projected at or below the rate of GDP per capita, the number of Medicare beneficiaries is projected to grow at approximately 3% annually. As a result, aggregate Medicare spending will account for a growing share of GDP over the next decade. As shown in Exhibit 3, most of the increase in Medicare spending as a fraction of GDP from 2013 to 2035 is projected to result from the effects of aging and growth in the number of beneficiaries, with very little of it a result of excess growth in expenditures per beneficiary. Further reducing per beneficiary cost growth below the projected level of GDP+0 is an important component of responding to fiscal pressure. But recent reductions in the growth of Medicare per beneficiary spending and projections for the next decade offer strong evidence that we have made great progress. Moreover, the Affordable Care Act provides a platform for the development of innovations in the delivery of and payment for health care, with the potential for significant improvements in both the quality of health care and its cost-efficiency. Such innovations would not only improve health care for Medicare beneficiaries in the future but also for the population at large.
Source: hhs.gov

Medicare Spending By Year

On December 11, 2014 usgovernmentspending.com updated the state and local spending and revenue for FY 2012 using the newly released Census Bureau State and Local Government Finances for FY 2012.  This includes state and local spending for the United States as a whole and individual states and the District of Columbia. State and local spending and revenue for FY2012 are now actual historical spending as reported by the Census Bureau.  Previously state spending and revenue for FY2012 was actual and local spending and revenue was estimated.  The following table shows the difference between estimated and actual spending and revenue for FY2012:
Source: usgovernmentspending.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

Medicare Advantage & Medicare Supplement Plans
in Arizona

Government designed plans are the Medicare Supplements or Medigap policies. They come in 12 standard choices with two of the choices available with a simple modification. The choices are called Plan A, Plan B, Plan C, Plan D, Plan E, Plan F, Plan G, Plan H, Plan I, Plan J, Plan K and Plan L and the modified plans are the High Deductible Plan F and the High Deductible Plan J. As the letters increase from A to J, the coverage generally increases and the premiums are generally higher. Plans K and L are lower coverage and lower cost alternatives. The high deductible versions simply impose a deductible before the insurance company pays any benefits as a way to cut your health insurance premium costs.
Source: ehealthlink.com

Does Medicare cover health care and prescriptions in a nursing home?

Medicare Advantage Plans and other Medicare health plans If you have a Medicare Advantage Plan (Part C) (like an HMO or PPO) or other Medicare health plan, check with your plan to see if it covers nursing home care. Usually, plans don’t help pay for this care unless the nursing home has a contract with the plan. Ask the health plan about nursing home coverage before you make any arrangements. If the nursing home has a contract with your health plan, ask the health plan if they check the home for quality of care.
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

Medicare Select Network Hospitals

ADVOCATE – ILLINOIS MASONIC MEDICAL CENTER ADVOCATE- TRINITY HOSPITAL AURORA COLUMBIA CHICAGO LAKESHORE HOSPITAL HOLY CROSS HOSPITAL JACKSON PARK HOSPITAL JOHN H. STROGER HOSPITAL (COOK COUNTY HOSPITAL) LOUIS A WEISS MEMORIAL HOSPITAL MERCY HOSPITAL AND MEDICAL CENTER MOUNT SINAI HOSPITAL NEUROLOGIC AND ORTHOPEDIC INSTITUTE OF CHICAGO NORTHWESTERN LAKE FOREST HOSPITAL NORTHWESTERN MEMORIAL HOSPITAL NORWEGIAN AMERICAN HOSPITAL OUR LADY OF THE RESURRECTION PROVIDENT HOSPITAL OF COOK COUNTY REHABILITATION INST OF CHICAGO RESURRECTION HOSPITAL RML SPECIALTY HOSPITAL ROSELAND COMMUNITY HOSPITAL SCHWAB REHABILITATION HOSPITAL ST ANTHONY HOSPITAL ST ELIZABETH HOSPITAL CHICAGO ST JOSEPH HEALTH CENTER ST MARY OF NAZARETH HOSPITAL SWEDISH COVENANT HOSPITAL THOREK HOSPITAL UNIVERSITY OF CHICAGO MEDICAL CENTER UNIVERSITY OF ILLINOIS HOSPITAL
Source: bcbsil.com

Medicare Supplement SELECT

Sterling Medicare SELECT is a type of Medicare Supplement Insurance or “MediGap” product. The only difference is Sterling Medicare SELECT offers lower premiums in exchange for the policyholder’s commitment to use Network Facilities, whenever inpatient hospital, outpatient hospital or ASC services are required. Exceptions to the network restrictions include emergency care when traveling outside of the Service Area or when required services are not offered at a Network Facility. Policyholders can choose their own physicians; however, when they need inpatient or outpatient services, their physician must have the ability to admit them to a Network Facility. Sterling Medicare Select is not available in all areas. A listing of Sterling’s Network Facilities is available here.
Source: sterlingplans.com

Medicare Hospital Compare Quality of Care

Posted by:  :  Category: Medicare

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Source: medicare.gov

Medicare Home Health Compare

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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

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

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

Compare Medicare Advantage Plans

Additionally, you may compare Medicare Advantage Plans side-by-side by choosing up to four of the plans in the listed search results. This is done by clicking the “compare up to four plans” checkbox, followed by the “compare” button once you have more than one plan selected. This will take you to a page where you will see all of the plan details for the chosen plans. Here, you can ensure these Medicare Advantage plans are applicable to your needs by reviewing the particulars. The plan compare tool shows which Medicare Advantage plans offer prescription coverage and gives greater details about each one: copays for preferred generic versus non-preferred generic and preferred brand versus non-preferred brand.
Source: ehealthinsurance.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

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

2015 Medicare Advantage Plans in Georgia

We offer free Georgia Medicare Advantage quotes on our website, and you only need to enter your home ZIP code to begin. We can even offer some MA plans with no monthly premium. After you take the time to run a quick online comparison, pick up the phone and contact us with your questions. Our professional agents want to help you find the best health insurance for seniors and families. 
Source: medicareadvantageplans2015.net

Medicare Information for Retirees

Annuitants and certain individuals on subsidized extended coverage age 65 or older who wish to pay subsidized rates for health insurance premiums must enroll in the Medicare Advantage (MA) PPO Standard or Premium option offered by Blue Cross Blue Shield of Georgia (BCBSGa).  See Plan Documents for rate resolutions and annuitant subsidy policies.
Source: georgia.gov

2011 Medicare Part D Program Compared to 2010, 2009, 2008 and 2007

Posted by:  :  Category: Medicare

Pharmaceutical manufacturers will be required to provide certain beneficiaries access to discount prices for certain brand drugs purchased under Medicare Part D. The manufacturer discount prices will be equal to 50% of the plan’s negotiated price defined (minus any applicable dispensing fees). These discount prices must be applied prior to any prescription drug coverage or financial assistance provided under other health benefit plans or programs and after any supplemental benefits provided under the Part D plan. The discounted prices will be charged at the pharmacy (point-of-sale). The beneficiary will not have to do additional paperwork, etc. to receive the benefit. These manufacturer discount prices will be made available to Part D enrollees who are in the coverage gap or donut hole (they have reached or exceeded the initial coverage limit and have incurred costs below the annual out-of-pocket threshold). Medicare beneficiaries will not be eligible to receive these discount prices if they are enrolled in a qualified retiree prescription drug plan or are eligible for the low-income subsidy. The costs paid by manufacturers towards the negotiated prices of drugs covered under this manufacturer discount program shall be considered incurred costs for eligible beneficiaries and applied towards their out-of-pocket threshold. This means that the total negotiated retail drug price will be applied to the TrOOP and will count toward getting out of the doughnut hole.
Source: q1medicare.com

Annual Statistical Supplement, 2011

Beginning January 1, 2006, upon voluntary enrollment in either a stand-alone PDP or an integrated Medicare Advantage plan that offers Part D coverage in its benefit, subsidized prescription drug coverage. Most FDA-approved drugs and biologicals are covered. However, plans may set up formularies for their drug coverage, subject to certain statutory standards. (Drugs currently covered in Parts A and B remain covered there.) Part D coverage can consist of either standard coverage or an alternative design that provides the same actuarial value. (For an additional premium, plans may also offer supplemental coverage exceeding the value of basic coverage.) Standard Part D coverage is defined for 2006 as having a $250 deductible, with 25 percent coinsurance (or other actuarially equivalent amounts) for drug costs above the deductible and below the initial coverage limit of $2,250. The beneficiary is then responsible for all costs until the $3,600 out-of-pocket limit (which is equivalent to total drug costs of $5,100) is reached. For higher costs, there is catastrophic coverage; it requires enrollees to pay the greater of 5 percent coinsurance or a small copay ($2 for generic or preferred multisource brand and $5 for other drugs). After 2006, these benefit parameters are indexed to the growth in per capita Part D spending (see Table 2.C1). In determining out-of-pocket costs, only those amounts actually paid by the enrollee or another individual (and not reimbursed through insurance) are counted; the exception is cost-sharing assistance from Medicare’s low-income subsidies (certain beneficiaries with low incomes and modest assets will be eligible for certain subsidies that eliminate or reduce their Part D premiums, cost-sharing, or both) and from State Pharmacy Assistance Programs. A beneficiary premium, representing 25.5 percent of the cost of basic coverage on average, is required (except for certain low-income beneficiaries, as previously mentioned, who may pay a reduced or no premium). For PDPs and the drug portion of Medicare Advantage plans, the premium will be determined by a bid process; each plan’s premium will be 25.5 percent of the national weighted average plus or minus the difference between the plan’s bid and the average. To help them gain experience with the Medicare population, plans will be protected by a system of risk corridors, which allow Part D to assist with unexpected costs and to share in unexpected savings; after 2007, the risk corridors became less protective. To encourage employer and union plans to continue prescription drug coverage to Medicare retirees, subsidies to these plans are authorized; the plan must meet or exceed the value of standard Part D coverage, and the subsidy pays 28 percent of the allowable costs associated with enrollee prescription drug costs between a specified cost threshold ($250 in 2006, indexed thereafter) and a specified cost limit ($5,000 in 2006, indexed thereafter).
Source: ssa.gov

Visiting Nurse Service of New York

Posted by:  :  Category: Medicare

Since the devastation of Sandy, VNSNY’s Emergency Response team is coordinating the efforts of thousands of professional and paraprofessional clinicians and office staff who continue to work around the clock to ensure that care is delivered seamlessly. Please donate online now to help us give New Yorkers the care they deserve, call 212-609-1525 to make a contribution over the phone, or print our donation form and mail it directly to us. We have established the VNSNY Relief Fund to help the many patients and employees affected by the aftermath of Sandy.
Source: vnsny.org

VNSNY CHOICE Health Plans

VNSNY CHOICE was created by the Visiting Nurse Service of New York to bring together the health professionals and providers who care for you, plus the medical services you need to live well at home. The seven health plan options currently being offered by VNSNY CHOICE include Medicare Advantage plans (Medicare Preferred, Medicare Maximum, Medicare Classic, Medicare Enhanced) Long Term Care plans, (VNSNY CHOICE Total, VNSNY CHOICE MLTC) and VNSNY CHOICE SelectHealth, a health plan for individuals living with HIV/AIDS. VNSNY CHOICE health plans are open to residents living within the Medicare Advantage or MLTC service areas, and are eligible for Medicare, Medicaid, or both. For more information about any VNSNY CHOICE plan or the service areas covered by VNSNY CHOICE, please contact us. 
Source: vnsny.org

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

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Source: medicare.gov

Visiting Nurse Service, Inc. > VNS Services > Home Health Care

VNS is a full-service home health care organization, providing nursing, physical therapists, speech and occupational therapists, home care aides, social workers, and dieticians all providing care under your doctor’s guidance.  We also arrange for home medical equipment and serve twenty-three Indiana Counties: Boone, Brown, Carroll, Cass, Clinton, Clay, Grant, Hamilton, Hancock, Hendricks, Howard, Johnson, Madison, Marion, Miami, Monroe, Montgomery, Morgan, Owen, Putnam, Shelby, Tipton, and Wabash.
Source: vnsi.org

Visiting Nurse Service of New York Careers and Employment

Long Island. Visitation programs include senior care, rehabilitation therapy, mental health, hospice, and pediatrics, as well as Medicare/Medicaid programs. The company’s 15,000 care providers make more than 2 million professional home visits each year. Geographic Reach VNSNY serves patients in New York City, Nassau County, and parts of Westchester County. Operations Operating some 20 agency offices, VNSNY has about 2,900 nurses, 537 rehabilitation therapists (physical therapists, occupational therapists, and speech therapists), more than 10,600 home health aides, 629 social workers, and 166 other clinical professionals. The company’s most frequent diagnoses among its patients are diabetes, hypertension, symptoms involving the nervous and muscular systems, heart failure, and chronic ulcers of the skin. In addition to traditional home care services, VNSNY provides a Medicaid Managed Long Term Care (MLTC) plan that provides homecare services for elderly New York residents with chronic conditions. VNS CHOICE became VNSNY CHOICE, creating a new brand identity for the company’s managed care plan. VNSNY CHOICE is designed to cover patients with chronic illnesses. VNSNY also added a new plan to its Medicare Advantage offerings. The plan is designed for people with Medicare but not Medicaid coverage, called VNSNY CHOICE Medicare Option 5. Strategy VNSNY has expanded its nursing care organization through acquisitions of smaller agencies and specialist providers over the years. For instance, in 2010 the company purchased the home health agency of the White Plains Hospital Center for about $5 million. VNSNY also acquired Pax Christi Hospice program of the bankrupt St. Vincent’s Catholic Medical Center for $9 million that year. Later in 2010 it purchased St. Vincent’s long-term home health care program (the Lombardi program) for about $30 million. The Lombardi acquisition expanded VNSNY’s long-term home health care program to an broader service territory and increase its long-term care customers in the New York metro area. It also grows through organic expansion. In 2012 VNSNY received approval from the State of New York to expand its Medicaid Managed Long Term Care plan (VNSNY CHOICE) to 23 New York counties. Company Background Lillian Wald, the founder of public health nursing in the US, established VNSNY in 1893.   – less
Source: indeed.com

Medicare Plan Finder for Health, Prescription Drug and Medigap plans

Posted by:  :  Category: Medicare

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Source: medicare.gov

Medicare Insurance – Compare Medicare Plans with HealthCompare

You may have looked at your calendar with apprehension as October 15 neared, but there is more to Medicare’s Annual Election Period (AEP) than a complicated process of comparing health care coverage options.  Instead, the AEP can be viewed as an exciting opportunity that allows you to embrace your changing needs and preferences and find the health care coverage solutions that are right for you. The AEP is usually the only time of the year during which you can make changes to your current Medicare health care coverage, but there are more ways than ever to get the information you need, and, in some areas, more options for you to choose from.
Source: healthcompare.com

Compare Medicare 2015 health plans options in Connecticut , Medicare Advantage plans in Connecticut, Medicare Supplements, What are my 2014 Medicare plan choices in Connecticut, CT, Medicare choices, Medicare Part D, 2014 Connecticut Medicare Plan Choices, choices and Medicare options information for Connecticut Residents, Medicare Advantage plans for 2014, How do I compare Medicare Plans in Connecticut?

Medicare Options, LLC, provides enrollment assistance for senior and disabled residents of Connecticut with their Medicare Health Plan choices including Medicare Medigap plans in Connecticut, Medicare Advantage Plans, Part D prescription drug plans from Aetna, ConnectiCare, United Healthcare, and WellCare in the towns of: Amston, Andover, Avon, Baltic, Berlin, Bloomfield, Bolton, Bozrah, Brandford, Bristol, Burlington, Centerbrook, Cheshire, Chester, Clinton, Colchester, Columbia, Coventry, Cromwell, Deep River, Durham, East Berlin, East Glastonbury, East Haddam, East Hampton, East Hartford, East Killingly, East Lyme, East Windsor, Ellington, Elmwood, Essex, Farmington, Forestville, Glastonbury, Groton, Guilford, Haddam, Hadlyme, Hamden, Hartford, Hebron, Higganum, Ivoryton, Jewett City, Kensington, Killingly, Killingworth, Lebanon Ledyard, Lyme, Madison, Manchester, Marlbourgh, Meriden, Middle Haddam, Milldale, Moodus, Moosup, Mystic, New Britain, New London, Newington, North Branford, Norwich, Old Lyme, Old Mystic, Old Saybrook, Plainville, Plantsville, Poquonock, Portland, Preston, Rockfall, Salem, Saybrook, South Glastonbury, South Lyme, South Windsor, Southington, Terryville, Tolland, Uncasville, Vernon, Wallingford, Waterford, West Hartford, West Mystic, Westbrook, Wethersfield, Windsor, Windsor Locks. We serve the counties of, Hartford County, Tolland County, New London County, Middlesex County, New Haven County, Litchfield County. We are licensed and Certified to advise and enroll medicare recipients on medicare supplements, medicare advantage plans, medicare part D prescription coverage, retirement planning, Long-Term care options, fixed annuities, Reverse Mortgage programs, and eldercare attorney referrals. Consult a tax advisor before making tax related decisions. Consult an attorney specializing in estate planning before making any decisions regulated by federal or state law, such as trusts and wills. MedicareOptions.info provides free information on Medicare options in Connecticut. Medicare Plan Choices in Connecticut for 2014 will help seniors find the best medicare plan for their situation. This site allows people to compare Medicare Advantage Plans in Connecticut. We do not choose which plan is best for beneficiaries, but provide information on Medicare Plans so they can compare their Medicare Choices. Most Medicare Beneficiaries simply want to know, how do I compare Medicare plans in Connecticut. We help them find the best Medicare Plan that suits your particular needs for 2015.
Source: medicareoptions.info

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 Hospital Compare Quality of Care

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Source: medicare.gov

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

Medicare Supplement Plans

To be eligible to enroll in a Medicare Supplement plan, you must be enrolled in both Medicare Part A and Part B. The best time to enroll in a plan is during the Medigap Open Enrollment Period, which begins on the first day of the month that you are both age 65 or older and enrolled in Part B, and lasts for six months. During this period, you have the guaranteed issue right to join any plan of your choice, meaning that you may not be denied coverage based on any pre-existing conditions. If you miss this enrollment period and attempt to enroll in the future, you may be denied coverage based on your medical history.
Source: ehealthinsurance.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

Medicare Supplemental, Advantage, and Part D Plans

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

CIGNA Medicare Access (PFFS)

Post-N-Track software is offered free to providers. Contact Post-N-Track at 1-860-257-2030 or log on to www.Post-N-Track.com and click Enroll. Post-N-Track is easy to install and the software can be downloaded in less than 5 minutes. No changes are required to your existing claim system. The software is easy to use and no training is necessary.
Source: cigna.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

Australian Psychological Society : Medicare rebates for mental health services provided by psychologists: Information for clients

Psychologists study the way people feel, think, act and interact. Through a range of strategies and therapies they aim to reduce distress and to enhance and promote emotional wellbeing. Psychologists are experts in human behaviour, and have studied the brain, memory, learning and human development. Psychologists can assist people who are having difficulty controlling their emotions, thinking and behaviour, including those with mental health problems such as anxiety and depression, serious and enduring mental illness, addictive behaviours and childhood behaviour disorders.
Source: org.au

Australian Psychological Society : Medicare rebates for chronic disease management items provided by psychologists: Information for clients

The chronic disease management scheme only provides payment for a total number of five visits per calendar year to all allied health professionals that are specified in your Team Care Arrangements (TCA) that your GP has prepared. This means the number of sessions with a psychologist that will be paid for by Medicare under this scheme will depend on how many sessions with other allied health professionals you have had or will require. For example, your TCA may state that you need two sessions with a podiatrist, one with a physiotherapist, one session with a dietitian, and one session with a psychologist. The combination of services can only add up to five sessions in a year, otherwise you will be required to pay for any additional services. You could have up to five sessions with a psychologist, but this would mean that Medicare would not pay for any other allied health visits that are required to manage your chronic/complex illness.
Source: org.au