Michigan Medicare Health Insurance Plans

Posted by:  :  Category: Medicare

Medicare is a health insurance program run by the government for people age 65 and older, and for people under 65 with certain disabilities. Understanding more about Medicare will make it easier to choose the right plan. Our Medicare 101 section has resources to help you do that.
Source: bcbsm.com

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

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

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

HealthSpring Medicare Advantage

Angela, This site is not owned or operated by HealthSpring so I do not have access to their printed literature, but you can visit their website to get the information. Visit http://www.healthspring.com, then enter your zip code on the home page, choose Medicare Advantage plans, then choose Healthy AdvantagePreferred (HMO) (Texas). The document that will give you in depth information on this plan is the Summary of Benefits. Scroll down to find that link. Also, if you have recently enrolled you soon soon receive printed material about your plan.
Source: affordablemedicareplan.com

CarePlus Florida 2011 Medicare Advantage Plans

CareDirect (HMO SNP) Plan in Miami-Dade county and CareComplete (HMO) Plan will not be renewing its Medicare contract effective January 1, 2012. You may choose to enroll in our plan, but your coverage will automatically end on December 31, 2011. Because this plan ends on December 31, 2011, if you decide to join, you are entitled to enroll in a new MA plan or PDP beginning December 8,2011 through February 29,2012. However, if you want your enrollment in the new plan to take effect on January 1, 2012, the new plan must receive your application by December 31st. You may also have the option of enrolling in a Medicare Cost Plan, if one is offered in your area. If you do not enroll in another MA plan, Medicare Cost Plan or PDP by December 31, 2011, you will be disenrolled from our plan and enrolled in Original Medicare on this date.
Source: care-plus-health-plans.com

Explanation of Benefits (EOB)

Posted by:  :  Category: Medicare

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Source: medicare.gov

Coordination of Medicare and FEHB Benefits

If Medicare was the primary payer prior to the onset of End Stage Renal Disease, Medicare will continue to be primary during the 30-month coordination period. However, if Medicare was secondary prior to the onset of End Stage Renal Disease, it will continue to be secondary until the 30-month coordination period has expired. After the 30-month coordination period has expired, Medicare will be primary regardless of your employment status.
Source: opm.gov

Medicare/Medicaid Vision Benefits

Cataract surgery. Medicare covers many of the costs associated with cataract surgery, including the cost of a standard intraocular lens (IOL) used to replace your eye’s natural crystalline lens that has become clouded by a cataract.   If you choose a premium intraocular lens, such as a multifocal IOL to correct your eyesight at all distances and thereby reduce your need for reading glasses after surgery, you must pay the added cost for this IOL (above the cost of a standard IOL) out-of-pocket.
Source: allaboutvision.com

An Overview of Medicare Benefits

With the passage of the Patient Protection and Affordable Care Act signed into law on March 23, 2010 by President Obama, seniors who are enrolled in a Part D plan will see a reduction in the amount they must pay for their prescription drugs when they reach the donut hole. By 2020, the donut hole will essentially be "closed" and rather than paying 100% of the costs, your responsibility will be 25% of the costs.
Source: about.com

Medicare Benefits – Health Plans and Benefits for America's Seniors

The Supreme Court rules that companies cannot attain patents on naturally occurring strands of human DNA. Companies can, however, patent synthetic ally created strands composed of cDNA, or composite DNA. As gene therapy progresses and expands in scope, emerging medical technology has burgeoned to a $1B industry.  As private genetic labs race to find new […]
Source: medicarebenefits.us

Applying For Retirement, Spouses’s Or Medicare Benefits For Myself

Do not mail foreign birth records or any documents from the Department of Homeland Security (DHS), formerly the Immigration and Naturalization Service (INS), especially those you (the applicant) are required to keep with you at all times. These documents are extremely difficult, time-consuming and expensive to replace if lost. Some cannot be replaced. Instead, bring them to a Social Security office where they will be examined and returned.
Source: socialsecurity.gov

Retiree Health Benefits At the Crossroads

Prescription Drug Coverage.  With respect to prescription drugs, employer plans typically provide prescription drug coverage in conjunction with other medical benefits, and often these benefits are more generous than the standard Part D benefit (e.g., no coverage gap).  Employers have the option to provide prescription drug benefits directly through an  employer plan and receive a federal retiree drug subsidy (RDS) payment for offering qualified prescription drug coverage (that is, coverage that is at least equivalent to the Part D standard benefit).  Alternatively, the employer may contract with a Medicare Part D prescription drug plan (PDP) on a group basis to provide prescription drug coverage to Medicare-eligible retirees, for which the employer pays a negotiated premium in addition to what the PDP receives from Medicare under Part D.  Often the Part D plans receive a waiver from the Centers for Medicare and Medicaid Services (CMS) to provide coverage exclusively to the employer group and the employer plan separately supplements the Part D plan benefits, a combination known more technically as Medicare Part D Employer Group Waiver Plans (EGWP) plus Wrap.  Under these arrangements, employers contract with a Medicare Part D plan to provide benefits solely to the employer’s retirees, based on the standard benefit design, and the employer offers a secondary plan that supplements the first (waiver) plan to provide more generous drug coverage.
Source: kff.org

Affordable Louisiana Medicare Plans

Posted by:  :  Category: Medicare

Louisiana-Medicare.com 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: louisiana-medicare.com

Louisiana Medicare Supplement Plans

- A – Cities in Louisiana that begin with the letter “A”. Abbeville, LA Abita Springs, LA Acme, LA Addis, LA Aimwell, LA Akers, LA Albany, LA Alexandria, LA Ama, LA Amelia, LA Amite, LA Anacoco, LA Angie, LA Angola, LA Arabi, LA Arcadia, LA Archibald, LA Arnaudville, LA Ashland, LA Athens, LA Atlanta, LA Avery Island, LA – B – Cities in Louisiana that begin with the letter “B”. Baker, LA Baldwin, LA Ball, LA Barataria, LA Barksdale AFB, LA Basile, LA Baskin, LA Bastrop, LA Batchelor, LA Baton Rouge, LA Bayou Goula, LA Belcher, LA Bell City, LA Belle Chasse, LA Belle Rose, LA Belmont, LA Bentley, LA Benton, LA Bernice, LA Berwick, LA Bethany, LA Bienville, LA Blanchard, LA Blanks, LA Bogalusa, LA Bonita, LA Boothville, LA Bordelonville, LA Bossier City, LA Bourg, LA Boutte, LA Boyce, LA Braithwaite, LA Branch, LA Breaux Bridge, LA Brittany, LA Broussard, LA Brusly, LA Bueche, LA Bunkie, LA Buras, LA Burnside, LA Bush, LA – C – Cities in Louisiana that begin with the letter “C”. Cade, LA Calhoun, LA Calvin, LA Cameron, LA Campti, LA Cankton, LA Carencro, LA Carlisle, LA Carville, LA Castor, LA Cecilia, LA Center Point, LA Centerville, LA Chalmette, LA Charenton, LA Chase, LA Chataignier, LA Chatham, LA Chauvin, LA Cheneyville, LA Choudrant, LA Church Point, LA Clarence, LA Clarks, LA Clayton, LA Clinton, LA Cloutierville, LA Colfax, LA Collinston, LA Columbia, LA Convent, LA Converse, LA Cotton Valley, LA Cottonport, LA Coushatta, LA Covington, LA Creole, LA Crowley, LA Crowville, LA Cullen, LA Cut Off, LA – D – Cities in Louisiana that begin with the letter “D”. Darrow, LA Davant, LA Delcambre, LA Delhi, LA Delta, LA Denham Springs, LA Dequincy, LA Deridder, LA Des Allemands, LA Destrehan, LA Deville, LA Dodson, LA Donaldsonville, LA Donner, LA Downsville, LA Doyline, LA Dry Creek, LA Dry Prong, LA Dubach, LA Dubberly, LA Dulac, LA Duplessis, LA Dupont, LA Duson, LA – E – Cities in Louisiana that begin with the letter “E”. East Point, LA Echo, LA Edgard, LA Effie, LA Egan, LA Elizabeth, LA Elm Grove, LA Elmer, LA Elton, LA Empire, LA Enterprise, LA Epps, LA Erath, LA Eros, LA Erwinville, LA Estherwood, LA Ethel, LA Eunice, LA Evangeline, LA Evans, LA Evergreen, LA – F – Cities in Louisiana that begin with the letter “F”. Fairbanks, LA Farmerville, LA Fenton, LA Ferriday, LA Fisher, LA Flatwoods, LA Flora, LA Florien, LA Fluker, LA Folsom, LA Fordoche, LA Forest, LA Forest Hill, LA Fort Necessity, LA Franklin, LA Franklinton, LA French Settlement, LA Frierson, LA Fullerton, LA – G – Cities in Louisiana that begin with the letter “G”. Galliano, LA Garden City, LA Gardner, LA Garyville, LA Geismar, LA Georgetown, LA Gheens, LA Gibsland, LA Gibson, LA Gilbert, LA Gilliam, LA Glenmora, LA Gloster, LA Glynn, LA Golden Meadow, LA Goldonna, LA Gonzales, LA Gorum, LA Grambling, LA Gramercy, LA Grand Cane, LA Grand Chenier, LA Grand Coteau, LA Grand Isle, LA Grant, LA Gray, LA Grayson, LA Greensburg, LA Greenwell Springs, LA Greenwood, LA Gretna, LA Grosse Tete, LA Gueydan, LA – H – Cities in Louisiana that begin with the letter “H”. Hackberry, LA Hahnville, LA Hall Summit, LA Hamburg, LA Hammond, LA Harmon, LA Harrisonburg, LA Harvey, LA Haughton, LA Hayes, LA Haynesville, LA Heflin, LA Hessmer, LA Hester, LA Hineston, LA Hodge, LA Holden, LA Homer, LA Hornbeck, LA Hosston, LA Houma, LA Husser, LA – I – Cities in Louisiana that begin with the letter “I”. Ida, LA Independence, LA Innis, LA Iota, LA Iowa, LA – J – Cities in Louisiana that begin with the letter “J”. Jackson, LA Jamestown, LA Jarreau, LA Jeanerette, LA Jefferson, LA Jena, LA Jennings, LA Jigger, LA Jones, LA Jonesboro, LA Jonesville, LA Joyce, LA – K – Cities in Louisiana that begin with the letter “K”. Kaplan, LA Keatchie, LA Keithville, LA Kelly, LA Kenner, LA Kentwood, LA Kilbourne, LA Killona, LA Kinder, LA Kraemer, LA Krotz Springs, LA Kurthwood, LA – L – Cities in Louisiana that begin with the letter “L”. La Place, LA Labadieville, LA Labarre, LA Lacamp, LA Lacassine, LA Lacombe, LA Lafayette, LA Lafitte, LA Lake Arthur, LA Lake Charles, LA Lake Providence, LA Lakeland, LA Laplace, LA Larose, LA Lawtell, LA Lebeau, LA Leblanc, LA Lecompte, LA Leesville, LA Lena, LA Leonville, LA Lettsworth, LA Libuse, LA Lillie, LA Lisbon, LA Livingston, LA Livonia, LA Lockport, LA Logansport, LA Longleaf, LA Longstreet, LA Longville, LA Loranger, LA Loreauville, LA Lottie, LA Luling, LA Lutcher, LA Lydia, LA – M – Cities in Louisiana that begin with the letter “M”. Madisonville, LA Mamou, LA Mandeville, LA Mangham, LA Mansfield, LA Mansura, LA Many, LA Maringouin, LA Marion, LA Marksville, LA Marrero, LA Marthaville, LA Mathews, LA Maurepas, LA Maurice, LA McNary, LA Melrose, LA Melville, LA Mer Rouge, LA Meraux, LA Mermentau, LA Merryville, LA Metairie, LA Milton, LA Minden, LA Mittie, LA Modeste, LA Monroe, LA Montegut, LA Monterey, LA Montgomery, LA Mooringsport, LA Mora, LA Moreauville, LA Morgan City, LA Morganza, LA Morrow, LA Morse, LA Mount Airy, LA Mount Hermon, LA – N – Cities in Louisiana that begin with the letter “N”. Napoleonville, LA Natalbany, LA Natchez, LA Natchitoches, LA Negreet, LA New Iberia, LA New Orleans, LA New Roads, LA New Sarpy, LA Newellton, LA Newllano, LA Noble, LA Norco, LA Norwood, LA – O – Cities in Louisiana that begin with the letter “O”. Oak Grove, LA Oak Ridge, LA Oakdale, LA Oberlin, LA Oil City, LA Olla, LA Opelousas, LA Oscar, LA Otis, LA – P – Cities in Louisiana that begin with the letter “P”. Paincourtville, LA Palmetto, LA Paradis, LA Patterson, LA Paulina, LA Pearl River, LA Pelican, LA Perry, LA Pierre Part, LA Pilottown, LA Pine Grove, LA Pine Prairie, LA Pineville, LA Pioneer, LA Pitkin, LA Plain Dealing, LA Plaquemine, LA Plattenville, LA Plaucheville, LA Pleasant Hill, LA Pointe A La Hache, LA Pollock, LA Ponchatoula, LA Port Allen, LA Port Barre, LA Port Sulphur, LA Powhatan, LA Prairieville, LA Pride, LA Princeton, LA Provencal, LA – Q – Cities in Louisiana that begin with the letter “Q”. Quitman, LA – R – Cities in Louisiana that begin with the letter “R”. Raceland, LA Ragley, LA Rayne, LA Rayville, LA Reddell, LA Reeves, LA Reserve, LA Rhinehart, LA Ringgold, LA Roanoke, LA Robeline, LA Robert, LA Rodessa, LA Rosedale, LA Roseland, LA Rosepine, LA Rougon, LA Ruby, LA Ruston, LA – S – Cities in Louisiana that begin with the letter “S”. Saint Amant, LA Saint Benedict, LA Saint Bernard, LA Saint Francisville, LA Saint Gabriel, LA Saint James, LA Saint Joseph, LA Saint Landry, LA Saint Martinville, LA Saint Maurice, LA Saint Rose, LA Saline, LA Sarepta, LA Schriever, LA Scott, LA Shongaloo, LA Shreveport, LA Sibley, LA Sicily Island, LA Sieper, LA Sikes, LA Simmesport, LA Simpson, LA Simsboro, LA Singer, LA Slagle, LA Slaughter, LA Slidell, LA Sondheimer, LA Sorrento, LA South Mansfield, LA Spearsville, LA Springfield, LA Springhill, LA Starks, LA Start, LA Sterlington, LA Stonewall, LA Sugartown, LA Sulphur, LA Summerfield, LA Sun, LA Sunset, LA Sunshine, LA Swartz, LA – T – Cities in Louisiana that begin with the letter “T”. Talisheek, LA Tallulah, LA Tangipahoa, LA Taylor, LA Theriot, LA Thibodaux, LA Tickfaw, LA Tioga, LA Torbert, LA Transylvania, LA Trout, LA Tullos, LA Tunica, LA Turkey Creek, LA – U – Cities in Louisiana that begin with the letter “U”. Uncle Sam, LA Urania, LA – V – Cities in Louisiana that begin with the letter “V”. Vacherie, LA Venice, LA Ventress, LA Verda, LA Vidalia, LA Ville Platte, LA Vinton, LA Violet, LA Vivian, LA – W – Cities in Louisiana that begin with the letter “W”. Wakefield, LA Walker, LA Washington, LA Waterproof, LA Watson, LA Welsh, LA West Monroe, LA Westlake, LA Westwego, LA Weyanoke, LA White Castle, LA Wildsville, LA Wilson, LA Winnfield, LA Winnsboro, LA Wisner, LA Woodworth, LA – Y – Cities in Louisiana that begin with the letter “Y”. Youngsville, LA – Z – Cities in Louisiana that begin with the letter “Z”. Zachary, LA Zwolle, LA
Source: medicaresupplementsolutions.com

eQHealth Solutions, The Medicare Quality Improvement Organization for Louisiana

eQHealth Solutions, is a leader in medical management, directing a broad array of health care contracts. These health care quality initiatives improve the lives of millions of citizens in Louisiana, Illinois, Mississippi and Florida. As the Medicare Quality Improvement Organization in Louisiana, eQHealth Solutions has been helping providers improve health care for more than 25 years. Louisiana Medicare beneficiaries are safer, healthier and more independent as a result. Read about the health care quality improvements achieved in Louisiana just in the past few years.
Source: eqhs.org

Louisiana Medicaid, Medicare & Waiver Experts

Southern Ingenuity, Inc. specializes in Louisiana Medicaid, DHH, Waivers, NOW, LTPCS, CC and more. One of the first Waiver providers in Louisiana, we concentrate on assuring the most up to date information and hometown services you can count on. For more information on Louisiana Medicaid, Medicare and Waiver Services, please click the button below.
Source: southerningenuityinc.com

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

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Source: medicare.gov

Department of Health & Hospitals

The Medicare Catastrophic Coverage Act of 1988 added a limited range of Medicaid benefits to a group of eligible persons called Qualified Medicare Beneficiaries (QMB). In 1990, Congress increased Medicare cost-sharing amounts to a group called Specified Low-Income Medicare Beneficiaries (SLMB).  There is also a group know as Qualified Individuals (QI-1). People in these groups who have Medicare Hospital Insurance (Part A) and income and resources that place them in one of these three groups can receive help with the payment of their Medicare premiums and, in some cases, their deductibles & co-payments for the Medicare Prescription Drug Plan (Medicare Part D).
Source: louisiana.gov

Medicare Supplement Plan F

Posted by:  :  Category: Medicare

Medicare Supplement Plan F may offer expansive coverage, but it does not cover everything. Under Plan F, beneficiaries are still required to pay their Medicare Part B premium payments each month. Additionally, it is possible to have Medicare Part A without a monthly premium if the beneficiary has worked and paid Social Security taxes for at least 40 calendar quarters (10 years). Otherwise, a monthly premium for Part A coverage is also required. These costs are not covered under Medicare Supplement Plan F.
Source: ehealthinsurance.com

Compare Medicare Advantage & Supplemental Plans

Medicare Advantage insurance is offered by private insurance companies with a Medicare contract, and replaces Original Medicare Part A and Part B. You must continue to pay your Part B premiums. Medicare Advantage plans typically offer additional benefit options and have less cost-sharing than Original Medicare, and you may have to pay a monthly premium in return for the extra benefits. Medicare Advantage plans come in a variety of formats, such as HMO, PPO and PFFS plans, as well as special needs plans. Medicare beneficiaries can enroll in Medicare Advantage plans if they have Medicare Part A and Part B, but only during designated enrollment periods. These enrollment periods change from time-to-time, so please call us to get the most-up-to-date information.
Source: medicaresolutions.com

Medicare Supplement Plan F

Out of the 10 standardized Medicare Supplemental Insurance (Medigap) plans, Plan F is the most popular option. It offers the most benefits compared to other alternatives and is considered a first-dollar coverage plan. Because Original Medicare (Part A and Part B) only covers certain hospital and medical expenses, Medigap Plan F covers the remaining expenses and leaves beneficiaries with little to no out-of-pocket expenses. Beneficiaries should be aware that, as the most comprehensive Medigap plan, Plan F is often more expensive than other Medigap plans that offer fewer benefits.
Source: planprescriber.com

Medicare Supplement Plan F

* A benefit period begins on the first day you receive services as an inpatient in a hospital and ends after you have been out of the hospital and have not received skilled care in any other facility for 60 days in a row. ** NOTICE: When your Medicare Part A hospital benefits are exhausted, the insurer stands in the place of Medicare and will pay whatever amount Medicare would have paid for up to an additional 365 days as provided in the policy’s “Core Benefits.” During this time the hospital is prohibited from billing you for the balance based on any difference between its billed charges and the amount Medicare would have paid.
Source: bcbsil.com

Sterling Medicare Supplemental Insurance Reviews

Posted by:  :  Category: Medicare

Sterling Option #1 is the first Medicare Advantage plan that allows holders to combine Medicare Supplemental Services and traditional Medicare. This ultimately translates into seeing your physician and allowing the bill to be sent to Sterling. Sterling will pay the bill and Medicaid will be notified of their portion, which then pays Sterling. This subsequently saves lots of time and headaches with filing claims with Medicaid and Sterling. Sterling basically handles everything while making the process as simple as possible for you. Your only concern will be paying the premiums for your Sterling Medicare Supplemental Insurance plan as well as for the Medicare Part B plan.
Source: ihealthcoalition.org

Hospice care coverage in Part A

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Source: medicare.gov

Sterling Investors Life Insurance Company

For over 30 years Sterling Investors has offered quality life and health insurance products that provide affordable insurance solutions to seniors. Our products include Medicare Supplement Insurance, Convalescent Care Insurance and Cancer Indemnity Insurance to help you cope with the ever-rising costs of medical care and treatment. We also offer Life Insurance to give you and your loved ones the peace and security for your final expenses and financial planning.
Source: sterlinginvestors.com

Content management system

Posted by:  :  Category: Medicare

The function and use of content management systems is to store and organize files, and provide version-controlled access to their data. CMS features vary widely. Simple systems showcase a handful of features, while other releases, notably enterprise systems, offer more complex and powerful functions. Most CMS include Web-based publishing, format management, revision control (version control), indexing, search, and retrieval. The CMS increments the version number when new updates are added to an already-existing file. Some content management systems also support the separation of content and presentation.
Source: wikipedia.org

Content Management Software Review 2014

Commerce & Business Add-Ons Content management systems are designed to help take your small business website to the next level. While simple web creation software can help you get a quick, informational site up, CMS software helps you incorporate important eCommerce tools, such as shopping carts and point-of-sale systems. You can also incorporate a customized help desk, live chat and inventory management. The best content management systems can track affiliate income including ad clicks on your site and third-party vendors that sell your products. Because you use your own source code to create your website, all of the functions, layouts and information on your site are unique, reflecting the theme, color and feel of your company.
Source: toptenreviews.com

Coventry Medicare: Advantra (HMO/PPO)

Posted by:  :  Category: Medicare

Whether you are an employer, health care provider, someone interested in enrolling, or already a current member, our goal is to provide you with valuable and convenient online resources and information. Come explore the ways in which we can help you take charge of your Medicare Advantage coverage.
Source: coventryhealthcare.com

Coventry Medicare: Advantra Plans

Our Medicare Advantage plans are open to all Medicare beneficiaries eligible by age or disability and living in the plan’s service area. You must be entitled to Medicare benefits under Part A and be enrolled in Part B. You must continue to pay your Medicare Part B premium if not otherwise paid for under Medicaid or by another third party. If you switch to premium withhold or move from premium withhold to direct bill, it can take up to three months for the switch to take effect. You will be held responsible for those premiums.  You may enroll during specific times of the year. You cannot enroll in this plan if your current or former employer helps pay for your drugs.  For information on enrollment periods and for full information on Coventry benefits, please click here to contact our Customer Service Department.
Source: coventryhealthcare.com

Texas Medicare Advantage & Part D Plans

To honor our commitment to your health and welfare, we would now like to take the time to encourage you to obtain an initial preventive health checkup during the first three months of your initial enrollment into Advantra and annually thereafter. This checkup includes blood pressure, diabetes, colorectal, mammography (if you are female) and other preventive tests necessary to detect any early signs of conditions that may require immediate correction. IF you already have conditions that are under treatment, this provides your doctor the opportunity to reevaluate your overall treatment including the medications you are currently taking. If you are interested in a formulary drug that is lower in copay but is equally effective, consult your doctor. Click here for the Advantra Formulary.
Source: coventryhealthcare.com

Advantra Silver (PPO) 2014

The plan offers national in-network prescription coverage (i.e., this would include 50 states and the District of Columbia). This means that you will pay the same cost-sharing amount for your prescription drugs if you get them at an in-network pharmacy outside of the plan’s service area (for instance when you travel). Total yearly drug costs are the total drug costs paid by both you and a Part D plan. The plan may require you to first try one drug to treat your condition before it will cover another drug for that condition. Some drugs have quantity limits. Your provider must get prior authorization from Advantra Silver (PPO) for certain drugs. The plan will pay for certain over-the-counter drugs as part of its utilization management program. Some over-the-counter drugs are less expensive than prescription drugs and work just as well. Contact the plan for details. You must go to certain pharmacies for a very limited number of drugs, due to special handling, provider coordination, or patient education requirements that cannot be met by most pharmacies in your network. These drugs are listed on the plan’s website, formulary, printed materials, as well as on the Medicare Prescription Drug Plan Finder on Medicare.gov. If the actual cost of a drug is less than the normal cost-sharing amount for that drug, you will pay the actual cost, not the higher cost-sharing amount. If you request a formulary exception for a drug and Advantra Silver (PPO) approves the exception, you will pay Tier 4: Non-Preferred Brand cost sharing for that drug. In-Network $0 deductible. Initial Coverage You pay the following until total yearly drug costs reach $2,850: Retail Pharmacy Contact your plan if you have questions about cost-sharing or billing when less than a one-month supply is dispensed. You can get drugs from a preferred and non-preferred pharmacy the following way(s): Tier 1: Preferred Generic
Source: healthpocket.com

Advantra Preferred (PPO) 2014

The plan offers national in-network prescription coverage (i.e., this would include 50 states and the District of Columbia). This means that you will pay the same cost-sharing amount for your prescription drugs if you get them at an in-network pharmacy outside of the plan’s service area (for instance when you travel). Total yearly drug costs are the total drug costs paid by both you and a Part D plan. The plan may require you to first try one drug to treat your condition before it will cover another drug for that condition. Some drugs have quantity limits. Your provider must get prior authorization from Advantra Preferred (PPO) for certain drugs. The plan will pay for certain over-the-counter drugs as part of its utilization management program. Some over-the-counter drugs are less expensive than prescription drugs and work just as well. Contact the plan for details. You must go to certain pharmacies for a very limited number of drugs, due to special handling, provider coordination, or patient education requirements that cannot be met by most pharmacies in your network. These drugs are listed on the plan’s website, formulary, printed materials, as well as on the Medicare Prescription Drug Plan Finder on Medicare.gov. If the actual cost of a drug is less than the normal cost-sharing amount for that drug, you will pay the actual cost, not the higher cost-sharing amount. If you request a formulary exception for a drug and Advantra Preferred (PPO) approves the exception, you will pay Tier 4: Non-Preferred Brand cost sharing for that drug. In-Network $0 deductible. Initial Coverage You pay the following until total yearly drug costs reach $2,850: Retail Pharmacy Contact your plan if you have questions about cost-sharing or billing when less than a one-month supply is dispensed. You can get drugs from a preferred and non-preferred pharmacy the following way(s): Tier 1: Preferred Generic
Source: healthpocket.com

Medicare Advantage Plans By State, Plan Comparison

Coventry Health Care* is a Coordinated Care plan with a Medicare contract. Enrollment in our plans depends on contract renewal. Coventry Health Plan of Florida, Inc. also has a contract with the Florida state Medicaid program. Coventry Health Care of Missouri has contracts with the Missouri state Medicaid program. HealthAmerica also has a contract with the Pennsylvania state Medicaid program. The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan. Limitations, copayments, and restrictions may apply. Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next. Our dual-eligible Special Needs Plans (DSNPs) are available in Florida, Missouri and Pennsylvania to anyone who has both Medical Assistance from the state and Medicare. Premiums, copays, coinsurance and deductibles may vary based on the level of Extra Help that you receive. Please contact the plan for further details. Our dual-eligible Special Needs Plans (DSNPs) are available to anyone who has both Medical Assistance from the State and Medicare. You must continue to pay your Medicare Part B premium. The Part B premium is covered for full-dual members where DSNP plans are available. This information is available for free in other languages. Please call Coventry Health Care at 1-877-988-3589, 8 a.m. to 8 p.m., seven days, from October 1 – February 14; 8 a.m. to 8 p.m. Monday – Friday, from February 15 – September 30. Medicare beneficiaries may also enroll in Coventry plans through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov. *Coventry Medicare Advantage plans are offered by Coventry Health Care, Inc.’s licensed affiliated companies, which include Altius Health Plans, Inc.; Coventry Health Plan of Florida, Inc.; Coventry Health Care of Georgia, Inc.; Coventry Health Care of Illinois Inc.; Coventry Health Care of Iowa, Inc.; Coventry Health Care of Louisiana, Inc.; Coventry Health Care of Missouri, Inc.; Coventry Health Care of Nebraska, Inc.; Coventry Health and Life Insurance Company; Coventry Health Care of Kansas, Inc.; Coventry Health Care of Texas, Inc.; Coventry Health Care of West Virginia, Inc.; First Health Life & Health Insurance Company; HealthAmerica Pennsylvania, Inc.; and HealthAssurance Pennsylvania, Inc.
Source: coventryhealthcare.com

HealthAmerica/HealthAssurance: Home

Learn more about the Affordable Care Act and what it means to you. View important health care reform information on our corporate site. For existing members, to obtain the terms of your policy or a copy of your plan document, please contact us at the number located on the back of your member ID card. If you are not an existing member, for additional information on the terms of the policy or a copy of the plan document, please contact us using the appropriate number.
Source: coventryhealthcare.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 Addresses Mail Order Waste, Refill Synchronization for 2014

“By January 2014, to make sure you still need a prescription before they send you a refill, prescription drug plans should get your approval to deliver a prescription, new or refill, before each delivery, except when you ask for the refill or request a new prescription. This may be a change for you if you’ve always used mail-order and haven’t had the opportunity to confirm your need for refills. Be sure to give your drug plan the best way to reach you so you don’t miss the refill confirmation call or other communication. The plan won’t automatically ship your refills unless you confirm you still want to get the order. This new policy won’t affect refill reminder programs where you go in person to pick-up the prescription and it won’t apply to long-term care pharmacies that give out and deliver prescription drugs.”
Source: wordpress.com

Medicare: MSPRC New Address & Fax

This Blog/Web Site is made available by the publisher for educational purposes only as well as to give you general information and a general understanding of the law, not to provide specific legal advice. By using this blog site you understand that there is no attorney client relationship between you and the Blog/Web Site publisher. The Blog/Web Site should not be used as a substitute for competent legal advice from a licensed professional attorney in your state.
Source: wordpress.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

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

UnitedHealthcare Health Insurance

Insurance products and services offered are underwritten by All Savers Insurance Company, Health Plan of Nevada, Inc., UnitedHealthcare Community Plan, Inc., UnitedHealthcare Insurance Company, UnitedHealthcare of Alabama, Inc., UnitedHealthcare of Florida, Inc., UnitedHealthcare of Louisiana, Inc., UnitedHealthcare of the Mid-Atlantic, Inc., UnitedHealthcare of the Midwest, UnitedHealthcare of Mississippi, Inc., UnitedHealthcare of New England, Inc.,  UnitedHealthcare of New York, Inc., UnitedHealthcare of North Carolina, Inc., UnitedHealthcare of Ohio, Inc., UnitedHealthcare of Pennsylvania, Inc., Oxford Health Plans (NJ), Inc.
Source: uhc.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

Extra Help with Medicare Prescription Drug Plan Costs

Medicare beneficiaries can qualify for Extra Help with their Medicare prescription drug plan costs. The Extra Help is estimated to be worth about $4,000 per year. To qualify for the Extra Help, a person must be receiving Medicare, have limited resources and income, and reside in one of the 50 States or the District of Columbia.
Source: ssa.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

Senior Health Insurance Information Program

The Senior Health Insurance Information Program helps Medicare beneficiaries better understand their Medicare coverage options and benefits. Counselors help seniors make informed decisions by providing free and unbiased guidance via telephone and face-to-face interactive sessions.
Source: la.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

Illinois Medicare Advantage and Medicare Supplement Plans 2012

Mini-COBRA Policies (Small Group) Federal Law requires large businesses to provide health insurance for their former employees up to eighteen months after a split. In most cases, smaller businesses (2-19 employees) are required to cover their employees—mini-Cobra policies. However each state has different eligibility for these “mini-Cobra” companies. In Illinois, the law requires smaller businesses to cover past employees for twenty-four months. It also covers those who are fifty-five and older until they are eligible for Medicare.
Source: medicaresolutions.com

Illinois Consumer Assistance

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