Medicare Supplemental Insurance

Posted by:  :  Category: Medicare

Finding the best Medicare Supplemental insurance, Medicare Advantage, and Medicare Part D has gotten more complicated nearly every year. In 2010 Medicare Supplement Insurance added 2 new plans Medigap plan N and Medigap Plan M. At the same time they eliminated several other Medicare Supplement options. Medicare Advantage insurance plans redefine benefits and premiums every year. And, with future Medicare subsidies uncertain due to changing regulation from healthcare reform who can keep up. For many individuals Medicare Supplement Insurance is becoming the best option. Unfortunately, comparing Medicare Supplemental Insurance Plan premiums (Medigap) and Medicare Advantage plans can be a time consuming endeavor. Our highly trained insurance advisors can explain all of your supplemental Insurance options, and assist in finding the best Medicare supplement and Medicare Part D combination that best fits your specific needs. With all the options affecting Supplement insurance and Part D it makes sense to have an expert assist you through the maze.
Source: mysenioradvisorsgroup.com

Medicare Advantage Plans Information and Quotes

Most Advantage plans also cover prescriptions. Medicare rarely does.  If you drop a Medigap plan that covered your prescriptions to switch to an Advantage plan, you would not be able to switch back.  Although you may keep a Medigap plan that covers prescriptions, you can no longer join one.   If you drop an Advantage plan that has prescription coverage, you’d need a Part D prescription drug plan to replace it.
Source: medigapadvisors.com

Free Quotes On Medicare Supplemental Plans

"My experience with MediGap Advisors has been excellent primarily due to the efforts of my agent, Jim Kinert. Jim spends considerable time with me in order to provide the single best coverage I could have ever hoped for. He is an exceptional representative of your organization, far surpassing my expectations by making the entire process easy to understand and easy to actuate. Rarely have I dealt with a salesperson that has made me feel that he had my best interests at heart. I have never particularly enjoyed the prospect of obtaining insurance of any kind, but Jim’s approach gave me a great sense of confidence that I was doing business with the right man and the right company. Jim’s winning personality, in-depth knowledge, and lack of high pressure sales tactics convinced me to do business with you."
Source: medigapadvisors.com

Compare Medicare Supplement Insurance Plans, Rates and Quotes

If you are turning 65 soon and you are new to Medicare Supplement Plans and Part A and Part B, then you probably have a lot of questions that you need answers.  Our current clients know us by our ability to articulate complex Medicare issues and discuss them so that anyone can easily understand.  All of your questions are important to us.  In order to view, compare and select Medicare Supplement, dental, vision, hearing and Medicare Part D plans and benefits that are appropriate for you, complete the Get Quotes sections above.  We are available for a free phone consultation to answer your questions in a professional manner so that you understand.  It’s never too early for Retirement Planning. Complete the Get Quotes form and get a Medicare Insurance Report so that you are able to quickly and easily understand your options.
Source: medicaresupplementaladvisors.com

Your Medicare Advisor Archives

The annual Medicare open-enrollment period has begun, and there’s plenty of room for mistakes when choosing among hundreds of policies. Consumers could end up paying too much for a plan that doesn’t cover what they need, according to the National Council… Read More
Source: amac.us

Medicare and Medicaid Eligibility

i receive SSD they take around 75.00 a month out for part D and I do receive the extra help. But as of 2014 I have to now also pay co payments on my medicines. After part D is deducted I receive 850.30 a month. I am now on Medicare but it only pays 80% of other medical such as dr and hospital. 22.00 to 27.00 also comes out of that for medicine co pays. Then I also have the other 20% I have to pay my Dr. That I see once a month. I have found an apt for 695.00 that includes utilities. And 99.00 in food stamps. Apt not in real good area . And I cannot walk without a walker . I am 63 years old. Live alone is there any recourse that I have for any kind of supplements. Also have heart decease and now my teeth are in really bad shape and need new glasses. Is there any such program to get more help or supplements?
Source: disabilityadvisor.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

How Original Medicare works

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Source: medicare.gov

Blue Cross Blue Shield Medicare Plans

Posted by:  :  Category: Medicare

In 1985, Blue Cross and Blue Shield led a surge to improve the effectiveness and efficiency of the healthcare industry. The Technology Evaluation Center was developed to provide assistance to healthcare decision makers. The program was designed to improve decisions made in healthcare by professionals and users. To assist in this matter, the Technology Evaluation Center conducts an objective and scientifically meticulous assessment of different aspects of the healthcare system, including, but not limited to diagnoses, treatments, health management, and the prevention of disease.
Source: medicaresolutions.com

Blue Cross Blue Shield Medicare Coverage

In order for medical services to be considered for payment by Medicare, doctors, hospitals and other health care providers that are approved by Medicare must be used. Always check with your doctor or other health care providers to make sure he or she is Medicare-approved.
Source: bcbstx.com

About the Blue Cross and Blue Shield Association

Are you purchasing health insurance for the first time?  Want to learn more about how the new Healthcare Law might impact you and your family?  We can help you choose the right plan at the right cost.  Start now with AskBlue.
Source: bcbs.com

Blue Cross and Blue Shield of Alabama Medicare Plans

Blue Advantage (PPO) is a Medicare Advantage type plan and is an excellent choice if you want the value and convenience of having your medical benefits and prescription drug coverage together in one affordable health plan. When you consider the comprehensive benefits, plus the strength and stability of Blue Cross and Blue Shield of Alabama. It’s no wonder more Alabamians choose Blue Advantage (PPO) than any other Medicare Advantage plan in the state!* Plans like Blue Advantage (PPO) generally cover you for more services and have lower out-of-pocket costs than Original Medicare. Many Medicare Advantage plans, including Blue Advantage (PPO), combine prescription drug benefits with Part A and Part B benefits to give you more comprehensive coverage. Both Blue Advantage Complete (PPO) and Blue Advantage Premier (PPO) provide valuable medical, hospital and prescription drug benefits in one easy-to-use plan. These plans use a network of providers, but you’re free to use any doctors, specialists or hospitals you choose. **
Source: online-health-insurance.com

Blue Cross Blue Shield (BCBS) Health Insurance in North Carolina

Medicare only covers some of your medical costs. That’s why Blue Cross and Blue Shield of North Carolina (BCBSNC) offers dependable Medicare supplement plans for Medicare beneficiaries to help lessen the worries over costs for those covered services that Medicare doesn’t pay for. Choose from our 11
Source: ncmedicarecoverage.com

Blue Cross Blue Shield Medicare Coverage

Your Medicare identification (ID) card will be red, white and blue and will show your effective dates for Medicare Part A (hospital) and Part B (medical). Your effective date for both Parts A and B will most often be the same date, which will usually be the first day of the month in which you turn 65. However, if you are born on the first day of the month, your coverage will be effective one month earlier.
Source: bcbstx.com

Extra Help with Medicare Prescription Drug Plan Costs

Posted by:  :  Category: Medicare

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: socialsecurity.gov

Find your level of Extra Help (Part D)

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Source: medicare.gov

I need or get Extra Help / Medicaid

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Source: medicare.gov

Extra Help for Medicare Prescription Drug Program – About Extra Help for the Medicare Prescription Drug Program

Why Apply Online? Social Security’s online application for Extra Help is secure and offers several advantages. It takes you through the process, step by step, with a series of self-help screens. The screens will tell you what information you need to complete the application and will guide you in answering the questions fully. You can apply from any computer at your own pace. You can start and stop at any time during the process, so you can leave the application and go back later to update or complete any of the required information. More Information? For more information about getting Extra Help with your Medicare prescription drug plan costs, visit www.socialsecurity.gov or call Social Security at 1-800-772-1213 (TTY 1-800-325-0778) . Social Security representatives are available to help you complete your application.
Source: about.com

Extra Help with Medicare Prescription Drug Plan Cost Forms and Publications

Appeal the decision we made about your eligibility for Extra Help by completing an Appeal of Determination for Extra Help with Medicare Prescription Drug Plan Costs (SSA-1021) in English or Español. Find Instructions for Completing the Appeal form in English or Español.
Source: ssa.gov

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

Posted by:  :  Category: Medicare

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Source: medicare.gov

Medicare Rights University

Welcome to Medicare Rights University, a collection of courses and resources for those who want a clear path to learning Medicare. Medicare Rights University (MRU) is a product of the Medicare Rights Center, a national, non-profit organization that works to ensure access to affordable health care for older adults and people with disabilities. Please take a look at the video below to learn more about MRU.
Source: medicarerightsuniversity.org

Texas Medicaid/CHIP Vendor Drug Program

Posted by:  :  Category: Medicare

On February 1, 2015, VDP will change the fee-for-service (FFS) Medicaid reimbursement methodology for calculating the ingredient cost of pharmacy claims paid to eligible health care organizations participating in the Health Resources and Services Administration (HRSA) 340B Drug Pricing Program.  More about the 340B reimbursement changes.
Source: txvendordrug.com

Texas Medicaid Program: Client Information

Call the Civil Rights Office at 1-888-388-6332 (toll-free) if you weren’t treated fairly (discriminated against) because of race, color, national origin, sex, age, disability, religion, or political beliefs.
Source: tx.us

Texas Healthcare Transformation and Quality Improvement Program Medicaid 1115 Waiver

Under managed care, the state pays a set fee each month to a health plan to provide care for a Medicaid client, who selects a primary doctor from the plan’s network to coordinate his or her care. This emphasizes more coordinated and efficient patient treatment. Federal rules generally mean that states that expand managed care will see a reduction in funding to hospitals under the Medicaid Upper Payment Limit program. This five-year waiver will allow for both, enabling Texas to continue receiving these federal funds while allowing for an expansion of managed care. Hospitals providing care to uninsured patients will continue to receive funding to care for them, as well as physician, clinic and other services, and traditional inpatient costs. [Read the full THHS Release]
Source: utmb.edu

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

Ask A Medical Biller: Medicare Interactive Voice Response IVR phone numbers by State

Medicare IVR State 866-539-5598 866-539-5598 Medicare Part A and B IVR phone number for Alabama 866-277-7287 877-908-8431 Medicare Part A and B IVR phone number for Alaska 866-277-7287 877-908-8431 Medicare Part A and B IVR phone number for Arizona 877-207-4251 877-908-8434 Medicare Part A and B IVR phone number for Arkansas 866-277-7287 877-591-1587 Medicare Part A and B IVR phone number for N California 866-277-7287 866-502-9054 Medicare Part A and B IVR phone number for S California 866-839-2441 877-908-8431 Medicare Part A and B IVR phone number for Colorado 877-567-7205 866-419-9458 Medicare Part A and B IVR phone number for Connecticut 877-567-7205 877-391-2610 Medicare Part A and B IVR phone number for Delaware 866-488-0545 877-391-2610 Medicare Part A and B IVR phone number for District of Columbia 877-602-8816 877-847-4992 Medicare Part A and B IVR phone number for Florida 800-560-6170 877-567-7271 Medicare Part A and B IVR phone number for Georgia 866-380-4745 877-908-8431 Medicare Part A and B IVR phone number for Guam 866-277-7287 877-908-8431 Medicare Part A and B IVR phone number for Hawaii 866-277-7287 866-502-9051 Medicare Part A and B IVR phone number for Idaho 877-309-4290 877-908-9499 Medicare Part A and B IVR phone number for Illinois 866-419-9462 866-250-5665 Medicare Part A and B IVR phone number for Indiana 877-567-3092 866-502-9057 Medicare Part A and B IVR phone number for Iowa 866-839-2443 877-567-7270 Medicare Part A and B IVR phone number for Kansas 866-289-6501 866-250-5665 Medicare Part A and B IVR phone number for Kentucky 877-567-3097 877-567-7204 Medicare Part A and B IVR phone number for Louisiana 866-275-7396 877-567-3129 Medicare Part A and B IVR phone number for Maine 866-488-0545 866-539-5591 Medicare Part A and B IVR phone number for Maryland 866-275-7396 877-567-3130 Medicare Part A and B IVR phone number for Massachusetts 866-275-3033 877-567-7201 Medicare Part A and B IVR phone number for Michigan 866-275-3033 877-908-8470 Medicare Part A and B IVR phone number for Minnesota 877-567-3097 866-419-9454 Medicare Part A and B IVR phone number for Mississippi 877-567-3097 866-539-5599 Medicare Part A and B IVR phone number for Missouri 877-567-7202 877-567-7203 Medicare Part A and B IVR phone number for Montana 877-869-6503 866-839-2438 Medicare Part A and B IVR phone number for Nebraska 866-277-7287 877-908-8431 Medicare Part A and B IVR phone number for Nevada 866-275-7396 866-539-5595 Medicare Part A and B IVR phone number for New Hampshire 866-275-3033 877-567-9235 Medicare Part A and B IVR phone number for New Jersey 877-391-2610 877-567-9230 Medicare Part A and B IVR phone number for New Mexico 877-567-7205 877-567-7173 Medicare Part A and B IVR phone number for New York 800-560-6170 866-238-9651 Medicare Part A and B IVR phone number for North Carolina 866-380-4741 877-908-8431 Medicare Part A and B IVR phone number for North Dakota 877-908-8431 Medicare Part A and B IVR phone number for Northern Marianna Islands 866-289-6501 877-567-9232 Medicare Part A and B IVR phone number for Ohio 877-567-3094 877-567-9230 Medicare Part A and B IVR phone number for Oklahoma 866-277-7287 877-908-8431 Medicare Part A and B IVR phone number for Oregon 800-560-6170 866-488-0548 Medicare Part A and B IVR phone number for Pennsylvania 866-275-3033 877-715-1921 Medicare Part A and B IVR phone number for Puerto Rico 866-275-7396 877-846-2820 Medicare Part A and B IVR phone number for Rhode Island 877-272-5786 866-238-9654 Medicare Part A and B IVR phone number for South Carolina 877-567-3092 877-908-8431 Medicare Part A and B IVR phone number for South Dakota 877-296-6189 866-502-9056 Medicare Part A and B IVR phone number for Tennessee
Source: blogspot.com

Medicare Fee Schedule, Payment and Reimbursement Benefit Guideline, CPT Code Billing: Medicare claim submission and phone numbers for all states

MedicarePaymentandReimbursement.com provides Medicare Payments, Billing Guidelines, Fees Schedules 2010, Medicare Eligibility, 2011 Medicare Deductibles, Allowables, CPT Codes for Medicare, Phone Number, Hearing Aids, Denial, Address, Medicare Appeal, PQRI, EOB, Medicare and Medicaid Services.
Source: medicarepaymentandreimbursement.com

Spouses, Children, and Surviving Family Benefits

Posted by:  :  Category: Medicare

Although President Reagan designated the Grenada campaign as a period of hostilities, a federal court invalidated it entirely because, in contravention of statutory guidelines for such designations, the executive order attempted to limit the expedited naturalization benefit to persons who served in certain geographic areas and the record showed that the President would not have designated the campaign as a period of hostilities without the geographic limitations​
Source: uscis.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

Number of Medicare Patients

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Source: medicare.gov

Medicare Part D coverage gap

Posted by:  :  Category: Medicare

In 2006, the first year of operation for Medicare Part D, the donut hole in the defined standard benefit covered a range in true out-of-pocket expenses (TrOOP) costs from $750 to $3,600. (The first $750 of TrOOP comes from a $250 deductible phase, and $500 in the initial coverage limit, in which the Centers for Medicare and Medicaid Services (CMS) covers 75 percent of the next $2,000.) In the first year of operation, there was a substantial reduction in out-of-pocket costs and a moderate increase in medication utilization among Medicare beneficiaries, although there was no evidence of improvement in emergency department use, hospitalizations, or preference-based health utility for those eligible for Part D.
Source: wikipedia.org

What is the Medicare Donut Hole?

This means that while enrollees are in the doughnut hole, the coverage gap can amount to thousands of dollars. In other words, while in the doughnut hole enrollees must pay 100% of the retail cost of their drugs until they have spent a set amount. Some PDPs offer minimal coverage on things like generic drugs while enrollees are in the doughnut hole, though these types of plans will usually charge a higher monthly premium. Once an enrollee reaches the total out-of-pocket limit during the coverage gap, they are bumped into "catastrophic coverage." Catastrophic coverage guarantees that once an enrollee has spent up to his or her plan’s out-of-pocket limit for covered prescriptions the person will only pay a nominal coinsurance fee or copayment for their drugs for the rest of the year. This works out to the enrollee paying about 5% of subsequent drug costs after the doughnut hole, their plan paying about 15%, and Medicare covering about 80%.
Source: medicaresolutions.com

Medicare Doughnut Hole Definition

A range of total prescription drug spending in the Medicare Part D program where all of the costs must be covered out-of-pocket. As a result of the Medicare doughnut hole, Medicare Part D participants are forced to choose between paying higher insurance premiums, or potentially paying thousands of dollars out-of-pocket to bridge the coverage gap. Many lower-income participants in Medicare are unable to afford either option.
Source: investopedia.com

Medicare Part D Doughnut Hole Is a Gap in Coverage

"If you have high drug costs, you may consider which plans offer additional coverage until you spend $3,600 out-of-pocket. In some plans, if your costs reach an initial coverage limit, then you pay 100% of your prescription costs. This is called the coverage gap. This "gap" in coverage is generally above $2,250 in total drug costs until you spend $3,600 out-of-pocket. Some plans might offer some coverage during the gap. Even in plans where you pay 100% of covered drug costs after a certain limit, you would still pay less for your prescriptions than you would without this drug coverage", according to Medicare.gov.
Source: about.com

Understanding the Medicare Part D Donut Hole

Once you and your Part D drug plan have spent $2,840 for covered drugs, you will be in the donut hole. Previously, you had to pay the full cost of your prescription drugs while in the donut hole. However, in 2011, you get a 50% discount on covered brand-name prescription medications. The donut hole continues until your total out-of-pocket cost reaches $4,550. This annual out-of-pocket spending amount includes your yearly deductible, copayment, and coinsurance amounts.
Source: about.com

Medicare Prescription Drug Coverage Guide: Doughnut Hole Coverage Gap

While in the gap, in 2014 you pay 47.50 percent of the cost of brand-name drugs and 72 percent of generic drugs. (Fifty percent of the discount on brand-name drugs is paid by the companies that manufacture them, and the rest by the federal government. The discount on generic drugs is wholly paid by the federal government.) In subsequent years, these costs will reduce until, by 2020, you pay no more than 25 percent of the cost of any drug in the gap.
Source: aarp.org