Medicare Eligibility Requirements

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

National Parkinson Foundation

Health insurance is of extreme importance to people with Parkinson’s. Some will be fortunate to have health insurance through their place of employment. After the employment relationship has ended, some plans allow those leaving due to disability to maintain their health insurance coverage until eligible for Medicare or until retirement. For others, federal law mandates that employers offer COBRA coverage for 18 months after employment has ended.
Source: parkinson.org

Eligibility for Medicare Card

have applied for a permanent visa (excludes an application for a parent visa), have permission to work in Australia or can prove relationship to an Australian Citizen — other requirements may also apply. Call us for more information
Source: gov.au

Medical Eligibility :: Medicare Recipients

After completing the application, return it to the Department of Social Services office where you live. Please return this form as soon as you complete it so the information is current. If you need assistance completing this application, contact your local DSS office.
Source: sd.gov

Medicare Eligibility Overview

If you are enrolled or are about to enroll in Medicare Parts A and B and decide to add a Medicare supplement plan, a good time to do it is during the Medicare Supplement Open Enrollment Period. This period starts the first month you’re 65 or older and enrolled in Part B. You have a guaranteed right to buy any plan sold in your state during this time, regardless of your health status. Some states have additional Medicare supplement open enrollment periods, including for Medicare beneficiaries under age 65.
Source: medicaremadeclear.com

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

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

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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

Coventry Medicare: Advantra (HMO/PPO)

Whether you are an employer, health care provider, interested in enrolling, or already a 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

SHIIP :: Medicare Advantage

Medicare Advantage plans are offered by private companies which contract with Medicare to provide Medicare Part A, B and sometimes D (prescription drug) benefits. When you enroll in a Medicare Advantage plan you do not lose Medicare, you just get your benefits in a different way. The plans are available to all Medicare beneficiaries except those with end stage renal disease. There are six types of Medicare Advantage plans in Iowa: HMO (health maintenance organization), POS (HMO with a Point of Service option), PPO (preferred provider organization), PPFS (private fee-for-service), SNP (special needs plan), MSA (Medical Savings Account). In addition, a special type of health plan called a “cost plan” is offered in a few counties. Before you enroll in a Medicare Advantage plan it’s important to know the following:
Source: ia.us

Medicare Supplemental Insurance

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

California Health Advocates: Medicare Policy, Advocacy and Education

Posted by:  :  Category: Medicare

Elaine Wong Eakin of California Health Advocates provided oral and written testimony at the White House Conference on Aging. She illuminates the challenges many low and middle income beneficiaries

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 and Social Security Disability Benefits

You can get financial help from Social Security and Medicare if you’re permanently disabled or if you have Lou Gehrig’s disease or kidney failure. To be considered “permanently disabled,” your doctor must confirm that you are unable to work for at least 12 consecutive months. Being “unable to work” means you cannot perform your job functions because of the disability, and you cannot find a new line of work because of age, education, or impairment. You must follow your doctor’s prescribed treatment plan to continue to qualify. It’s a good idea to keep up-to-date medical records.
Source: planprescriber.com

Disability Planner: Medicare Coverage If You’re Disabled

Everyone with Medicare also has access to prescription drug coverage (Part D) that helps pay for medications doctors prescribe for treatment. For more information on the enrollment periods for Part D, we recommend you read Medicare’s "How to get drug coverage" page.
Source: ssa.gov

Social Security Disability Medicare Retirement Laid Bare

, and the SSI program. We provide information on applying for benefits, appealing denials, understanding Medicare, finding a Disability Lawyer, and making the most of your SSI benefits. The information is presented in plain English, without technical jargon.
Source: socialsecuritylaidbare.com

Does Obamacare really cut Medicare Benefits to Senior Citizens?

Posted by:  :  Category: Medicare

“Write your future plans in pencil…” No truer words were spoken. Never did I think as I stood on the stage of my graduation with a Master degree and high honors that my bright future would be abruptly ended by chronic illness and disability. Yet, here I am. You stated in your article “give them the facts. I think we owe them that much”. We do owe “everyone” that much, and here are the facts. As stated by the site created by Medicare itself “It is important to remember that you may need long-term care at any age…people who have a chronic illness or disability”. It is also likely that these people, a great number who will never recover but whom will live a long life, will require the use of a type of Medicare and Medicare Advantage Plan for much longer than a senior citizen. Therefore, to represent this population, I say, yes, Obamacare frightens us. My most recent stint in the hospital, an unplanned and unexpected illness which resulted in temporary kidney damage, could have resulted in death if not for my Medicare and Medicare Advantage Plan. Even though my husband and I teeter on the brink of bankruptcy, like so many of my middle aged peers whom are suddenly unable to work due to disability, more than “sixty-three million people”, we are still able to AFFORD a medicare advantage plan. Unlike many of my peers who not only cannot afford one, but also cannot even get Medicare due to stringent rules and a long waiting line for court dates. My week long hospital stay, plus home care and rehab resulted in full recovery of my kidney function, and also a bill for nearly $50,000 which was covered primarily by Medicare and then my Medicare Advantage Plan. If not for these programs, I would have died as my husband and I are broke as a result of medical bills not covered by these two entities. This is what terrifies many Americans, disabled and elderly, who live with chronic and disabling illness. We must remember Obamacare may decide not only the future of the elderly who would like to join a gym, but the future of people of ALL ages and their families whom even under the current guidelines are struggling to SURVIVE. Yes, I am here in the trenches with so many struggling to survive with chronic illness in a country that may decided I am not worthy to do so. I think I am owed more at this juncture in my life, after all of the good I contributed to this society, than to die unnecessarily due to the financial inconvenience it may cause. We must REMEMBER them, and I, for one, think we “owe them that much”. “Lest we forget…” http://www.medicare.gov/longtermcare/static/home.asp http://content.healthaffairs.org/content/28/1/64.full
Source: forbes.com

Medicare Sustainable Growth Rate

Section 101 of the Tax Relief and Health Care Act of 2006 (MIEA-TRHCA) provided a 1-year update of 0% for the conversion factor for CY 2007 and specified that the conversion factor for CY 2008 must be computed as if the 1-year update had never applied. Section 101 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (MMSEA) provided a 6-month increase of 0.5% in the CY 2008 conversion factor, from January 1, 2008, through June 30, 2008, and specified that the conversion factor for the remaining portion of 2008 and the conversion factors for CY 2009 and subsequent years must be computed as if the 6-month increase had never applied. Section 131 of the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA) extended the increase in the CY 2008 conversion factor that was applicable for the first half of the year to the entire year, provided for a 1.1% increase to the CY 2009 conversion factor, and specified that the conversion factors for CY 2010 and subsequent years must be computed as if the increases had never applied.
Source: wikipedia.org

Healthcare business news, research, data and events from Modern Healthcare

Proposed federal legislation to repeal the medical-device tax has resurfaced with bipartisan support in both chambers of Congress. Republicans have signaled that repealing the 2.3% excise tax, a source of funding for the Patient Protection and Affordable Care Act, is a top priority now that they…
Source: modernhealthcare.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 Hospital Compare Quality of Care

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

Medicare Nursing Home Profile

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

Healthcare business news, research, data and events from Modern Healthcare

Proposed federal legislation to repeal the medical-device tax has resurfaced with bipartisan support in both chambers of Congress. Republicans have signaled that repealing the 2.3% excise tax, a source of funding for the Patient Protection and Affordable Care Act, is a top priority now that they…
Source: modernhealthcare.com

How Part D works with other insurance

Posted by:  :  Category: Medicare

While prescription drug coverage is an essential health benefit, prescription drug coverage in a Marketplace or SHOP plan isn’t required to be at least as good as Medicare Part D coverage (creditable). However, all private insurers offering prescription drug coverage, including Marketplace and SHOP plans, are required to determine if their prescription drug coverage is creditable each year and let you know in writing.
Source: medicare.gov

Medicare Part D coverage gap

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

Medicare Plans & Coverage: Part A, Part B, Part C, Part D

Medicare is a federal insurance program that covers hospitalization expenses as well as doctor and medical expenses. To be eligible for Medicare, one must be an American citizen 65 years or older, or younger with a qualifying disability.
Source: medicareconsumerguide.com

www.Q1Medicare.com Your Source for Medicare Part D Plan Information

You can enroll into a stand-alone Medicare Part D Prescription Drug plan or a Medicare Advantage plan during the Annual Enrollment Period (or AEP) or open enrollment period starting October 15th and continuing for seven weeks through December 7th with your newly selected Medicare plan starting on January 1st of the following year. Please note that if you are just turning 65 or are newly eligible for Medicare, you will be granted a seven (7) month enrollment period when you can join a Medicare Part D or Medicare Advantage plan. The seven month period begins three months before your Medicare eligibility (or birthday) month, includes your eligibility month, and continues for three months after your Medicare eligibility month. However, your Medicare plan can begin no sooner than the first day of your Medicare eligibility month. Enrolling in a Medicare Part D or Medicare Advantage plan is easy and takes little time. : : Click here if you already know       which Medicare Part D plan you want : : Click here to search for a       Medicare Part D plan : : Click here to search for a       Medicare Advantage plan The good news about enrollment is that you always pay the same amount for a Medicare D plan or Medicare Advantage plan, no matter where or how you enroll. As an expanded feature, we now provide enrollment options for all 2015 Medicare Part D plans and Medicare Advantage plans across the country. If you wish, you can also enroll directly with Medicare (1-800-Medicare) or with an insurance agent or the Medicare plan provider. No matter how you enroll in to a Medicare plan, the enrollment result should always be the same and in 7 to 10 business days you should receive your Medicare Part D new Member information. Once enrolled into a Medicare Part D or Medicare Advantage plan, you can contact the plan’s Member Services department with any questions or concerns. The toll-free number will be on the back of your Member ID card. Please note that the Medicare Advantage Dis-Enrollment Period (MADP) for Medicare Advantage Plans beginsJanuary 1st and continues through February 14th — during the MADP members of Medicare Advantage plans can switch back to original Medicare and join a stand-alone Medicare Part D drug plan.
Source: q1medicare.com

How to Enroll in a Medicare Part D Drug Plan

Medicare Rights Center The Medicare Rights Center, an independent, non-profit group, is the largest organization in the United States (aside from the federal government) that provides information and assistance for people with Medicare. Its site has a section about Medicare Part D drug coverage, including information about programs that could help you pay for your prescription drug costs. A unique feature of the site is the Medicare Interactive Counselor, a tool that walks you through the process of finding the drug plan that makes sense for you.
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.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 Plans & Coverage: Part A, Part B, Part C, Part D

Medicare is a federal insurance program that covers hospitalization expenses as well as doctor and medical expenses. To be eligible for Medicare, one must be an American citizen 65 years or older, or younger with a qualifying disability.
Source: medicareconsumerguide.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.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 Contact, Contact Medicare

If you have questions about Medicare eligibility, Social Security retirement benefits, or eligibility for financial help with prescription drug coverage, contact the Social Security Administration at 1-800-772-1213 or TTY: 1-800-325-0778 (7 a.m. to 7 p.m., Monday – Friday) 
Source: aetnamedicare.com

Contact Your Individual and Employer Groups

Select one of our plans below to find contact information for that specific plan or contact us at 1-877-988-3589 (TDD/TTY: 711 Telecommunications Relay Service) for general information about all of Coventry Health Care’s Medicare products: 8:00 a.m. – 8:00 p.m., local time, seven days a week, from October 1 – February 14 8:00 a.m. – 8.00 p.m., Monday – Friday, from February 15 – September 30  
Source: coventryhealthcare.com

Tufts Health Plan Medicare Preferred

Posted by:  :  Category: Medicare

In 2015, our HMO plans earned 4.5 out of a possible 5 Stars by the Center for Medicare and Medicaid Services. This rating combines the scores our plans received for the various medical and/or prescription drug services our plans offer.
Source: tuftsmedicarepreferred.org

Pharmacy Questions? See What Medicare Part D Covers in MA

If you are traveling within the U.S., but outside of the Plan’s service area and you become ill or if you lose or run out of your prescription drugs, we will cover prescriptions that are filled at an out-of-network pharmacy if you follow all other coverage rules identified within your Evidence of Coverage. In this situation, you will have to pay the full cost (rather than paying just your copayment) when you fill the prescription. You can ask us to reimburse you for our share of the cost by submitting a paper claim form.
Source: tuftsmedicarepreferred.org