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

Posted by:  :  Category: Medicare

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Source: medicare.gov

AARP Medicare Supplement Insurance Premiums

Joan, If you initially worked with a local agent in Florida I would start there. You could call customer service but that will probably be a waste of time. If you are healthy and believe that you would have no problem passing medical underwriting, it may be time to shop. Medicare supplements offer standardized benefits so Plan F for instance will be the same for all companies. As you have learned, there is not necessarily a reward for staying with the same company. Most major companies offering supplements will offer the same level of service and payment of claims. Take this time to see if you can save some money. Call PlanPrescriber at (888) 310-0376 to speak with an agent. They represent most all carriers.
Source: affordablemedicareplan.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

Ways to pay Part A & Part B premiums

If your premium is late, you’ll get a Second Notice reminding you to pay your premium. If you don’t pay the premium by the due date for the Second Notice, you’ll get a Delinquent Notice. If you get a Delinquent Notice and you don’t pay your premium by the 25th of the month, you’ll lose your Medicare coverage.
Source: medicare.gov

Georgia Medicare Plans Insurance Enrollment Forms Premium Rates Toll Free Helpline For 2010 2011

Medicare And Insurance Plans Welcome to Georgia Medicare Plans. This site has been designed to assist Georgia Residents in understanding Medicare and Insurance in simple, basic terms. Our goal is to help guide Georgia residents through the complex world of Medicare and Medicare insurance plans. You may call our toll free number or contact us online We have compiled an assortment of helpful videos, general information, and documents to help the consumer. You may browse our site for free and call our toll-free helpline as needed. Our services are 100% free to the consumer. Our staff is available to assist you in all areas of Medicare insurance plan enrollment. If you are eligible for any extra help programs we will be happy to guide you through the process and assist you with any type of enrollment materials that you may require. Our knowledgeable advisors will walk you through the complex wotld of Medicare and simplify the process. Please feel free to call our toll free number at any time for assistance. Below Is A Short Video Compliments Of Humana    
Source: georgiamedicareplans.net

Medicare Supplement Plans & Quotes

Posted by:  :  Category: Medicare

Turning 65 is stressful, and the amount of information people receive leading up to their birthday is astounding. From the stacks of mail piling up on your desk, to the seemingly endless phone calls and quotes from insurance companies and agents, the task of gathering honest, unbiased information can feel impossible. Our goal is to offer what nobody else will, which is why we provide medicare supplement quotes, financial ratings, benefit information, application fee data, price history, and pricing methodology for all supplemental insurance companies in one clean, concise report. Our free, no obligation service is designed to give you the information you need regarding Part D and Medicare Supplement Plans in order to make an educated purchasing decision. In addition, we offer continued support for all of our customers to ensure they have no claims or billing issues. On an annual basis we review all medicare supplement insurance quotes and plan options in an effort to notify our customers of any new or better plans that may be available.
Source: medicaresupplementshop.com

Compare Medicare Supplement Rates In Your Area

Brandon Todd has been helping people on Medicare to access quality healthcare since 1997. His undying belief is that all seniors and those with disabilities should have complete access to our healthcare system without restriction and without insurance companies standing between them and their doctors.
Source: medigap360.com

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

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

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 Insurance Quote Engine

In addition to Medicare supplement insurance, we are pleased to be participating in the Medicare Advantage market. The Medicare Advantage policy is a low cost alternative to a Medicare supplement policy and is especially advantageous for those less than 65 years old. The Private Fee For Service (PFFS) is a type of Advantage plan that allows Medicare recipient to visit any doctor, any hospital, anywhere. Therefore, many Medicare recipients are well served by the lower cost Private Fee For Service plan.
Source: bestmedicaresupplement.com

Medicare Supplemental Health Insurance Information and Medicare Supplement Insurance Plans

Unlessyou buy a Medicare SELECT policy, you may go to any doctor or hospitalfor treatment. The Medicare supplemental insurance policy pays for itsshare of the expenses and your Medicare policy covers its share. Thelevel of benefits you receive will depend on which plan you choose. Youwill pay for your Medicare supplemental insurance and pay the Medigap insurancecompany on a separate invoice. You will receive a Medicare Summary oncea month by mail and your Medigap insurance company will also send you Medicare health insurance planinformation on what has been paid. A Medicare supplemental health insurance policy doesnot replace your original Medicare coverage. It simply provides additional benefits to help cover themedical expenses that are not paid for by the original Medicare policy.You may also want to join a Medicare Advantage Health Plan that willhelp with drug costs and coinsurance deductibles.
Source: healthinsurancefinders.com

Medicare Supplement Insurance & Medicare Advantage Personal Service

Medicare Supplement Insurance, also known as MediGap Insurance, is designed to help cover some of the medical costs that are not covered by Medicare.  These Medigap coverage plans are available to anyone enrolled in Part A and B of Medicare.  There is an open MediGap Insurance enrollment period for the first six months after you turn age 65, in which you do not need to qualify or answer any questions about your prior medical history.
Source: medigapadvisors.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

Healthcare Identifiers Service

We give different levels of access to the HI Service system based on user needs. To register your organisation with the HI Service and receive a healthcare identifier, you need to complete the appropriate form(s) below and provide us with supporting documentation. Each form includes details of what you need to provide. The forms can be used by health care organisations, Responsible Officers, Organisation Maintenance Officers and authorised employees to change their levels of access to the system, or update their details in the system.
Source: gov.au

Hawaii Health Insurance Consumer Help

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

Tennessee Medicare Assistance

Posted by:  :  Category: Medicare

Both programs work hand in hand to assist all Tennesseans with their questions and concerns about Medicare issues. Working through federally funded grants from Centers for Medicare and Medicaid Services and Administration on Aging, SHIP and SMP is administered throughout the nine Area Agencies on Aging and Disability.
Source: tnmedicarehelp.com

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

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

Benefits Administration — Medicare Supplement

Any retired state employee or local education certified teaching staff receiving a monthly retirement allowance from the Tennessee Consolidated Retirement System (TCRS) or higher education optional retirement plan who is eligible for Medicare Part A may apply for coverage under this plan. Retired local education support staff and local government participants eligible for Medicare Part A who receive a monthly retirement allowance from TCRS are also eligible to apply for coverage. Your eligible dependents may also apply. Individuals who qualify and enroll for coverage within 60 days of their initial eligibility cannot be denied coverage because of age or health. The Tennessee Plan offers quality coverage at lower group premium rates. Since the premiums are not based on age, they will not increase just because you get older. Best of all, if you have more than 15 years of service as a state employee or teacher, the state will pay part of your monthly premium. See the premium page to determine your monthly cost for this coverage. Please refer to The Tennessee Plan brochure or member handbook for additional information.
Source: tn.gov

Tennessee Medicare Supplement Plans

- A – Cities in Tennessee that begin with the letter “A”. Adams, TN Adamsville, TN Afton, TN Alamo, TN Alcoa, TN Alexandria, TN Allardt, TN Allons, TN Allred, TN Alpine, TN Altamont, TN Andersonville, TN Antioch, TN Apison, TN Ardmore, TN Arlington, TN Arnold AFB, TN Arrington, TN Arthur, TN Ashland City, TN Athens, TN Atoka, TN Atwood, TN Auburntown, TN – B – Cities in Tennessee that begin with the letter “B”. Bakewell, TN Bath Springs, TN Baxter, TN Bean Station, TN Beech Bluff, TN Beechgrove, TN Beersheba Springs, TN Belfast, TN Bell Buckle, TN Bells, TN Belvidere, TN Benton, TN Bethel Springs, TN Bethpage, TN Big Rock, TN Big Sandy, TN Birchwood, TN Blaine, TN Bloomington Springs, TN Blountville, TN Bluff City, TN Bogota, TN Bolivar, TN Bon Aqua, TN Braden, TN Bradford, TN Bradyville, TN Brentwood, TN Briceville, TN Brighton, TN Bristol, TN Brownsville, TN Bruceton, TN Brunswick, TN Brush Creek, TN Buchanan, TN Buena Vista, TN Buffalo Valley, TN Bulls Gap, TN Bumpus Mills, TN Burlison, TN Burns, TN Butler, TN Bybee, TN Byrdstown, TN – C – Cities in Tennessee that begin with the letter “C”. Calhoun, TN Camden, TN Campaign, TN Carthage, TN Caryville, TN Castalian Springs, TN Cedar Grove, TN Cedar Hill, TN Celina, TN Centerville, TN Chapel Hill, TN Chapmansboro, TN Charleston, TN Charlotte, TN Chattanooga, TN Chestnut Mound, TN Chewalla, TN Christiana, TN Chuckey, TN Church Hill, TN Clairfield, TN Clarkrange, TN Clarksburg, TN Clarksville, TN Cleveland, TN Clifton, TN Clinton, TN Coalfield, TN Coalmont, TN Cokercreek, TN College Grove, TN Collegedale, TN Collierville, TN Collinwood, TN Columbia, TN Como, TN Conasauga, TN Cookeville, TN Copperhill, TN Cordova, TN Cornersville, TN Corryton, TN Cosby, TN Cottage Grove, TN Cottontown, TN Counce, TN Covington, TN Cowan, TN Crab Orchard, TN Crawford, TN Crockett Mills, TN Cross Plains, TN Crossville, TN Crump, TN Culleoka, TN Cumberland City, TN Cumberland Furnace, TN Cumberland Gap, TN Cunningham, TN Cypress Inn, TN – D – Cities in Tennessee that begin with the letter “D”. Dandridge, TN Darden, TN Dayton, TN Decatur, TN Decaturville, TN Decherd, TN Deer Lodge, TN Del Rio, TN Delano, TN Dellrose, TN Denmark, TN Dickson, TN Dixon Springs, TN Dover, TN Dowelltown, TN Doyle, TN Dresden, TN Drummonds, TN Duck River, TN Ducktown, TN Duff, TN Dukedom, TN Dunlap, TN Dyer, TN Dyersburg, TN – E – Cities in Tennessee that begin with the letter “E”. Eads, TN Eagan, TN Eagleville, TN Eaton, TN Eidson, TN Elgin, TN Elizabethton, TN Elkton, TN Ellendale, TN Elmwood, TN Elora, TN Englewood, TN Enville, TN Erin, TN Erwin, TN Estill Springs, TN Ethridge, TN Etowah, TN Eva, TN Evensville, TN – F – Cities in Tennessee that begin with the letter “F”. Fairview, TN Fall Branch, TN Farner, TN Fayetteville, TN Finger, TN Finley, TN Five Points, TN Flag Pond, TN Flintville, TN Fosterville, TN Frankewing, TN Franklin, TN Friendship, TN Friendsville, TN Fruitvale, TN – G – Cities in Tennessee that begin with the letter “G”. Gadsden, TN Gainesboro, TN Gallatin, TN Gallaway, TN Gates, TN Gatlinburg, TN Georgetown, TN Germantown, TN Gibson, TN Gladeville, TN Gleason, TN Goodlettsville, TN Goodspring, TN Gordonsville, TN Grand Junction, TN Grandview, TN Granville, TN Graysville, TN Greenback, TN Greenbrier, TN Greeneville, TN Greenfield, TN Grimsley, TN Gruetli Laager, TN Guild, TN Guys, TN – H – Cities in Tennessee that begin with the letter “H”. Halls, TN Hampshire, TN Hampton, TN Harriman, TN Harrison, TN Harrogate, TN Hartford, TN Hartsville, TN Heiskell, TN Helenwood, TN Henderson, TN Hendersonville, TN Henry, TN Hermitage, TN Hickman, TN Hickory Valley, TN Hickory Withe, TN Hilham, TN Hillsboro, TN Hixson, TN Hohenwald, TN Holladay, TN Hollow Rock, TN Hornbeak, TN Hornsby, TN Humboldt, TN Huntingdon, TN Huntland, TN Huntsville, TN Huron, TN Hurricane Mills, TN – I – Cities in Tennessee that begin with the letter “I”. Idlewild, TN Indian Mound, TN Iron City, TN – J – Cities in Tennessee that begin with the letter “J”. Jacks Creek, TN Jacksboro, TN Jackson, TN Jamestown, TN Jasper, TN Jefferson City, TN Jellico, TN Joelton, TN Johnson City, TN Jonesborough, TN – K – Cities in Tennessee that begin with the letter “K”. Kelso, TN Kenton, TN Kingsport, TN Kingston, TN Kingston Springs, TN Knoxville, TN Kodak, TN Kyles Ford, TN – L – Cities in Tennessee that begin with the letter “L”. La Follette, TN La Grange, TN La Vergne, TN Laconia, TN Lafayette, TN Lake City, TN Lancaster, TN Lancing, TN Lascassas, TN Laurel Bloomery, TN Lavinia, TN Lawrenceburg, TN Lebanon, TN Lenoir City, TN Lenox, TN Leoma, TN Lewisburg, TN Lexington, TN Liberty, TN Limestone, TN Linden, TN Livingston, TN Lobelville, TN Lone Mountain, TN Lookout Mountain, TN Loretto, TN Loudon, TN Louisville, TN Lowland, TN Lupton City, TN Luray, TN Luttrell, TN Lutts, TN Lyles, TN Lynchburg, TN Lynnville, TN – M – Cities in Tennessee that begin with the letter “M”. Macon, TN Madison, TN Madisonville, TN Manchester, TN Mansfield, TN Martin, TN Maryville, TN Mascot, TN Mason, TN Maury City, TN Maynardville, TN McDonald, TN McEwen, TN McKenzie, TN McLemoresville, TN McMinnville, TN Medina, TN Medon, TN Memphis, TN Mercer, TN Michie, TN Middleton, TN Midway, TN Milan, TN Milledgeville, TN Milligan College, TN Millington, TN Milton, TN Minor Hill, TN Miston, TN Mitchellville, TN Mohawk, TN Monroe, TN Monteagle, TN Monterey, TN Mooresburg, TN Morris Chapel, TN Morrison, TN Morristown, TN Moscow, TN Mosheim, TN Moss, TN Mount Carmel, TN Mount Juliet, TN Mount Pleasant, TN Mountain City, TN Mountain Home, TN Mulberry, TN Munford, TN Murfreesboro, TN – N – Cities in Tennessee that begin with the letter “N”. Nashville, TN New Johnsonville, TN New Market, TN New Tazewell, TN Newbern, TN Newcomb, TN Newport, TN Niota, TN Nolensville, TN Norene, TN Normandy, TN Norris, TN Nunnelly, TN – O – Cities in Tennessee that begin with the letter “O”. Oak Ridge, TN Oakdale, TN Oakfield, TN Oakland, TN Obion, TN Ocoee, TN Old Hickory, TN Oldfort, TN Olivehill, TN Oliver Springs, TN Oneida, TN Only, TN Ooltewah, TN Orlinda, TN Ozone, TN – P – Cities in Tennessee that begin with the letter “P”. Pall Mall, TN Palmer, TN Palmersville, TN Palmyra, TN Paris, TN Parrottsville, TN Parsons, TN Pegram, TN Pelham, TN Petersburg, TN Petros, TN Philadelphia, TN Pickwick Dam, TN Pigeon Forge, TN Pikeville, TN Piney Flats, TN Pinson, TN Pioneer, TN Pleasant Hill, TN Pleasant Shade, TN Pleasant View, TN Pleasantville, TN Pocahontas, TN Portland, TN Powder Springs, TN Powell, TN Powells Crossroads, TN Primm Springs, TN Prospect, TN Pruden, TN Pulaski, TN Puryear, TN – Q – Cities in Tennessee that begin with the letter “Q”. Quebeck, TN – R – Cities in Tennessee that begin with the letter “R”. Ramer, TN Readyville, TN Reagan, TN Red Boiling Springs, TN Reliance, TN Riceville, TN Rickman, TN Riddleton, TN Ridgely, TN Ridgetop, TN Rives, TN Roan Mountain, TN Robbins, TN Rock Island, TN Rockford, TN Rockvale, TN Rockwood, TN Rogersville, TN Rossville, TN Rugby, TN Russellville, TN Rutherford, TN Rutledge, TN – S – Cities in Tennessee that begin with the letter “S”. Saint Andrews, TN Saint Bethlehem, TN Saint Joseph, TN Sale Creek, TN Saltillo, TN Samburg, TN Santa Fe, TN Sardis, TN Saulsbury, TN Savannah, TN Scotts Hill, TN Selmer, TN Sequatchie, TN Sevierville, TN Sewanee, TN Seymour, TN Shady Valley, TN Sharon, TN Sharps Chapel, TN Shawanee, TN Shelbyville, TN Sherwood, TN Shiloh, TN Signal Mountain, TN Silerton, TN Silver Point, TN Slayden, TN Smartt, TN Smithville, TN Smyrna, TN Sneedville, TN Soddy Daisy, TN Somerville, TN South Fulton, TN South Pittsburg, TN Southside, TN Sparta, TN Speedwell, TN Spencer, TN Spring City, TN Spring Creek, TN Spring Hill, TN Springfield, TN Springville, TN Stanton, TN Stantonville, TN Stewart, TN Strawberry Plains, TN Sugar Tree, TN Summertown, TN Summitville, TN Sunbright, TN Surgoinsville, TN Sweetwater, TN – T – Cities in Tennessee that begin with the letter “T”. Taft, TN Talbott, TN Tallassee, TN Tazewell, TN Telford, TN Tellico Plains, TN Ten Mile, TN Tennessee Ridge, TN Thompsons Station, TN Thorn Hill, TN Tigrett, TN Tipton, TN Toone, TN Townsend, TN Tracy City, TN Trade, TN Trenton, TN Trezevant, TN Trimble, TN Troy, TN Tullahoma, TN Turtletown, TN – U – Cities in Tennessee that begin with the letter “U”. Unicoi, TN Union City, TN Unionville, TN – V – Cities in Tennessee that begin with the letter “V”. Vanleer, TN Viola, TN Vonore, TN – W – Cities in Tennessee that begin with the letter “W”. Walland, TN Walling, TN Wartburg, TN Wartrace, TN Washburn, TN Watauga, TN Watertown, TN Watts Bar Dam, TN Waverly, TN Waynesboro, TN Westmoreland, TN Westpoint, TN Westport, TN White Bluff, TN White House, TN White Pine, TN Whites Creek, TN Whitesburg, TN Whiteside, TN Whiteville, TN Whitleyville, TN Whitwell, TN Wilder, TN Wildersville, TN Williamsport, TN Williston, TN Winchester, TN Winfield, TN Winona, TN Woodbury, TN Woodland Mills, TN Woodlawn, TN Wynnburg, TN – Y – Cities in Tennessee that begin with the letter “Y”. Yorkville, TN Yuma, TN
Source: medicaresupplementsolutions.com

Medicare Coverage in Tennessee

Outside of the IEP and GEP, you can’t enroll in Part A and/or Part B unless you’re eligible for a Special Enrollment Period (SEP). If you didn’t sign up for Part B when you were first eligible because you were working or had other health coverage (for example, through an employer group plan), you can enroll in Part B when your coverage or employment ends. To qualify for an SEP, the health coverage must be based on current employment (either your own or your spouse’s). You won’t have to pay a late enrollment penalty if you sign up during an SEP.
Source: planprescriber.com

2015 Tennessee Medicare Part D Prescription Drug Plan Highlights www.Q1Medicare.com

Coverage Gap the Donut Hole: In the CMS Standard Plan, the beneficiary must pay the next $3720 in drug costs (the Donut Hole). The Healthcare Reform provides that for Plan Year 2015, ALL formulary generics will have at least a 35% discount and ALL brand drugs will have at least a 55% discount in the coverage gap. The Gap Coverage Types discussed in this section are in addition to the Healthcare Reform mandated discounts. In our chart, you will see one of the following:
Source: q1medicare.com

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

DME Competitive Bidding Program

Posted by:  :  Category: Medicare

The Competitive Bidding Program replaces the outdated prices Medicare has been paying with lower, more accurate prices. Under this program, suppliers submit bids to provide certain medical equipment and supplies at a lower price than what Medicare now pays for these items. Medicare uses these bids to set the amount it will pay for those equipment and supplies under the competitive bidding program. Qualified, accredited suppliers with winning bids are chosen as Medicare-contract suppliers.
Source: medicare.gov

Competitive Bidding Program

The Competitive Bidding Program replaces the outdated prices Medicare has been paying with lower, more accurate prices. Under this program, suppliers submit bids to provide certain medical equipment and supplies at a lower price than what Medicare now pays for these items. Medicare uses these bids to set the amount it pays for those equipment and supplies under the Competitive Bidding Program. Qualified, accredited suppliers with winning bids are chosen as Medicare contract suppliers.
Source: medicare.gov

DMEPOS Competitive Bidding

Under the program, a competition among suppliers who operate in a particular competitive bidding area is conducted. Suppliers are required to submit a bid for selected products. Not all products or items are subject to competitive bidding. Bids are submitted electronically through a web-based application process and required documents are mailed. Bids are evaluated based on the supplier’s eligibility, its financial stability and the bid price. Contracts are awarded to the Medicare suppliers who offer the best price and meet applicable quality and financial standards. Contract suppliers must agree to accept assignment on all claims for bid items and will be paid the bid price amount. The amount is derived from the median of all winning bids for an item.
Source: cms.gov

: DMEPOS Competitive Bidding : Health Industry Washington Watch

CMS has just released a proposed rule that would require Medicare prior authorization (PA) for certain Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) items that the agency characterizes as “frequently subject to unnecessary utilization.“ As part of the rulemaking, CMS has developed a “Master List” of initial items that it considers to meet this standard based on being (1) identified in a GAO or HHS OIG national report published in 2007 or later as having a high rate of fraud or unnecessary utilization; or (2) listed in the 2011 or later Comprehensive Error Rate Testing (CERT) program’s Annual Medicare FFS Improper Payment Rate Report DME Service Specific Overpayment Rate Appendix. CMS also proposes limiting the items on the Master List to those with an average purchase fee of at least $1,000 or an average rental fee schedule of at least $100 to allow CMS to focus on items with the largest potential savings for the Medicare Trust Fund. CMS proposes that the Master List will be “self-updating” annually, and that items generally will remain on the list for 10 years. Note, however, that presence on the Master List would not automatically require prior authorization. CMS would limit the PA requirement to a subset of items (called the “Required Prior Authorization List") “to balance minimizing provider and supplier burden with our need to protect the Trust Funds." CMS would publish the Required Prior Authorization List in the Federal Register with 60-day notice before implementation. CMS also proposes that the PA program could be implemented nationally or locally. The proposed rule does not announce the first items on the Required Prior Authorization List. Instead, CMS is seeking public comment on the number of items that should be selected initially and in the future, and the frequency with which CMS should select items.
Source: healthindustrywashingtonwatch.com

Medicare National Competitive Bidding Program

CCS Medical is one of only 18 suppliers awarded CMS contracts to provide mail order diabetic testing supplies at competitively bid prices nationwide and in the four U.S. territories (American Samoa, Guam, Puerto Rico, and the U.S. Virgin Islands). As announced previously by CCS Medical, one of the brands that CCS Medical will be carrying is LifeScan’s OneTouch® Ultra® test strips, the No. 1 brand recommended by endocrinologists and diabetes educators.
Source: ccsmed.com

Medicare Expands Competitive Bidding Program for Durable Medical Equipment

You can also get the supplies from a store or pharmacy that accepts "Medicare assignment." This means that the store will accept the Medicare-approved amount as payment in full and that you cannot be charged more than a 20 percent copay (after you meet your annual deductible). A Medicare contract supplier can’t charge you more than that for the equipment or supplies included in the competitive bidding program.
Source: aarp.org

Obama Administration Not Budging On Medicare Competitive Bidding

I’ve written about health care for more than two decades, starting from my native Iowa where I covered the presidential campaign bus rides of Bill and Hillary Clinton through the Hawkeye state talking health reform and the economy. I have covered the rise, fall and rise again of health reform, chronicling national trends as well as the influence of Barack and Michelle Obama from Chicago’s South Side on changes to the U.S. health system from my base in Chicago. I am the author of the new Forbes signature series book, “Inside Obamacare: The Fix For America’s Ailing Health Care System.” I was health care business reporter at the Chicago Tribune (1998-2011) and previously wrote for Modern Healthcare magazine when first arriving in Chicago in 1993. Prior to that, I wrote for several Iowa newspapers including the Des Moines Register. These days, I contribute stories to the New York Times, Chicago Medicine magazine and teach in the University of Iowa School of Journalism MA in Strategic Communication program. You can see me nationally on Fox News Channel’s “Forbes on Fox” show. In Chicago, you can hear my health segments and business analysis on WBBM newsradio 780 and 105.9 FM. I am passionate about health literacy when it comes to explaining the complexities of health care. A better understood health system may save someone some money or their life.
Source: forbes.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

Compare Medicare Advantage & Supplemental Plans

Posted by:  :  Category: Medicare

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

How Medicare Advantage Plans work

Medicare Advantage Plans, sometimes called “Part C” or “MA Plans,” are offered by private companies approved by Medicare. If you join a Medicare Advantage Plan, you still have Medicare. You’ll get your Medicare Part A (Hospital Insurance) and Medicare Part B (Medical Insurance) coverage from the Medicare Advantage Plan and not Original Medicare.
Source: medicare.gov

Michigan Medicare Health Insurance Plans

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

Medicare Advantage Insurance Costs

Medicare Advantage plans, also known as Part C plans, are provided by private insurance companies that are contracted by Medicare. Each of these companies has the option to price its plans differently, though each Medicare Advantage plan must offer at least the same amount of coverage as Original Medicare (Part A and Part B). Plans that offer additional coverage such as vision, dental, and prescription drug coverage are more likely to charge higher out-of-pocket costs. Certain types of Medicare Advantage plans may require that beneficiaries use in-network providers or they will not share in the costs of services. In general, Medicare Advantage plans require more cost-sharing than Original Medicare.
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

Health Professional Online Services

Checking a patient’s eligibility and balance for Child Dental Benefits Schedule (CDBS) in HPOS is a two-step process. First select CDBS from the main menu in HPOS. If the patient is eligible and has an available balance, then select MBS Items Online Checker to confirm that the CDBS item number can be claimed.
Source: gov.au

Medicare Advantage Premiums & Costs

Posted by:  :  Category: Medicare

Remember that a Medicare Advantage plan may have more costs than its monthly premiums alone. Beneficiaries may have copayments, coinsurance, and deductibles associated with doctors’ visits, hospital stays, and other health-care services. Beneficiaries also have out-of-pocket expenses associated with medications, including deductibles and copayments. In general, Medicare Advantage plans have a maximum allowable deductible that they can charge, but they also have the option to reduce or eliminate this deductible.
Source: planprescriber.com