Medicare Rebate Checks: Important Facts

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Beware of Fraud: If you fall into the Medicare Part D doughnut hole coverage gap you will get the $250 rebate check automatically. There are no forms or applications to fill out. You don’t need to provide any personal information like your Medicare, Social Security, or bank account numbers to get the rebate check. If anybody calls you or emails you about the $250 rebate check, do not give them your personal information. Instead, call 1-800-MEDICARE (1‑800-633-4227) to report anyone who does this. TTY users should call 1‑877‑486-2048.
Source: about.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

Difference between the Medicare Provider Numbers

Posted by:  :  Category: Medicare

Applicable FARSDFARS Restrictions Apply to Government Use. This product includes CPT which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60654. U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer data bases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(2) (November 1995) and/or subject to the restrictions of DFARS 227.7202-1(a) (June 1995) and DFARS 227.7202-3(a) (June 1995), as applicable for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14 (June 1987) and/or subject to the restricted rights provisions of FAR 52.227-14 (June 1987) and FAR 52.227-19 (June 1987), as applicable, and any applicable agency FAR Supplements, for non-Department of Defense Federal procurements.
Source: wpsmedicare.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

Medicare Supplemental, Advantage, and Part D Plans

Because of the significant amount of out-of-pocket payments required by traditional Medicare, a booming market of private-sector insurance products has grown up around the government programs. These Medicare-related insurance products are one of the fastest-growing segments of the U.S. health insurance industry overall. And they are the part of the market on which a smart consumer should focus his or her attention. Medicare Providers mission is to help seniors understand these products and provide tools assist in the decision making process.
Source: medicare-providers.net

Medicare Provider Utilization and Payment Data

As part of the Obama administration’s work to make our health care system more affordable and accountable, data are being released that summarize the utilization and payments for procedures and services provided to Medicare fee-for service beneficiaries by specific inpatient and outpatient hospitals, physicians, and other suppliers. These data include information for the 100 most common inpatient services, 30 common outpatient services, and all physician and other supplier procedures and services performed on 11 or more Medicare beneficiaries. Providers determine what they will charge for items,services, and procedures provided to patients and these charges are the amount the providers bill for an item, service, or procedure.
Source: cms.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

Enroll in a Medicare Plan

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Source: medicare.gov

Medicare PPO Blue ValueRx (PPO)

Posted by:  :  Category: Medicare

Medicare PPO ValueRx offers a Visitor/Travel Program that includes in-network benefits and cost-sharing when you receive treatment for covered services from participating Blue Medicare Advantage PPO network providers outside of Massachusetts in the following states: Alabama, Arkansas, California, Colorado, Connecticut, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Kentucky, Maine, Michigan, Missouri, Montana, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, South Carolina, Tennessee, Texas, Utah, Virginia, Washington, Wisconsin, and West Virginia.
Source: bluecrossma.com

Florida Blue Medicare Regional PPO & HMO

Use providers inside our extensive BlueMedicare HMO & PPO network and enjoy affordable copays. Plus, the plan provides Medicare Part D Prescription Drug coverage for generic and brand name drugs with mail order pharmacy benefits included for their convenience. With affordable premiums, modest fixed copays and maximum out-of-pocket limits, BlueMedicare members can budget their health care costs without changing their lifestyle. Please note that with any Medicare Advantage plan, members are required to continue paying their Medicare Part B (medical insurance) premium unless paid for by Medicaid or another third party. This is a Medicare Advantage plan, not a Medicare Supplement plan.
Source: securehealthoptions.com

Medicare Supplement Quotes in Texas

Posted by:  :  Category: Medicare

First, we hope this website provides you a better understanding of what is about to happen like the fact that regardless of what you do or don’t do most if not all seniors automatically become enrolled in Part A of Medicare, this is the part of Medicare that provides your basic coverage. Also you should know that you should automatically have eligibility in Part B of Medicare, that’s the part that provides out patient benefits like doctor charges and testing. There is a small fee for Part B that is deducted from your Social Security benefits. We have provided more detailed information on Texas Medicare Eligibility to hopefully assist in understanding more about it. 
Source: medicareinsurancetexas.com

Texas Medicare Supplement (Medigap) Specialist

My name is David Hecker.  I am an "Independent" Insurance agent in the state of Texas, specializing in Texas Medicare Supplements.  I represent many different companies, so that I can find the right policy for your particular situation and budget.  I believe in "Personal Service", and am available to answer your questions, now, and in the future.  It’s nice to have a real person to call and get the information or help that you need, not a telephone operator somewhere across the country or across the world.  I can help you if you’re just Turning 65, or if your current Texas Medicare Supplement Insurance policy has gotten too expensive.
Source: tx-medicaresupplement.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

Texas Medicare Supplement

What is Medicare? It is a federal health insurance program referred to as Original Medicare, which includes people 65 years of age, or older, certain people with disabilities who are under age 65 and those with end-stage renal disease (permanent kidney failure).  It pays for a large portion of the health care expense but not all of it.  The portion that Medicare does not pay is what the individual must pay for out of pocket such as coinsurance, co-payments, and deductibles.  The gaps in Original Medicare coverage are commonly filled by a Medicare Supplement plan.  Medicare in Texas and Texas Medicare plans are the same as Medicare in any state because it is a federal government that defines what the benefits are.Medicare has four parts: •Texas Medicare Part A:  This covers area such as inpatient hospital, inpatient skilled nursing facility, home health, and hospice services. Most people do not have to pay for Part A due their contributions over 10 years. •Texas Medicare Part B: provides covers outpatient and physician services.  It also pays for other areas such as durable medical equipment, prosthetic devices, supplies incident to physician’s services, and ambulance transportation.  Most people pay monthly for Part B. •Texas Medicare Part C: Are Medicare Advantage plans are offered by private insurance companies that serve as an alternative to Medicare.  These plans can cover medical only or medical and dental. These plans are subsidized and regulated by the Federal government. •Texas Medicare Part D: Prescription Drug Coverage plans are offered by private companies to provide coverage for prescription drug costs.  These plans are subsidized and regulated by the Federal government.Can you tell me more about Medicare Part A and Part B? Part A referred to as hospital insurance, helps pay expenses for inpatient hospital care, some skilled nursing facility care, hospice care, and some home health care.   The medical costs you incur with Medicare Part A include a large deductible per benefit period and copays if you are in the hospital for over 61 days.  The benefit period for part A is your time in the hospital including 60 days after you are release.  Part B referred to as medical insurance, helps pay for outpatient hospital care, doctors’ services, and some other medical services and supplies when they are medically necessary that Part A does not cover. The Part B deductible is based on a calendar year and is generally affordable.  After the deductible is met you will be responsible for 20% of your Medicare Part B expenses.  This can be quite expensive if you have any major medical treatments. What is a benefit period? A benefit period starts on day one of a Medicare approved inpatient stay and ends when you have been out of the hospital for 60 consecutive days. This also applies to a skilled nursing facility.  After that a new benefit period begins and the beneficiary must pay a new inpatient hospital deductible. There may be as many as five benefit periods in a calendar year.
Source: texasmedicaresupplementplan.com

Medicare Nursing Home Quality Measures Risk Adjustment

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Data and risk adjustment are important parts of calculating the quality measures. However, a detailed understanding of the adjustment procedures isn’t necessary for the average user of this website. Scientists involved in research on the measurement of quality in nursing home care have advised CMS on the methods of risk adjustment, and CMS believes this is the best science available at this time. The following detailed information is presented for those who are interested. The quality measures on this website were adjusted using exclusions and resident-level adjustment.
Source: medicare.gov

Provider Resources Medicare Risk Adjustment

HPSM encourages physician providers to document patient health information accurately for appropriate Medicare reimbursement. The Centers for Medicare and Medicaid Services (CMS) uses risk adjustment diagnosis codes and demographic data reported for one year to determine payment for the next year. Calculations for payment are based on patient risk scores. For more information about CMS risk adjustment, view our FAQs.
Source: hpsm.org

CMS Risk Adjustment Models

The research activities of the NBER are funded by grants from federal research agencies, by private foundations, and by generous donations from our corporate associates and from private individuals. The NBER is a non-profit, 501(c)(3) organization. For information on supporting the NBER, please contact: Mr. Denis Healy, Director of Development NBER 1050 Massachusetts Avenue Cambridge, MA 02138-5398
Source: nber.org

CMS Risk Adjustment Data Submission Deadlines and Payment Schedule

The July 2012 funding payment that Medicare Advantage plans receive from CMS is based on the data that was received by CMS by March 2, 2012 and represents dates of service from the prior calendar year, January 1, 2011 to December 31, 2011. It’s important to understand that encounter data with dates of service outside the parameters in our example will be accepted by CMS but will not factor into the payment calculation at that time. So, if a plan submits data with dates of service in February 2012 by the March 2
Source: askccg.com

Medicare Advantage Risk Adjustment Fraud

In 2010, the owners of a Medicare Advantage plan in Florida (Dr. Walter Janke and his wife, Lalita Janke) paid the federal government $22.6 million to resolve allegations they caused Medicare to pay inflated capitation payments by submitting false diagnosis codes in connection with risk adjustment claims. The government alleged the Jankes’ Medicare Advantage plan had hired "chart auditors" to look through medical records for additional or upcoded diagnoses that it could submit to CMS for increased payment — whether or not those diagnoses were actually eligible for risk adjustment under CMS rules. The government also alleged the Jankes’ Medicare Advantage plan used a software program to submit diagnosis codes to CMS that was incapable of submitting delete codes to delete false data from CMS’s database and thereby correct mistakes, i.e., diagnosis codes the Medicare Advantage plan knew had been submitted improperly.
Source: phillipsandcohen.com

Florida Department of Children and Families

Posted by:  :  Category: Medicare

This may result in fines of up to $250,000, a prison term or both, if you are convicted of public assistance fraud. In addition you will not be able to get benefits for 12 months the first time, 24 months the second time, and permanently the third time that you provide false or inaccurate information.
Source: myflorida.com

Florida Medicare Advantage Plans

Remember, Florida Medicare Advantage plans are also called Part C.  These plans are offered through private insurance companies that are approved by Medicare.  These plans have premium costs (in addition to your part B premium) as little as $0 each month.  Having no additional premium can lead to questions about the benefits you get.  One key point of Florida Medicare Advantage plans is that they carry a mamimum out of pocket which means you will only be responsible for any co-payments to a set maximum amount during the plan year.
Source: floridamedicareplans.com

Florida Medicare Supplement Plans

- A – Cities in Florida that begin with the letter “A”. Alachua, FL Alford, FL Altamonte Springs, FL Altha, FL Altoona, FL Alturas, FL Alva, FL Anna Maria, FL Anthony, FL Apalachicola, FL Apollo Beach, FL Apopka, FL Arcadia, FL Archer, FL Argyle, FL Aripeka, FL Astatula, FL Astor, FL Atlantic Beach, FL Auburndale, FL Avon Park, FL – B – Cities in Florida that begin with the letter “B”. Babson Park, FL Bagdad, FL Baker, FL Balm, FL Barberville, FL Bartow, FL Bascom, FL Bay Pines, FL Bell, FL Belle Glade, FL Belleair Beach, FL Belleview, FL Beverly Hills, FL Big Pine Key, FL Blountstown, FL Boca Grande, FL Boca Raton, FL Bokeelia, FL Bonifay, FL Bonita Springs, FL Bostwick, FL Bowling Green, FL Boynton Beach, FL Bradenton, FL Bradenton Beach, FL Bradley, FL Brandon, FL Branford, FL Bristol, FL Bronson, FL Brooker, FL Brooksville, FL Bryant, FL Bryceville, FL Bunnell, FL Bushnell, FL – C – Cities in Florida that begin with the letter “C”. Callahan, FL Campbellton, FL Canal Point, FL Candler, FL Cantonment, FL Cape Canaveral, FL Cape Coral, FL Captiva, FL Carrabelle, FL Caryville, FL Cassadaga, FL Casselberry, FL Cedar Key, FL Center Hill, FL Century, FL Chattahoochee, FL Chiefland, FL Chipley, FL Chokoloskee, FL Christmas, FL Citra, FL Citrus Ridge, FL Clarcona, FL Clarksville, FL Clearwater, FL Clearwater Beach, FL Clermont, FL Clewiston, FL Cocoa, FL Cocoa Beach, FL Coleman, FL Copeland, FL Cortez, FL Cottondale, FL Crawfordville, FL Crescent City, FL Crestview, FL Cross City, FL Crystal Beach, FL Crystal River, FL Crystal Springs, FL Cypress, FL – D – Cities in Florida that begin with the letter “D”. Dade City, FL Dania, FL Davenport, FL Day, FL Daytona Beach, FL De Leon Springs, FL Debary, FL Deerfield Beach, FL Defuniak Springs, FL Deland, FL Delray Beach, FL Deltona, FL Destin, FL Doctors Inlet, FL Dover, FL Dundee, FL Dunedin, FL Dunnellon, FL Durant, FL – E – Cities in Florida that begin with the letter “E”. Eagle Lake, FL Earleton, FL East Palatka, FL Eastlake Weir, FL Eastpoint, FL Eaton Park, FL Ebro, FL Edgewater, FL Eglin AFB, FL Elfers, FL Elkton, FL Ellenton, FL Englewood, FL Estero, FL Eustis, FL Everglades City, FL Evinston, FL – F – Cities in Florida that begin with the letter “F”. Fairfield, FL Fedhaven, FL Felda, FL Fellsmere, FL Fernandina Beach, FL Ferndale, FL Flagler Beach, FL Florahome, FL Floral City, FL Florida City, FL Fort Lauderdale, FL Fort McCoy, FL Fort Meade, FL Fort Myers, FL Fort Myers Beach, FL Fort Ogden, FL Fort Pierce, FL Fort Walton Beach, FL Fort White, FL Fountain, FL Freeport, FL Frostproof, FL Fruitland Park, FL – G – Cities in Florida that begin with the letter “G”. Gainesville, FL Geneva, FL Georgetown, FL Gibsonton, FL Glen Saint Mary, FL Glenwood, FL Goldenrod, FL Gonzalez, FL Goodland, FL Gotha, FL Graceville, FL Graham, FL Grand Island, FL Grand Ridge, FL Grandin, FL Grant, FL Green Cove Springs, FL Greensboro, FL Greenville, FL Greenwood, FL Gretna, FL Grove City, FL Groveland, FL Gulf Breeze, FL Gulf Hammock, FL – H – Cities in Florida that begin with the letter “H”. Haines City, FL Hallandale, FL Hampton, FL Harold, FL Hastings, FL Havana, FL Hawthorne, FL Heathrow, FL Hernando, FL Hialeah, FL High Springs, FL Highland City, FL Highland Park, FL Hilliard, FL Hobe Sound, FL Holder, FL Holiday, FL Hollister, FL Hollywood, FL Holmes Beach, FL Holt, FL Homeland, FL Homestead, FL Homosassa, FL Homosassa Springs, FL Horseshoe Beach, FL Hosford, FL Howey In The Hills, FL Hudson, FL Hunters Creek, FL Hurlburt Field, FL – I – Cities in Florida that begin with the letter “I”. Immokalee, FL Indialantic, FL Indian Lake Estates, FL Indian Rocks Beach, FL Indiantown, FL Inglis, FL Intercession City, FL Interlachen, FL Inverness, FL Islamorada, FL Island Grove, FL Istachatta, FL – J – Cities in Florida that begin with the letter “J”. Jacksonville, FL Jacksonville Beach, FL Jasper, FL Jay, FL Jennings, FL Jensen Beach, FL Jupiter, FL – K – Cities in Florida that begin with the letter “K”. Kathleen, FL Kenansville, FL Key Biscayne, FL Key Colony Beach, FL Key Largo, FL Key West, FL Keystone Heights, FL Killarney, FL Kinard, FL Kissimmee, FL – L – Cities in Florida that begin with the letter “L”. La Crosse, FL Labelle, FL Lacoochee, FL Lady Lake, FL Lake Alfred, FL Lake Butler, FL Lake Butter, FL Lake City, FL Lake Como, FL Lake Geneva, FL Lake Hamilton, FL Lake Harbor, FL Lake Helen, FL Lake Lucerne, FL Lake Mary, FL Lake Monroe, FL Lake Panasoffkee, FL Lake Placid, FL Lake Wales, FL Lake Worth, FL Lakeland, FL Lamont, FL Lanark Village, FL Land O Lakes, FL Lantana, FL Largo, FL Laurel, FL Laurel Hill, FL Lawtey, FL Lecanto, FL Lee, FL Leesburg, FL Lehigh Acres, FL Lithia, FL Live Oak, FL Lloyd, FL Lochloosa, FL Long Key, FL Longboat Key, FL Longwood, FL Lorida, FL Loughman, FL Lowell, FL Loxahatchee, FL Lulu, FL Lutz, FL Lynn Haven, FL – M – Cities in Florida that begin with the letter “M”. Macclenny, FL Madison, FL Maitland, FL Malabar, FL Malone, FL Manasota, FL Mango, FL Marathon, FL Marathon Shores, FL Marco Island, FL Marianna, FL Mary Esther, FL Mascotte, FL Mayo, FL McAlpin, FL McDavid, FL McIntosh, FL Melbourne, FL Melbourne Beach, FL Melrose, FL Memphis, FL Merritt Island, FL Mexico Beach, FL Miami, FL Miami Beach, FL Micanopy, FL Miccosukee Cpo, FL Mid Florida, FL Middleburg, FL Midway, FL Milligan, FL Milton, FL Mims, FL Minneola, FL Miramar Beach, FL Molino, FL Monticello, FL Montverde, FL Moore Haven, FL Morriston, FL Mossy Head, FL Mount Dora, FL Mount Pleasant, FL Mulberry, FL Murdock, FL Myakka City, FL Myrtle Grove, FL – N – Cities in Florida that begin with the letter “N”. Nalcrest, FL Naples, FL Neptune Beach, FL New Port Richey, FL New Smyrna Beach, FL Newberry, FL Niceville, FL Nichols, FL Nobleton, FL Nocatee, FL Nokomis, FL Noma, FL North Fort Myers, FL North Miami Beach, FL North Palm Beach, FL North Port, FL – O – Cities in Florida that begin with the letter “O”. O Brien, FL Oak Hill, FL Oakland, FL Ocala, FL Ochopee, FL Ocklawaha, FL Ocoee, FL Odessa, FL Okahumpka, FL Okeechobee, FL Old Town, FL Oldsmar, FL Olustee, FL Ona, FL Oneco, FL Opa Locka, FL Orange City, FL Orange Lake, FL Orange Park, FL Orange Springs, FL Orlando, FL Ormond Beach, FL Osprey, FL Osteen, FL Otter Creek, FL Oviedo, FL Oxford, FL Ozona, FL – P – Cities in Florida that begin with the letter “P”. Pahokee, FL Paisley, FL Palatka, FL Palm Bay, FL Palm Beach, FL Palm City, FL Palm Coast, FL Palm Harbor, FL Palm River-Clair Mel, FL Palm Valley, FL Palmdale, FL Palmetto, FL Panacea, FL Panama City, FL Panama City Beach, FL Parrish, FL Patrick AFB, FL Paxton, FL Pembroke Pines, FL Penney Farms, FL Pensacola, FL Perry, FL Pierson, FL Pine Island Ridge, FL Pine Ridge, FL Pineland, FL Pinellas Park, FL Pinetta, FL Placida, FL Plant City, FL Plymouth, FL Point Washington, FL Polk City, FL Pomona Park, FL Pompano Beach, FL Ponce De Leon, FL Ponte Vedra Beach, FL Port Charlotte, FL Port Orange, FL Port Richey, FL Port Saint Joe, FL Port Saint Lucie, FL Port Salerno, FL Port St. Lucie, FL Punta Gorda, FL Putnam Hall, FL – Q – Cities in Florida that begin with the letter “Q”. Quincy, FL – R – Cities in Florida that begin with the letter “R”. Raiford, FL Reddick, FL River Ranch, FL Riverview, FL Rockledge, FL Roseland, FL Rotonda West, FL Ruskin, FL – S – Cities in Florida that begin with the letter “S”. Safety Harbor, FL Saint Augustine, FL Saint Cloud, FL Saint James City, FL Saint Leo, FL Saint Marks, FL Saint Petersburg, FL Salem, FL San Antonio, FL San Mateo, FL Sanderson, FL Sanford, FL Sanibel, FL Santa Rosa Beach, FL Sarasota, FL Satellite Beach, FL Satsuma, FL Scottsmoor, FL Sebastian, FL Sebring, FL Seffner, FL Seminole, FL Seville, FL Shady Grove, FL Shalimar, FL Sharpes, FL Silver Springs, FL Sneads, FL Sopchoppy, FL Sorrento, FL South Bay, FL Sparr, FL Spring Hill, FL St. Augustine, FL St. Leo, FL Starke, FL Steinhatchee, FL Stuart, FL Sugarloaf Shores, FL Sumatra, FL Summerfield, FL Summerland Key, FL Sumterville, FL Sun City, FL Sun City Center, FL Sunnyside, FL Suwannee, FL Sydney, FL – T – Cities in Florida that begin with the letter “T”. Tallahassee, FL Tallevast, FL Tampa, FL Tangerine, FL Tarpon Springs, FL Tavares, FL Tavernier, FL Telogia, FL Terra Ceia, FL The Villages, FL Thonotosassa, FL Titusville, FL Trenton, FL Trilby, FL – U – Cities in Florida that begin with the letter “U”. Umatilla, FL – V – Cities in Florida that begin with the letter “V”. Valparaiso, FL Valrico, FL Vanderbilt Beach, FL Venice, FL Venus, FL Vernon, FL Vero Beach, FL – W – Cities in Florida that begin with the letter “W”. Wabasso, FL Wacissa, FL Wakulla Springs, FL Waldo, FL Wauchula, FL Wausau, FL Waverly, FL Webster, FL Weirsdale, FL Welaka, FL Wellborn, FL West Little River, FL West Palm Beach, FL Weston, FL Westville, FL Wewahitchka, FL White Springs, FL Wildwood, FL Williston, FL Wimauma, FL Windermere, FL Winter Beach, FL Winter Garden, FL Winter Haven, FL Winter Park, FL Winter Springs, FL Woodville, FL Worthington Springs, FL – Y – Cities in Florida that begin with the letter “Y”. Yalaha, FL Yankeetown, FL Youngstown, FL Yulee, FL – Z – Cities in Florida that begin with the letter “Z”. Zellwood, FL Zephyrhills, FL Zolfo Springs, FL
Source: medicaresupplementsolutions.com

Florida Medicare Providers & Carriers

Florida Medicare providers offer services at different prices depending mainly on location and network availability. A Medicare provider is a medical practitioner or supplier who falls into a carrier network and performs services or offers supplies that are reimbursed by Medicare. To become a Medicare provider in Florida, a practitioner must submit an application, have a valid state medical license, and comply with United States non-discrimination standards. Examples of providers include fee-for-service providers, pharmacists, physicians, and skilled nursing facilities.
Source: myfloridamedicare.net

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

Unicare of Nevada Medicare Plans

Posted by:  :  Category: Medicare

UniCare’s focus is on putting their clients and associates in Nevada back in control of their health care and financial future. Through exceptional sales and account management staff who listen to their Nevada clients and their associates, UniCare can create benefits that evolve over time to meet changing needs and add the most value. UniCare Life & Health Insurance Company now offers even more affordable choices for supplementing your Medicare coverage with Standard Plan A, Standard Plan F, PrimeChoiceSM High Deductible Plan F and Standard Plan L
Source: online-health-insurance.com

Medicare Advantage California

*All information submitted is private and not shared with third parties. We have a no spam or solicitation policy. All data is used expressly by medicareadvantagecalifornia.com and qualified associated medicare brokers to provide consumers with requested California Medicare Advantage information and assistance. By clicking on ‘Submit’, you consent to receiving a phone call and/or email from a licensed insurance representative representing a top health insurance company such as Aetna, Anthem, Blue Cross Blue Shield, Humana, United Healthcare and WellPoint regarding Medicare Advantage, Medicare Supplement and / or Medicare Drug Plans. When calling our toll free number you will be connected to a qualified associated medicare broker to assist you.
Source: medicareadvantagecalifornia.com

2014 Medicare Advantage Plan Reviews For Top Insurers

MVP Health Insurance Company started offering insurance in 1986. While it’s one of the newer insurance companies on the market, MVP has consistently delivered discounts to its members and maintained a high customer satisfaction rating. Although MVP is only available in parts of New York, New Hampshire and Vermont, it still has over 750,000 customers. Customers praise MVP for creating plans that are budget-friendly but also include a variety of services like preventive care, screenings, fitness, wellness, dental and inpatient hospital care. A variety of health insurance plans are available through MVP. As a major health insurance provider, their insurance covers groups, businesses and individuals. Almost 26,000 of MVP customers are businesses located in the tri-state area. With personal and business choices, MVP also created multiple Medicare plans to make it easier for qualifying individuals to combine all of their services and coverage into one plan. Most plans provided by MVP are typical to what you find with other major health insurance companies. However, MVP did create an EPO plan and provides insurance for families and individuals. Discounts are offered for healthy family members as well as rewards for those who complete certain programs like a stop smoking program. There are also lifestyle coaches and fitness programs. The National Committee for Quality Assurance awarded MVP with an “Excellent” accreditation for HMO and POS plans. MVP was also rated “America’s Best Health Plans in 2008 and 2009” by US News and World Report. If you live in Vermont, New York or New Hampshire and want to get an MVP Medicare plan, then comparing each plan and learning about the benefits can help you save money as you look at options with Medicare Advantage.
Source: medicarepartc.com

Medicare Application & Enrollment Guide: How to Enroll in Medicare Insurance Programs

Posted by:  :  Category: Medicare

Getting your hands on a copy of a death certificate or other birth records can be difficult. Many countries, states, counties and cities handle the process for ordering public records differently. Here at the birth records directory, we aim to provide you with quick and easy access to public and private death records, no matter the location. Take a minute and look around the site here. Find the article or resource related to the location you need to order birth records and follow the directions. Good luck!
Source: medicareapplication.org

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

Annual Statistical Supplement, 2011

Posted by:  :  Category: Medicare

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

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

Compare Medicare Supplement Insurance Plans & Medigap Plans and Rates for
2011. See Plan Chart for AL, AR, AZ, CO, FL, GA, IA, ID, KS, KY, LA, MD, MI, MO, MN, MS,
NC, NE, NM, OH, OK, SC, TN, TX, VA & WV. Medigap Insurance Plans including the
Popular Plan F & G

Year after year we have found Medicare Supplement Plan F or Medicare Supplement Plan G to be the best value for the dollar. The new Plan N is a great alternative to a Medicare Advantage plan.  Plan N might be recommended depending on which state you live in and how much the supplement cost in relation to available Medicare Advantage plans. A plan N will provide more coverage and a very reasonable premium. In Florida we have the lowest rate for plan F & plan N. See the Medicare Supplement Plan chart below. In general, the higher you go up in the plan chart the more Gaps the plan fills. Medicare Supplement Plan F is the most comprehensive supplement plan and there is not a better plan than F. Most people will select a Plan F. However, depending on your personal situation there may be a more cost efficient choice.
Source: themedicarechannel.com

Medicare Supplement Insurance & Plans

If you are leaving your employers benefits and are over the age of 65, a guaranteed-issue period for Medicare Supplement insurance may apply. Those who have already have Part B Medicare over the age of 65 and are losing their employer benefits may also enroll in a Medicare Supplement and be guaranteed-issue. Some Medicare Supplement insurance companies also offer guaranteed policies during the 63 days if you voluntarily leave your employer benefits due to retiring. Check with one of our advisors to see if you qualify based on your own circumstances.
Source: yourmedicaresupplement.com

Annual Statistical Supplement, 2011

d. Standard premium rate for voluntary enrollment by certain aged and disabled individuals not otherwise entitled to Hospital Insurance (HI). (Most individuals aged 65 and older and many disabled individuals under age 65 are insured for HI benefits without payment of any premium.) Beginning in 1994, a reduced premium is available to premium-paying HI enrollees with at least 30 quarters of Medicare-covered employment (either their own or through a current or former spouse if the marriage meets certain duration criteria). In most cases, a surcharge applies for beneficiaries who enroll after their initial enrollment period.
Source: ssa.gov

Understanding Medigap Medicare Supplemental Insurance

If you already have a comprehensive retiree health plan to supplement Original Medicare, you may not need a Medigap plan. If your retiree policy provides more-generous benefits, or benefits not covered by Medicare or Medigap policies, you should think carefully before dropping your retiree health plan for a less expensive choice. (You might not be able to get that employer plan back once you drop it.) Check with your union or your former employer’s benefits manager or health plan to make sure you understand all the stipulations. Can you accept some restrictions on your care? If so, Medicare Select is a Medigap policy that limits the providers you can see. Costs can be lower than with standard Medigap policies because Medicare Select policies cover services only at certain hospitals and through specific doctors. Your state insurance department can tell you if there are Medicare Select plans in your state and give you more information about them.
Source: aarp.org