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

Handbooks, Forms and Notices

Families will have the opportunity to print the forms, fill them out at home and return them to their child’s school. Please click on the links below to read the Forms and Notices Handbook, then to print out each form. Please sign the forms and return them to your child’s school.
Source: nc.us

Medicare Form, Medicare Forms

Aetna Medicare Basic Plan (HMO) will not be renewing its Medicare contract effective January 1, 2012. You may choose to enroll in our plan, but your coverage will automatically end on December 31, 2011 in Atlantic, Burlington, Camden, Cumberland, Gloucester, and Salem counties in New Jersey. Because this plan ends on December 31, 2011, if you decide to join, you are entitled to enroll in a new MA plan or PDP beginning December 8, 2011 through February 29, 2012. However, if you want your enrollment in the new plan to take effect on January 1, 2012, the new plan must receive your application by December 31st. You may also have the option of enrolling in a Medicare Cost Plan, if one is offered in your area. If you do not enroll in another MA plan, Medicare Cost Plan or PDP plan by December 31, 2011, you will be disenrolled from our plan and enrolled in Original Medicare on this date. You will receive additional information in the fall about your rights and additional options.
Source: aetnamedicare.com

Durable Medical Equipment, Prosthetics/Orthotics & Supplies Fee Schedule

Posted by:  :  Category: Medicare

Medicare payment for durable medical equipment (DME), prosthetics and orthotics (P&O), parenteral and enteral nutrition (PEN), surgical dressings, and therapeutic shoes and inserts is equal to 80 percent of the lower of either the actual charge for the item or the fee schedule amount calculated for the item, less any unmet deductible. The beneficiary is responsible for 20 percent of the lower of either the actual charge for the item or the fee schedule amount calculated for the item, plus any unmet deductible. The DME and P&O fee schedule payment methodology is mandated by section 4062 of the Omnibus Budget Reconciliation Act (OBRA) of 1987, which added section 1834(a) to the Social Security Act. OBRA of 1990 added a separate subsection, 1834(h), for P&O. The DME and P&O fee schedules were implemented on January 1, 1989 with the exception of the oxygen fee schedules, which were implemented on June 1, 1989. Section 13544 of OBRA of 1993, which added section 1834(i) to the Social Security Act, mandates a fee schedule for surgical dressings; the surgical dressing fee schedule was implemented on January 1, 1994. Section 4315 of the Balanced Budget Act of 1997, which added section 1842(s) to the Social Security Act, authorizes a fee schedule for PEN, which was implemented on January 1, 2002. Section 627 of the Medicare Modernization Act of 2003 mandates fee schedule amounts for therapeutic shoes and inserts effective January 1, 2005, calculated using the P&O fee schedule methodology in section 1834(h) of the Social Security Act.
Source: cms.gov

Extra Help with Medicare Prescription Drug Plan Costs

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

Medicare Supplement Rate, Medicare Supplement Rates

This material is for information only. This is a solicitation to sell Aetna Medicare Supplement insurance underwritten by Aetna Life Insurance Company (Aetna). A sales representative may call. Benefits and costs may vary depending upon the insurance plan. Insurance plans are subject to exclusions, limitations and eligibility requirements. Neither Aetna Life Insurance Company nor any of its agents or Medicare Supplement insurance plans are connected with or endorsed by the U.S. or state government, Social Security or Federal Medicare program.
Source: aetnamedicare.com

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

Medicare Advantage, Medicare Advantage Plans

Aetna Medicare is an HMO/PPO/PDP plan with a Medicare contract. Enrollment in Aetna Medicare depends on contract renewal. The benefit information provided is a brief summary, not a complete description of benefits. For more information, contact the plan. Limitations, copayments, and restrictions may apply. Benefits, formulary, pharmacy network, provider network, premium and/or copayments/coinsurance may change on January 1 of each year.
Source: aetnamedicare.com

Compare Medicare Advantage Plans in 2015

The Kaiser Family Foundation also says that plans and costs are bound to differ wildly in different areas of the country or even regions of the same state. Available plans and premiums can differ when you cross a ZIP code boundary or into a new county. The key is to find different options in your local area and select the one that suits your needs and budget the best. Your own right choice will depend upon the premium, options available in your town or city, the network of medical providers, covered benefits and benefit amounts, and the potential for out of pocket costs.
Source: medicareadvantageplans2015.net

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

Extra Help with Medicare Prescription Drug Plan Costs

Posted by:  :  Category: Medicare

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

Medicare Cost Savings Programs

The SLMB program provides payment of Medicare Part B premiums only for individuals who would be eligible for the QMB program except for excess income. Income for this program must be more than 100% of the FPL, but not exceed 120% or 135% of the FPL.
Source: mo.gov

Medicare Fraud Whistleblower Qui Tam Cases

Posted by:  :  Category: Medicare

Another common example of coding fraud is called “unbundling.” When procedures or lab tests involve a number of related services or tests that are typically performed together, Medicare and Medicaid have specific billing codes that must be used to obtain reimbursement for all of the associated services or tests as a whole, rather than allowing reimbursement for each of the related services or tests billed separately. For instance, blood and clinical laboratories often perform “Complete Blood Count” (“CBC”) testing as ordered by physicians. These “CBCs” usually involve up to a dozen or more tests for various enzymes, minerals, platelets, etc. However, because these CBCs are so common, the lab companies have a standard automated test that is used, rather than having to test for each component separately. Accordingly, Medicare billing codes include specific codes that must be billed to obtain a single reimbursement for all of these tests together. In the “unbundling” scheme, lab companies billing for each do not use the composite billing code, but instead bill multiple codes as though they had performed separate tests for each of the blood components. In this unbundling scheme, the lab fraudulently obtains much higher overall reimbursement than it is entitled to.
Source: warrenbensonlaw.com

Medicare Whistleblower Program Proposes Increased Rewards to Combat Fraud and Abuse

For example, the proposed rule authorizes the agency to deny Medicare enrollment to providers, suppliers and owners affiliated with another entity with an unpaid debt to Medicare unless such debtors agree to a repayment plan. CMS contends that this will prevent suppliers from accumulating debt, leaving the program and subsequently re-enrolling as a new business. The proposed rule also allows CMS to revoke Medicare enrollment to a provider or supplier whose senior employee has been convicted of a felony within the past ten years or if the provider or supplier has a pattern of billing for services that do not meet Medicare requirements, thereby allowing CMS to purge “bad actors” from its program. Additionally, the rule would eliminate a current provision which allows ambulance suppliers (deemed as particularly high risk for Medicare fraud by HHS) to “back bill” Medicare for services furnished within the 12 month period prior to submitting an application for enrollment in Medicare. Instead, ambulance service providers would be allowed to bill Medicare only after filing an enrollment application and, if their billing privileges are later revoked, an ambulance service provider would be required to submit any remaining claims to the program within 60 days of revocation of billing privileges—the standard applied to other providers. CMS estimates that these restrictions on ambulance suppliers will result in Medicare savings of over $327 million per year.
Source: hblaw.com

Medicare Advantage HMO Plan Options

Posted by:  :  Category: Medicare

CarePlus offers several Medicare Advantage plan choices*. At CarePlus, we’re ready to help you sort through your choices so you can make decisions with confidence. Not sure which Medicare plan is best for you? Enter your ZIP code at the top of this page to see plans available in your area, except for Special Needs Plans (SNPs). You can compare benefits, estimate costs, and enroll online. Find additional SNP information for your service area.
Source: care-plus-health-plans.com

CarePlus Florida 2015 Medicare Advantage Plans

+ These benefit plans are available to certain dual eligible members depending on the level of Medicaid they receive. These plans are available to anyone who has both Medical Assistance from the State and Medicare. Premiums, copays, coinsurance, and deductibles may vary based on the level of Extra Help you receive. CarePlus is an HMO plan with a Medicare contract. Enrollment in CarePlus depends on contract renewal. CareNeeds (HMO SNP) is sponsored by CarePlus and the State of Florida, Agency for Health Care Administration. Please contact the plan for further details.
Source: care-plus-health-plans.com

CarePlus Health Plans, Inc. Medicare Advantage Plans with Part D (Prescription Drug) Coverage

The following CarePlus Health Plans, Inc. plans offer Medicare Advantage and Part D coverage to Florida residents. Medicare Advantage plans, also known as Medicare Part C, are alternatives to original Medicare. These plans help cover the costs of services provided by hospitals, doctors, lab tests and some preventive screenings. These plans’ Part D component helps cover prescription drugs. Even if a plan’s monthly premium is $0, you would still pay the equivalent of the original Medicare premium. Not all plans shown here will be available to you; enter your zip code to see plans in your area. You can read about whether Medicare Advantage is right for you. If you only want plans with drug coverage, browse Prescription Drug (Part D) Plans.
Source: usnews.com

ICS Community Care Plus FIDA

ICS Community Care Plus FIDA-MMP is a managed care plan that contracts with both Medicare and the New York State Department of Health (Medicaid) to provide the benefits of both programs to participants through the Fully Integrated Duals Advantage (FIDA) Demonstration. 
Source: icsny.org

UnitedHealthcare Health Insurance

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

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

Posted by:  :  Category: Medicare

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

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

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

Medicare Enrollment & Claims Data

Medicare is the federally funded program that provides health insurance for the elderly, persons with end-stage renal disease, and some disabled. For persons age 65 and over, 97 percent are eligible for Medicare. Almost all Medicare beneficiaries have Part A coverage that includes hospital, skilled-nursing facility, hospice and some home health care. 96 percent of elderly Part A beneficiaries choose to pay a monthly premium to enroll in Part B of Medicare that covers physician and outpatient services. Medicare Part C refers to HMO enrollment. While some Medicare beneficiaries are enrolled in HMOs, most have fee-for-service (FFS) coverage. In 2006, Medicare initiated Part D, which provides prescription drug coverage for beneficiaries who purchase the benefit. In 2008, the Centers for Medicare & Medicaid Services (CMS) estimates that approximately 60% of beneficiaries have Part D coverage.
Source: cancer.gov

Medicare Supplemental Insurance PA

Posted by:  :  Category: Medicare

This chart gives you a quick look at the standardized Medicare Supplemental Insurance Plans A through N and their benefits. Every insurance company must make Medicare Supplemental Insurance "Plan A" available if they offer any other Medicare Supplement insurance policy. Not all types of Medicare Supplemental Insurance policies are offered by all companies and some Medicare Supplemental Insurance policies may not be available in your state. For More information see complete CMS Guide to choosing a Medigap Policy.
Source: mysenioradvisorsgroup.com

Allen Heffler Medicare Insurance in Philadelphia PA

"When I retired last year, my only plan was to relax and spend more time with my family. I had no idea that finding the right coverage plan to supplement my Medicare would be such a hassle. Lucky for me, My Medicare Advisor made it easy, guiding me through what would have otherwise been a difficult transition."
Source: mymedicareadvisor.com

2015 Medicare Advantage Plans in Pennsylvania

There are almost two million Medicare beneficiaries in Pennsylvania, but each of them must compare the latest 2015 Medicare Advantage plans or supplements for themselves to make sure they make the best use of their benefits. The right choice really depends upon which plans are available in your local area, how you like to access health cares, and your budget.
Source: medicareadvantageplans2015.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

Pennsylvania Medicare Plans

To qualify for any one of these programs, participants must have assets below $6,600 or be part of a couple with assets below $9,910. State Health Insurance Assistance Program The APPRISE Health Insurance Counseling and Assistance Program operates a toll-free telephone system with call centers in 11 AAAs throughout the state. State grants to local sponsors fund a paid coordinator at locations throughout the state and support other related SHIP activities. APPRISE coordinates with community partners throughout the State to enhance information dissemination to beneficiaries as well as promote volunteer participation in the program. http://www.portal.state.pa.us/portal/server.pt?open=514&objID=616587&mode=2 High-Risk Pool Pennsylvania does not have a state-run high-risk insurance pool. Low-Income Subsidy (“extra-help”) for Prescription Drugs This program is a subsidy for Part D recipients with resources under $13,070 (or $26,120 for a couple) to receive money towards a Medicare prescription drug plan. The benchmark of support is different depending on which region of the country you live in. In Pennsylvania in 2012, the low-income subsidy was $34.32 per month.
Source: medicaresolutions.com

Pennsylvania Medicare Supplement

I found www.mymedicareadvisor.com through the internet.  I was expecting a clerk to answer the phone, from some far away land, who would give me the run-around for 10 minutes.  What I got instead completely floored me.  I was transferred right away to Allen Heffler in a matter of five seconds.  He was the complete opposite of what I expected.  He spent over 30 minutes with me over the telephone.  Not once, did Allen try to sell me anything.  Instead, he answered my questions and he educated me about all my options.  In a follow-up phone call, he went through the plan that I was interested, discussed several carriers, and started the paperwork.  For everything that he did for me, I can’t believe that he doesn’t cost a penny!  I couldn’t have asked for a more professional experience than working with Allen.  I strongly recommend his services.
Source: mymedicareadvisor.com

Michigan Medicare Health Insurance Plans

Posted by:  :  Category: Medicare

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

Medicare Advantage HMO Plan Options

CarePlus offers several Medicare Advantage plan choices*. At CarePlus, we’re ready to help you sort through your choices so you can make decisions with confidence. Not sure which Medicare plan is best for you? Enter your ZIP code at the top of this page to see plans available in your area, except for Special Needs Plans (SNPs). You can compare benefits, estimate costs, and enroll online. Find additional SNP information for your service area.
Source: care-plus-health-plans.com

Medicare Advantage Plans: Medicare HMO Blue

Medicare HMO Blue offers you an optional pharmacy benefit. It’s completely voluntary. If you decide you do want to enroll in our prescription coverage, it’s important to know that Medicare HMO Blue (Blue Care®65) uses a pharmacy formulary. A formulary is a preferred list of medications selected to meet patient needs. Not all medications are covered under a formulary. Periodically, we may make changes to the covered medications on our formulary. If we remove a medication from the formularly, you will be notified, in writing, before the change is made. If you are interested in enrolling in Medicare HMO Blue, and would like to learn more about medications covered under our formulary, click here. (Our pharmacy formulary may differ from the formulary used for Blue Medicare Rx.)
Source: bluediner.net

Best Medicare Supplement Insurance Quotes

Posted by:  :  Category: Medicare

Every Medicare supplemental insurance plan must follow federal and state laws designed to protect you. Medicare supplement plan insurance companies can only sell you a “modernized” Medicare supplemental insurance plan identified by letters A through N. Each modernized Medicare supplemental insurance plan must offer the same basic benefits, no matter which insurance company sells it.
Source: medicaresupplementplans.com

Medicare Supplement Plans & Quotes

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

Medicare Supplemental Insurance and Supplement Plans

About the author Susan Wright has been working in the insurance and financial services industries for over 20 years. She earned her MBA degree from St. Louis University, and her BA degree from Michigan State University. Susan has been licensed as an insurance agent and FINRA securities broker. In addition, she has earned nine professional designations, including: – CLU (Chartered Life Underwriter) – ChFC (Chartered Financial Consultant) – RHU (Registered Health Underwriter) – REBC (Registered Employee Benefits Consultant) – CSA (Certified Senior Advisor) – CLTC (Certified in Long-Term Care) – CCFC (Certified Cash Flow Consultant) – CSS (Certified Seniors Specialist in Real Estate) – ADPA (Accredited Domestic Partnership Advisor) Learn more about Susan on Google+
Source: medicaresupplementalinsurance.com

Compare Medicare Supplement Insurance Plans

Every Medicare supplemental plan must follow federal and state laws designed to protect you. Medicare supplement plan insurance companies can only sell you a “modernized” Medicare supplemental plan identified by letters A through N. Each modernized Medicare supplemental plan must offer the same basic benefits, no matter which insurance company sells it.
Source: medicaresupplementplans.com

Free Quotes On Medicare Supplemental Plans

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