Contact Information and Websites of Organizations for Medicare

Posted by:  :  Category: Medicare

You have the option of downloading the data used by the Helpful Contacts tool onto your computer. The data will be downloadable as zipped Microsoft Access databases. Health policy researchers and the media primarily use this function. For information about contacts in a particular geographical area, you should use the Helpful Contacts tool instead of downloading the data.
Source: medicare.gov

Darling Downs South West Queensland Medicare Local

This calendar features upcoming events and education in the Darling Downs, South Burnett and South West Queensland region. All events have a health and well-being focus and are aimed at the primary health care and wider communities,
Source: com.au

New England Medicare Local

These include: Continued Professional Development events and support; recruitment assistance and opportunities; access to shared resources; the provision of Provider Support Officers for General Practice and Allied Health professionals and access to services provide by NEML.
Source: org.au

Medicare Information Office

Scammers are calling Medicare beneficiaries and telling them they need a new Medicare card. They ask for people’s Medicare numbers and banking information. They may have some already, which makes them sound convincing. DO NOT GIVE THIS INFO! Medicare will NEVER call you or stop by and ask for your personal information. Here is a flyer with more information you can print and post.
Source: alaska.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

Medicare.gov Nursing Home Compare

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 Prescription Drug, Improvement, and Modernization Act

The bill came to a vote at 3 a.m. on November 22. After 45 minutes, the bill was losing, 219-215, with David Wu (D-OR-1) not voting. Speaker Dennis Hastert and Majority Leader Tom DeLay sought to convince some of dissenting Republicans to switch their votes, as they had in June. Istook, who had always been a wavering vote, consented quickly, producing a 218-216 tally. In a highly unusual move, the House leadership held the vote open for hours as they sought two more votes. Then-Representative Nick Smith (R-MI) claimed he was offered campaign funds for his son, who was running to replace him, in return for a change in his vote from “nay” to “yea.” After controversy ensued, Smith clarified no explicit offer of campaign funds was made, but that he was offered “substantial and aggressive campaign support” which he had assumed included financial support.
Source: wikipedia.org

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

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 Supplemental Insurance

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

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

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

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 Plan Finder for Health, Prescription Drug and Medigap plans

Posted by:  :  Category: Medicare

Between January 1–February 14, if you’re in a Medicare Advantage Plan, you can leave your plan and switch to Original Medicare. If you switch to Original Medicare during this period, you will have until February 14 to also join a Medicare Prescription Drug Plan to add drug coverage. Your coverage will begin the first day of the month after the plan gets your enrollment form.
Source: medicare.gov

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 drug plans: rating and reviews.

Part D Medicare prescription drug plan ratings and reviews to help you evaluate and find the best Medicare drug plan for 2015. Compare costs of Medicare Part D plans to save money. You can also rate and review your Medicare prescription drug plan to help others learn from your drug plan experience. On our forums, read comments, complaints, and suggestions about Medicare plans, the coverage gap (the “doughnut hole”) and low-cost medications from reputable online pharmacies. To find ratings and compare plans, click your state on the map below.
Source: medicaredrugplans.com

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

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

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 Prescription Drug, Improvement, and Modernization Act

The bill came to a vote at 3 a.m. on November 22. After 45 minutes, the bill was losing, 219-215, with David Wu (D-OR-1) not voting. Speaker Dennis Hastert and Majority Leader Tom DeLay sought to convince some of dissenting Republicans to switch their votes, as they had in June. Istook, who had always been a wavering vote, consented quickly, producing a 218-216 tally. In a highly unusual move, the House leadership held the vote open for hours as they sought two more votes. Then-Representative Nick Smith (R-MI) claimed he was offered campaign funds for his son, who was running to replace him, in return for a change in his vote from “nay” to “yea.” After controversy ensued, Smith clarified no explicit offer of campaign funds was made, but that he was offered “substantial and aggressive campaign support” which he had assumed included financial support.
Source: wikipedia.org

Medicare Part D Prescription Drug Plans: The Marketplace in 2013 and Key Trends, 2006

  For 2013, AARP MedicareRx Preferred PDP (offered by UnitedHealth) is the largest PDP in 22 regions, SilverScript Basic PDP is the largest in 9 regions, Humana Walmart-Preferred PDP leads in 2 regions, and MedicareBlue Rx Standard PDP has the largest share of enrollment in one region.  In addition to being the largest plan overall, AARP MedicareRx Preferred PDP has enrolled nearly one-third of all non-LIS enrollees nationally and has the most non-LIS enrollees in 30 of 34 PDP regions (Exhibit 22).  With the help of its acquisition strategy, CVS Caremark’s SilverScript Basic PDP dominates the LIS market with about one-third of national LIS enrollment and the highest share of LIS enrollees in 28 regions.  Like many PDPs with high LIS enrollment, SilverScript Basic PDP has attracted only a small share (14 percent) of non-LIS enrollees.  By contrast, Humana’s Walmart-Preferred PDP has attracted enrollment in nearly equal shares from both non-LIS and LIS beneficiaries, and is among the top five plans by enrollment in each category.
Source: kff.org

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

When can I join a health or drug plan?

During the 7-month period that starts 3 months before your 25th month of getting Social Security or RRB disability benefits and ends 3 months after your 25th month of getting disability benefits. Your coverage will begin the first day of the month after you ask to join a plan. If you join during one of the 3 months before you first get Medicare, your coverage will begin the first day of your 25th month of entitlement to disability payments.
Source: medicare.gov

Medicare Plan Finder for Health, Prescription Drug and Medigap plans

Between January 1–February 14, if you’re in a Medicare Advantage Plan, you can leave your plan and switch to Original Medicare. If you switch to Original Medicare during this period, you will have until February 14 to also join a Medicare Prescription Drug Plan to add drug coverage. Your coverage will begin the first day of the month after the plan gets your enrollment form.
Source: medicare.gov

Medicare Prescription Drug, Improvement, and Modernization Act

The bill came to a vote at 3 a.m. on November 22. After 45 minutes, the bill was losing, 219-215, with David Wu (D-OR-1) not voting. Speaker Dennis Hastert and Majority Leader Tom DeLay sought to convince some of dissenting Republicans to switch their votes, as they had in June. Istook, who had always been a wavering vote, consented quickly, producing a 218-216 tally. In a highly unusual move, the House leadership held the vote open for hours as they sought two more votes. Then-Representative Nick Smith (R-MI) claimed he was offered campaign funds for his son, who was running to replace him, in return for a change in his vote from “nay” to “yea.” After controversy ensued, Smith clarified no explicit offer of campaign funds was made, but that he was offered “substantial and aggressive campaign support” which he had assumed included financial support.
Source: wikipedia.org

Medicare Part D Plans, Prescription Drug Plan (PDP)

First Health Part D First Health Part D is a Medicare-approved Part D sponsor. Enrollment in our plan(s) 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, premium and/or copayments/coinsurance may change on January 1 of each year. You must continue to pay your Medicare Part B premium. Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next. This information is available for free in other languages. Please call our customer service number at 1-855-389-9688 (TTY/TDD 711), 8 a.m. to 8 p.m., seven days, from October 1 – February 14; 8 a.m. to 8 p.m. Monday – Friday, from February 15 – September 30. Medicare beneficiaries may also enroll in Coventry plans through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov.
Source: coventryhealthcare.com

How to Enroll in a Medicare Part D Drug Plan

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

Medicare Advantage Definition

Posted by:  :  Category: Medicare

Hospital and medical insurance (for senior citizens and others who qualify for Medicare) provided by private companies rather than the federal government. Medicare Advantage plans, also called “Part C” plans, provide the same Part A (hospital) and Part B (medical) coverage that Medicare does, with the exception of hospice care. They usually provide Part D (drug) coverage as well. As of 2014, about one-third of Medicare participants used a Medicare Advantage plan. Medicare pays the premiums for participants in Medicare Advantage plans.
Source: investopedia.com

Medicare Premiums and Deductibles for 2014

Posted by:  :  Category: Medicare

As you can see, premiums and deductibles can vary depending on the Medicare plans you select; and many costs have changed for Medicare plans in 2015. Would you like to ask me other questions? Learn more about me by clicking the orange button below my photo. There are also links below that let you schedule a phone appointment or have me email you more information. Want to compare plans on your own? Use the blue Find Your Plan button on the right side of this page. Or, for personalized assistance, just call us at 1-844-847-2659 (or TTY users, call 711).
Source: medicare.com

Medicare Advantage Premiums & Costs

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

NY Medicare / New York Medicare Specialist

Posted by:  :  Category: Medicare

All Rights Reserved – NY Medicare Specialists / Century Benefits Group, Inc. NY State Insurance License LA-517306 This is a proprietary website. and is not, associated, endorsed or authorized by the Social Security Administration, the Department of Health and Human Services or the Center for Medicare and Medicaid Services. This site contains decision-support content and information about Medicare, services related to Medicare and services for people with Medicare. If you would like to find more information about the Medicare program please visit the Official U.S. Government Site for People with Medicare located at http://www.medicare.gov
Source: nymedicare.org

New York Medicare Advantage Plans for 2015 from Touchstone Health

We understand that everyone has different health care needs. That is why we have a robust selection of Medicare plans to choose from including plans with or without prescription drug coverage and a plan for those who qualify for Medicaid.
Source: touchstoneh.com

EmblemHealth: Medicare Coverage

All Medicare Advantage Plans and Medicare Prescription Drug Plans agree to stay in the program for a full calendar year at a time. Benefits, formulary, pharmacy network, premium and/or copayments/coinsurance may change on January 1 of each year. Each year, plans can decide whether to continue to participate with Medicare Advantage or Medicare Prescription Drug Plans. A plan may continue in their entire service area (geographic area where the plan accepts members) or choose to continue only in certain areas. Also, Medicare may decide to end a contract with a plan. Even if your Medicare Advantage Plan or Prescription Drug Plan leaves the program, you will not lose Medicare coverage. If a plan decides not to continue for an additional calendar year, it must send you a letter at least 90 days before your coverage will end. The letter will explain your options for Medicare coverage in your area.
Source: emblemhealth.com

AARP Medicare Supplemental Insurance Plan F New York

A substitute for Original Medicare Parts A and B benefits. Often referred to as Part C which most of the time includes Part D prescription drug coverage. Plans are often categorized as either PPO’s or HMO’s. You pay deductibles and co pays for your services.
Source: planmedicare.com

Information for Medicare Beneficiaries

Medicare covers two types of physical exams; one when you’re new to Medicare and one each year after that. The Welcome to Medicare physical exam is a one-time review of your health, education and counseling about preventive services, and referrals for other care if needed. Medicare will cover this exam if you get it within the first 12 months of enrolling in Part B. You will pay nothing for the exam if the doctor accepts assignment. When you make your appointment, let your doctor’s office know that you would like to schedule your Welcome to Medicare physical exam. Keep in mind, you don’t need to get the Welcome to Medicare physical exam before getting a yearly Wellness exam. If you have had Medicare Part B for longer than 12 months, you can get a yearly wellness visit to develop or update a personalized prevention plan based on your current health and risk factors. Again, you will pay nothing for this exam if the doctor accepts assignment. This exam is covered once every 12 months.
Source: ny.gov

2011 Medicare Part D Program Compared to 2010, 2009, 2008 and 2007

Posted by:  :  Category: Medicare

Pharmaceutical manufacturers will be required to provide certain beneficiaries access to discount prices for certain brand drugs purchased under Medicare Part D. The manufacturer discount prices will be equal to 50% of the plan’s negotiated price defined (minus any applicable dispensing fees). These discount prices must be applied prior to any prescription drug coverage or financial assistance provided under other health benefit plans or programs and after any supplemental benefits provided under the Part D plan. The discounted prices will be charged at the pharmacy (point-of-sale). The beneficiary will not have to do additional paperwork, etc. to receive the benefit. These manufacturer discount prices will be made available to Part D enrollees who are in the coverage gap or donut hole (they have reached or exceeded the initial coverage limit and have incurred costs below the annual out-of-pocket threshold). Medicare beneficiaries will not be eligible to receive these discount prices if they are enrolled in a qualified retiree prescription drug plan or are eligible for the low-income subsidy. The costs paid by manufacturers towards the negotiated prices of drugs covered under this manufacturer discount program shall be considered incurred costs for eligible beneficiaries and applied towards their out-of-pocket threshold. This means that the total negotiated retail drug price will be applied to the TrOOP and will count toward getting out of the doughnut hole.
Source: q1medicare.com

Annual Statistical Supplement, 2011

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

2014 Medicare Part D Program Compared to 2013, 2012, 2011 and 2010

The 2014 plan year standardized, combined Annual Notice of Change (ANOC) and Evidence of Coverage (EOC) document will be mailed to current members of all Medicare Advantage (MA) plans, Medicare Advantage with Prescription Drug Coverage (MA-PD) plans, Prescription Drug Only (PDP) plans and cost-based plans offering Part D. MA and MA-PD plans must ensure current members receive the combined ANOC/EOC by September 30, 2013. Plans have the option to include Pharmacy/Provider directories in this mailing. All plans offering Part D must mail their Low-Income Subsidy (LIS) riders and abridged or comprehensive formularies with the ANOC/EOC to ensure current member receipt by September 30, 2013. Exception: Dual Eligible Special Needs Plans (SNPs) that are fully integrated with the State must mail an ANOC with the Summary of Benefits (SB) for member receipt by September 30, 2013 and then send the EOC for member receipt by December 31, 2013. Fully Integrated Dual Eligible SNPs that send a combined, standardized ANOC/EOC for member receipt by September 30, 2013 are not required to send an SB to current members. Note: With the exception of the ANOC/EOC, LIS Rider, and abridged or comprehensive formularies, no additional materials may be sent prior to the beginning of when marketing activities may begin on October 1.
Source: q1medicare.com

Medicare Plans are Confusing, We Make Medicare Less Frustrating.

Medicare Advantage insurance is a replacement to Original or Traditional Medicare Parts A and B – it is offered instead by private insurance companies. Medicare Advantage plans generally feature additional benefits and have less cost-sharing than Traditional Medicare, and you may be required to pay a monthly premium in exchange for the added benefits that the Medicare Advantage plan features. Medicare Advantage plans come in many different flavors and formats such as: HMO plans, PPO plans, PFFS plans, and special needs plans. Seniors may only enroll in Medicare Advantage plans if they already have both Medicare Part A and Medicare Part B and then only during specially designated enrollment periods. The Medicare enrollment periods change often, so please call us at: 1-(866)-866-7951 to find out when the next open enrollment period starts so you can enroll in this type of Medicare Plan.
Source: medicareplanstoday.com