Medicare Fraud Reporting Center

Posted by:  :  Category: Medicare

Medicare Whistleblowers are typically healthcare professionals who are aware of hospitals, clinics, pharmacies, Nursing Homes, Hospices, long term care and other health care facilities that routinely overcharge or seek reimbursement from government programs for medical services not rendered, drugs not used, beds not slept in and ambulance rides not taken. If you have information about a person or a company that is cheating the Medicare program (or any other government run healthcare program), you may be able to collect a large financial reward for reporting it here.
Source: medicarefraudcenter.org

Identifying, Reporting & Preventing Medicare Fraud

One way to detect and prevent Medicare fraud is to keep a record whenever you visit a doctor or health provider, including the date you received the service, the provider name, the service or equipment received, and the amount charged. Save all the statements your doctor sends and compare them against your Medicare claims information. If you have Original Medicare, you can find information on your Medicare claims by logging into MyMedicare.gov or checking your Medicare Summary Notice, which is a notice Medicare mails out every three months.
Source: medicareconsumerguide.com

New York Medicaid Applications

Posted by:  :  Category: Medicare

There are many services that are covered under the medicaid plan. Once again, your first step will be to complete the NY medical application and then once your application in accepted, you will be able to receive your benefits. Your medicaid coverage will include all of your doctor visits from a doctor that participates in the medicaid coverage plan and accepts medicaid payments. Your medicaid coverage will also include prenatal care for women who are pregnant. The coverage will include clinic sessions, family planning services, and care in a nursing home. Al of these benefits are provided to you, once you are accepted into the NY medicaid program.
Source: applicationformedicaid.com

Apply for Medicaid: Medicaid: Medical Services: Services: Department of Human Services: State of North Dakota

If you want to apply for healthcare coverage and also want to apply for assistance with child care expenses, food assistance, or a TANF grant, the Application for Assistance will allow you to apply for any or all of these programs.
Source: nd.gov

Asset Protection Specialists Massachusetts

Posted by:  :  Category: Medicare

We specialize in MA nursing home medicaid spend down planning helping elders to preserve their home, their life savings and other assets. We have appeared with Jordan Rich of WBZ News Radio 1030 in variety of seminars on the topic of Senior Asset Protection.
Source: commadvisory.com

The MassHealth (Medicaid) Lawyer

The MassHealth Planning & Elder Law blog is regularly updated to provide you with the most up to date news and information affecting Massachusetts seniors and the long-term care planning options available under Medicaid. If you have any questions or cannot find the information you are looking for in our article database, please ask us or suggest a new article topic using the submission form on the right. Also, you can sign up to receive our monthly newsletter which includes a summary of the previous month’s articles from our estate planning & probate blog and our MassHealth planning & elder law blog, as well as upcoming events and offers.
Source: mamedicaidlawyer.com

Massachusetts wills lawyer, Boston medicaid planning, probate attorneys, estate planning attorney, MA lawyers, boston probate administration, Will contest, medicaid plans, living trusts

Acton Wills Agawam Amherst Andover Arlington Attleboro Barnstable Belmont Beverly Billercia Boston Braintree Bridgewater Brockton Brookline Burlington Cambridge Canton Chelmsford Chelsea Chicopee Danvers Dartmouth Dedham Dracut Easton Everett Fall River Falmouth Fitchburg Framingham Gloucester Haverhill Holyoke Lawrence Leominster Lexington Lowell Lynn Malden Marlborough Medford Melrose Metheun Milford Milton Natick Needham New Bedford Newton North Andover North Attleboro North Reading Norwood Peabody Pittsfield Plymouth Quincy Randolph Revere Salem Saugus Shrewsbury Somerville Springfield Stoughton Taunton Tewksbury Waltham Watertown Wellesley Westfield West Springfield Weymouth Woburn Worcester allston brighton charlestown chelsea dorchester east boston jamaica plain mattapan readville hyde park revere roslindale roxbury south boston west roxbury winthrop suffolk county bay state medford cambridge everett watertown malden somerville newton quincy savin hill fields corner wollaston
Source: massachusetts-wills.com

MassHealth: Medicaid in Massachusetts

Submitting a MassHealth application to help cover nursing home costs without elder law advice can often be a bad idea. I often describe the MassHealth application process for nursing home care as “guilty until proven innocent.” MassHealth applications are closely scrutinized, with a lookback period of 5 years on all financial records. Gifts, below-market sales and unexplained financial transactions can cause problems; any unexplained or poorly-explained expenditure can be treated as a disqualifying transfer of assets, delaying MassHealth eligibility at a time when there are no remaining funds to pay for nursing home care. Trusts are often rejected without explanation. The application process can take several weeks or even months, while the MassHealth eligibility worker keeps asking questions and demanding further verifications.
Source: masshealth.info

McNamara & Yates P.C.

Bill worked diligently to update my mother’s will, as well as a new living trust and Massachusetts family LLC. This allowed her to consolidate various real estate and other assets into a single, consolidated format. Bill was very easy and comfortable to work with, and extremely responsive to new questions or issues. I was fortunate to find Bill. We will certainly continue to consult with he and Tim as we encounter estate planning issues in the future.
Source: cape-law.com

Medicare Sustainable Growth Rate

Posted by:  :  Category: Medicare

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

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

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

Contact Information and Websites of Organizations for 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

Medicare Advantage vs. Medicare Supplement

Posted by:  :  Category: Medicare

When you enroll in a Medicare Advantage plan, you move completely into a private health insurance plan. That means your insurance company covers all your healthcare bills. Insurance companies must provide the same level of coverage as Original Medicare with their Medicare Advantage plans, with the exception of hospice care. The end result of the two programs is about the same; they just go through a different setup.
Source: ehealthinsurance.com

Medigap Vs. Medicare Advantage: Which Is Better?

Medicare has four basic parts – A, B, C and D. If you’re unfamiliar with how they work, read Medicare 101: Do You Need All 4 Parts? Taken together, Parts A (hospital care), B (doctors, medical procedures, equipment) and D (prescription drugs) provide basic coverage for Americans 65 and older. What’s relevant for this article is what these parts don’t cover – deductibles, co-pays and other medical expenses that could wipe out your savings should you become seriously ill. That’s where Part C comes in. Also known as Medicare Advantage, it’s one of two ways to protect against the potential high cost of an accident or illness. Here’s what could happen.
Source: investopedia.com

Medigap vs. Medicare Advantage Plan

Medicare Advantage comprises a variety of private health plans — most often HMOs and PPOs — that Medicare offers as a coverage alternative to the traditional program. Every plan must cover all the same benefits that traditional Medicare covers. But the plans can charge different copayments (often lower than the traditional program but not always) and offer extra benefits. Most charge a monthly premium in addition to the Part B premium, but some don’t. Most include prescription drug coverage at no additional cost. Some cover routine hearing and vision services, usually as a separate package for an additional premium. All plans, by law, have annual limits on out-of-pocket costs. Another difference from the traditional program is that most plans require you to go to doctors and other providers within their service network or pay higher copays for going out of network.
Source: aarp.org

Medigap Plan F Rates, Coverage, and Information

Posted by:  :  Category: Medicare

Medigap Plan F, also called Medicare Supplemental Insurance Plan F, is the most popular Medigap option as it is one of only two plans that cover Medicare Part A and B excess charges.  Once a Medicare enrollee reaches a certain cap on their health coverage, they are responsible to cover all remaining costs for medical services.  Medigap Plan F covers the cost of medical services should you exceed your allotted limited that Medicare covers.
Source: medicaresupplementalinsurance.com

Medicare Supplement Plan F

Out of the 10 standardized Medicare Supplemental Insurance (Medigap) plans, Plan F is the most popular option. It offers the most benefits compared to other alternatives and is considered a first-dollar coverage plan. Because Original Medicare (Part A and Part B) only covers certain hospital and medical expenses, Medigap Plan F covers the remaining expenses and leaves beneficiaries with little to no out-of-pocket expenses. Beneficiaries should be aware that, as the most comprehensive Medigap plan, Plan F is often more expensive than other Medigap plans that offer fewer benefits.
Source: planprescriber.com

Find The Best Rate For Medicare Plan F With MediGap Advisors

"Dawn was very responsive, knowledgeable, and helpful! The process was pleasant and painless. As for why we chose MediGap Advisors, I found you on the internet and after talking with Dawn, the decision was easy. You should know that I am an insurance agent, but do not offer Med Sups. I do have several friends who do, but I chose to work through Dawn anyway. I think that should give you some comfort that you have a solid agent representing your company."
Source: medigapadvisors.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

Medicare Part B Coverage of Diabetic Supplies and Glucose Meterr

Posted by:  :  Category: Medicare

Medicare Part B covers the cost of insulin pumps and the insulin used in the pumps. However, if the beneficiary injects their insulin with a needle (syringe), Medicare Part B DOES NOT COVER the cost of the insulin, but the Medicare prescription drug benefit (Part D) covers the insulin and the supplies necessary to inject it. This includes syringes, needles, alcohol swabs and gauze. The Medicare Part D plan will cover the insulin and any other medications to treat diabetes at home as long as the beneficiary is on the Medicare Part D plan”s formulary.
Source: northcoastmed.com

Diabetes supplies & services

Your doctor or other health care provider may recommend you get services more often than Medicare covers. Or, they may recommend services that Medicare doesn’t cover. If this happens, you may have to pay some or all of the costs. It’s important to ask questions so you understand why your doctor is recommending certain services and whether Medicare will pay for them.
Source: medicare.gov

Diabetes Products and Free* Supplies – ADS – A Diabetic Supply Company

Diabetes Education and Support Have a question about Diabetes Testing Supplies or Diabetes in General? Not sure of the difference between hypoglycemia and hyperglycemia? Do you want to know the difference between Type One Diabetes and Type Two Diabetes? We give you the educational material and support you need to manage your diabetes and simplify your life! Read our Diabetes Education section to learn more.
Source: northcoastmed.com

Medicare: American Diabetes Association®

Some beneficiaries choose Medicare Advantage plans instead of Medicare Part A and B (the “Original Medicare Plan”). A Medicare Advantage Plan is a type of Medicare health plan offered by a private insurance company that contracts with Medicare to provide you with all your Part A and Part B benefits. Because Medicare Advantage plans are private insurance plans, they come in all shapes and sizes. Out-of-pocket costs vary depending on the plan. Most plans offer prescription drug coverage and plans may offer extra benefits that are not covered under Parts A and B (but you may pay extra for them).
Source: diabetes.org

Rate Shock: In California, Obamacare To Increase Individual Health Insurance Premiums By 64

Posted by:  :  Category: Medicare

The author has done a lot of analysis but failed to do research. However he is equally guilty of comparing apples to oranges and clearly has group coverage. Any individual who applies for insurance on E-health or one of the large nationals, NEVER gets the cheapest rate. It is a teaser rate or only for those in perfect health which simply does not exist. You cannot lie on the application due to the pre-existing clauses which will result in NO coverage at all shld. you have a health mishap due to your condition. The insurance companies ALWAYS add a risk premium to the lowest rate offered (BAIT and SWITCH) just like some car dealers and one always pays $80 plus or more depending on the risk factors the insurers add such as age, hypertensive, location, amount of meds you are currently one and so on. I was 51 in 2009 and applied for catastrophic insurance with Anthem BCBS in Ga. and the rate advertised was $130 or something but after the application I ended up paying $260 a month. Another co. would only provide insurance to me if I signed a WAIVER of coverage for a pre-existing condition for life. I applied to 4 different insurers and each time the advertised premium was not available to me and only for someone in perfect health.
Source: forbes.com

COBRA Health Insurance Continuation Premium Subsidy

In addition, the COBRA subsidy is available to people who become eligible for COBRA coverage as a result of a reduction in hours occurring between Sept. 1, 2008, and May 31, 2010, followed by an involuntary termination between March 2, 2010 and May 31, 2010. If you fall into this category, your subsidy is available starting with the first period of coverage beginning after the involuntary termination. Individuals who did not take COBRA coverage after the reduction in hours or who signed up but later dropped it, get another chance to sign up for COBRA coverage. In this case, the COBRA coverage would begin with the first period of coverage after the involuntary termination and continue up to 18 months after the reduction in hours. The administrator of a group health plan or other entity must provide notice of the new election right after the involuntary termination. As in the case of other assistance-eligible individuals, the subsidy ends after the earliest of 15 months, the end of COBRA coverage, or eligibility for other group health or Medicare coverage.
Source: irs.gov

Don’t Miss the Health Insurance Deduction if You’re Self

If you’re an S corporation shareholder, the policy can be in your name or the S corporation’s name and either of you can pay the premiums. If the policy is in your name and you pay the premiums, the S corporation must reimburse you and include the premiums as wage income on your Form W-2.
Source: irs.gov

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 Supplemental Health Insurance Information and Medicare Supplement Insurance Plans

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

Medicare 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

Compare Medicare Advantage & Supplemental Plans

Medicare Advantage insurance is offered by private insurance companies with a Medicare contract, and replaces Original Medicare Part A and Part B. You must continue to pay your Part B premiums. Medicare Advantage plans typically offer additional benefit options and have less cost-sharing than Original Medicare, and you may have to pay a monthly premium in return for the extra benefits. Medicare Advantage plans come in a variety of formats, such as HMO, PPO and PFFS plans, as well as special needs plans. Medicare beneficiaries can enroll in Medicare Advantage plans if they have Medicare Part A and Part B, but only during designated enrollment periods. These enrollment periods change from time-to-time, so please call us to get the most-up-to-date information.
Source: medicaresolutions.com

Medicare Supplemental Insurance

One major problem that people face after they find and purchase a Medicare Supplemental Insurance plan is that the insurance plan isn’t giving them back what they truly need. This is the very reason that motivated us to come up with a service that will help you in figure out the best Medicare Supplemental Insurance plan for YOU, that will be most beneficial to YOU in the future as your need for medical assistance increases. We can help you in save money while choosing a plan. We do this by helping you find a local Medicare Supplement Insurance agent who will guide you down the right path in purchasing the right Medicare Supplemental Plan.
Source: medicaresupplement-insurance.com

Medicare Supplemental Insurance — Which policy is best?

Our recommendation: After picking the benefit combination (Plan A through L) that best suits your needs, buy the issue-age or community-rated Medigap policy with the lowest premium. Even though they are a bit more expensive at the start, your premiums won’t go up every year just because you get older. (AARP’s Medigap plans use a combination of issue-age and community-rated methods; their premiums don’t increase as you get older, but their younger retirees do receive a discount.)
Source: todaysseniors.com

Shopping For Medicare Supplemental Insurance

Health insurance from an employer, professional organization, government or military retiree plans. If you remain employed after your 65th birthday, you may be able to continue your group health insurance with your employer and may not need a Medicare Supplement insurance policy. Likewise, if you become eligible for Medicare but are covered by your working spouse’s health insurance, you may not need a Medicare Supplement Insurance policy. Retirees with group health plans from their employers may consider switching to individual Medicare Supplement insurance policies. If you are in this situation, it is important to review each option before making a decision.  Group retiree plans may not cost anything, or the cost may be lower than buying an individual Medicare Supplement insurance policy.
Source: vermont.gov