Tufts Health Plan Medicare Preferred

Posted by:  :  Category: Medicare

In 2015, our HMO plans earned 4.5 out of a possible 5 Stars by the Center for Medicare and Medicaid Services. This rating combines the scores our plans received for the various medical and/or prescription drug services our plans offer.
Source: tuftsmedicarepreferred.org

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 Eligibility Guidelines

The patient has either of the following: a) Current pressure ulcer or past history of a pressure ulcer on the area of contact with the seating surface; or b) Absent or impaired sensation in the area of contact with the seating surface or inability to carry out a functional weight shift due to one of the following diagnoses: spinal cord injury resulting in quadriplegia or paraplegia (344.00-344.1), other spinal cord disease (336.0-336.3), multiple sclerosis (340), other demyelinating disease (341.0-341.9), cerebral palsy (343.0-343.9), anterior horn cell diseases including amyotrophic lateral sclerosis (335.0-335.21, 335.23-335.9), post polio paralysis (138), traumatic brain injury resulting in quadriplegia (344.09), spina bifida (741.00-741.93), childhood cerebral degeneration (330.0-330.9), Alzheimer

Raising the Age of Eligibility for Medicare to 67: An Updated Estimate of the Budgetary Effects

Posted by:  :  Category: Medicare

Outlays for Medicare would be lower under this option because fewer people would be eligible for the program than the number projected under current law. In addition, outlays for Social Security retirement benefits would decline slightly because raising the eligibility age for Medicare would induce some people to delay applying for retirement benefits. One reason is that some people apply for Social Security at the same time that they apply for Medicare; another reason is that this option would encourage some people to postpone retirement to maintain their employment-based health insurance coverage until they became eligible for Medicare. CBO expects that latter effect would be fairly small, however, because of two considerations: First, the proportion of people who currently leave the labor force at age 65 is only slightly larger than the proportion who leave at slightly younger or older ages, which suggests that maintaining employment-based coverage until the eligibility age for Medicare is not the determining factor in most people’s retirement decisions. Second, with the opening of the health insurance exchanges, workers who give up employment-based insurance by retiring will have access to an alternative source of coverage (and may qualify for subsidies if they are not eligible for Medicare). This option could also prompt more people to apply for Social Security disability benefits so they could qualify for Medicare before reaching the usual age of eligibility. However, in CBO’s view, that effect would be quite small, and it is not included in this estimate.
Source: cbo.gov

Raising the Ages of Eligibility for Medicare and Social Security

Raising the ages at which people can collect Medicare and Social Security would reduce federal spending and increase federal revenues by inducing some people to work longer. However, raising the eligibility ages for those programs also would reduce people’s lifetime Social Security benefits and cause many of the people who would otherwise have enrolled in Medicare to face higher premiums for health insurance, higher out-of-pocket costs for health care, or both. This issue brief reviews how ages of eligibility affect beneficiaries under current law and how delaying eligibility would affect beneficiaries, the federal budget, and the economy.
Source: cbo.gov

Medicare Proposal Pros and Cons

Proposed changes to the program include raising the eligibility age to 67, raising payroll taxes and requiring better-off beneficiaries to pay more. The most politically contentious plan, devised by Rep. Paul Ryan (R-Wis.), chairman of the House Budget Committee, would limit federal spending on Medicare and alter the way the government pays for benefits. Republicans say this plan is a fiscally responsible way of extending Medicare’s viability as millions of boomers enter the program. Democrats call it "the end of Medicare as we know it" and a way to shift more costs to beneficiaries.
Source: aarp.org

Medicare Eligibility Requirements

Part C: Medicare Part C is the Medical Advantage Plan whose services are performed by private companies also approved by Medicare. Part C combines Part A and B as well as any other necessary medical services a person may require (drug prescription, hearing, and vision services). If you are eligible for Medicare you are eligible for a Part C plan. Many people will opt for this plan because it offers the ability to add a wide range of service coverage to their medical insurance plan, but Plan C is not offered in every state. However, most Medicare Advantage Plans consist of particular doctors and hospitals in an area that a person must use in order to receive coverage for the medical treatment they receive. In addition to the premium paid for Part B Medicare coverage, a person receiving Part C coverage will have to pay a monthly premium.  There are several Medicare Advantage Plans available to you. These plans include Medicare Health Maintenance Organizations (HMO), Medicare Preferred Provider Organization plans (PPO), Medicare Private Fee-for-Service plans (PPFS), Medicare Special Needs, and Medicare Medical Savings Account (MSA).
Source: medicaresolutions.com

Medicare Supplement Plans & Quotes

Posted by:  :  Category: Medicare

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

Gerber Life Medicare Supplement

The Gerber Life Medicare Supplement (Medigap) product is here, contract online and offer this great product to your seniors. While no one can predict the future, it’s clear that Medicare can’t cover the entire expense of your clients’ necessary medical care. Fortunately, there is something you can do to make sure that your clients’ medical expenses are always covered. The Gerber Life Medicare Supplement Insurance (Medigap) product provides the stability your clients are looking for that only a company like Gerber can offer.
Source: psmbrokerage.com

Gerber Life Medicare Supplements

Gerber Life was named one of the Top 50 Performing Life & Health Companies in the U.S. in 2009 by the Ward Group, an operational consulting firm and leading provider of benchmarking services to the insurance industry. This special recognition reflects Ward’s analysis showing that Gerber Life passed all safety and consistency screens and achieved superior performance during the five years analyzed.
Source: planmedigap.com

Gerber Medicare Supplement Plan F Rates

It cannot be canceled.  It will be renewed as long as the premiums are paid on time.  Your Gerber Medicare Supplement benefits will automatically increase as Medicare deductibles and coinsurance increase.  Benefits are not paid for any expense paid by Medicare.  You will have 31 days from your renewal date to pay your premium.  Your policy will stay in force during this 31 day grace period.  You cannot be singled out for a rate increase, no matter how many times you receive benefits.  Your coverage begins immediately.  There are no waiting periods for preexisting conditions.  Benefits will be paid from the time your policy is in force.
Source: johnconner.com

Medicare Supplement Insurance

The Part A hospital deductible – you’re responsible for paying a deductible if you are admitted into the hospital. In 2014 this deductible is $1184. Many people think that this is a one time or a annual deductible and it is not. This deductible is based on benefit periods of 60 days. This means if you are admitted to the hospital and then released and you stay out of the hospital for 60 days or more, that is considered one benefit period. If you are admitted again after that 60 day period you must pay this deductible again.
Source: medisupps.com

Medicare Supplement Insurance Quote Engine

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

2015 Medicare Advantage Plans in Texas

Posted by:  :  Category: Medicare

The 2.6 million Medicare beneficiaries in the Lone Star State have a lot of choices when it is time to compare Medicare Advantage plans for 2015. However, perhaps because the state is so large, many plans are regional and not offered statewide. Of course, besides regional plans, large carriers like United Healthcare and Humana offer choices in most parts of Texas. Even the plans from the biggest insurance companies might be different depending upon ZIP code or county.
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

Texas Medicaid: The Medicaid Project, Texas Medicaid Eligibility, Help, Assistance; TX

web site: Your Texas Benefits languages: English (no publication date is available) The navigation bar at the top of the page offers six subtopics about Texas Medicaid and other benefit programs. Clicking on “Common Questions” delivers a web page of numerous FAQ’s about applying for and receiving benefits, along with telephone contacts and instructions for using the website. Back at the home page, there is a short form you can complete to find out what benefits you might be eligible for. If you are receiving benefits already, or have applied for them, you can also view details about your case. This feature requires a security log-in and password.
Source: quickbrochures.net

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

Tropical Texas Behavioral Health

TROPICAL TEXAS BEHAVIORAL HEALTH continues its commitment to excellence and will be an innovative provider of comprehensive and compassionate recovery-oriented services to individuals with behavioral health needs. We will treat all stakeholders with honesty, fairness and respect.
Source: ttbh.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

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

What’s Medicare Supplement Insurance (Medigap)?

Some Medigap policies also offer coverage for services that Original Medicare doesn’t cover, like medical care when you travel outside the U.S. If you have Original Medicare and you buy a Medigap policy, Medicare will pay its share of the Medicare-approved amount for covered health care costs. Then your Medigap policy pays its share.
Source: medicare.gov

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 Supplements, Life Insurance, Final Expense, Long Term Care

Whether you are new to Medicare, or you have been on Medicare for some time, and you are shopping plans you are probably facing tough decisions on choosing a Medicare Supplement Insurance Plan. There are a lot of different companies that offer plans and prices vary from company to company. Making the right choice is very important and is not as hard as you may think. What most people don

Florida Blue Medicare Regional PPO & HMO

Posted by:  :  Category: Medicare

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

AvMed Medicare Choice (HMO) 2014

Posted by:  :  Category: Medicare

The plan offers national in-network prescription coverage (i.e., this would include 50 states and the District of Columbia). This means that you will pay the same cost-sharing amount for your prescription drugs if you get them at an in-network pharmacy outside of the plan’s service area (for instance when you travel). Total yearly drug costs are the total drug costs paid by both you and a Part D plan. The plan may require you to first try one drug to treat your condition before it will cover another drug for that condition. Some drugs have quantity limits. Your provider must get prior authorization from AvMed Medicare Choice (HMO) for certain drugs. You must go to certain pharmacies for a very limited number of drugs, due to special handling, provider coordination, or patient education requirements that cannot be met by most pharmacies in your network. These drugs are listed on the plan’s website, formulary, printed materials, as well as on the Medicare Prescription Drug Plan Finder on Medicare.gov. If the actual cost of a drug is less than the normal cost-sharing amount for that drug, you will pay the actual cost, not the higher cost-sharing amount. If you request a formulary exception for a drug and AvMed Medicare Choice (HMO) approves the exception, you will pay Tier 4: Non-Preferred Brand cost sharing for that drug. In-Network $0 deductible. Supplemental drugs don’t count toward your out-of-pocket drug costs. Initial Coverage You pay the following until total yearly drug costs reach $5,000: Retail Pharmacy Contact your plan if you have questions about cost-sharing or billing when less than a one-month supply is dispensed. You can get drugs the following way(s): Tier 1: Preferred Generic
Source: healthpocket.com

AvMed for Providers and Healthcare Professionals

National Imaging Association (NIA) For information on NIA, please visit www.radmd.com For information on the NIA-RBM program, please visit NIA-RBM (AvMed Health Plans) For NIA-RBM online authorizations, visit NIA Authorizations or contact NIA-RBM directly by calling (866) 663-8387. Note: Fax Requests for authorizations are no longer accepted. AvMed Health Plans Quick Reference Guide for Ordering Physicians
Source: avmed.org

Home > Preferred Medications List

If you qualify for extra help with your Medicare prescription drug coverage costs, Medicare may cover all or some portion of your prescription drug costs. In certain cases, CMS systems do not reflect a beneficiary’s correct low-income subsidy (LIS) status at a particular point. To address these situations, CMS has created the best available evidence (BAE) policy that requires plans to accept appropriate documentation as evidence of establishing the accurate level of cost sharing the member should be paying. Please use the link provided to learn more about this policy.
Source: avmed.org

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

Joining a Medicare Advantage Plan

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Source: medicare.gov

California Health Advocates: Medicare Policy, Advocacy and Education

Bonnie Burns, our Training and Policy Specialist, begins her 23rd term as one of the 20 appointed and funded consumer liaison representatives by the National Association of Insurance Commissioners (NAIC). Ms. Burns spearheaded the standardization of Medicare supplemental insurance, known as Medigap and has provided numerous Congressional testimonies guiding the standardization of long-term care insurance and the policies for financing long-term care.
Source: cahealthadvocates.org

WASHINGTON FIRE COMMISSIONERS ASSOCIATION

Posted by:  :  Category: Medicare

Formed in 1948, the association offers research services and legislative represen- tation, as well as educational programs and networking opportunities for fire district administrators throughout the state of Washington. Please contact the WFCA office at wfca@wfca.wa.gov if you have questions regarding the association or need assistance.
Source: wa.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

Free Legal Information on Washington State Law

Washington LawHelp > Government Benefits (appeals & hearings, cash assistance for families (TANF) & people with disabilities (GA & SSI), child care, Dep’t of Social & Health Services programs & problems, emergency & food assistance, benefits for immigrants & refugees, health care assistance (Medicaid & Medicare), long-term care assistance, public & subsidized housing, unemployment compensation, veterans’ benefits, and energy assistance). See also Housing > Emergency Shelter & Assistance.
Source: washington.edu