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 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 Physician Compare Home

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

SSA ODAR’s Hearing Office Locator

The Office of Disability Adjudication and Review (ODAR) has* 10 regional offices, 168 hearing offices (including 6 satellite offices), 5 national hearing centers, and 2 national case assistance centers. There are almost 1,400 administrative law judges and approximately 7,000 support staff in the field organization. Additionally, administrative law judges may travel to other sites such as local Social Security offices to conduct hearings if needed.
Source: ssa.gov

Find Contact Information of Organizations 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

Office of Medicare Hearings and Appeals (OMHA)

OMHA administers appeal hearings for the Medicare program.  There are five levels in the Medicare claims appeal process.  OMHA’s Administrative Law Judges hold hearings and issue decisions related to Medicare coverage determinations that reach Level 3 of the Medicare claims appeal process.  This Web site was created to help you learn more about Level 3 appeals.  Basic descriptions of the other levels are also provided, to assist you in understanding the appeal process.  
Source: hhs.gov

Careers at SSA: USA Office Locations

Six program service centers serve the needs of the Social Security public nationwide. Located in New York, San Francisco, Philadelphia, Chicago, Kansas City, and Birmingham, these centers perform a variety of Social Security’s mission-critical tasks, including account maintenance, disability claims review, and benefits determinations.
Source: ssa.gov

Mississippi Division of Medicaid

The Revised Statewide Transition Plan for 1915(c) and 1915(i) Home and Community-Based (HCB) Settings is available now. The public comment period runs from March 11- April 10; public hearings are on March 19th, 24th and 26th. Click here for more information.
Source: ms.gov

Social engineering (security)

Posted by:  :  Category: Medicare

The 1999 “GLBA” is a U.S. Federal law that specifically addresses pretexting of banking records as an illegal act punishable under federal statutes. When a business entity such as a private investigator, SIU insurance investigator, or an adjuster conducts any type of deception, it falls under the authority of the Federal Trade Commission (FTC). This federal agency has the obligation and authority to ensure that consumers are not subjected to any unfair or deceptive business practices. US Federal Trade Commission Act, Section 5 of the FTCA states, in part: “Whenever the Commission shall have reason to believe that any such person, partnership, or corporation has been or is using any unfair method of competition or unfair or deceptive act or practice in or affecting commerce, and if it shall appear to the Commission that a proceeding by it in respect thereof would be to the interest of the public, it shall issue and serve upon such person, partnership, or corporation a complaint stating its charges in that respect.”
Source: wikipedia.org

Benefits for People with Disabilities

The Social Security and Supplemental Security Income disability programs are the largest of several Federal programs that provide assistance to people with disabilities. While these two programs are different in many ways, both are administered by the Social Security Administration and only individuals who have a disability and meet medical criteria may qualify for benefits under either program.
Source: ssa.gov

Social Security Disability. Secrets & Advice To Win Benefits. Apply & Appeal SSDI & SSI

Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware D.C. Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Source: disabilitysecrets.com

When & how to sign up for Part A & Part B

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

Access to CMS Data & Application

Medicare fiscal intermediaries and carriers shall use the Government furnished Medicare Data Communications Network (MDCN) to support all Medicare operational data connectivity requirements. Such uses include Common Working File communications, shared processing remote operations, remote printing, shared system maintenance support (testing, release/fix distribution, remote diagnostics) and functional subcontracting arrangements necessitating the transfer of data to remote sites.
Source: cms.gov

How to Apply for Medicaid

If you choose a managed care plan, you and your family receive their basic health care through a primary care doctor associated with a managed care plan. Medical care will be arranged through the managed care plan that you chose, and you must receive medical care with the doctors, hospitals, pharmacies associated with that managed care plan.
Source: illinois.gov

How to Apply for Australian Permanent Resident Visa (Subclass 175)

Once you are allocated a case officer, things will get moving. The officer will contact you to request for incomplete information (provided he/she hasn’t dump your application in the bin by then) or missing documents. This is when your health check will be requested. The medical centre will be sending the report directly to Adelaide office on your behalf so all you have to do is to turn up for the check. However, you will have to send the police clearance yourself after you obtain it for S$50.00 (presently). After these final documents are received by the Australian office, your application will move another inch towards the closing stage.
Source: blogspot.com

Compare Medicare Advantage & Supplemental Plans

Posted by:  :  Category: Medicare

Medicare supplement plans (or Medigap plans) offer benefits in addition to the benefits offered by traditional Medicare Parts A and B, and they are offered by private insurance companies. There are several different types of Medicare supplement plans available, including Plan A, Plan C, Plan F, Plan M and Plan N. Medicare supplement plans and Medicare Advantage plans are not complementary, so it is important to understand which type of policy makes the most sense for you. Our Medicare agents are standing by to walk you through a comparison of the costs and benefits of each type of plan, and to help you choose a Medicare supplement plan that best meets your needs.
Source: medicaresolutions.com

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

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

Medicare Plan Finder for Health, Prescription Drug and Medigap plans

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

Affordable Medicare Plans

Medicare-Plans.org makes it easy to save time and reduce your premiums by letting you compare all Medicare plans from providers like BlueCross BlueShield, Aetna, United Healthcare, CIGNA, and more, in one place.
Source: medicare-plans.org

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

NEBRASKA MEDICAID PROGRAM

Posted by:  :  Category: Medicare

To apply for medical assistance, an application must be completed and given to the Nebraska Department of Health & Human Services. For more information, contact your nearest Department of Health and Human Services Office; Or, you may download an application form and mail it to the nearest Department of Health and Human Services Office.
Source: ne.gov

Nebraska DHHS: Division of Medicaid & Long Term Care

The State Unit on Aging collaborates with public and private service providers to ensure a comprehensive and coordinated community-based services system that will assist individuals to live in a setting they choose and continue to be contributing members of their community. Nebraska’s aging network includes eight Area Agencies on Aging.
Source: ne.gov

NEBRASKA MEDICAID PROGRAM

The Nebraska Medicaid Program has received approval of a 1915(b) waiver which authorizes the operation of the Nebraska Health Connection, Nebraska’s Medicaid Managed Care Program. The waiver authorizes mental health and substance abuse services for managed care clients statewide in addition to primary care services for Children with Special Health Care Needs and the American Indian/Alaskan Native population in Douglas, Sarpy, and Lancaster Counties.  The balance of the managed care population receives primary care services under the authority of the State Plan.  The Nebraska Medicaid Program also has received approval of several home and community-based waivers under section 1915(c) of the Social Security Act. 
Source: ne.gov

NEBRASKA MEDICAID PROGRAM: Provider Information

A provider is any individual or entity which furnishes Medicaid goods or services under an approved provider agreement with the Department. To be eligible to participate in the Nebraska Medical Assistance Program (NMAP), the provider shall meet the general standards for all providers in Nebraska Administrative Code, Title 471, Chapters 1-000, 2-000, and 3-000 , if appropriate, and the standards for participation for that provider type.
Source: ne.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

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

Find a Medigap Policy in Your Area

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

Medicare Supplemental 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 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

DMEPOS Competitive Bidding

Posted by:  :  Category: Medicare

Under the program, a competition among suppliers who operate in a particular competitive bidding area is conducted. Suppliers are required to submit a bid for selected products. Not all products or items are subject to competitive bidding. Bids are submitted electronically through a web-based application process and required documents are mailed. Bids are evaluated based on the supplier’s eligibility, its financial stability and the bid price. Contracts are awarded to the Medicare suppliers who offer the best price and meet applicable quality and financial standards. Contract suppliers must agree to accept assignment on all claims for bid items and will be paid the bid price amount. The amount is derived from the median of all winning bids for an item.
Source: cms.gov

DME Competitive Bidding Program

The Competitive Bidding Program replaces the outdated prices Medicare has been paying with lower, more accurate prices. Under this program, suppliers submit bids to provide certain medical equipment and supplies at a lower price than what Medicare now pays for these items. Medicare uses these bids to set the amount it will pay for those equipment and supplies under the competitive bidding program. Qualified, accredited suppliers with winning bids are chosen as Medicare-contract suppliers.
Source: medicare.gov

Competitive Bidding Program

The Competitive Bidding Program replaces the outdated prices Medicare has been paying with lower, more accurate prices. Under this program, suppliers submit bids to provide certain medical equipment and supplies at a lower price than what Medicare now pays for these items. Medicare uses these bids to set the amount it pays for those equipment and supplies under the Competitive Bidding Program. Qualified, accredited suppliers with winning bids are chosen as Medicare contract suppliers.
Source: medicare.gov

CMS announces DMEPOS competitive bidding timeline

The seven product categories included in the Round 2 recompete are: enteral nutrients and equipment; general home equipment; nebulizers; negative pressure wound therapy pumps; respiratory equipment; standard mobility equipment; and transcutaneous electrical nerve stimulation devices.
Source: hmenews.com

Medicare National Competitive Bidding Program

CCS Medical is one of only 18 suppliers awarded CMS contracts to provide mail order diabetic testing supplies at competitively bid prices nationwide and in the four U.S. territories (American Samoa, Guam, Puerto Rico, and the U.S. Virgin Islands). As announced previously by CCS Medical, one of the brands that CCS Medical will be carrying is LifeScan’s OneTouch® Ultra® test strips, the No. 1 brand recommended by endocrinologists and diabetes educators.
Source: ccsmed.com

: DMEPOS Competitive Bidding : Health Industry Washington Watch

CMS has just released a proposed rule that would require Medicare prior authorization (PA) for certain Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) items that the agency characterizes as “frequently subject to unnecessary utilization.“ As part of the rulemaking, CMS has developed a “Master List” of initial items that it considers to meet this standard based on being (1) identified in a GAO or HHS OIG national report published in 2007 or later as having a high rate of fraud or unnecessary utilization; or (2) listed in the 2011 or later Comprehensive Error Rate Testing (CERT) program’s Annual Medicare FFS Improper Payment Rate Report DME Service Specific Overpayment Rate Appendix. CMS also proposes limiting the items on the Master List to those with an average purchase fee of at least $1,000 or an average rental fee schedule of at least $100 to allow CMS to focus on items with the largest potential savings for the Medicare Trust Fund. CMS proposes that the Master List will be “self-updating” annually, and that items generally will remain on the list for 10 years. Note, however, that presence on the Master List would not automatically require prior authorization. CMS would limit the PA requirement to a subset of items (called the “Required Prior Authorization List") “to balance minimizing provider and supplier burden with our need to protect the Trust Funds." CMS would publish the Required Prior Authorization List in the Federal Register with 60-day notice before implementation. CMS also proposes that the PA program could be implemented nationally or locally. The proposed rule does not announce the first items on the Required Prior Authorization List. Instead, CMS is seeking public comment on the number of items that should be selected initially and in the future, and the frequency with which CMS should select items.
Source: healthindustrywashingtonwatch.com

Cost Report Data provides hospital financial information from Medicare cost reports filed by hospitals and contained in the CMS HCRIS file

Posted by:  :  Category: Medicare

CostReportData.com provides online Medicare cost report data to healthcare financial and reimbursement professionals. Our database of more than 6,000 hospitals is built from Medicare cost report information obtained from the federal Centers for Medicare and Medicaid Services (CMS). Information is presented in familiar worksheet formats that can be viewed online, printed, and downloaded in Excel or pdf formats. Pricing is economical … whether you need data on a just few hospitals or unlimited access throughout the year. Use the site for free to look up a hospital and see the periods and worksheets available.  Click on Single Cost Reports to test drive and see how easy it is to have all cost reports since FY 1996 at your fingertips.
Source: costreportdata.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

The Rising Cost of Living Longer: Analysis of Medicare Spending by Age for Beneficiaries in Traditional Medicare

Consistent with other studies documenting higher costs for patients at the end of life, this analysis shows that Medicare per capita spending was nearly 4-times greater among beneficiaries who died in 2011, on average, than among those who lived the entire year.  Yet the analysis also shows that Medicare per capita spending among decedents declines with age, suggesting that patients, families, and providers may be opting for less intensive and less costly end-of-life interventions for beneficiaries as they grow older.  This possibility is consistent with the finding that average per capita spending on hospice services among beneficiaries in traditional Medicare increases with age, due to both a larger share of beneficiaries electing hospice at older ages and higher per capita hospice costs for older than younger Medicare beneficiaries who elect hospice care.
Source: kff.org

Medicare Administrative Costs Are Higher, Not Lower, Than for Private Insurance

When administrative costs are compared on a per-person basis, the picture changes. In 2005, Medicare’s administrative costs were $509 per primary beneficiary, compared to private-sector administrative costs of $453. In the years from 2000 to 2005, Medicare’s administrative costs per beneficiary were consistently higher than that for private insurance, ranging from 5 to 48 percent higher, depending on the year (see Table 1). This is despite the fact that private-sector "administrative" costs include state health insurance premium taxes of up to 4 percent (averaging around 2 percent, depending on the state)–an expense from which Medicare is exempt–as well as the cost of non-claim health care expenses, such as disease management and on-call nurse consultation services.
Source: heritage.org

Why Medicare Advantage costs taxpayers billions more than it should

Since 2004, the government has paid Medicare Advantage plans using a complex tool called a risk score. The idea is to pay higher rates for sicker patients and less for those in good health. But over the past decade, officials have struggled to control sharp increases in risk scores that have cost taxpayers billions of dollars. The industry says higher scores result from sicker patients and more thorough documentation of their health. Critics dispute that and want the government to make public more billing records that would help determine if health plans are being paid too much. This graphic plots changes in risk scores at more than 5,700 health plans in 3,000 counties nationwide between 2007 and 2011.
Source: publicintegrity.org

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

Highmark: Your Health Care Partner

Posted by:  :  Category: Medicare

Highmark Inc. is a national, diversified health care partner serving members through its businesses in health insurance, dental insurance, vision care and reinsurance. Our mission is to make high-quality health care readily available, easily understandable and truly affordable in the communities we serve.
Source: highmark.com

Highmark Medicare Resources

Below, you will find a collection of tip-sheets that will help you build a better understanding of how Medicare works. All you have to do is click on the arrow buttons to instantly download the information. Remember to check back, as we’ll be updating the information periodically.
Source: helpfromhighmark.com

Highmark Direct :: Medicare Information

A Medicare Supplement policy is different from a Medicare Advantage Plan.  MA plans offer ways to get Medicare benefits, while a Medicare Supplement policy only supplements your Original Medicare benefits.  You can purchase a Medicare Supplement insurance plan from a private company to help pay for costs and services that your Original Medicare doesn’t cover.  In addition to helping offset Original Medicare’s high cost-sharing (copayment, coinsurance and deductible costs). Medicare Supplement policies may cover other services such as medical care during travel outside of the U.S.
Source: highmarkdirect.com

Highmark Blue Shield of Pennsylvania Medicare Plans

FreedomBlue PPO is a Medicare Advantage Preferred-Provider Organization that gives you coverage for every need – health, prescription drugs, routine dental, vision, hearing and preventive care. FreedomBlue PPO lets you choose where you receive your care, throughout the FreedomBlue PPO network and the combined Blue Plan Medicare Advantage PPO networks that span counties in 29 states and Puerto Rico, or out of the network anywhere you may travel. FreedomBlue PPO is available to individuals who are entitled to Medicare Part A and enrolled in Medicare Part B who live in one of 62 Pennsylvania counties. FreedomBlue PPO covers all Medicare-covered benefits, including preventive care, doctor visits, hospital stays and more. Plus, you get added benefits, such as vision, hearing, and dental care. All FreedomBlue PPO plans come with Part D Prescription Drug coverage, giving you access to all drugs allowed by Medicare. With FreedomBlue PPO, you get the freedom to see any doctor – along with the strength and stability of one of the largest provider networks in the state, plus you never need a referral to see a specialist. Deductibles, coinsurance and limitations apply to out-of-network services except for urgent and emergency care.
Source: online-health-insurance.com

Novitas Solutions, formerly called Highmark Medicare Services, announces hundreds of health care jobs coming to Harrisburg, Pittsburgh areas

The prospect of new jobs arises from a large, new contract that was in limbo at the time of the sale. The contract, which involves administering Medicare claims for seven Southwestern states, was expected to create 500 new jobs in Pennsylvania, with about 260 coming to the Harrisburg area.
Source: pennlive.com

Health Insurance Made Simple

Posted by:  :  Category: Medicare

Our licensed Product Advisors can help you find a health plan that meets your needs and budget. You have a limited time to apply for Open Enrollment. Don’t delay! Open Enrollment begins November 15, 2014 Apply by December 15, 2014, to start coverage January 1, 2015 Open Enrollment ends February 15, 2015
Source: goldenrule.com

America’s Health Insurance Plans

Unadjusted inpatient hospital prices per admission grew by 8.2% per year from 2008 to 2010 for the commercially insured population (under age 65 years) in the MarketScan data set. We estimate that approximately 1.3 to 1.9 percentage points of the growth in prices can be attributed to increased intensity per admission. Thus, we estimate that intensity-adjusted price increases ranged from 6.2% to 6.8% annually in the 2008-2010 period. Price levels and trends varied considerably across admission types, states, and localities.
Source: ahip.org

Life Insurance, Term Plan, Wealth Insurance, Health Insurance, Retirement, Tax Planning, ULIPs, Pension Plan

© 2014, ICICI Prudential Life Insurance Co. Ltd. Registered Address: ICICI Pru Life Towers, 1089, Appasaheb Marathe Marg, Prabhadevi, Mumbai-400025. Insurance is the subject matter of the solicitation. Comp/doc/Apr/2014/55.
Source: iciciprulife.com

Health insurance in the United States

The Pre-existing Condition Insurance Plan, or PCIP, is a transitional program created in the Patient Protection and Affordable Care Act (PPACA). Those eligible for PCIP are citizens of the United States or those legally residing in the U.S., who have been uninsured for the last 6 months and “have a pre-existing condition or have been denied health coverage because of their health condition.” However, if one has health insurance or is enrolled in a state high risk pool, they are not eligible for PCIP, even if that coverage does not cover their medical condition. PCIP is run by the individual states or through the U.S. Department of Health and Human Services, which has a contract with the Government Employees Health Association, or GEHA, to administer benefits. Both will be funded by the federal government and provide three plan options. These options are the standard, extended, and the Health Savings Account option. PCIP only covers the individual enrollee and does not include family members or dependents. In 2014, the Affordable Care Act provision banning discrimination based on pre-existing conditions will be implemented and PCIP enrollees will be transitioned into new state-based health care exchanges.
Source: wikipedia.org