Medicare Billing: Wheelchairs, Scooters, Lift Chairs

Posted by:  :  Category: Medicare

We understand that the process of submitting claims to Medicare can be difficult and time consuming. To help make the process easier, SpinLife offers what is known as “courtesy billing”. This means that after you purchase an eligible product from SpinLife and request at checkout that we courtesy bill Medicare, we send you all of the documentation required by Medicare for you to complete with your physician. Once medically qualifying documentation is submitted into SpinLife, we can submit a claim to Medicare on your behalf. If your claim is approved by Medicare, they will reimburse you directly for their portion of your claim via mail.
Source: spinlife.com

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.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

Consumer Information and Insurance Oversight

The page could not be loaded. The CMS.gov Web site currently does not fully support browsers with “JavaScript” disabled. Please enable “JavaScript” and revisit this page or proceed with browsing CMS.gov with “JavaScript” disabled. Instructions for enabling “JavaScript” can be found here. Please note that if you choose to continue without enabling “JavaScript” certain functionalities on this website may not be available.
Source: cms.gov

Health Insurance Plans for Individuals, Employers, Medicare

Posted by:  :  Category: Medicare

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

Health Insurance Quotes & Plans

If you’d like to speak with us about your insurance coverage options, we have more than 10,000 licensed insurance benefits advisors across the nation. It’s our job to ensure you find the right plan for your needs.
Source: gohealthinsurance.com

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

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

More Cuts In Store For Medicare Plans

I am an Insurance Agent that works with the Senior market. I sell the Medicare Advantage plans and Medicare supplement plans. Whichever one the client wants that is what I put them on. I hate that the government again is going to try to squeeze the medicare advantage plans out of the picture. It is plain that they are not thinking about the Senior but the money that they can save. Everybody today is feeling the pinch of not having enough money let alone any extra money. There are many many Seniors out there that cannot afford a medicare supplement and then adding on the Part D RX plan. Let us remember these medicare supps only pick up the deductible and the 20% not paid by Medicare. Many times the supps are not paying that much out a year and yet these supps raise every year. I have some clients that are just retiring and they have income that can afford these but many of them elect to have a HSA and put money aside that will pay the 20% not covered by Medicare and then some choose the Supplement, (the ones who can afford it). However there are many of my clients who cannot afford a supp and separate RX plan and they make a little to much money to be eligible for a Medicaid card that will pick out the 20%. I have ran into more Seniors that are in this boat. Medicare Advantage plans have been a lifesaver for them. There is some plans that are on average around $30 to 40 a month and some in my area that is a $0 premium. People are paying around $5 to $15 for a doctor visit that covers all their lab and they pay around $35 to $45 for a specialist. The RX is included. They end up paying between $200 to around $1200 for each admission. A small co pay for Outpatient surgery around $200 to $300. Many benefits of a having a Medicare Advantage. Some plans even will provide eye exams and glasses and even dental benefits. I AM FOR THE SENIOR. I make a commission no matter if they pick a Supplement or a Medicare Advantage plan so I am happy either way. But if the government takes away these Medicare Advantage plans many senior will have to do without something to pay the 20% medicare does not pay. I believe if these plans are cut than the Senior RX Part D plan will be next. The Medicare Supplement will eventually be the next target. My clients are so happy to have these plan available to them. I have seen people cutting back on food and other things they needed because of not enough money and it scares me now that Obama wants to cut these plans until they just drop which in turn will make Senior pay out more for medical care. If he wants to do this then give all Seniors a Medicaid card in addition to their Medicare card and this will allow them not to have to pay anything for their medical care or leave the Medicare advantage plans alone.
Source: forbes.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

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

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

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

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

New Hampshire Insurance Department

Posted by:  :  Category: Medicare

- Special Fraud Alert from the Office of Inspector General (OIG) The OIG has received credible information that some Durable Medical Equipment (DME) suppliers continue to use independent marketing firms to make unsolicited telephone calls to Medicare beneficiaries marketing Durable Medical Equipment.  Section 1834(a)(17)(A) of the Social Security Act prohibits unsolicited telemarketing by Durable Medical Equipment Suppliers.  Please contact the OIG, US Department of Health and Human Services at 617-565-2664 if you have any information about DME suppliers engaging in these activities. 
Source: nh.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 Penalizes Nine N.H. Hospitals For Too Many Readmissions

In fact, since the penalty first came out two years ago, hospital readmissions are down 20 percent statewide. Whether this is caused by the new penalties or simply coincides with them, or both, is impossible to know. But assuming readmission rates keep dropping, that’ll be cheaper for hospitals in the long run and better for patients.
Source: nhpr.org

ServiceLink; Connections for Independent living and healthy aging.

If you have a Medicare Advantage plan, you will be able to switch to Original Medicare with or without a stand-alone prescription drug plan. Changes made during this period will become effective the first of the following month. For example, if you switched from a Medicare Advantage plan to Original Medicare and a stand-alone prescription drug plan in February, your new coverage would begin March 1.
Source: nh.gov

Compare Medicare Advantage & Supplemental Plans

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

Central North West Queensland Medicare Local

Posted by:  :  Category: Medicare

Members of the Central and North West Queensland Medicare Local have been presented with the company’s annual results, showing the organisation achieved its highest levels of delivery of primary health care services since its inception.
Source: com.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.gov: el sitio oficial del gobierno de EE. UU. para Medicare

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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 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 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 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.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 Supplement Plans (Medigap Plans) and other Medicare / Health Insurance Plans

A Medicare Supplement plan is a health insurance policy sold by private insurance companies in your state. It provides additional protection for what is not covered by Original Medicare. This insurance is specifically designed to fill the “gaps” in Medicare Part A and Part B coverage.
Source: libertymedicare.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

Compare Medicare Advantage & Supplemental Plans

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

Alcohol misuse screening & counseling

Adults with Part B (including pregnant women) who use alcohol, but don’t meet the medical criteria for alcohol dependency can get the screening. If your primary care doctor determines you’re misusing alcohol, you can get 4 brief face-to-face counseling sessions per year (if you’re competent and alert during counseling). A qualified primary care doctor or other primary care practitioner must provide the counseling in a primary care setting (like a doctor’s office).
Source: medicare.gov