Blue Cross Blue Shield Medicare Plans

Posted by:  :  Category: Medicare

In 1985, Blue Cross and Blue Shield led a surge to improve the effectiveness and efficiency of the healthcare industry. The Technology Evaluation Center was developed to provide assistance to healthcare decision makers. The program was designed to improve decisions made in healthcare by professionals and users. To assist in this matter, the Technology Evaluation Center conducts an objective and scientifically meticulous assessment of different aspects of the healthcare system, including, but not limited to diagnoses, treatments, health management, and the prevention of disease.
Source: medicaresolutions.com

National Doctor and Hospital Finder

You can narrow your search by choosing from a range of criteria when you see your results, such as gender, accepting new patients, hospital affiliation. (The criteria vary depending on whether you’re searching for doctors, clinics, hospitals or other providers.)
Source: bcbs.com

Blue Cross Blue Shield Medicare Coverage

In order for medical services to be considered for payment by Medicare, doctors, hospitals and other health care providers that are approved by Medicare must be used. Always check with your doctor or other health care providers to make sure he or she is Medicare-approved.
Source: bcbstx.com

Medicare Supplement Insurance

*Plans K-N provide for different cost-sharing than plans A-G. Plans K and L pay 100% of hospitalization and preventive care Basic Benefits. All other Basic Benefits are paid at 50% (Plan K) and 75% (Plan L). Once you reach the annual limit, the plan pays 100% of the Medicare copayments, coinsurance and deductibles for the rest of the calendar year. The out-of-pocket annual limit does NOT include charges from your provider that exceed Medicare-approved amounts, called “excess charges.” You are responsible for paying excess charges. Plan N covers Basic Benefits after a $20 copay for office visits and a $50 copay for emergency room visits. **The out-of-pocket annual limit may increase each year for inflation. (2015 limits shown) † Network restrictions apply
Source: bcbsil.com

Medicare Information Office

Posted by:  :  Category: Medicare

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

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

Getting Ready for Medicare?

Offers health plan options run by Medicare-approved private insurance companies. Medicare Advantage Plans are a way to get the benefits and services covered under Part A and Part B. Most Medicare Advantage Plans cover Medicare prescription drug coverage (Part D). Some Medicare Advantage Plans may include extra benefits for an extra cost.
Source: alaska.gov

Alaska Regional Hospital poised to acquire Medicare clinic

said, he intended to break even each year. The clinic, set up as a nonprofit, would hold down costs by sending patients first to teams of registered nurses and medical aides, while one doctor made final medical decisions. The doctor would see about 45 patients a day, double the number most primary care doctors treat, Rhyneer said.
Source: adn.com

The Role of Medicare and the Indian Health Service for American Indians and Alaska Natives: Health, Access and Coverage

This report, divided into four sections, examines these disparities and describes the roles of both the Indian Health Service (IHS) and Medicare in providing access to health care for American Indians and Alaska Natives.  The first section draws from recent surveys and other data sources to compare health and other socioeconomic indicators among elderly American Indians and Alaska Natives to the overall population age 65 and older.  The second section of this report describes the ways that IHS and other sources of coverage (including Medicare, Medicaid, and private insurance) may and may not provide access to health care services for elderly and disabled American Indians and Alaska Natives.  The third section explores the intersection of Medicare and the IHS in health service reimbursement, patient cost sharing, and access to care, and then discusses the implications of potential barriers to enrollment in federal or state programs that could assist American Indians and Alaska Natives with out-of-pocket expenses for health care.  The report concludes with a discussion of some of the future challenges and opportunities for improving access to care for American Indians and Alaska Natives through Medicare and the IHS.
Source: kff.org

American Indian/Alaska Native Center

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

American Indian/Alaska Native

Since 2004, there have been significant changes in Federal healthcare legislation. The American Reinvestment and Recovery Act (ARRA) codified the TTAG/CMS relationship, strengthening the already well-established collaboration between CMS and I/T/Us. The Children’s Health Insurance Program Reauthorization Act (CHIPRA) added new provisions to eliminate barriers and fund innovative strategies to increase enrollment in Medicaid and CHIP, specifically for AI/AN beneficiaries. And most recently, the Patient Protection and Affordable Care Act of 2010 (PPACA) was enacted, representing historic reform by expanding health coverage to millions of the uninsured, strengthening the coverage of those already insured, and dramatically expanding programs like Medicaid, CHIP, and Medicare. Within the vast reforms in PPACA, AI/AN populations will be affected not only by the general provisions, but through specific, explicit provisions, including the permanent reauthorization of the Indian Health Care Improvement Act.
Source: cms.gov

Compare All Medicare Plan Options

Posted by:  :  Category: Medicare

Coverage is available to residents of the service area and separately issued by one of the following plans: Wellmark Blue Cross and Blue Shield of Iowa,* Blue Cross and Blue Shield of Minnesota,* Blue Cross and Blue Shield of Montana,* Blue Cross and Blue Shield of Nebraska,* Blue Cross Blue Shield of North Dakota,* Wellmark Blue Cross and Blue Shield of South Dakota,* Blue Cross Blue Shield of Wyoming.*
Source: wellmark.com

Blue Cross Blue Shield Medicare Plans

In 1985, Blue Cross and Blue Shield led a surge to improve the effectiveness and efficiency of the healthcare industry. The Technology Evaluation Center was developed to provide assistance to healthcare decision makers. The program was designed to improve decisions made in healthcare by professionals and users. To assist in this matter, the Technology Evaluation Center conducts an objective and scientifically meticulous assessment of different aspects of the healthcare system, including, but not limited to diagnoses, treatments, health management, and the prevention of disease.
Source: medicaresolutions.com

Blue Cross Blue Shield (BCBS) Medicare Supplement Plans

If you have a Medicare Advantage plan, you do not need a Medicare supplemental insurance plan as well since they provide basically the same benefits, plus in some cases more. Compare quotes to help find an affordable Medicare supplemental insurance plan or Medicare Advantage plan today.
Source: healthinsurancesort.com

BCBS Medicare Supplement Insurance Plans

"I was very happy with BLUE Cross/Blue Shield of IL through Medigap Advisors as a choice for my supplemental policy. I was happy with the cost, the coverage and to be able to deal with a knowledgeable team like Medigap Advisors, who knows the product and doesn’t drown folks in paper and irrelevancies. .I would definitely recommend HSA–you don’t waste time and everything is quite clear. I also appreciate the tips you’ve been sending me on how to stay alert and abreast to what’s going on in health care today."
Source: medigapadvisors.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

Centers for Medicare & Medicaid Services (CMS) Forms and Publications

Posted by:  :  Category: Medicare

The Medicare Savings Programs (MSP) Model Application for Medicare Premium Assistance. If you think you might be able to get help from your state with Medicare costs, or if you are not sure, call your state medical assistance (Medicaid) office or call 1-800-MEDICARE (1-800-633-4227; TTY 1-877-486-2048).
Source: ssa.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

PioneerNetwork : Culture Change in Long

In 2012, the Rothschild Foundation provided funding for Pioneer Network to convene a Task Force to develop a Dining Standards Toolkit which would help long-term care communities implement the New Dining Practice Standards. Put the new standards and research to work for you.
Source: pioneernetwork.net

Ban lifted on Medicare coverage for sex change surgery

For many, transitioning to another gender is a lengthy and deeply private process that can take years. It often involves psychotherapy and hormone treatments while living as a member of his or her preferred gender. Some may decide for more radical changes through surgery — which can include vocal-cord modifications, breast implants and mastectomies, and modifications of sexual organs. Mallon, who was born a man, was seeking to have genital reconstruction.
Source: washingtonpost.com

How BLS Measures Price Change for Medical Care Services in the Consumer Price Index

Throughout the year, the Bureau conducts household Point-of-Purchase surveys (POPS) in the CPI pricing areas. The POPS provides the sampling frame of outlets or retail businesses for most CPI item categories including those in the medical care indexes. BLS selects the outlet sample for each item category in each pricing area using probability proportional to the reported expenditure. Approximately one quarter of the outlets “rotate” annually so that over a four year period the entire outlet sample is reselected. This keeps the sample up to date and replenishes outlets lost to refusals and going out-of-business. BLS sends its field staff to the selected outlets to select a sample of items that the outlet sells in each assigned category; thus, the item sample rotates over the four year period. The field staff uses probability proportional to reported outlet sales for sampling goods and services priced in the CPI. During the initial visit to a business, the field staff verifies that the outlet carries the item category to be priced, proceeds to select a sample of items in the category based on the outlet’s estimated or actual revenue, and records all price-determining features for the selected items. Some medical care items, such as prescription drugs or hospital services, require special sampling procedures to reduce the burden on the outlets’ respondents.  
Source: bls.gov

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

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

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

Your Medicare coverage choices

There are 2 main ways to get your Medicare coverage— Original Medicare (Part A and Part B) or a Medicare Advantage Plan (Part C). Some people get additional coverage, like Medicare prescription drug coverage or Medicare Supplement Insurance (Medigap). Use these steps to help you decide what coverage you want:
Source: medicare.gov

Medicare Advantage Fact Sheet

Since 2006, Medicare has paid plans under a bidding process.  Plans submit “bids” based on estimated costs per enrollee for services covered under Medicare Parts A and B; all bids that meet the necessary requirements are accepted.  The bids are compared to benchmark amounts that are set by a formula established in statute and vary by county (or region in the case of regional PPOs).  The benchmarks are the maximum amount Medicare will pay a plan in a given area. If a plan’s bid is higher than the benchmark, enrollees pay the difference between the benchmark and the bid in the form of a monthly premium, in addition to the Medicare Part B premium.  If the bid is lower than the benchmark, the plan and Medicare split the difference between the bid and the benchmark; the plan’s share is known as a “rebate,” which must be used to provide supplemental benefits to enrollees.  Medicare payments to plans are then adjusted based on enrollees’ risk profiles.
Source: kff.org

Medicare HMO and PPO Coverage and Options

For example: George C. lives in Massachusetts and has a Medicare Advantage Plan through Fallon Community Health, one of the highest-rated health plans in the country. He has an HMO plan with drug coverage. His monthly premium cost for the plan is $208.40 (the Medicare Part B premium of $96.40 plus $112 charged by Fallon). Also, his out-of-pocket expenses include a $15 copay for each PCP visit, $20 for each specialist visit, 10% coinsurance for durable medical equipment, and an annual deductible of $310 for prescription medications.
Source: about.com

Medicare Part C Advantage

A program which allows you to enroll in private health insurance that offers both Medicare Part A and Part B benefits. Medicare Advantage plans are not supplemental insurance, but rather health insurance plans of their own. Medicare Advantage can also include prescription drug coverage in addition to vision, hearing, and dental. In most cases, you can join even if you have been diagnosed with a pre-existing condition, except for final stage renal disease. Advantage plans must follow guidelines established by Medicare but also vary in terms of costs and rules.
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.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: 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

Excellus BlueCross BlueShield

**You will receive an e-mail at the e-mail address you provide to confirm your interest in receiving e-mail communications from us. You must respond to the e-mail to begin receiving e-mail communications. You will have the choice to opt out of e-mail correspondence at any time. Excellus BlueCross BlueShield contracts with the Federal Government and is an HMO plan and PPO plan with a Medicare contract. Enrollment in Excellus BlueCross BlueShield depends on contract renewal. Submit feedback about your Medicare plan at www.Medicare.gov or by contacting the Medicare Ombudsman. Y0028_2521_0 CMS Approved 01312012. This page last updated 01/12/2012
Source: excellusbcbs.com

Provider enrollment mailing address

You may mail your completed paper application to your assigned Medicare administrative contractor (MAC). First Coast Service Options Inc. (First Coast) is the MAC assigned to jurisdiction N (JN), which encompasses Florida, Puerto Rico, and the U.S. Virgin Islands. If you are located within JN, please mail your completed provider enrollment application to the following address:
Source: fcso.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

Medicare Plans & Coverage: Part A, Part B, Part C, Part D

Medicare is a federal insurance program that covers hospitalization expenses as well as doctor and medical expenses. To be eligible for Medicare, one must be an American citizen 65 years or older, or younger with a qualifying disability.
Source: medicareconsumerguide.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 Coverage Database – Centers for Medicare & Medicaid Services

Contextual Help & Page Help – Contextual Help is a new feature that provides users with the ability to receive onscreen help for specific elements on the page. To use the feature, click the "Contextual Help" link and move the mouse to the onscreen location of the associated page element. The user can turn the feature off when help is no longer required. Users who are unable to use this feature, or who prefer to have a link to a single page of help for the entire page, may continue to use the "Page Help" link to get assistance.
Source: cms.gov