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.
Universal Healthcare Medicare Plans
Universal Health Care has been in business for only 8 years, and is a Medicare/Medicaid health insurance provider based in Florida. They provide managed care services for government sponsored health care programs, focusing on Medicare and Medicaid. They offer a variety of health insurance products, including Medicare Advantage plans in 13 states. Their informational materials and plans are currently pending approval from the Center for Medicaid and Medicare, and are therefore subject to change.
Medicare Advantage Health Plans: Options and Coverage
Medicare Advantage plans are private insurance health plans, regulated by the government. Medicare Advantage is also known as “MA” or Medicare Part C. All individuals enrolled in Original Medicare, Part A and Part B, are eligible to enroll in a Medicare Advantage plan, with the exception of those diagnosed with End Stage Renal Disease (ESRD), there are exceptions.
Medicare Part D Drug Benefit
Namenda IR Availability As of January 2015 the company that produces Namenda will cease production of one version of Namenda (Namenda IR tablets, usually taken twice per day) and it will no longer be available. While supplies of Namenda IR may be available at local pharmacies for a period of time after the company stops distributing it in January, it is anticipated that individuals on this prescription will have to switch to another version of Namenda (XR = extended release once per day capsules). In addition, it is our understanding that a generic version of Namenda IR may be available as early as mid-2015; however, an official date has not been shared and it is not currently listed on the Medicare Part D formularies.
Coventry Medicare: Prior Authorizations & Exceptions
You, your prescribing physician, or someone you name may communicate with us on your behalf to request an initial determination or file a grievance or appeal. The person you name would be your “appointed representative.” You may name a relative, friend, advocate, doctor, or anyone else to act for you. Other persons may already be authorized under State law to act for you. If you want someone to act for you who is not already authorized under State law, then you and that person must sign and date a statement that gives the person legal permission to be your appointed representative. Please contact your plan for more information.
2015 Medicare Advantage Plans Available to Residents of Florida
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Medicare and Medicaid: When Two Is Not Better Than One
While the financial cost and administrative burden of dividing the responsibility for providing health care to dual eligibles are particularly acute, they are symptomatic of a larger problem: multiple government programs–each with its own bureaucracy, regulations, budget, and oversight–that fail to coordinate in any meaningful way and sometimes undercut each other. The decisions of the Supplemental Nutrition Assistance Program on what food purchases to support, the Department of Housing and Urban Development on low-income housing, and the Social Security Administration on disability assistance all affect each other. In addition, the decisions of these seemingly disparate agencies often affect the level of medical services needed by someone who is served by them–medical services that will likely be the responsibility of Medicare or Medicaid or, as in the case of dual eligibles, both. Yet no single program absorbs all of the costs of those decisions or undertakes the responsibility to make sure that the needs they are trying to address are met in a rational, coordinated way.