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

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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

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: 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

How to Appeal Denied Medicare Claims

Although some appeals can be lodged by telephone, it is a good idea to build a paper trail, says David Lipschutz, a policy lawyer with the nonprofit Center for Medicare Advocacy Inc., based in Mansfield, Conn. Send letters by certified mail and enclose photocopies rather than original documents. When speaking on the phone, take notes and be sure to include the date and name of the person on the other end of the line, he says.
Source: wsj.com

Download claims with Medicare’s Blue Button

Posted by:  :  Category: Medicare

MyMedicare.gov’s Blue Button provides you an easy way to download your personal health information to a file. Once you’re in your MyMedicare.gov account, you can download the file of your personal data and save the file on your own personal computer. After you have saved it, you can import that same file into other computer-based personal health management tools. The Blue Button is safe, secure, reliable, and easy to use.
Source: medicare.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 Part B Reimbursement

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The Centers for Medicare and Medicaid Services (CMS) announced the Medicare Part B premium will not increase in 2015; it will remain at the 2014 standard rate of $104.90 for most Medicare enrollees. Higher income Medicare enrollees who filed an individual (or married and filing separately) 2012 tax return showing a modified adjusted gross income greater than $85,000 (or $170,000 for a joint tax return) are responsible for a larger portion of the estimated total cost of Part B benefit coverage. Read more about Medicare Premium Amounts for Persons with Higher Income Levels.
Source: lacera.com

Medicare Reimbursement of Speech

Payments for outpatient therapy services are subject to a combined therapy cap for speech-language pathology and physical therapy and a separate cap for occupational therapy. An exceptions process was established that allows beneficiaries to receive medically necessary outpatient services beyond the cap.
Source: asha.org

Medicare Reimbursement for Pulse Oximetry

Specific procedural requirements and rates for reimbursement can vary by geographical region, insurance company policies, and patient conditions. It is important that you contact your Medicare Contractor to verify reimbursement amounts and procedures for your region. For the most updated information on Medicare reimbursement for pulse oximetry and other procedures, please visit the Medicare Coverage Database.
Source: hopkinsmedicalproducts.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 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

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

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

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

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

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

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Source: medicare.gov

Medicare Eligibility Requirements

Posted by:  :  Category: Medicare

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 eligibility and enrollment

For the vast majority of Americans, eligibility for Medicare health coverage is as uncomplicated as turning age 65. Making sure you’re enrolled? It’s a bit more complicated. Here’s what you need to know:
Source: medicareresources.org

Medicare Supplement Eligibility, Medicare Supplement Eligibility Guidelines

The following plans are available to disabled Medicare recipients under the age of 65: Plan A in MD, OK and TX; Plan C in NJ; Plans A and C in MI; Plans A and F in NC; Plans A, B and F in NY; Plans A, B, F and N in CA; all plans offered by Aetna in CO, FL, GA, IL, KS, KY, LA, OR, PA and TN and Basic Plan plus riders in WI.
Source: aetnamedicare.com

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

Posted by:  :  Category: Medicare

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

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.
Source: seniors-health-insurance.com

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.
Source: planprescriber.com

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.
Source: alz.org

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.
Source: coventryhealthcare.com

2015 Medicare Advantage Plans Available to Residents of Florida

AK  AL  AR  AZ  CA  CO  CT  DC  DE  FL  GA  HI  IA  ID  IL  IN  KS  KY  LA  MA  MD  ME  MI  MN  MO  MS  MT  NC  ND  NE  NH  NJ  NM  NV  NY  OH  OK  OR  PA  RI  SC  SD  TN  TX  UT  VA  VT  WA  WI  WV  WY
Source: q1medicare.com

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.
Source: theatlantic.com

Health Insurance Plans for Individuals, Employers, Medicare

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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

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

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

Healthcare business news, research, data and events from Modern Healthcare

HHS’ road map for improving the electronic exchange of health data omits a prescriptive route to its destination. That’s a good thing, according to the Healthcare Information and Management Systems Society. Other parts of the plan are cause for concern, the trade group says.
Source: modernhealthcare.com

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

What's a Benefit Period in Medicare Part A? It Pays to Know

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You may be in the hospital more than once during one benefit period. For example, imagine you are in the hospital for a short stay and then released. Now imagine that you go back into the hospital the next week for the same health problem. That means you have two hospital stays within one benefit period. You would pay one deductible.
Source: medicaremadeclear.com