Extra Help with Medicare Prescription Drug Plan Costs

Posted by:  :  Category: Medicare

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

I need or get Extra Help / Medicaid

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Source: medicare.gov

Extra Help with Medicare Prescription Drug Plan Cost Forms and Publications

Appeal the decision we made about your eligibility for Extra Help by completing an Appeal of Determination for Extra Help with Medicare Prescription Drug Plan Costs (SSA-1021) in English or Español. Find Instructions for Completing the Appeal form in English or Español.
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

Texas Medicaid/CHIP Vendor Drug Program

Posted by:  :  Category: Medicare

Later this fall VDP will change how it prices drugs and reimburses pharmacy providers by changing the ingredient cost and dispensing fee. The new rates include ingredient costs that differ by pharmacy type and a dispensing fee formula that contains a variable component. More about ingredient cost and dispensing fee changes.
Source: txvendordrug.com

Texas Medicaid/CHIP Vendor Drug Program: Preferred Drug List

Preferred products are available without authorization.  Authorization for non-preferred products requires the prescribing provider or provider representative calling the Texas Prior Authorization Call Center.  Approved requests for authorization are valid for one year.  Certain groups of clients based on age or other criteria may be exempt from PDL requirements.
Source: txvendordrug.com

Rick Perry's Refusal to Expand Texas' Medicaid Program Could Result In Thousands of Deaths

Two hours after sending his letter, Perry was on Fox News comparing the Medicaid expansion to “adding 1,000 people to the Titanic.” Instead, Perry said, states like Texas should be given Medicaid block grants to create their own system for health-care coverage, without elaborating further on what that system might entail. Fox News correspondent Jenna Lee, much to Perry’s visible annoyance, began to press him for specifics. “According to a new federal government report—I know you’ve seen this—Texas has ranked last when it comes to health services provided by the state,” Lee pointed out. “The facts are one out of four Texans is without health insurance. One out of four Texans is on Medicare or Medicaid. The health crisis, the big crisis for the country and for your state, what is one solution you are offering to the citizens of Texas?”
Source: texasobserver.org

Texas Medicaid Program: Contact Information

Regional Community Relations specialists foster partnerships with stakeholders to improve delivery and access to Medicaid and CHIP services. These specialists are located throughout the state and link government resources to families, medical and dental providers, hospitals, faith- and community-based organizations, schools and others to promote improvements to the health care system. The specialists provide information about Medicaid and CHIP, offer assistance in organizing community events and coordinate public meetings, including Medicaid and CHIP Regional Advisory Committee Meetings. Learn more about the Office of Community Access and Services
Source: tx.us

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

Find Contact Information of Organizations for Medicare

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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

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

The Different Kinds of Bad Breath, Part 3: Sinus Breath 

Posted by:  :  Category: Medicare

Mouth Breathing — This is an area where the “types” of bad breath can sometimes overlap (because I’ll talk about mouth breathing and dry mouth in the future). But a lot of the issues I mention above may cause one to breathe “more” through their mouth, which can lead to dry mouth, which can lead to bad breath. (4) This happens because saliva washes away food particles and keeps the mouth clean. So, in the absence of saliva, you have an environment for stinky bacteria. Again, we’ll touch on dry mouth again in the future, but I wanted to mention it here because sinus problems can lead to it (any blockage of nasal passages can lead to more mouth breathing, so a deviated septum and similar can cause such as well).
Source: huffingtonpost.com

The Different Kinds of Bad Breath, Part 2: Tonsil Breath 

But in my mind, the best way to handle tonsil stones is to prevent them from occurring in the first place. And how do you do that, you ask? Well, the answer is the dentist’s stock answer for anything mouth-related: better oral hygiene. Really — brushing and flossing more often will eliminate many of the bacteria that cause tonsil stones. Try not to eat after that last brush of the day/evening as well. Oh, and here’s one more for you — gargle. Yes, gargling twice a day will help flush your tonsils of bacteria, and keep them from becoming trapped and inviting all their friends over for a stinky tonsil party. Use warm water and a little bit of salt (a quarter-teaspoon or so). This will go a long way in keeping your tonsils healthy.
Source: huffingtonpost.com

How Did Moses Part the Red Sea?

Timing would have been crucial. The last of the Israelites had to cross the dry sea bottom just before the tide returned, enticing Pharaoh’s army of chariots onto the exposed sea bottom, where they would drown as the returning tidal waters overwhelmed them. If the chariots were expected to arrive before the tide came back in, Moses might have planned some type of delaying tactic. If the chariots were expected to arrive after the tide came back in, he could have gotten the Israelites across and then, at the next low tide, sent a few of his best people back onto the temporarily dry sea bed to entice Pharaoh’s chariots to chase them.
Source: wsj.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

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Source: medicare.gov

Medicare Unmasked: Behind the Numbers

This list, based on data made public by the Centers for Medicare and Medicaid Services, shows the dollar amounts that doctors and other medical providers received in Medicare reimbursements in 2012, along with other data including their specialties. Only procedures which providers performed on more than 10 Medicare patients were included in the data released. There is some information CMS hasn’t provided. In some cases, procedures attributed to a specific physician may have been performed by other people under that doctor’s supervision. The data doesn’t include information on patients nor does it show doctors’ billings related to durable medical equipment.
Source: wsj.com

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

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 Part D coverage gap

Posted by:  :  Category: Medicare

In 2006, the first year of operation for Medicare Part D, the donut hole in the defined standard benefit covered a range in true out-of-pocket expenses (TrOOP) costs from $750 to $3,600. (The first $750 of TrOOP comes from a $250 deductible phase, and $500 in the initial coverage limit, in which the Centers for Medicare and Medicaid Services (CMS) covers 75 percent of the next $2,000.) In the first year of operation, there was a substantial reduction in out-of-pocket costs and a moderate increase in medication utilization among Medicare beneficiaries, although there was no evidence of improvement in emergency department use, hospitalizations, or preference-based health utility for those eligible for Part D.
Source: wikipedia.org

NCPSSM > Medicare > Closing the Donut Hole

The standard Medicare Part D drug benefit contains a “donut hole,” a coverage gap where beneficiaries are required to pay for their medications even while they continue to pay premiums.  In 2015, under the standard Part D benefit, beneficiaries enter the donut hole when their out-of-pocket spending — not including premiums — totals $740.00 at some point during the year (or total beneficiary and plan spending of $2,960).  Once total out of-pocket spending reaches $4,700, the coverage gap ends and beneficiaries pay either five percent of total drug costs or $2.65 for each generic drug and $6.60 for each brand-name drug. 
Source: ncpssm.org

Understanding the Medicare Part D Donut Hole

Once you and your Part D drug plan have spent $2,840 for covered drugs, you will be in the donut hole. Previously, you had to pay the full cost of your prescription drugs while in the donut hole. However, in 2011, you get a 50% discount on covered brand-name prescription medications. The donut hole continues until your total out-of-pocket cost reaches $4,550. This annual out-of-pocket spending amount includes your yearly deductible, copayment, and coinsurance amounts.
Source: about.com

Medicare Doughnut Hole Definition

A range of total prescription drug spending in the Medicare Part D program where all of the costs must be covered out-of-pocket. As a result of the Medicare doughnut hole, Medicare Part D participants are forced to choose between paying higher insurance premiums, or potentially paying thousands of dollars out-of-pocket to bridge the coverage gap. Many lower-income participants in Medicare are unable to afford either option.
Source: investopedia.com

Medicare Prescription Drug Coverage Guide: Doughnut Hole Coverage Gap

While in the gap, in 2015 you pay 45 percent of the cost of brand-name drugs and 65 percent of generic drugs. (Fifty percent of the discount on brand-name drugs is paid by the companies that manufacture them, and the rest by the federal government. The discount on generic drugs is wholly paid by the federal government.) In subsequent years, these costs will reduce until, by 2020, you pay no more than 25 percent of the cost of any drug in the gap.
Source: aarp.org

America’s Health Insurance Plans

Posted by:  :  Category: Medicare

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

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

Find the *** BEST CHEAP HEALTH INSURANCE PLANS *** all in one place!

One secret to getting cheap health insurance involves figuring out precisely what coverage you need. Many people overpay for policies full additional coverage they could do without. Be sure to carefully read any insurance policy before you buy. While you shouldn’t skimp on coverage, you’re sure to find that some cheaper policies still can offer what you need. Shopping around using online insurance quotes is a great way to compare coverage and costs.
Source: findyourinsurer.com

Health Insurance Made Simple

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

Health Insurance Quotes, Medical Insurance, Affordable Health Insurance Plans

Brands You Know and Trust HealthPlanOne works with all major carriers. We are an Aetna “Premium Producer”, an Anthem “Premier Partner”, and a Humana “Strategic Alliance Partner”. We also work with Celtic, Cigna, Oxford, Unicare, Unitedhealthcare Life Insurance Company and Golden Rule Insurance Company and dozens of other health insurance companies.
Source: healthplanone.com

Medicare claim submission address

Posted by:  :  Category: Medicare

Medical Billing Solution, Medical Billing Training Program, About Outsourcing Services, Medical Billing Process and Concept, Tips to Medical Biller, Specialist. Medical Insurance Billing Denial Guidelines. Medical Billing Training Articles and Software Review. Medicare Billing CPT code ,ICD-9 DX Code Update.
Source: whatismedicalinsurancebilling.org

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

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Source: medicare.gov

Novitas to Process Medicare Claims

TMA’s Medicare 2013 seminar offers the best opportunity for physicians to get in-depth and specific details on all things Medicare, including the Novitas transition, “incident to” billing, recovery audits, fraud and abuse, and other key topics. Beyond covering Medicare’s upcoming core issues, the seminar also plans a virtual walkthrough of Novitas’ website and processes to show exactly where to find local coverage determination policies, contact information, payment practices, and anything else physicians may need to reference.
Source: texmed.org

Ohio Medicaid Eligibility Rules

Posted by:  :  Category: Medicare

To be eligible for Ohio Medicaid, an individual must meet the following criteria: Resident 1. Applicant must be living in the state where the nursing home is located Age or Disability 1. Either 65, blind or disabled Asset Allowances 1. Single Person a. $1,500.00 in cash b. House (for 13 months; up to $552,000 in equity) c. Car (up to $4,500.00 NADA value) d. Personal belongings e. Irrevocable Pre-paid burial plan 2. Married Couple a. $23,844.00 to $119,220.00 in cash b. House (if one spouse or other exempt person lives there) c. Car (any value) d. Personal belongings e. Irrevocable Pre-paid burial plan Income Allowances 1. Single a. $40.00 per month 2. Married Couple a. Minimum of $1,967.00 per month, maximum of $2,981.00 per month
Source: ohioelderlaw.com