What is Medicare? What is Medicaid?

Posted by:  :  Category: Medicare

Medicare Part A, or Hospital Insurance (HI), helps pay for hospital stays, which includes meals, supplies, testing, and a semi-private room. This part also pays for home health care such as physical, occupational, and speech therapy that is provided on a part-time basis and deemed medically necessary. Care in a skilled nursing facility as well as certain medical equipment for the aged and disabled such as walkers and wheelchairs are also covered by Part A. Part A is generally available without having to pay a monthly premium since payroll taxes are used to cover these costs.
Source: medicalnewstoday.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

Best Medicare Supplement Insurance Quotes

Posted by:  :  Category: Medicare

Every Medicare supplemental insurance plan must follow federal and state laws designed to protect you. Medicare supplement plan insurance companies can only sell you a “modernized” Medicare supplemental insurance plan identified by letters A through N. Each modernized Medicare supplemental insurance plan must offer the same basic benefits, no matter which insurance company sells it.
Source: medicaresupplementplans.com

Medicare Supplement Plans & Quotes

Turning 65 is stressful, and the amount of information people receive leading up to their birthday is astounding. From the stacks of mail piling up on your desk, to the seemingly endless phone calls and quotes from insurance companies and agents, the task of gathering honest, unbiased information can feel impossible. Our goal is to offer what nobody else will, which is why we provide medicare supplement quotes, financial ratings, benefit information, application fee data, price history, and pricing methodology for all supplemental insurance companies in one clean, concise report. Our free, no obligation service is designed to give you the information you need regarding Part D and Medicare Supplement Plans in order to make an educated purchasing decision. In addition, we offer continued support for all of our customers to ensure they have no claims or billing issues. On an annual basis we review all medicare supplement insurance quotes and plan options in an effort to notify our customers of any new or better plans that may be available.
Source: medicaresupplementshop.com

Medicare Supplement Insurance Quote Engine

In addition to Medicare supplement insurance, we are pleased to be participating in the Medicare Advantage market. The Medicare Advantage policy is a low cost alternative to a Medicare supplement policy and is especially advantageous for those less than 65 years old. The Private Fee For Service (PFFS) is a type of Advantage plan that allows Medicare recipient to visit any doctor, any hospital, anywhere. Therefore, many Medicare recipients are well served by the lower cost Private Fee For Service plan.
Source: bestmedicaresupplement.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

Compare Medicare Supplement (Medigap) Plans and Rates in Your Area

"Times have changed since my mother had an AARP J plan and I was totally confused by the options available. Stan walked me through the process in a very educational, methodical, friendly way, and I feel secure now that we’re making the correct decision to provide the best possible coverage for my husband." – Pat K.
Source: medigap360.com

How to compare Medigap policies

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 Comparison

When you are first going on Medicare, you get inundated with enormous amounts of information – through the mail, on the phone, by email – everyone wants to be your friend when you turn 65! While there is some good information out there, it is easy to allow the clutter to overwhelm you or “turn you off” to the process. Sorting through the supplement plans is actually not as difficult as you may think, however. With the standardization of plan coverage, as well as the fact that all plans can be used at any doctor that takes Medicare nationwide, and all claims are paid through the standardized Medicare “crossover” system, there are not that many variables to consider when comparing companies. The main things that you should compare are Medicare Supplement rates and company ratings. You can do these one of two ways – you can either call the companies themselves to obtain the rates (or more likely set meetings to get the rates – which some companies require) or you can obtain them in a centralized place through a broker. Whether it is us or someone else, we would certainly recommend comparing rates via a broker/agency. By doing so, you can get a centralized comparison of plan options in an unbiased way at no cost or obligation. Either way you do it, the most important thing to do is base your decision on the two factors that vary – monthly premium and company rating.
Source: medicare-supplement-comparison.com

Medicare Supplement Plans

To be eligible to enroll in a Medicare Supplement plan, you must be enrolled in both Medicare Part A and Part B. The best time to enroll in a plan is during the Medigap Open Enrollment Period, which begins on the first day of the month that you are both age 65 or older and enrolled in Part B, and lasts for six months. During this period, you have the guaranteed issue right to join any plan of your choice, meaning that you may not be denied coverage based on any pre-existing conditions. If you miss this enrollment period and attempt to enroll in the future, you may be denied coverage based on your medical history.
Source: ehealthinsurance.com

Affordable Arizona Medicare Plans

Posted by:  :  Category: Medicare

Arizonamedicare.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: arizonamedicare.org

Compare Arizona Medicare Plans

The Arizona Health Care Cost Containment System (AHCCCS) was created to help individuals who would otherwise have difficulty affording health insurance cover their health care costs. Qualified individuals then have the option to choose a health care plan provider in their county, including UnitedHealthcare, Health Choice Arizona, and American Indian Health Program in many counties.
Source: medicaresolutions.com

Arizona Medicare Supplement: Arizona Medigap

There are plenty of companies out there advertising supplemental insurance in Arizona, but how do you know you are picking the right one? First and foremost, you have to make sure that they have competitive prices, as well as a knowledgeable and respectable staff. Arizona Medicare Supplements provides both of those things, as we serve seniors with Arizona Medigap Coverage or Arizona Medicare Supplement policies. We strive to provide affordable rates as well as complete customer service both before and after the sale.
Source: arizonamedicaresupplements.com

Arizona health insurance: find affordable coverage

Despite opposing the overall ACA, Brewer was in favor of state-run health insurance exchange – saying it was preferable to a one-size-fits-all model imposed by the federal government. To that end, Brewer established the Office of Health Insurance Exchange, and the state took numerous steps toward setting up a state-run exchange. However, state legislators and a public majority remaining opposed, Brewer ultimately bowed to public sentiment and defaulted to the federally facilitated marketplace.
Source: healthinsurance.org

Help with Paying Medicare Costs Only

You are invited to participate in a survey regarding your experience using the AHCCCS website. This survey will take approximately two minutes. Your responses will help us ensure that you have a high quality experience.
Source: azahcccs.gov

Office of Medicare Hearings and Appeals (OMHA)

Posted by:  :  Category: Medicare

Please note that the Office of Medicare Hearings and Appeals is responsible only for the Level 3 claims appeals and certain Medicare eligibility and Part B premium appeals. OMHA is not responsible for levels 1, 2, 4, and 5 of the appeals process. OMHA provides additional information on other levels of appeals to help you understand the appeals process in a broad context.
Source: hhs.gov

Medicare Part C Appeals > Home

Attention Medicare Health Plans- Updated Medicare Advantage Process Manual, Appendix, Reconsideration Background Data Form, and Dismissal Case File Data Form are now available under the ‘Health Plans’ section. Plans should begin using the new Reconsideration Background Data Form for appeals submitted to MAXIMUS Federal Services effective 1/1/2015. For dismissal review cases files submitted to MAXIMUS upon request after 1/1/14, health plans must use the Dismissal Case File Data Form.
Source: medicareappeals.com

Medicare Appeals Process Forms

A party may appoint any individual, including an attorney, to act as his or her representative to help the party during the processing of a claim or claims and /or any appeals of claims. A representative may be appointed at any time during the appeals process. The party making the appointment and the individual accepting the appointment must either complete an appointment of representative form (CMS-1696, CMS-1696 Spanish) or use a conforming written instrument. If the form CMS-1696 is not used, the written request must contain all of the elements listed in 42 CFR 405.910. The appointment of representative is valid for one year from the date it is signed by both the party and the appointed representative. A detailed explanation of appointment of a representative can also be found in the CMS Internet Only Manual (IOM) 100-4, Chapter 29, section 270.
Source: findacode.com

Levels of appeals of claims decisions

If a party to the an ALJ hearing is dissatisfied with the ALJ’s decision, the party may request a review by the Medicare Appeals Council. There are no requirements regarding the amount of money in controversy. The request for Medicare Appeals Council review must be submitted in writing within 60 days of receipt of the ALJ’s decision, and must specify the issues and findings that are being contested. By clicking here you will find information on the Medicare Operations Division/Medicare Appeals Council.
Source: fcso.com

SSA’s Appeals Council Review Process in ODAR

If you disagree with the Appeals Council’s decision, or if the Appeals Council decides not to review your case, you would then have to go to the last level of the appeals process which would be to file a civil suit in a federal district court. If you bring a civil action seeking judicial review of the Social Security Administration’s (SSA’s) final decision, our staff will prepare the record of the claim for filing with the Court. This includes all the documents and evidence SSA relied upon in making the decision or determination. There is a fee for filing a civil action in Federal court.
Source: socialsecurity.gov

Highmark Medicare Reservation System Home Page

Posted by:  :  Category: Medicare

Attend a seminar hosted by a Medicare expert, where you can ask questions and get personal answers. You’ll even hear what your neighbors want to know, too. It’s a great way to get individual help to understand Medicare. And, if you’re already a Highmark Medicare Advantage member, you’ll get coverage updates and helpful information on using your plan’s features. Below, select whether you’re looking for a Medicare plan or are already a Highmark Medicare Advantage member.
Source: highmarkblueshield.com

Highmark Medicare Resources

Below, you will find a collection of tip-sheets that will help you build a better understanding of how Medicare works. All you have to do is click on the arrow buttons to instantly download the information. Remember to check back, as we’ll be updating the information periodically.
Source: helpfromhighmark.com

Highmark Medicare Services is now Novitas Solutions

Physicians and medical billing companies should not face many disruptions as a result of this transition. According to Novitas Solutions, the current Highmark Medicare website will be fully transitioned to the new Novitas site by March 30, 2012. During the transition, visitors to the old website (https://www.highmarkmedicareservices.com) will be automatically re-directed to the new Novitas Solutions website (https://www.novitas-solutions.com), where a new header and page logo can be seen. Bookmarks that users may already have for the Highmark website will purportedly still work with the new page. The Electronic Payer ID has not appeared to change, so claims submission and processing should remain unaffected by the transition. For more information, see the Informational Alert here: https://www.novitas-solutions.com/partb/info-alerts.html.
Source: healthcarebiller.com

Highmark Medicare Services Inc Becomes Novitas Solutions Inc

Effective March 10, Novitas Solutions will begin to migrate the current HMS Web site to the new Novitas Solutions Web site, www.novitas-solutions.com. Novitas is targeting completing the name change to all active Web page content by March 30. Although main headers throughout the Web site will be changed, some historical documents, such as Medicare reports issued under HMS, will not be changed to reflect the new name.
Source: apta.org

Georgia Medicare Supplements

Posted by:  :  Category: Medicare

Georgia Medicare Supplements provides an added bonus as well as competitive rates: a staff that is dedicated to helping you complete your application and answer any questions you may have before or after you receive coverage. This includes discussing health conditions, the six-month waiting period, rate guarantees, and premium changes that might matter to you while getting your coverage. Finding an agent that specializes in this area is important so that no mistakes are made.
Source: georgiamedicaresupplements.com

Compare Georgia Medicare Plans

In general, Original Medicare, also referred to as Medicare Part A (hospital insurance) and Part B (medical insurance), is intended to provide all of the coverage a beneficiary will need. In some cases, however, a recipient may require additional insurance; here, the beneficiary has the option to purchase an additional Medicare Supplement Insurance plan, also known as Medigap. Medicare beneficiaries in Georgia may purchase a Medigap plan through one of the many insurers throughout the state in order to receive additional coverage not provided by Original Medicare.
Source: medicaresolutions.com

Medicare Information for Retirees

Annuitants and certain individuals on subsidized extended coverage age 65 or older who wish to pay subsidized rates for health insurance premiums must enroll in the Medicare Advantage (MA) PPO Standard or Premium option offered by Blue Cross Blue Shield of Georgia (BCBSGa).  See Plan Documents for rate resolutions and annuitant subsidy policies.
Source: georgia.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 PECOS for Physicians, Staff, and HME

Posted by:  :  Category: Medicare

Please note, this is not a CMS or Medicare website. Our goal is to educate physicians so that they register for the PECOS system before it is fully implemented on January 4, 2010. This site was designed to help you find information related to registration quickly and easily. Please let us know how we’re doing at: feedback@getpecos.com
Source: getpecos.com

MEDICARE PECOS for Physicians, Staff, and HME

3. Print, sign and date the 2-page Certification Statement for each enrollment application submitted and mail the Certification Statement and all supporting paper documentation to the Medicare contractor within 7 days of electronic submission. Note: A Medicare contractor will not process an Internet enrollment application without the signed and dated Certification Statement. In addition, the effective date of filing an enrollment application is the date the Medicare contractor receives the signed Certification Statement that is associated with the Internet submission.
Source: getpecos.com

PECOS Enrollment Rule for Medicare Providers

CMS has made available a downloadable PDF file of National Provider Identifiers (NPIs) and names (last name, first name) of all physicians and non-physician practitioners who are of a type/specialty that is legally eligible to render, order and refer in the Medicare program and who have current enrollment records in Medicare (i.e., they have enrollment records in PECOS). It is a PDF file containing approximately 800,000 records and will be updated periodically to include changes in enrollment records. Providers are encouraged to check this list to see if those from whom referrals for services are received, are in fact listed. Also, the National Plan and Provider Enumeration System (NPPES) has an NPI Registry which enables the capability to search for information on all providers including their NPI or Legal Business Name.
Source: aaoms.org

Medicare Supplement Quotes in Texas

Posted by:  :  Category: Medicare

First, we hope this website provides you a better understanding of what is about to happen like the fact that regardless of what you do or don’t do most if not all seniors automatically become enrolled in Part A of Medicare, this is the part of Medicare that provides your basic coverage. Also you should know that you should automatically have eligibility in Part B of Medicare, that’s the part that provides out patient benefits like doctor charges and testing. There is a small fee for Part B that is deducted from your Social Security benefits. We have provided more detailed information on Texas Medicare Eligibility to hopefully assist in understanding more about it. 
Source: medicareinsurancetexas.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

Texas Medicare Supplement Insurance Plans

in a situation where the Part A deductible, which for 2013 is $1,184 for each benefit period, not yearly and the Part B deductible comes in at $147 yearly. Also traditional Medicare is set up for you to be responsible for heavy cost sharing when treatment exceeds 60 days, to the tune of $296 a day that would be your full responsibility as well as $596 days 91-150. You would also be forced to use a doctor or hospital that accepts Medicare Assignment, otherwise you would also be charged for any and all excess charges. Medicare Assignment means the provider has agreed to take whatever fee the government pays them. The ideal solution would be to have a plan that paid ALL of the charges over what your Medicare plan pays, leaving you owing nothing, you can do this through supplements.
Source: medicareinsurancetexas.com

Compare Texas Medicare Plans

Coverage in the Texas Health Insurance Pool, which was the high-risk pool for individuals in the state who were unable to obtain insurance coverage because of a pre-existing condition, expired on March 31, 2014. Individuals who were covered under the Texas Health Insurance Pool were eligible to apply for coverage under the Health Insurance Marketplace operated via HealthCare.gov. Coverage under the pool was deemed minimum essential coverage in accordance with the provisions of the Affordable Care Act.
Source: medicaresolutions.com

Texas Medicare Supplement (Medigap) Specialist

My name is David Hecker.  I am an "Independent" Insurance agent in the state of Texas, specializing in Texas Medicare Supplements.  I represent many different companies, so that I can find the right policy for your particular situation and budget.  I believe in "Personal Service", and am available to answer your questions, now, and in the future.  It’s nice to have a real person to call and get the information or help that you need, not a telephone operator somewhere across the country or across the world.  I can help you if you’re just Turning 65, or if your current Texas Medicare Supplement Insurance policy has gotten too expensive.
Source: tx-medicaresupplement.com

Medicare.gov Physician Compare Home

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

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 Provider Utilization and Payment Data: Physician and Other Supplier

Medicare Physician and Other Supplier PUF, CY2012, Microsoft Excel (.xlsx) Provider Last Name (A) Medicare Physician and Other Supplier PUF, CY2012, Microsoft Excel (.xlsx) Provider Last Name (B) Medicare Physician and Other Supplier PUF, CY2012, Microsoft Excel (.xlsx) Provider Last Name (CD) Medicare Physician and Other Supplier PUF, CY2012, Microsoft Excel (.xlsx) Provider Last Name (EFG) Medicare Physician and Other Supplier PUF, CY2012, Microsoft Excel (.xlsx) Provider Last Name (HIJ) Medicare Physician and Other Supplier PUF, CY2012, Microsoft Excel (.xlsx) Provider Last Name (KL) Medicare Physician and Other Supplier PUF, CY2012, Microsoft Excel (.xlsx) Provider Last Name (MN) Medicare Physician and Other Supplier PUF, CY2012, Microsoft Excel (.xlsx) Provider Last Name (OPQ) Medicare Physician and Other Supplier PUF, CY2012, Microsoft Excel (.xlsx) Provider Last Name (R) Medicare Physician and Other Supplier PUF, CY2012, Microsoft Excel (.xlsx) Provider Last Name (S) Medicare Physician and Other Supplier PUF, CY2012, Microsoft Excel (.xlsx) Provider Last Name (TUVWX) Medicare Physician and Other Supplier PUF, CY2012, Microsoft Excel (.xlsx) Provider Last Name (YZ and Numeric)
Source: cms.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

AARP MedicareComplete (HMO) 2014

The plan offers national in-network prescription coverage (i.e., this would include 50 states and the District of Columbia). This means that you will pay the same cost-sharing amount for your prescription drugs if you get them at an in-network pharmacy outside of the plan’s service area (for instance when you travel). Total yearly drug costs are the total drug costs paid by both you and a Part D plan. The plan may require you to first try one drug to treat your condition before it will cover another drug for that condition. Some drugs have quantity limits. Your provider must get prior authorization from AARP MedicareComplete (HMO) for certain drugs. You must go to certain pharmacies for a very limited number of drugs, due to special handling, provider coordination, or patient education requirements that cannot be met by most pharmacies in your network. These drugs are listed on the plan’s website, formulary, printed materials, as well as on the Medicare Prescription Drug Plan Finder on Medicare.gov. If the actual cost of a drug is less than the normal cost-sharing amount for that drug, you will pay the actual cost, not the higher cost-sharing amount. If you request a formulary exception for a drug and AARP MedicareComplete (HMO) approves the exception, you will pay Tier 4: Non-Preferred Brand cost sharing for that drug. In-Network $0 deductible. Initial Coverage You pay the following until total yearly drug costs reach $2,850: Retail Pharmacy Contact your plan if you have questions about cost-sharing or billing when less than a one-month supply is dispensed. You can get drugs the following way(s): Tier 1: Preferred Generic
Source: healthpocket.com

Utah Department of Health

The mission of the Utah Department of Health is to protect the public’s health through preventing avoidable illness, injury, disability and premature death; assuring access to affordable, quality health care
Source: utah.gov

Coventry Medicare: Advantra (HMO)

Whether you are an employer, health care provider, interested in enrolling, or already a member, our goal is to provide you with valuable and convenient online resources and information. Come explore the ways in which we can help you take charge of your Medicare Advantage coverage.
Source: coventryhealthcare.com