Medicare Plan Finder for Health, Prescription Drug and Medigap plans

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Source: medicare.gov

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

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Source: medicare.gov

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

Compare Pennsylvania Medicare Plans

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The Pennsylvania Fair Care coverage, which existed for individuals who experienced difficulty acquiring health insurance, ended on June 30, 2013, replaced by the Federal Pre-Existing Condition Insurance Plan (PCIP) or high-risk pool. The PCIP plan was a temporary program established under the provisions of the Affordable Care Act (ACA) and ended coverage for enrollees on April 30, 2014. Under the provisions of the ACA, all individuals, regardless of income or health status, may participate in the health insurance exchange (found at HealthCare.gov) for their important health insurance benefits.
Source: medicaresolutions.com

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

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Source: medicare.gov

Medicare Supplemental Insurance PA

This chart gives you a quick look at the standardized Medicare Supplemental Insurance Plans A through N and their benefits. Every insurance company must make Medicare Supplemental Insurance "Plan A" available if they offer any other Medicare Supplement insurance policy. Not all types of Medicare Supplemental Insurance policies are offered by all companies and some Medicare Supplemental Insurance policies may not be available in your state. For More information see complete CMS Guide to choosing a Medigap Policy.
Source: mysenioradvisorsgroup.com

Pennsylvania Medicare Plans

No matter how specific or sensitive your medical care and financial needs may be, here at PA Health Quotes we have the ability to match Medicare plans for you or your loved one, to ensure your financial needs are met in a timely and responsible manner. Beyond Medicare plans, we are also available to assist with enrollment and quotes for the Pharmaceutical Assistance Contract for the Elderly (PACE) as well as PACE Needs Enhancement Tier (PACENET) as a way to further cover your prescription medication payment needs.
Source: pamedicareplans.com

Coventry Medicare: Advantra (HMO/PPO)

Whether you are an employer, health care provider, someone interested in enrolling, or already a current 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

Medicare Supplement Plans (Medigap Plans) and other Medicare / Health Insurance Plans

A Medicare Supplement plan is a health insurance policy sold by private insurance companies in your state. It provides additional protection for what is not covered by Original Medicare. This insurance is specifically designed to fill the “gaps” in Medicare Part A and Part B coverage.
Source: libertymedicare.com

NPI Entity Type 1/Type 2 and Medicare Provider Numbers

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Even if the practice association is an S corporation or a “disregarded entity” (i.e., tax return can be filed in the physician’s name), the above applies. From an NPI perspective, an S corporation is no different from a limited liability corporation or any other type of corporation; if the PA receives payments, it must have its own Type 2 NPI.
Source: texmed.org

Medicare Plan Finder – Search by Plan Name and/or ID

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Source: medicare.gov

Unique Physician Identification Number (UPIN) Directory

The Unique Physician Identification Number (UPIN) Directory contains selected information on physicians, doctors of Osteopathy, limited licensed practitioners and some non-physician practitioners who are enrolled in the Medicare Program. The data elements in the file (UPIN, full name, specialty, Physician License State Code, zip code, Medicare provider billing number and State) are extracted from the UPIN Database and are approved for public release in the Centers for Medicare & Medicaid Services (CMS) System of Records. The file is updated quarterly with updates being available usually by April 15, July 15, October 15, and January 15. Each update file is considered as a replacement file.
Source: cms.gov

Blue Medicare PPO and Blue Medicare HMO Providers

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Blue Cross and Blue Shield of North Carolina is an HMO, PPO, and PDP plan with a Medicare contract. Enrollment in Blue Cross and Blue Shield of North Carolina depends on contract renewal. Blue Cross and Blue Shield of North Carolina does not discriminate based on race, ethnicity, national origin, religion, gender, age, mental or physical disability, health status, claims experience, medical history, genetic information, evidence of insurability or geographic location within the service area. All Blue Cross and Blue Shield of North Carolina items and services are available to all eligible beneficiaries in the service area.
Source: bcbsnc.com

Medicare Advantage Plans: Medicare HMO Blue

Medicare HMO Blue offers you an optional pharmacy benefit. It’s completely voluntary. If you decide you do want to enroll in our prescription coverage, it’s important to know that Medicare HMO Blue (Blue Care®65) uses a pharmacy formulary. A formulary is a preferred list of medications selected to meet patient needs. Not all medications are covered under a formulary. Periodically, we may make changes to the covered medications on our formulary. If we remove a medication from the formularly, you will be notified, in writing, before the change is made. If you are interested in enrolling in Medicare HMO Blue, and would like to learn more about medications covered under our formulary, click here. (Our pharmacy formulary may differ from the formulary used for Blue Medicare Rx.)
Source: bluediner.net

Medicare Blue Choice Value (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 Medicare Blue Choice Value (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. You pay $0 the first time you fill a prescription for certain drugs. These drugs will be listed as "free first fill" on the plan’s website, formulary, printed materials, and on the Medicare Prescription Drug Plan Finder on Medicare.gov. If you request a formulary exception for a drug and Medicare Blue Choice Value (HMO) approves the exception, you will pay Tier 3: Non-Preferred Brand cost sharing for that drug. In-Network $0 deductible. Supplemental drugs don’t count toward your out-of-pocket drug costs. 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: Generic
Source: healthpocket.com

What is the Income limit set by Social Security when applying for extra help with Medicare prescription drug plan costs?

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(Source: Social Security Administration: Understanding The Extra Help With Your Medicare Prescription Drug Plan publication 10508, SSA Publication No. 05-10115, January 2011. Additional examples and links from Q1Group LLC)
Source: q1medicare.com

California Health Advocates: Medicare Policy, Advocacy and Education

Posted by:  :  Category: Medicare

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

California Medicare Plans Benefits And Premium Information Publications And Forms

We provide access to plan benefit guides, forms and publications along with general and specific insurance information for all California beneficiaries. You will find many details and links listed on this site. You may also make an instant request for materials or call our Toll-Free Medicare insurance helpline which is 800-458-7805 Need Help Fast?? Click Here  You should seek the advice of an insurance professional if you are not sure how each insurance plan works. You should not have to pay for the consultation since insurance brokers are usually paid directly from insurance companies. A good Broker or Agent should give you a non-biased opinion of many plans and answer your specific questions. We have a staff of insurance professionals available to answer any of your questions and we will provide you with specific enrollment materials or Medicare Plan summary of benefits by request. 2012 Medicare And You Hand Book Please feel free to use any of our resources and don’t hesitate to call our helpline at any time. We are happy to answer questions and provide you with any forms or publications that you may need. Individual Non Medicare Insurance From AETNA For Those Under 65 You may download anything you would like from this site for free or you may also visit our other site at www.todaysmedicare.com check back often. This site will be updated regularly. Check back often for updated information or call our Toll Free Helpline 1-800-683-6729
Source: californiamedicare.org

California Department of Aging

The California Department of Aging (CDA) administers programs that serve older adults, adults with disabilities, family caregivers, and residents in long-term care facilities throughout the State. The Department administers funds allocated under the federal Older Americans Act, the Older Californians Act, and through the Medi-Cal program. The Department contracts with the network of Area Agencies on Aging, who directly manage a wide array of federal and state-funded services that help older adults find employment; support older and disabled individuals to live as independently as possible in the community; promote healthy aging and community involvement; and assist family members in their vital care giving role. CDA also contracts directly with agencies that operate the Multipurpose Senior Services Program through the Medi-Cal home and community-based waiver for the elderly, and certifies Adult Day Health Care centers for the Medi-Cal program. To find services in your community click here.
Source: ca.gov

New to Medicare? My California Medicare can help!

Medical Insurance (Part B) – For those new to Medicare, Medicare Part B pays for doctor’s services and other medical services and supplies that are not covered by hospital insurance. Medicare pays for 80% of the “reasonable charge” for Part B covered services after you have met your yearly deductible and you pay for the remaining 20%. Those new to Medicare should be aware Part B has a monthly premium that depends upon your income. For people who are new to Medicare, enrolling in Part B is a choice. You can sign up for Part B anytime during a seven-month period that starts three months before you reach age 65. However, keep in mind that you may incur a penalty if you do not buy Part B when you are first eligible.
Source: mycaliforniamedicare.net

Medicare Plan Finder for Health, Prescription Drug and Medigap plans

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Source: medicare.gov

ACP Internist, January 2010

CMS sees the physician work associated with a consultation and an office visit/initial hospital care service as “clinically similar.” CMS states that the consultations historically received higher payment because of the requirement that the consultant provide a written report back to the requesting physician. That significant discrepancy no longer exists, because the documentation requirements for consultations no longer call for a higher required level of formality. The agency had most recently permitted the report to be made in any form of written communication.
Source: acpinternist.org

Your Medicare Supplemental Insurance Information – MedicareSupplemental.com

Posted by:  :  Category: Medicare

There are exceptions to the standardization if you live in certain states, such as Massachusetts, Minnesota, and Wisconsin. Depending on your state, you may be able to buy another type of Medigap policy called Medicare SELECT (a Medigap policy that requires you to use specific hospitals and in some cases specific doctors to get full benefits). Who Provides Medicare Supplemental Insurance? Medicare supplemental insurance is provided by private insurance companies such as AARP, BlueCross BlueShield, Globe Life, Humana, Mutual of Omaha, Transamerica Life, United American, UnitedHealthcare and many others. Remember from above that Medigap insurance companies can sell you only a “standardized” Medigap policy. All Medigap policies must have specific benefits so you can compare them easily on the basis of price.
Source: medicaresupplemental.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

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 Supplement (Medigap) Insurance Plans

MedSupp plans can help pay Original Medicare’s copayments and deductibles. Each type of plan offers a different level of coverage, and is named with a different letter (such as Plan A). The plans are standardized, so that all plans of the same letter offer the same benefits. In other words, the benefits for a Medicare Supplement Plan D enrollee in Rhode Island are the same for a Medicare Supplement Plan D enrollee in Tennessee. However, the premiums can differ among these private insurance companies.
Source: planprescriber.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

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

Medicare Supplement Insurance and Plans

Medicare is the federal program the vast majority of Americans 65 and older depend on for their healthcare. People under 65 with disabilities and individuals with end-stage renal disease can also qualify. Medicare is commonly divided into four parts. Original Medicare Part A and Part B help pay costs for hospital care and medical expenses, respectively. Specifically, Part A pays for medically-necessary inpatient hospital services, skilled nursing facility care after a hospital stay, certain home healthcare, and hospice care. Part A does not pay for private hospital rooms, surgery that is not deemed medically-necessary, most care received outside the United States, unskilled personal care, and a variety of other services. Part B, meanwhile, pays only 80% of most Medicare-covered medical costs. Deductible, copayment, and coinsurance costs associated with Original Medicare add up quickly for many people.
Source: medicaremall.com

How do I get a new Medicare card if my card is lost, stolen, or damaged? How do I change my contact information?

Posted by:  :  Category: Medicare

You can now request a replacement red, white, and blue Medicare card online on Social Security’s (SSA) web site. Your card will be mailed within 30 days to the address SSA has on record. This service can be accessed during the following hours: Monday-Friday: 5 a.m. until 1 a.m. Saturday : 5 a.m. until 11 p.m. Sunday : 8 a.m. until 10 p.m. Holidays : 5 a.m. until 11 p.m. To make an online request, you will need the following information:
Source: hhs.gov

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

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Source: medicare.gov

Medicare eligibility for new immigrants who are green card holders

A: If you don’t enroll into various parts of Medicare when you are first eligible, and if you want to enroll into any of them later, you will incur the penalties and some of those penalties will continue to apply as long as you have Medicare. Later you apply, more penalties will keep accruing. Therefore, it is the best thing to enroll into all parts of Medicare when you are first eligible. You can find more information about the penalties on Medicare web site including the late enrollment penalty calculator.
Source: insubuy.com

New or Replacement Social Security Number Card

You need a Social Security number to get a job, collect Social Security benefits and get some other government services. But you don’t often need to show your Social Security card. Do not carry your card with you. Keep it in a safe place with your other important papers.
Source: socialsecurity.gov

Medicare Card, Replacement, Blog, Social Security Help, Information, Medicaid, Retirement Benefits, Dental Insurance, dental health care plans

For all others, the standard Medicare Part B monthly premium will be $110.50 in 2011, which is a 15% increase over the 2009 premium.  The Medicare Part B premium is increasing in 2011 due to possible increases in Part B costs.  If your income is above $85,000 (single) or $170,000 (married couple), then your Medicare Part B premium may be higher than $110.50 per month.  For additional details, see the FAQ titled: "2011 Part B Premium Amounts for Persons with Higher Income Levels".
Source: medicarecard.com

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

Posted by:  :  Category: Medicare

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Source: medicare.gov

Preventive & screening services

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Source: medicare.gov