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

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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

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 Coverage Database – Centers for Medicare & Medicaid Services

Contextual Help & Page Help – Contextual Help is a new feature that provides users with the ability to receive onscreen help for specific elements on the page. To use the feature, click the "Contextual Help" link and move the mouse to the onscreen location of the associated page element. The user can turn the feature off when help is no longer required. Users who are unable to use this feature, or who prefer to have a link to a single page of help for the entire page, may continue to use the "Page Help" link to get assistance.
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

Medicare.gov Physician Compare Home

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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

Location of Medicare Offices

If you are seeking office opening hours, the Department of Human Services Service Centre locator contains information updated weekly, a search function and maps. Please visit the Service Centre locator here: humanservices.findnearest.com.au
Source: gov.au

Medicare Part D Pharmacy Locator

With our nationwide pharmacy network, chances are there’s one near you!  Covetry Health Care contracts with pharmacies that equal or exceed the Center for Medicare & Medicaid Services (CMS) requirements for pharmacy access in your area.  Our Pharmacy Locator will help you find a pharmacy. There are changes to your pharmacy network offerings in 2015.  Access the Pharmacy Locator tool to find an in-network pharmacy. Coventry offers a unique combination of plans and pharmacy networks to meet a variety of member needs. You can use our Pharmacy Finder tool to locate a network pharmacy or to determine if your pharmacy is in the network aligned with your plan of interest, or you can call Customer Service. Coventry plans utilize distinct networks, so be sure to check the pharmacies assigned to the plan in which you enroll. How to Use the Pharmacy Locator Follow these simple steps to find a network pharmacy: 1. Click to Locate a Pharmacy for 2015 plans to begin your search (Click here to locate a pharmacy for a Dual Eligible Special Needs Plan). 2. Enter the ZIP code in which you would like to find a pharmacy, and click on “Search Plan.” 3. Select the plan you would like to find a pharmacy for, and then click on "Pharmacy Lookup." 4. You can choose to complete your search by ZIP code or you can search by address. For the ZIP code search, enter how many miles outside of the ZIP code to search within and/or the pharmacy name you would like to search for. For the address search, enter an address and how many miles outside the address to search within. Click on "Find pharmacies." 5. The network pharmacies in the ZIP code or address you searched for will be in bold font.
Source: coventryhealthcare.com

Part D Formulary Is Key To Choosing The Right Plan

Posted by:  :  Category: Medicare

My dad had to move from Ky to GA so my sister and I could take care of him. Humana (his Part D) just terminted him for the month of Dec because he moved out of his service area. They mailed us a letter on 11/25/10(Thanksgiving) and it stated as of 11/30/10 he would no longer have Part D coverage. I spent almost all day last Friday talking to Humana and got no where. They did deduct his payment from his SS??? Any suggestions? Is there a plan that would cover him in GA and KY should he decide to move back and stay with my other sister???
Source: affordablemedicareplan.com

Medicare Plan, Medicare Plans

Aetna Medicare is an HMO/PPO/PDP plan with a Medicare contract. Enrollment in Aetna Medicare depends on contract renewal. The benefit information provided is a brief summary, not a complete description of benefits. For more information, contact the plan. Limitations, copayments, and restrictions may apply. Benefits, formulary, pharmacy network, provider network, premium and/or copayments/coinsurance may change on January 1 of each year.
Source: aetnamedicare.com

2013 Medicare Part D Program Compared to 2012, 2011, 2010 and 2009

The 2013 plan year standardized, combined Annual Notice of Change (ANOC) and Evidence of Coverage (EOC) document will be mailed to current members of all Medicare Advantage (MA) plans, Medicare Advantage with Prescription Drug Coverage (MA-PD) plans, Prescription Drug Only (PDP) plans and cost-based plans offering Part D. MA and MA-PD plans must ensure current members receive the combined ANOC/EOC by September 30, 2012. Plans have the option to include Pharmacy/Provider directories in this mailing. All plans offering Part D must mail their Low-Income Subsidy (LIS) riders and abridged or comprehensive formularies with the ANOC/EOC to ensure current member receipt by September 30, 2012. Exception: Dual Eligible Special Needs Plans (SNPs) that are fully integrated with the State must mail an ANOC with the Summary of Benefits (SB) for member receipt by September 30, 2012 and then send the EOC for member receipt by December 31, 2012. Fully Integrated Dual Eligible SNPs that send a combined, standardized ANOC/EOC for member receipt by September 30, 2012 are not required to send an SB to current members. Note: With the exception of the ANOC/EOC, LIS Rider, and abridged or comprehensive formularies, no additional materials may be sent prior to the beginning of when marketing activities may begin on October 1.
Source: q1medicare.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

Contact Information and Websites of Organizations for Medicare

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Source: medicare.gov

Eyeglasses/contact lenses

Your doctor or other health care provider may recommend you get services more often than Medicare covers. Or, they may recommend services that Medicare doesn’t cover. If this happens, you may have to pay some or all of the costs. It’s important to ask questions so you understand why your doctor is recommending certain services and whether Medicare will pay for them.
Source: medicare.gov

Contact Your Individual and Employer Groups

Select one of our plans below to find contact information for that specific plan or contact us at 1-877-988-3589 (TDD/TTY: 711 Telecommunications Relay Service) for general information about all of Coventry Health Care’s Medicare products: 8:00 a.m. – 8:00 p.m., local time, seven days a week, from October 1 – February 14 8:00 a.m. – 8.00 p.m., Monday – Friday, from February 15 – September 30  
Source: coventryhealthcare.com

Medicare Contact, Contact Medicare

If you have questions about Medicare eligibility, Social Security retirement benefits, or eligibility for financial help with prescription drug coverage, contact the Social Security Administration at 1-800-772-1213 or TTY: 1-800-325-0778 (7 a.m. to 7 p.m., Monday – Friday).
Source: aetnamedicare.com

Medicare Dental Insurance Plans in North Carolina ~ MedicareWire

Posted by:  :  Category: Medicare

This is a private website and is not associated, endorsed or authorized by the Social Security Administration, the Department of Health and Human Services or the Center for Medicare and Medicaid Services nor do we claim to be. This site contains basic information about Medicare, services related to Medicare and services for people with Medicare. If you would like to find more information about the Government Medicare program please visit the Official US Government Site for People with Medicare located at www.medicare.gov.
Source: medicarewire.com

Medicare Dental Insurance Plans in Missouri ~ MedicareWire

This is a private website and is not associated, endorsed or authorized by the Social Security Administration, the Department of Health and Human Services or the Center for Medicare and Medicaid Services nor do we claim to be. This site contains basic information about Medicare, services related to Medicare and services for people with Medicare. If you would like to find more information about the Government Medicare program please visit the Official US Government Site for People with Medicare located at www.medicare.gov.
Source: medicarewire.com

Health Insurance Plans for Individuals, Employers, Medicare

Short term health insurance is designed to bridge gaps in coverage for individuals and families in times of transition. Based on your needs, you can select the length of time (1 to 11 months in many states) and from a range of available deductible amounts.
Source: uhc.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 Supplemental Insurance

Posted by:  :  Category: Medicare

Finding the best Medicare Supplemental insurance, Medicare Advantage, and Medicare Part D has gotten more complicated nearly every year. In 2010 Medicare Supplement Insurance added 2 new plans Medigap plan N and Medigap Plan M. At the same time they eliminated several other Medicare Supplement options. Medicare Advantage insurance plans redefine benefits and premiums every year. And, with future Medicare subsidies uncertain due to changing regulation from healthcare reform who can keep up. For many individuals Medicare Supplement Insurance is becoming the best option. Unfortunately, comparing Medicare Supplemental Insurance Plan premiums (Medigap) and Medicare Advantage plans can be a time consuming endeavor. Our highly trained insurance advisors can explain all of your supplemental Insurance options, and assist in finding the best Medicare supplement and Medicare Part D combination that best fits your specific needs. With all the options affecting Supplement insurance and Part D it makes sense to have an expert assist you through the maze.
Source: mysenioradvisorsgroup.com

Your Medicare Supplemental Insurance Information – MedicareSupplemental.com

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 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 Supplement Insurance Plans & Medigap Plans and Rates for
2011. See Plan Chart for AL, AR, AZ, CO, FL, GA, IA, ID, KS, KY, LA, MD, MI, MO, MN, MS,
NC, NE, NM, OH, OK, SC, TN, TX, VA & WV. Medigap Insurance Plans including the
Popular Plan F & G

Year after year we have found Medicare Supplement Plan F or Medicare Supplement Plan G to be the best value for the dollar. The new Plan N is a great alternative to a Medicare Advantage plan.  Plan N might be recommended depending on which state you live in and how much the supplement cost in relation to available Medicare Advantage plans. A plan N will provide more coverage and a very reasonable premium. In Florida we have the lowest rate for plan F & plan N. See the Medicare Supplement Plan chart below. In general, the higher you go up in the plan chart the more Gaps the plan fills. Medicare Supplement Plan F is the most comprehensive supplement plan and there is not a better plan than F. Most people will select a Plan F. However, depending on your personal situation there may be a more cost efficient choice.
Source: themedicarechannel.com

Pyramid Life Insurance Company

Posted by:  :  Category: Medicare

Pyramid Life Insurance Company has been meeting America’s insurance needs since 1913. Today, the company remains dedicated to helping older Americans and people with Medicare obtain valuable insurance coverage.
Source: universalamericaninsuranceplans.com

Medicare Advantage Customer Service Rankings

Consumer assessment scores for drug plans are numbers between 0 and 100 (higher is better) based on enrollee responses to the following questions: In the last 6 months, how often did your health plan’s customer service give you the information or help you needed about prescription drugs? In the last 6 months, how often did your plan’s customer service staff treat you with courtesy and respect when you tried to get information or help about prescription drugs? In the last 6 months, how often did your health plan give you all the information you needed about which prescription medicines were covered? In the last 6 months, how often did your health plan give you all the information you needed about how much you would have to pay for your prescription medicine? For health plans, a similar set of questions is asked in the consumer assessment: In the last 6 months, how often did your health plan’s customer service give you the information or help you needed? In the last 6 months, how often did your health plan’s customer service treat you with courtesy and respect? In the last 6 months, how often were the forms for your health plan easy to fill out? Call center hold times were truncated to ten minutes for calls in which the call surveyor was on hold for at least ten minutes. Information on consumer assessment scores for health and drug plans comes from the CMS documents “Medicare 2014 Part C & D Display Measure Technical Notes” last updated December 12, 2013 and “Medicare 2014 Part C & D Star Rating Technical Notes” last updated April 2, 2014.
Source: healthpocket.com

Maslow’s hierarchy of needs

In one study, exploratory factor analysis (EFA) of a thirteen item scale showed there were two particularly important levels of needs in the US during the peacetime of 1993 to 1994: survival (physiological and safety) and psychological (love, self-esteem, and self-actualization). In 1991, a retrospective peacetime measure was established and collected during the Persian Gulf War and US citizens were asked to recall the importance of needs from the previous year. Once again, only two levels of needs were identified; therefore, people have the ability and competence to recall and estimate the importance of needs. For citizens in the Middle East (Egypt and Saudi Arabia), three levels of needs regarding importance and satisfaction surfaced during the 1990 retrospective peacetime. These three levels were completely different from those of the US citizens.
Source: wikipedia.org

Ask the Dietitian® Home

HELP Healthy Eating for Life Plan® will create a plan for you that includes what, how much and when to eat. HELP will guide you to achieve your weight goal (lose, gain or maintain) by providing a free, personalized, healthy eating plan using foods everybody eats. HELP will even consider your food preferences. Diets often require special foods and do not include foods you like. Any diet may be successful in the short term if it has fewer calories than you need to maintain weight, but diets don’t help you change eating habits for long term or help maintain your lower weight. Most diets are used short term and diets are so different from the way most people usually eat. After people go off a diet, they re-gain weight when they return to their pre-diet eating habits. Eating plans are a guide for what to eat while allowing you to choose foods you like to create your own menus. Eating plans are different than menus which list specific foods at specific times like orange juice at breakfast or a turkey sandwich at lunch. Are you a vegetarian or do you eat meat? Milk drinker or not? HELP will generate a personalized, healthy eating plan that fits your food style, not a one size fits all diet based on generic calorie levels typically used by diets. You can start with the Healthy Body Calculator® to get your personalized calorie goal based on your physical measurements and activities or you can enter your own calorie target in HELP. After HELP creates your dietitian designed eating plan, you will be able to view food lists from which you can choose foods you like to eat to create menus. HELP Essential Foods
Source: dietitian.com

Medicare Advantage Premiums & Costs

Posted by:  :  Category: Medicare

Remember that a Medicare Advantage plan may have more costs than its monthly premiums alone. Beneficiaries may have copayments, coinsurance, and deductibles associated with doctors’ visits, hospital stays, and other health-care services. Beneficiaries also have out-of-pocket expenses associated with medications, including deductibles and copayments. In general, Medicare Advantage plans have a maximum allowable deductible that they can charge, but they also have the option to reduce or eliminate this deductible.
Source: planprescriber.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

Zero Premium Medicare Advantage Plans: What Does it Cover?

Prescription Drug Costs: Every Medicare Advantage plan has a different list of drugs they will cover and different out-of-pocket expenses for those drugs. Given that the amount and combination of drugs taken varies by individual, it is important to select a plan that results in the most drug coverage and lowest out-of-pocket costs based on individual prescription drug needs. Please note that some Medicare beneficiaries can qualify for the Extra Help, also known as the Low Income Subsidy, program for help on their prescription drug costs.
Source: planprescriber.com

Compare $0 Premium Medicare Advantage Plans PPO or HMO

Medicare Advantage Plans offer all of the benefits covered under Original Medicare and more. Also, most plans include Medicare Part D prescription drug coverage. To enroll in a plan, you must be eligible for Medicare Part A and B. You usually pay one monthly premium to the Medicare Advantage plan, if any, and continue to pay your Medicare Part B premium, unless otherwise paid for under Medicaid or by another third party. Medicare Advantage enrollment periods
Source: medicareoptions4u.com

Medicare Advantage 2014 Spotlight: Plan Availability and Premiums

While many organizations offer Medicare Advantage plans, a few – particularly Humana, United Healthcare, and the Blue Cross and Blue Shield (BCBS) affiliates – have particularly large geographic spread and these organizations historically account for a disproportionate share of enrollment. In 2014, 44 percent of available plans are being offered by one of these three firms or affiliates (Table A4).  Plans offered by these firms are available to most beneficiaries.  Nationwide, 83 percent of Medicare beneficiaries will have access to one or more Humana plans, 73 percent will have access to a BCBS affiliated plan (including BCBS plans offered by Wellpoint), and 68 percent will have access to a United Healthcare plan (Exhibit 5; Table A5).  The general availability of these firms’ products has not noticeably changed from 2013 to 2014.  However, the similarities in BCBS offerings from 2013 to 2014 obscure a decline in availability of BCBS branded Wellpoint plans (declining from 88 plans to 55 plans between 2013 and 2014), which is mostly offset by the growth in plans offered by other BCBS affiliates (growing from 205 plans to 233 plans between 2013 and 2014).
Source: kff.org

Medicare Advantage Plans cover all Medicare services

to make sure a service is medically necessary and will be covered. If the plan won’t pay for a service you think you need, you’ll have to pay all of the costs if you didn’t ask for an advance coverage decision. Get your plan’s contact information from a Personalized Search (under General Search), or search by plan name.
Source: medicare.gov

Costs for Medicare Advantage Plans

If you’re in a Medicare plan, review the “Evidence of Coverage” (EOC) and “Annual Notice of Change” (ANOC) your plan sends you each fall. The EOC gives you details about what the plan covers, how much you pay, and more. The ANOC includes any changes in coverage, costs, or service area that will be effective in January.
Source: medicare.gov

Compare $0 Premium California Medicare Advantage Plans

This is not a complete listing of plans available in your service area. For additional plan options contact us. This website may display a subset of available plans based on your preferences and the plans we are contracted with. This is not a complete listing of plans available in your service area. For a complete listing please contact 1-800-MEDICARE or consult www.medicare.gov.
Source: medicareoptions4u.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

A Primer on Medicare: Key Facts About the Medicare Program and the People it Covers

Comprising 14 percent of the federal budget in 2014 and just over one-fifth of total personal health expenditures in 2013, Medicare spending has slowed in recent years and is expected to grow at a slower rate than private insurance on a per person basis over the next decade. At the same time, Medicare is often part of discussions about how to moderate the growth of both federal spending and health care spending in the U.S. With the challenges of providing increasingly expensive medical care to an aging population and sustaining the program for the future, Medicare is likely to remain prominent on the federal policymaking agenda in the years ahead. As policymakers consider potential changes to Medicare, the effects of such changes on total health care expenditures, Medicare spending, and beneficiaries’ access to quality care and their out-of-pocket costs will be important considerations.
Source: kff.org

Medicare Facts, information, pictures

Medicare is organized into parts A through D, each of which corresponds to a different service type with a different financing scheme. Part A is a program of inpatient hospital insurance available to all Medicare beneficiaries; there is no premium, although beneficiaries are required to pay deductibles and co-payments when they use covered services. Part A is financed through a payroll tax of 2.9 percent, paid half by employers and half by employees. Part B provides coverage for outpatient services, including physician visits, therapies, and laboratory tests. Enrollment is voluntary, and beneficiaries pay a monthly premium for coverage and deductibles and co-payments at the point of service. Part B is financed through premiums and general tax revenues. Part C concerns itself with managed care plans. Part D, passed in 2003, represents the largest expansion of Medicare benefits since 1965; as of January 1, 2006, it covers some of the cost of prescription drugs for beneficiaries who enroll. In a departure from earlier Medicare policy, enrollees receive Part D benefits through private insurance plans that offer coverage for different drugs (within limits set by the government) at different premium amounts. Like Part B, Part D is financed through premiums and general revenue funds. Medicare beneficiaries may also purchase private supplementary, or Medigap, insurance policies to cover deductibles, co-payments, and uncovered services.
Source: encyclopedia.com

Contact Information and Websites of Organizations for Medicare

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Source: medicare.gov

More Medicare Information

If you live in Puerto Rico you will not receive Medicare Medical Insurance (Medicare Part B) automatically. You will need to sign up for it during your initial enrollment period or you will pay a penalty. To sign up, please call our toll-free number at 1-800-772-1213 (TTY 1-800-325-0778). You also may contact your local Social Security office. You can find your local Social Security office by using our Office Locator.
Source: ssa.gov

Health Reform Frequently Asked Questions

Posted by:  :  Category: Medicare

Aiming to address the imbalance many states face in the financing of their long-term care programs, the State Balancing Incentive Program offers state Medicaid programs financial incentive to shift their Medicaid long-term care spending from institutions, such as nursing facilities, to home and community-based services (HCBS). Earlier federal emphasis on shifting spending away from institutional settings was demonstrated in the Money Follows the Person Program (MFP). MFP enables public funds to move with the individual needing long-term services and supports and – as their needs and preferences change – to the most appropriate settings. Health care reform extends this program through 2016.
Source: amerigroupcorp.com