Medicare Sustainable Growth Rate

Posted by:  :  Category: Medicare

Section 101 of the Tax Relief and Health Care Act of 2006 (MIEA-TRHCA) provided a 1-year update of 0% for the conversion factor for CY 2007 and specified that the conversion factor for CY 2008 must be computed as if the 1-year update had never applied. Section 101 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (MMSEA) provided a 6-month increase of 0.5% in the CY 2008 conversion factor, from January 1, 2008, through June 30, 2008, and specified that the conversion factor for the remaining portion of 2008 and the conversion factors for CY 2009 and subsequent years must be computed as if the 6-month increase had never applied. Section 131 of the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA) extended the increase in the CY 2008 conversion factor that was applicable for the first half of the year to the entire year, provided for a 1.1% increase to the CY 2009 conversion factor, and specified that the conversion factors for CY 2010 and subsequent years must be computed as if the increases had never applied.
Source: wikipedia.org

Medicare Supplement Rates

Since there is large number of companies providing Medigap insurance at various rates, we suggest you shop around. The good thing is that you can use our quote engine to find all the rates from every top provider from this very site! Fill your details at the top of this page and let MedSupRates do the shopping for you; you may save a lot of money on your premiums. Since these plans are standardized, you will receive the same coverage from all the companies but the premium rates can differ from one company to another.
Source: medsuprates.com

Medicare Supplemental Insurance

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

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 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

Medicare.gov Physician Compare Home

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

Medigap vs. Medicare Advantage

Posted by:  :  Category: Medicare

There are 10 standardized Medigap plans available in 47 states, and they are all required to follow federal and state laws designed to protect beneficiaries. All plans have to be clearly labeled “Medicare Supplement Insurance,” and insurance companies can only sell the 10 standardized policies, which are identified with one of the following letters: A, B, C, D, F, G, K, L, M, and N. All 10 Medigap plans offer the same basic benefits, but some of them have extra benefits, so you should review each policy carefully and select the one that best fits your health needs. Your costs will vary from one plan to another.
Source: ehealthmedicare.com

Medicare Advantage vs. Medicare Supplement

When you enroll in a Medicare Advantage plan, you move completely into a private health insurance plan. That means your insurance company covers all your healthcare bills. Insurance companies must provide the same level of coverage as Original Medicare with their Medicare Advantage plans, with the exception of hospice care. The end result of the two programs is about the same; they just go through a different setup.
Source: ehealthinsurance.com

Medigap Vs. Medicare Advantage: Which Is Better?

Medicare has four basic parts – A, B, C and D. If you’re unfamiliar with how they work, read Medicare 101: Do You Need All 4 Parts? Taken together, Parts A (hospital care), B (doctors, medical procedures, equipment) and D (prescription drugs) provide basic coverage for Americans 65 and older. What’s relevant for this article is what these parts don’t cover – deductibles, co-pays and other medical expenses that could wipe out your savings should you become seriously ill. That’s where Part C comes in. Also known as Medicare Advantage, it’s one of two ways to protect against the potential high cost of an accident or illness. Here’s what could happen.
Source: investopedia.com

Medigap vs. Medicare Advantage Plan

Medicare Advantage comprises a variety of private health plans — most often HMOs and PPOs — that Medicare offers as a coverage alternative to the traditional program. Every plan must cover all the same benefits that traditional Medicare covers. But the plans can charge different copayments (often lower than the traditional program but not always) and offer extra benefits. Most charge a monthly premium in addition to the Part B premium, but some don’t. Most include prescription drug coverage at no additional cost. Some cover routine hearing and vision services, usually as a separate package for an additional premium. All plans, by law, have annual limits on out-of-pocket costs. Another difference from the traditional program is that most plans require you to go to doctors and other providers within their service network or pay higher copays for going out of network.
Source: aarp.org

Medigap Vs. Advantage plans

All of this makes Medicare Advantage plans sound much more attractive than traditional Medicare, but the reality is lots of people don’t like the access to care they get from Medicare Advantage plans. Researchers from the Commonwealth Fund, a nonprofit foundation that promotes better health care, found that 15 percent of  people with Medicare Advantage policies rated their insurance as fair or poor. That is more than double the number of dissatisfied Medicare/Medigap plan participants — just 6 percent of those with traditional Medicare coverage and Medigap plans rated their coverage as fair or poor.
Source: bankrate.com

What’s Medicare Supplement Insurance (Medigap)?

Some Medigap policies also offer coverage for services that Original Medicare doesn’t cover, like medical care when you travel outside the U.S. If you have Original Medicare and you buy a Medigap policy, Medicare will pay its share of the Medicare-approved amount for covered health care costs. Then your Medigap policy pays its share.
Source: medicare.gov

Find The Best Rate For Medicare Plan F With MediGap Advisors

Posted by:  :  Category: Medicare

"Dawn was very responsive, knowledgeable, and helpful! The process was pleasant and painless. As for why we chose MediGap Advisors, I found you on the internet and after talking with Dawn, the decision was easy. You should know that I am an insurance agent, but do not offer Med Sups. I do have several friends who do, but I chose to work through Dawn anyway. I think that should give you some comfort that you have a solid agent representing your company."
Source: medigapadvisors.com

Medigap Plan F Rates, Coverage, and Info

Medigap is a private health insurance policy that is designed to cover medical costs not covered by Medicare programs. It covers many of the costs that people would otherwise have to pay individually such as copayments, coinsurance, and deductibles. There are ten different Medigap plans offered. Any insurance company offering Medigap plans is required to offer Plan A, other plan availability will vary by insurance company and by state. Medigap policies do not cover long-term care such as nursing homes, vision or dental care, hearing aids, eyeglasses or private-duty nursing. This article will deal exclusively with Medigap Plan F policies covering some of the benefits and other considerations.
Source: medicareweb.com

Medigap Plan G vs Plan F?

I will be turning 65 in June and have been researching Medigap policies. I’m so glad I discovered this forum – it has been very helpful . But I don’t think my questions have been addressed yet. Since premium information is not available at the government Medicare site, I talked to a broker called United Medicare Advisors. Although I thought I was interested in Plan F, she encouraged me to consider Plan G which covers EVERYTHING Plan F covers EXCEPT the Part B deductible ($147 for 2013). Her point was that the lower premium for Plan G usually offsets the out-of-pocket deductible, or can even result in additional savings (i.e., if the annual premium difference between Plans G&F is equal to or greater than the Part B deductible, there is no cost or possible savings to the consumer). If the consumer doesn’t go to the doctor at all for reasons subject to the deductible (only for preventive care), the entire difference in premium is saved. Because of my overall good health and because I prefer to keep money in my pocket if the risk is reasonable, I am intrigued by Plan G. The $147 is certainly a lot lower risk than I have been carrying all these years ($2500-$7500 deductibles!). When I challenged her on the probable increase in the Part B deductible each year and therefore my increased exposure, she said since the insurance companies will have to pick up that increase in Plan F, they will undoubtedly factor that into their annual rate increase for Plan F (plus whatever other rationale they want to come up with in addition to age to increase the rate each year). Does anyone have any comments about Plan G vs. Plan F? The lowest rates she had for Plans G and F were from CSI (Central States Indemnity of Omaha). Does anyone have experience with this company? Our current broker doesn’t deal with CSI and so has no information. I have had Anthem BC/BS for my regular insurance for many years, yet she had negative comments about them as a Medigap provider. Does anyone have experience with them for Medigap? I hesitate to change to an unknown broker with an unknown company. Does anyone have any comments about CSI and/or United Medicare Advisors? Thanks for your time.
Source: bogleheads.org

Best Medicare Supplement Insurance Quotes

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

Boomer Benefits Medicare Supplements

Our caring agents provide lifetime claims service for your policy. This means when claims occur, you are not alone. You will have our experts on hand to help you sort through your statements, and even assist with appeals if necessary.
Source: boomerbenefits.com

Diabetes supplies & services

Posted by:  :  Category: Medicare

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

North Coast Medical Supply

A leader in the industry, Advanced Diabetes Supply (ADS), is a licensed pharmacy in numerous states across the nation and holds the most valued accreditations.  The first in the industry to obtain DMEPOS accreditation with the National Association of Boards of Pharmacy, ADS leads the way. Read about it here.  Obtaining additional national accreditations along the way with the  Utilization Review Accreditation Commission, ADS maintains the highest standards in the industry. 
Source: northcoastmed.com

Medicare: American Diabetes Association®

Some beneficiaries choose Medicare Advantage plans instead of Medicare Part A and B (the “Original Medicare Plan”). A Medicare Advantage Plan is a type of Medicare health plan offered by a private insurance company that contracts with Medicare to provide you with all your Part A and Part B benefits. Because Medicare Advantage plans are private insurance plans, they come in all shapes and sizes. Out-of-pocket costs vary depending on the plan. Most plans offer prescription drug coverage and plans may offer extra benefits that are not covered under Parts A and B (but you may pay extra for them).
Source: diabetes.org

Medicare Approved Diabetic Supplies: What is Covered?

Diabetics also have trouble walking as the wrong type of shoes and slippers can cause blisters. You have to remember that injuries or open wounds are quite difficult to manage if you are diabetic. It takes a long time to heal and not taking care of it can lead to gangrene and amputation. If you are under Medicare, therapeutic shoes designed for diabetics are also covered.
Source: medicarenewsline.com

Medicare Coverage for Diabetes Supplies

As a Medicare patient, you have certain guaranteed rights. You have them whether you are in the Original Medicare Plan, a Medicare Managed Care Plan, or a Medicare Private Fee-for-Service plan. These rights and protections are described in your Medicare & You handbook and include the right to appeal any decision about your Medicare services. For more detailed information about your rights and protections, call 1-800-MEDICARE (1-800-633-4227) to get a free copy of the booklet Your Medicare Rights and Protections.
Source: totallydiabetes.com

Affordable health insurance for families and the self

Posted by:  :  Category: Medicare

Since last year, an estimated 9.4 million Americans have enrolled in health insurance exchange – or marketplace – plans (and have paid their premiums). At the same time, Obamacare’s Medicaid expansion has helped boost the number of new Medicaid enrollees to more than 7 million. What’s more, millions more Americans have enrolled in private ACA-compliant plans outside the exchanges – or off exchange.
Source: healthinsurance.org

Medical Insurance premium gives tax exemption in section 80D

if person covered in 1 and 2 is 60 year old or more ( ie they are senior citizen) then 5000 additional deduction is available. 2. During the year i have paid one medical policy in cash and another by cheque. Would I get income tax benefot for the policy?                               Isha Ghai , Delhi You will get Income tax deduction for policy for which you have paid by cheque. 3. In our organisation, a Senior person (62 years) is working. He have paid the mediclaim policy for Rs 25000 Lum Sum amount. In section 80D what will be the deduction limit in his case?                                           Renu Mishra Medical deduction u/s section 80D to senior citizen (above 60 years) would be available upto Rs 20,000/-.
Source: incometaxreturnindia.com

Premium Tax Credit — Health Insurance and You — Penn State Extension

A premium is simply the cost of insurance for a defined period.  In the case of health insurance, the premium is usually paid on a monthly basis.  (Car insurance premiums are usually paid twice a year or every six months.) Under the ACA, if the cost of your health insurance purchased in the health insurance marketplace (federal or state) is too high for the income you earn, part of your monthly premium will be covered by a premium tax credit. The premium tax credit will be sent from the federal government directly to the company that provides your insurance coverage. You could opt to pay the full cost of your monthly premium each month and receive the premium tax credit as a refund when you file your federal tax return.  The 2014 tax year will be the first year a premium tax credit will be available.  
Source: psu.edu

Rate Shock: In California, Obamacare To Increase Individual Health Insurance Premiums By 64

The author has done a lot of analysis but failed to do research. However he is equally guilty of comparing apples to oranges and clearly has group coverage. Any individual who applies for insurance on E-health or one of the large nationals, NEVER gets the cheapest rate. It is a teaser rate or only for those in perfect health which simply does not exist. You cannot lie on the application due to the pre-existing clauses which will result in NO coverage at all shld. you have a health mishap due to your condition. The insurance companies ALWAYS add a risk premium to the lowest rate offered (BAIT and SWITCH) just like some car dealers and one always pays $80 plus or more depending on the risk factors the insurers add such as age, hypertensive, location, amount of meds you are currently one and so on. I was 51 in 2009 and applied for catastrophic insurance with Anthem BCBS in Ga. and the rate advertised was $130 or something but after the application I ended up paying $260 a month. Another co. would only provide insurance to me if I signed a WAIVER of coverage for a pre-existing condition for life. I applied to 4 different insurers and each time the advertised premium was not available to me and only for someone in perfect health.
Source: forbes.com

COBRA Health Insurance Continuation Premium Subsidy

In addition, the COBRA subsidy is available to people who become eligible for COBRA coverage as a result of a reduction in hours occurring between Sept. 1, 2008, and May 31, 2010, followed by an involuntary termination between March 2, 2010 and May 31, 2010. If you fall into this category, your subsidy is available starting with the first period of coverage beginning after the involuntary termination. Individuals who did not take COBRA coverage after the reduction in hours or who signed up but later dropped it, get another chance to sign up for COBRA coverage. In this case, the COBRA coverage would begin with the first period of coverage after the involuntary termination and continue up to 18 months after the reduction in hours. The administrator of a group health plan or other entity must provide notice of the new election right after the involuntary termination. As in the case of other assistance-eligible individuals, the subsidy ends after the earliest of 15 months, the end of COBRA coverage, or eligibility for other group health or Medicare coverage.
Source: irs.gov

Analysis of 2015 Premium Changes in the Affordable Care Act’s Health Insurance Marketplaces

The map and 50-state table are updates to our September analysis, which examined premium changes for the lowest-cost bronze plan and the two lowest-cost silver plans in 16 major cities. The second-lowest cost silver plan in each state is of particular interest as it acts as a benchmark that helps determine how much assistance eligible individuals can receive in the form of federal tax credits. Although premium changes vary substantially across and within states, premium changes for 2015 in general are modest when looking at the low-cost insurers in the marketplaces, where enrollment is concentrated.
Source: kff.org

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 Supplemental Health Insurance Information and Medicare Supplement Insurance Plans

Unlessyou buy a Medicare SELECT policy, you may go to any doctor or hospitalfor treatment. The Medicare supplemental insurance policy pays for itsshare of the expenses and your Medicare policy covers its share. Thelevel of benefits you receive will depend on which plan you choose. Youwill pay for your Medicare supplemental insurance and pay the Medigap insurancecompany on a separate invoice. You will receive a Medicare Summary oncea month by mail and your Medigap insurance company will also send you Medicare health insurance planinformation on what has been paid. A Medicare supplemental health insurance policy doesnot replace your original Medicare coverage. It simply provides additional benefits to help cover themedical expenses that are not paid for by the original Medicare policy.You may also want to join a Medicare Advantage Health Plan that willhelp with drug costs and coinsurance deductibles.
Source: healthinsurancefinders.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

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 — Which policy is best?

Our recommendation: After picking the benefit combination (Plan A through L) that best suits your needs, buy the issue-age or community-rated Medigap policy with the lowest premium. Even though they are a bit more expensive at the start, your premiums won’t go up every year just because you get older. (AARP’s Medigap plans use a combination of issue-age and community-rated methods; their premiums don’t increase as you get older, but their younger retirees do receive a discount.)
Source: todaysseniors.com

Medicare Supplemental Insurance

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

Physicians for a National Health Program

Posted by:  :  Category: Medicare

A new study found that medical billing paperwork and insurance-related red tape cost the U.S. economy approximately $471 billion in 2012, 80 percent of which is waste due to the inefficiency of the nation’s complex, multi-payer health care system. Click here to read the study and our release.
Source: pnhp.org

National Association of Insurance Commissioners (NAIC)

"We applaud Chairman Shelby’s leadership in releasing a discussion draft of "The Financial Regulatory Improvement Act of 2015." While we are still reviewing the details of the proposed legislation, we were very pleased to see the inclusion of the bipartisan Policyholder Protection Act and International Insurance Capital Standards Accountability Act, as well as reforms to the Financial Stability Oversight Council’s non-bank designation and annual reevaluation processes. These critical provisions will protect insurance consumers, encourage more transparency regarding international insurance standard-setting discussions, and help reduce systemic risk in our financial system. We look forward to working with the Chairman and members of the Senate Banking Committee as this legislation moves forward."
Source: naic.org

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 Nursing Home Compare

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

Basic Stand Alone (BSA) Medicare Claims Public Use Files (PUFs)

Posted by:  :  Category: Medicare

Of paramount importance in the release of Public Use Files is the protection of beneficiary confidentiality. To that end all directly identifiable information has been removed. Moreover, other potentially identifying variables, which might cause identification by themselves or in combination with other variables, have either been removed from the files or their values re-coded. See the general documentation file for each claim type for specific information concerning de-identification and variable values.
Source: cms.gov

Medicare Enrollment & Claims Data

Medicare is the federally funded program that provides health insurance for the elderly, persons with end-stage renal disease, and some disabled. For persons age 65 and over, 97 percent are eligible for Medicare. Almost all Medicare beneficiaries have Part A coverage that includes hospital, skilled-nursing facility, hospice and some home health care. 96 percent of elderly Part A beneficiaries choose to pay a monthly premium to enroll in Part B of Medicare that covers physician and outpatient services. Medicare Part C refers to HMO enrollment. While some Medicare beneficiaries are enrolled in HMOs, most have fee-for-service (FFS) coverage. In 2006, Medicare initiated Part D, which provides prescription drug coverage for beneficiaries who purchase the benefit. In 2008, the Centers for Medicare & Medicaid Services (CMS) estimates that approximately 60% of beneficiaries have Part D coverage.
Source: cancer.gov