SilverSneakers Medicare Programs

Posted by:  :  Category: Medicare

So, what exactly is SilverSneakers?  SilverSneakers is essentially a gym membership or fitness club membership to participating centers across the country.  You can find participating gyms by going to www.silversneakers.com and typing in your zip code.  You can find out if your Medicare plan offers Silver Sneakers by calling 1-888-423-4632.  Here are some of the features offered by SilverSneakers.
Source: medicare-plans.net

Silver Sneakers for Blue Shield Medicare Supplement Members

now offers the Silver Sneakers Fitness Program to subscribers of the Blue Shield Medicare Supplement plans throughout California.  The current Medigap subscribers can join the Silver Sneakers program at no additional cost and enjoy fitness, fun and friends with the award-winning program.  Designed exclusively for older adults and taught by certified instructors, offers an innovative blend of physical activity, healthy lifestyle direction and social opportunities to Medicare-eligible individuals.  Studies have found individuals who participate in Silver Sneakers have a significantly lower risk of depression and require fewer admissions to the hospital.
Source: johnconner.com

Silver Sneakers Locations in Colorado

The SilverSneakers® Fitness Program is an innovative health, exercise and wellness program helping older adults live healthy, active lifestyles. Get fit, have fun, make friends! Eligible members can receive a basic membership at any participating fitness center, where they can enjoy specialized SilverSneakers fitness classes focusing on improving strength, flexibility, balance and coordination. Certified SilverSneakers fitness instructors teach the classes, and participants can also enjoy other basic membership amenities, including use of exercise equipment, weight and circuit training, and other fitness offerings and social events.
Source: medicarecolorado.com

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

Posted by:  :  Category: Medicare

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

Order a Medicare Replacement Card Online

california medi-cal dental Drug Plan Health HIV How Social Security Works How to File a Claim for Medicare How to get a new medicare replacement card HUD lost medicare card M.D. Medi-Cal Medicaid medicaid card Medicaid Services Medicare medicare card MedicareCard MedicareCard.com MedicareCard Replacement medicare card replacement medicare coverage Medicare has Two Parts Medicare Help Medicare Part A Hospital Insurance Coverage Medicare Premium Amounts for 2010 Medicare Prescription Drug Coverage Medicare Replacement Cards Meeting Announcement MyMedicare.gov National Institutes of Health Need a Replacement Card? Order a Medicare Card by Phone or Online NIH NIMH Obama Part A (Hospital Insurance) Part B (Medical Insurance) part of the National Institutes of Health protecting my social security number replacement social security card Social Security social security card some disabled people under age 65 ssa.gov Supplier Enrolled in Medicare
Source: medicarecard.com

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: socialsecurity.gov

Hip Replacement and Medicare coverage??? (medical, plan, hospital, doctor)

Barb, I had a total hip replacement on the left side last last June 2012 and wish I had done it sooner! I researched the surgeons who only do the anterior approach. It is much less invasive, zero chance of dislocation (unless you really mess up yourself by pivoting with your foot flat on the floor), not as much blood loss or complications etc., and a much easier recovery. I was in the hospital only 3 days, went to a rehab place for 5 days, but it was an awful place and I was not getting any PT etc., so I checked out of there and went home. Did not have any family support or care at home, except for the physical therapy (Medicare covers) at home, probably 9 times, I forget. Then outpatient PT to which I drove myself there. Was offered home health care, but didn’t need or want it, was doing fine after 3 weeks and driving. Look up doctors who specialize in the anterior method. Smaller incision high on the hip, no muscles are cut etc., excellent way to go. Mine is ceramic and titanium, they don’t do metal on metal anymore. With the old method you have a lot of strict precautions. Now I need to have the right hip done (which is now bone on bone, yikes), and will schedule it for March or so right here at home in NC; that way I’m good to go for the spring and summer best weather; and I know what to expect. I won’t go to any rehab/nursing center, better off at home with PT at the house. Those places are awful. Actually, the one I went to did some fraudulent Medicare billing and I’ve reported them. I never once got PT and they billed something like $1700 for PT which I never got, and something ridiculous for OT (occupational therapy which I never got). I had no choice about where to go for rehab, it was chosen on a first come first serve basis. (I did not have it done here in NC, had it done up north to be near family. haha.) So depending on where you live, if you want to go to rehab, visit the places and make sure they are clean and well rated. Most good hospitals and surgeons have a "Joint Center" and you have a private room, and great care. Choose the best surgeon you can find. Once you are recovered, probably within a month, you will wish you had it done sooner. No more pain.
Source: city-data.com

Medicare Guidelines for CPAP Replacement

Medicare has a set schedule for replacement of each part of a CPAP machine. For example, your full face mask, CPAP mask or oral interface can be replaced as often as every 90 days, but the cushion of your face mask can be replaced every 30 days. Nasal cushions, replacement pillows, tubing and disposable filters can also be replaced as often as every 30 days. Headgear, chinstraps and non-disposable filters can be replaced every six months. The CPAP machine and humidifier can be replaced every five years.
Source: ehow.com

Medicare Payment & Reimbursement

Posted by:  :  Category: Medicare

Highlights Summary of the Medicare Access and CHIP Reauthorization Act of 2015 – 4/16/15 This act has implications for the sustainable growth rate, therapy cap, PQRS, postacute care providers, durable medical equipment orders, renewal of MAC contracts, and telehealth, as well as other Medicare payment provisions.
Source: apta.org

Medicare Fee Schedule, Payment and Reimbursement Benefit Guideline, CPT Code Billing: Medicare Fee Schedule for Office Visit CPT Codes

MedicarePaymentandReimbursement.com provides Medicare Payments, Billing Guidelines, Fees Schedules 2010, Medicare Eligibility, 2011 Medicare Deductibles, Allowables, CPT Codes for Medicare, Phone Number, Hearing Aids, Denial, Address, Medicare Appeal, PQRI, EOB, Medicare and Medicaid Services.
Source: medicarepaymentandreimbursement.com

20131213 2014 Medicare Physician Fee Schedule Payment Cuts

Table 1 shows the 70,000 series of CPT codes and Table 2 shows non-70,000 series of CPT codes performed by radiologists. The tables display the current 2013 MPFS payment rates and the final 2014 payment rates, taking into consideration all of the various factors that influence the reimbursement rates, including but not limited to the Deficit Reduction Act of 2005 (capping reimbursement of certain imaging procedures at the lower of the MPFS and Hospital Outpatient Prospective Payment System rates), utilization rate and interest rate assumptions, work relative value unit and practice expense refinements, new bundled CPT codes, and an adjustment to the Medicare Economic Index.
Source: acr.org

Australian Psychological Society : Medicare rebates for mental health services provided by psychologists: Information for clients

Posted by:  :  Category: Medicare

Psychologists study the way people feel, think, act and interact. Through a range of strategies and therapies they aim to reduce distress and to enhance and promote emotional wellbeing. Psychologists are experts in human behaviour, and have studied the brain, memory, learning and human development. Psychologists can assist people who are having difficulty controlling their emotions, thinking and behaviour, including those with mental health problems such as anxiety and depression, serious and enduring mental illness, addictive behaviours and childhood behaviour disorders.
Source: org.au

Australian Psychological Society : Medicare and psychology

Medicare benefits are available for a range of specified psychology services for people with certain conditions, as summarised below. To receive psychological services under Medicare, a person must be referred by his/her GP or in some instances by a psychiatrist or a paediatrician. The full requirements for provision of psychological services in the following areas must be understood before services are provided. Select from the options below or browse the A-Z topic list. 
Source: org.au

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

Compare Medicare 2015 health plans options in Connecticut , Medicare Advantage plans in Connecticut, Medicare Supplements, What are my 2014 Medicare plan choices in Connecticut, CT, Medicare choices, Medicare Part D, 2014 Connecticut Medicare Plan Choices, choices and Medicare options information for Connecticut Residents, Medicare Advantage plans for 2014, How do I compare Medicare Plans in Connecticut?

Medicare Options, LLC, provides enrollment assistance for senior and disabled residents of Connecticut with their Medicare Health Plan choices including Medicare Medigap plans in Connecticut, Medicare Advantage Plans, Part D prescription drug plans from Aetna, ConnectiCare, United Healthcare, and WellCare in the towns of: Amston, Andover, Avon, Baltic, Berlin, Bloomfield, Bolton, Bozrah, Brandford, Bristol, Burlington, Centerbrook, Cheshire, Chester, Clinton, Colchester, Columbia, Coventry, Cromwell, Deep River, Durham, East Berlin, East Glastonbury, East Haddam, East Hampton, East Hartford, East Killingly, East Lyme, East Windsor, Ellington, Elmwood, Essex, Farmington, Forestville, Glastonbury, Groton, Guilford, Haddam, Hadlyme, Hamden, Hartford, Hebron, Higganum, Ivoryton, Jewett City, Kensington, Killingly, Killingworth, Lebanon Ledyard, Lyme, Madison, Manchester, Marlbourgh, Meriden, Middle Haddam, Milldale, Moodus, Moosup, Mystic, New Britain, New London, Newington, North Branford, Norwich, Old Lyme, Old Mystic, Old Saybrook, Plainville, Plantsville, Poquonock, Portland, Preston, Rockfall, Salem, Saybrook, South Glastonbury, South Lyme, South Windsor, Southington, Terryville, Tolland, Uncasville, Vernon, Wallingford, Waterford, West Hartford, West Mystic, Westbrook, Wethersfield, Windsor, Windsor Locks. We serve the counties of, Hartford County, Tolland County, New London County, Middlesex County, New Haven County, Litchfield County. We are licensed and Certified to advise and enroll medicare recipients on medicare supplements, medicare advantage plans, medicare part D prescription coverage, retirement planning, Long-Term care options, fixed annuities, Reverse Mortgage programs, and eldercare attorney referrals. Consult a tax advisor before making tax related decisions. Consult an attorney specializing in estate planning before making any decisions regulated by federal or state law, such as trusts and wills. MedicareOptions.info provides free information on Medicare options in Connecticut. Medicare Plan Choices in Connecticut for 2014 will help seniors find the best medicare plan for their situation. This site allows people to compare Medicare Advantage Plans in Connecticut. We do not choose which plan is best for beneficiaries, but provide information on Medicare Plans so they can compare their Medicare Choices. Most Medicare Beneficiaries simply want to know, how do I compare Medicare plans in Connecticut. We help them find the best Medicare Plan that suits your particular needs for 2015.
Source: medicareoptions.info

Connecticut Medicare Advantage Plans with Part D (Prescription Drug) Coverage

The plans below offer Medicare Advantage and Part D coverage to Connecticut residents. Medicare Advantage plans, also known as Medicare Part C, are alternatives to original Medicare. These plans help cover the costs of services provided by hospitals, doctors, lab tests and some preventive screenings. These plans’ Part D component helps cover prescription drugs. Even if a plan’s monthly premium is $0, you would still pay the equivalent of the original Medicare premium. Not all plans shown here will be available to you; enter your zip code to see plans in your area. You can read about whether Medicare Advantage is right for you. If you only want plans with drug coverage, browse Prescription Drug (Part D) Plans.
Source: usnews.com

Medicare Begins Lung Cancer CT Scan Coverage

In April 2014, a Medicare Evidence Development & Coverage Advisory Committee (MEDCAC) voted that it had “intermediate confidence” in the adequacy of evidence to determine whether the benefits of screening outweigh the harms in the Medicare population and whether the harms of lung cancer screening with LDCT will be minimized. The panel expressed strong concerns that clinically significant evidence gaps remain regarding the use of LDCT for lung cancer screening in the Medicare population outside a clinical trial.
Source: hfma.org

Michigan Medicare Health Insurance Plans

Posted by:  :  Category: Medicare

Medicare is a health insurance program run by the government for people age 65 and older, and for people under 65 with certain disabilities. Understanding more about Medicare will make it easier to choose the right plan. Our Medicare 101 section has resources to help you do that.
Source: bcbsm.com

Blue Cross Medicare Advantage (PPO) Network Participation

Blue Cross and Blue Shield of Texas (BCBSTX) was approved to offer, effective Jan. 1, 2013, a Medicare Advantage preferred provider plan that offers improved health benefits for Medicare beneficiaries. Blue Cross Medicare Advantage affords more comprehensive benefits at a lower cost for Medicare beneficiaries, whenever they access care through a participating provider.
Source: bcbstx.com

Blue Shield $0 Premium 65 Plus 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 Eligibility Rules

Posted by:  :  Category: Medicare

If you are age 65 and currently receiving Social Security or Railroad Retirement Benefits, you are eligible for Medicare and you will be automatically enrolled in Medicare Part A and Part B. However, because Part B has a premium, you have the option of declining Part B coverage. In addition, Part B does require payment of a monthly premium of $104.90, barring certain exceptions, for individuals enrolling in Part B January 1, 2015 or later. These premiums can change on an annual basis.
Source: planprescriber.com

Medicare Eligibility Overview

If you are enrolled or are about to enroll in Medicare Parts A and B and decide to add a Medicare supplement plan, a good time to do it is during the Medicare Supplement Open Enrollment Period. This period starts the first month you’re 65 or older and enrolled in Part B. You have a guaranteed right to buy any plan sold in your state during this time, regardless of your health status. Some states have additional Medicare supplement open enrollment periods, including for Medicare beneficiaries under age 65.
Source: medicaremadeclear.com

Medicare Billing: Wheelchairs, Scooters, Lift Chairs

We understand that the process of submitting claims to Medicare can be difficult and time consuming. To help make the process easier, SpinLife offers what is known as “courtesy billing”. This means that after you purchase an eligible product from SpinLife and request at checkout that we courtesy bill Medicare, we send you all of the documentation required by Medicare for you to complete with your physician. Once medically qualifying documentation is submitted into SpinLife, we can submit a claim to Medicare on your behalf. If your claim is approved by Medicare, they will reimburse you directly for their portion of your claim via mail.
Source: spinlife.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

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

Contact Information and Websites of Organizations for Medicare

This application is not fully accessible to users whose browsers do not support or have Cascading Style Sheets (CSS) disabled. For a more optimal experience viewing this application, please enable CSS in your browser and refresh the page.
Source: medicare.gov

Consumer Information and Insurance Oversight

The page could not be loaded. The CMS.gov Web site currently does not fully support browsers with “JavaScript” disabled. Please enable “JavaScript” and revisit this page or proceed with browsing CMS.gov with “JavaScript” disabled. Instructions for enabling “JavaScript” can be found here. Please note that if you choose to continue without enabling “JavaScript” certain functionalities on this website may not be available.
Source: cms.gov

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

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

About Medicare health plans

Generally, a plan offered by a private company that contracts with Medicare to provide Part A and Part B benefits to people with Medicare who enroll in the plan. Medicare health plans include all Medicare Advantage Plans, Medicare Cost Plans, and Demonstration/Pilot Programs. Programs of All-inclusive Care for the Elderly (PACE) organizations are special types of Medicare health plans that can be offered by public or private entities and provide Part D and other benefits in addition to Part A and Part B benefits.
Source: medicare.gov

Affordable health insurance for families and the self

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

California Health Advocates: Medicare Policy, Advocacy and Education

Bonnie Burns, our Training and Policy Specialist, begins her 23rd term as one of the 20 appointed and funded consumer liaison representatives by the National Association of Insurance Commissioners (NAIC). Ms. Burns spearheaded the standardization of Medicare supplemental insurance, known as Medigap and has provided numerous Congressional testimonies guiding the standardization of long-term care insurance and the policies for financing long-term care.
Source: cahealthadvocates.org

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

Posted by:  :  Category: Medicare

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 Premium Support Means Savings for Taxpayers and Seniors

The CBO acknowledges that its projections on future costs and savings are fraught with uncertainties. This is obvious. But analysts should also be cautious about certain assumptions underlying CBO estimates. Because of its modeling conventions, the CBO is unrealistically optimistic about Medicare’s cost in 2020. The CBO is bound to follow certain rules in scoring policies, particularly the rule that requires the assumption of current law. But current law is an unrealistic guide. For example, under current law, Congress has authorized a 24 percent cut, mandated by the sustainable growth rate (SGR) formula, to Medicare physician payment in 2014. It is unlikely that the 24 percent cut will materialize, since Congress has historically overridden this formula-driven payment reduction to ensure continued physician participation in Medicare and protect patient access to care. Thus, future Medicare is far cheaper on paper than it will be in reality. Of course, if future Medicare is more expensive, premium support would generate proportionately greater savings.
Source: heritage.org

Discounted Fares for Senior/Disabled/Medicare Riders

MTS has combined its Disabled ID Card with the Compass Card Pass to allow customers eligible for reduced fares to carry just one card. Just reload your Photo ID/Compass Card every month, tap on the trolley station validator or bus fare box when boarding and you are good to go! Your Photo ID/Compass Card is all you need to show the bus driver or Trolley inspector. To get an ID/Compass Card, complete the form that applies to you (Short Form or Long Form) and follow the instructions for mailing or dropping off. The card will replace the current MTS Senior and Disabled ID Card. In addition to serving as a reduced fare identification to allow you to purchase discounted one-way fares, it can also hold monthly and day passes.
Source: sdmts.com

Doctors Cash In on Drug Tests for Seniors, and Medicare Pays the Bill

NOTE TO READERS: In April 2014, Medicare released 2012 billing data that suppressed payments to medical providers for services they rendered to small numbers of patients. Medicare has since revised its methodology to include additional payments made to providers, and re-released 2012 billing data in June 2015. For this reason, the total payment figures cited in stories published prior to June 2015 may differ from figures cited from June 2015 onward. The original data released can be seen here, and updated figures for 2012,…
Source: wsj.com