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 Eligibility Requirements

Part C: Medicare Part C is the Medical Advantage Plan whose services are performed by private companies also approved by Medicare. Part C combines Part A and B as well as any other necessary medical services a person may require (drug prescription, hearing, and vision services). If you are eligible for Medicare you are eligible for a Part C plan. Many people will opt for this plan because it offers the ability to add a wide range of service coverage to their medical insurance plan, but Plan C is not offered in every state. However, most Medicare Advantage Plans consist of particular doctors and hospitals in an area that a person must use in order to receive coverage for the medical treatment they receive. In addition to the premium paid for Part B Medicare coverage, a person receiving Part C coverage will have to pay a monthly premium.  There are several Medicare Advantage Plans available to you. These plans include Medicare Health Maintenance Organizations (HMO), Medicare Preferred Provider Organization plans (PPO), Medicare Private Fee-for-Service plans (PPFS), Medicare Special Needs, and Medicare Medical Savings Account (MSA).
Source: medicaresolutions.com

Is there any way that my Medicare can continue if my Social Security Disability benefit stops because of my work?

Hello. My SSDI payment (should) will stop because I had earnings over the limit for October, November and now December. I reported the increased earnings in October and they finally sent me the paperwork acknowledging my increase. I believe my work will continue at higher than SGA. I am now filling out the “work review” paperwork but have not received anything about a medical review yet. I am well past my TWP (ended in 2008) and the 36 month extended entitlement period. How quickly do they terminate (shut off) my Medicare? They still sent me a check in November so I know I will have to return the funds. I have still been using my Medicare insurance. But, I feel that I am back to work now and would no longer meet the disability requirements in a medical review (which is a very good thing!) So if I have to re-apply for Medicare since I am with in the 93 months I wouldn’t get it since I work above SGA and would not pass the medical review. Do they turn off my Medicare instantly or will it be good at least until they notify me they have terminated it or will they back date the termination to October 1 and deny any claims out there? Or, will it still be active while I go thru the current work review paperwork or while I go thru a future medical review? Thanks!
Source: disabilityadvisor.com

New Hampshire Insurance Department

Posted by:  :  Category: Medicare

- Special Fraud Alert from the Office of Inspector General (OIG) The OIG has received credible information that some Durable Medical Equipment (DME) suppliers continue to use independent marketing firms to make unsolicited telephone calls to Medicare beneficiaries marketing Durable Medical Equipment.  Section 1834(a)(17)(A) of the Social Security Act prohibits unsolicited telemarketing by Durable Medical Equipment Suppliers.  Please contact the OIG, US Department of Health and Human Services at 617-565-2664 if you have any information about DME suppliers engaging in these activities. 
Source: nh.gov

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

The page could not be loaded. The Medicare.gov Home page currently does not fully support browsers with "JavaScript" disabled. Please note that if you choose to continue without enabling "JavaScript" certain functionalities on this website may not be available.
Source: medicare.gov

Medicare.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

New Hampshire health insurance: find affordable coverage

Before the ACA reformed the individual health insurance market, coverage was underwritten in nearly every state, including New Hampshire. This meant that pre-existing conditions could result in an applicant being rejected for coverage, or offered a plan with significantly higher premiums or policy exclusions. The New Hampshire Health Plan (NHHP) was created in 2002 to provide an alternative for residents with pre-existing conditions who were not eligible to purchase private individual health insurance because of their medical history.
Source: healthinsurance.org

Medicare Penalizes Nine N.H. Hospitals For Too Many Readmissions

In fact, since the penalty first came out two years ago, hospital readmissions are down 20 percent statewide. Whether this is caused by the new penalties or simply coincides with them, or both, is impossible to know. But assuming readmission rates keep dropping, that’ll be cheaper for hospitals in the long run and better for patients.
Source: nhpr.org

Tennessee Medicare Assistance

Posted by:  :  Category: Medicare

Both programs work hand in hand to assist all Tennesseans with their questions and concerns about Medicare issues. Working through federally funded grants from Centers for Medicare and Medicaid Services and Administration on Aging, SHIP and SMP is administered throughout the nine Area Agencies on Aging and Disability.
Source: tnmedicarehelp.com

Benefits Administration — Medicare Supplement

Any retired state employee or local education certified teaching staff receiving a monthly retirement allowance from the Tennessee Consolidated Retirement System (TCRS) or higher education optional retirement plan who is eligible for Medicare Part A may apply for coverage under this plan. Retired local education support staff and local government participants eligible for Medicare Part A who receive a monthly retirement allowance from TCRS are also eligible to apply for coverage. Your eligible dependents may also apply. Individuals who qualify and enroll for coverage within 60 days of their initial eligibility cannot be denied coverage because of age or health. The Tennessee Plan offers quality coverage at lower group premium rates. Since the premiums are not based on age, they will not increase just because you get older. Best of all, if you have more than 15 years of service as a state employee or teacher, the state will pay part of your monthly premium. See the premium page to determine your monthly cost for this coverage. Please refer to The Tennessee Plan brochure or member handbook for additional information.
Source: tn.gov

Medicare Coverage in Tennessee

Outside of the IEP and GEP, you can’t enroll in Part A and/or Part B unless you’re eligible for a Special Enrollment Period (SEP). If you didn’t sign up for Part B when you were first eligible because you were working or had other health coverage (for example, through an employer group plan), you can enroll in Part B when your coverage or employment ends. To qualify for an SEP, the health coverage must be based on current employment (either your own or your spouse’s). You won’t have to pay a late enrollment penalty if you sign up during an SEP.
Source: planprescriber.com

Tennessee Medicare Assistance

Meghian Moore. SHIP Coordinator LaNelle Godsey, SMP State Director Kelly Clarkson, SHIP Volunteer Program Coordinator Loni Holloway, Statewide SMP Coordinator Sandy Storie, Benefits Outreach Coordinator
Source: tnmedicarehelp.com

Medicare Advantage Private Fee

Posted by:  :  Category: Medicare

Medicare Advantage Plans, sometimes called “Part C” or “MA Plans,” are offered by private companies approved by Medicare and provide Medicare Part A and Part B coverage. Medicare prescription drug coverage is insurance run by an insurance company or other private company approved by Medicare. A Medicare Supplement plan is a health insurance plan provided by a private company that fills in the “gaps” in original Medicare coverage.
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

Medicare Appeals – Health Care Professionals

All Medicare patients can appeal an inpatient hospital discharge decision. This includes members in our Medicare Advantage plans. This process is called a Quality Improvement Organization (QIO) review. The QIO in the state in which services are provided reviews the hospital discharge decision. The result is binding (final).
Source: aetna.com

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

Posted by:  :  Category: Medicare

"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 Comparison

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

Medicare Supplement Plans & 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

How to compare Medigap policies

The page could not be loaded. The Medicare.gov Home page currently does not fully support browsers with "JavaScript" disabled. Please note that if you choose to continue without enabling "JavaScript" certain functionalities on this website may not be available.
Source: medicare.gov

Compare Medicare Supplement Plans 2015Compare Medicare Supplement Plans 2015

With ever increasing numbers of people turning 65 and needing Medicare health care benefits, the choices are numerous. Is a Medicare Supplement plan the best option, or perhaps a Medicare advantage plan? Several people have turned to supplemental insurance for Medicare Part A and Part B and have been extremely happy with their coverage. We’ll help you to compare Medicare Supplement Plans in 2015 so you can choose the best coverage to fit your needs, as well as not overpay for it.
Source: comparemedicaresupplementplans2015.com

Compare Medicare Supplement Plans A

If an insurance company wants to sell Medicare Supplement Insurance, they are required by law to offer Medigap Plan A. If they wish to offer any additional plans, then they must sell either Plan C or Plan F in addition to any other plans they would like to sell. Providers do not have to offer every Medicare Supplement plan.
Source: ehealthinsurance.com

Compare Medicare Supplement Plans

For Texas residents. If a checkmark appears in a column of this Medicare Supplement chart, the Medigap policy covers 100% of the described medicare benefit. If a column lists a percentage, the medicare supplement policy covers that percentage of the described medicare benefit. If a column is blank, the medicare supplement insurance policy doesn’t cover that benefit.
Source: mysenioradvisorsgroup.com

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

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 Plans

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

Blue Cross and Blue Shield Medicare Plans

Posted by:  :  Category: Medicare

In addition to Medigap offerings, BCBS provides you with two Medicare Advantage Plan (Part C) offerings. They are the Blue Cross Medicare Advantage (HMO) and Blue Cross Medicare Advantage (PPO) plans, which are designed to give you the all-in-one option you want in the way you want it. Your HMO- or PPO-style plan provides you with your core Original Medicare benefits, covers costs not provided for under Parts A and B, and has a built-in Prescription Drug Plan.
Source: medicaresolutions.com

Medicare Supplement Insurance

*Plans K-N provide for different cost-sharing than plans A-G. Plans K and L pay 100% of hospitalization and preventive care Basic Benefits. All other Basic Benefits are paid at 50% (Plan K) and 75% (Plan L). Once you reach the annual limit, the plan pays 100% of the Medicare copayments, coinsurance and deductibles for the rest of the calendar year. The out-of-pocket annual limit does NOT include charges from your provider that exceed Medicare-approved amounts, called “excess charges.” You are responsible for paying excess charges. Plan N covers Basic Benefits after a $20 copay for office visits and a $50 copay for emergency room visits. **The out-of-pocket annual limit may increase each year for inflation. (2015 limits shown) † Network restrictions apply
Source: bcbsil.com

Blue Cross Blue Shield Medicare Coverage

This link will take you to a new site not affiliated with BCBSTX. It will open in a new window. To return to our website, simply close the new window. Refer to important information for our linking policy.
Source: bcbstx.com

Blue Cross Blue Shield Medicare Coverage

In order for medical services to be considered for payment by Medicare, doctors, hospitals and other health care providers that are approved by Medicare must be used. Always check with your doctor or other health care providers to make sure he or she is Medicare-approved.
Source: bcbstx.com

National Doctor and Hospital Finder

You can narrow your search by choosing from a range of criteria when you see your results, such as gender, accepting new patients, hospital affiliation. (The criteria vary depending on whether you’re searching for doctors, clinics, hospitals or other providers.)
Source: bcbs.com

Medicare Information Office

Posted by:  :  Category: Medicare

Scammers are calling Medicare beneficiaries and telling them they need a new Medicare card. They ask for people’s Medicare numbers and banking information. They may have some already, which makes them sound convincing. DO NOT GIVE THIS INFO! Medicare will NEVER call you or stop by and ask for your personal information. Here is a flyer with more information you can print and post.
Source: alaska.gov

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

The page could not be loaded. The Medicare.gov Home page currently does not fully support browsers with "JavaScript" disabled. Please note that if you choose to continue without enabling "JavaScript" certain functionalities on this website may not be available.
Source: medicare.gov

American Indian/Alaska Native

Since 2004, there have been significant changes in Federal healthcare legislation. The American Reinvestment and Recovery Act (ARRA) codified the TTAG/CMS relationship, strengthening the already well-established collaboration between CMS and I/T/Us. The Children’s Health Insurance Program Reauthorization Act (CHIPRA) added new provisions to eliminate barriers and fund innovative strategies to increase enrollment in Medicaid and CHIP, specifically for AI/AN beneficiaries. And most recently, the Patient Protection and Affordable Care Act of 2010 (PPACA) was enacted, representing historic reform by expanding health coverage to millions of the uninsured, strengthening the coverage of those already insured, and dramatically expanding programs like Medicaid, CHIP, and Medicare. Within the vast reforms in PPACA, AI/AN populations will be affected not only by the general provisions, but through specific, explicit provisions, including the permanent reauthorization of the Indian Health Care Improvement Act.
Source: cms.gov

American Indian/Alaska Native Center

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 plans from Independence Blue Cross

Posted by:  :  Category: Medicare

To file an appeal or grievance for your medical benefit coverage or your prescription drug coverage, contact Keystone 65 Customer Service at 1-800-645-3965; Personal Choice 65 Customer Service at 1-888-718-3333; Select Option Customer Service at 1-888-678-7009. TTY/TDD users should call 711, 7 days a week, 8 a.m. to 8 p.m.
Source: ibxmedicare.com

BCBS Medicare Supplement Insurance Plans

Your state officials control which Medigap plans are available in your state, but you can see the benefits of all 10 forms of Medigap insurance by clicking here. And, our instant quotes will show you a selection of Medigap plans for your state offered by leading insurance companies that have been prescreened for financial soundness. We rely on A.M. Best, an independent financial rating organization, and represent insurers with some of the highest ratings.
Source: medigapadvisors.com

Compare All Medicare Plan Options

Coverage is available to residents of the service area and separately issued by one of the following plans: Wellmark Blue Cross and Blue Shield of Iowa,* Blue Cross and Blue Shield of Minnesota,* Blue Cross and Blue Shield of Montana,* Blue Cross and Blue Shield of Nebraska,* Blue Cross Blue Shield of North Dakota,* Wellmark Blue Cross and Blue Shield of South Dakota,* Blue Cross Blue Shield of Wyoming.*
Source: wellmark.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

Empire Blue Cross Blue Shield’s New Medicare Supplement Plans Offer More Choice and…

A Medicare Supplement policy (sometimes referred to as Medigap) is a supplemental health insurance plan sold by private insurance companies to fill the “gaps” in Original Medicare Plan coverage. Medicare Supplement policies help pay some of the health care costs that the Original Medicare Plan doesn’t cover. If an individual is enrolled in the Original Medicare Plan and has a Medicare Supplement policy, then Medicare and Medicare Supplement will pay both their shares of covered health care costs. Empire and its affiliated health plans are the second largest provider of Medicare Supplement health benefit plans in the nation.
Source: prnewswire.com

Compare Texas Medicare Plans

Posted by:  :  Category: Medicare

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

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

The page could not be loaded. The Medicare.gov Home page currently does not fully support browsers with "JavaScript" disabled. Please note that if you choose to continue without enabling "JavaScript" certain functionalities on this website may not be available.
Source: medicare.gov

Covering the Cost of Medicare

If you cannot afford the additional expense of purchasing a Medicare supplement policy to supplement your Medicare coverage, there are a couple of programs you should be aware of. The Medicaid-sponsored Medicare Savings Programs (MSP) may pay Medicare premiums, deductibles, and coinsurance amounts for eligible Medicare beneficiaries. These programs allow you to better direct your savings to cover health care expenses.
Source: texas.gov

BlueCross BlueShield of Texas

By law, Medicare Supplement insurance is standardized into twelve plans (Plans A through L). That means Plan F from one company must include the same benefits as plan F from another company. While the benefits must be the same, each company’s rates, reputation, membership features and quality of service can vary. With Blue Cross and Blue Shield of Texas, you don’t have to sacrifice comprehensive benefits or freedom-of-choice for affordability. Their Medicare Supplement plans provide substantial benefits at rates that can save you money over other plans.
Source: texashealthagents.com

Texas Medicare Supplement Insurance Plans

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

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

Centers for Medicare & Medicaid Services (CMS) Forms and Publications

The Medicare Savings Programs (MSP) Model Application for Medicare Premium Assistance. If you think you might be able to get help from your state with Medicare costs, or if you are not sure, call your state medical assistance (Medicaid) office or call 1-800-MEDICARE (1-800-633-4227; TTY 1-877-486-2048).
Source: ssa.gov

Extra Help with Medicare Prescription Drug Plan Cost Forms and Publications

Appeal the decision we made about your eligibility for Extra Help by completing an Appeal of Determination for Extra Help with Medicare Prescription Drug Plan Costs (SSA-1021) in English or Español. Find Instructions for Completing the Appeal form in English or Español.
Source: ssa.gov

A Premium Support System for Medicare: Analysis of Illustrative Options

This CBO report presents a preliminary analysis of the ways two illustrative options for a premium support system would affect federal spending and beneficiaries’ choices and payments. The agency has developed significant new tools to analyze such a system in greater depth than in the past; the specifications of the options examined here also differ from those CBO analyzed previously. As the agency refines its modeling approach and considers alternative options for a premium support system, its findings could change. CBO’s analysis to date, as summarized in the figure below, indicates the following:
Source: cbo.gov