Medicare Plans & Coverage: Part A, Part B, Part C, Part D

Posted by:  :  Category: Medicare

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

Health Insurance Made Simple

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Our licensed Product Advisors can help you find a health plan that meets your needs and budget. You have a limited time to apply for Open Enrollment. Don’t delay! Open Enrollment begins November 15, 2014 Apply by December 15, 2014, to start coverage January 1, 2015 Open Enrollment ends February 15, 2015
Source: goldenrule.com

Health Insurance Quotes, Medical Insurance, Affordable Health Insurance Plans

Brands You Know and Trust HealthPlanOne works with all major carriers. We are an Aetna “Premium Producer”, an Anthem “Premier Partner”, and a Humana “Strategic Alliance Partner”. We also work with Celtic, Cigna, Oxford, Unicare, Unitedhealthcare Life Insurance Company and Golden Rule Insurance Company and dozens of other health insurance companies.
Source: healthplanone.com

America’s Health Insurance Plans

Unadjusted inpatient hospital prices per admission grew by 8.2% per year from 2008 to 2010 for the commercially insured population (under age 65 years) in the MarketScan data set. We estimate that approximately 1.3 to 1.9 percentage points of the growth in prices can be attributed to increased intensity per admission. Thus, we estimate that intensity-adjusted price increases ranged from 6.2% to 6.8% annually in the 2008-2010 period. Price levels and trends varied considerably across admission types, states, and localities.
Source: ahip.org

Health insurance in the United States

The Pre-existing Condition Insurance Plan, or PCIP, is a transitional program created in the Patient Protection and Affordable Care Act (PPACA). Those eligible for PCIP are citizens of the United States or those legally residing in the U.S., who have been uninsured for the last 6 months and “have a pre-existing condition or have been denied health coverage because of their health condition.” However, if one has health insurance or is enrolled in a state high risk pool, they are not eligible for PCIP, even if that coverage does not cover their medical condition. PCIP is run by the individual states or through the U.S. Department of Health and Human Services, which has a contract with the Government Employees Health Association, or GEHA, to administer benefits. Both will be funded by the federal government and provide three plan options. These options are the standard, extended, and the Health Savings Account option. PCIP only covers the individual enrollee and does not include family members or dependents. In 2014, the Affordable Care Act provision banning discrimination based on pre-existing conditions will be implemented and PCIP enrollees will be transitioned into new state-based health care exchanges.
Source: wikipedia.org

EmblemHealth: Family & Individual Health Insurance Plans In New York

To view this Web site, you need to have JavaScript enabled in your browser. Don’t worry — you can still sign in to the secure myEmblemHealth Web site or search for a doctor using the links below. If you need help registering for the secure site, please call Customer Service at the number on the back of your ID card.
Source: emblemhealth.com

Choosing Traditional Medicare vs. Medicare Advantage

Posted by:  :  Category: Medicare

Medicare Advantage (MA) offers an alternative way of receiving your benefits through local or regional private plans, which are most often health maintenance organizations (HMOs) or preferred provider organizations (PPOs). Each plan must include everything covered by traditional Medicare, but may offer more benefits and/or lower copays. Most plans charge a monthly premium (in addition to the Part B premium), and most include Part D drug coverage. Your choice of doctors and other providers may be restricted to those in the plan’s network. Each plan can, each calendar year, change its premiums, its extra benefits and its copays, or withdraw from Medicare. Each plan has an annual limit on out-of-pocket costs.
Source: aarp.org

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

What Do We Know About Health Care Access and Quality in Medicare Advantage Versus the Traditional Medicare Program?

To make a definitive comparison of both quality and access in traditional Medicare and Medicare Advantage plans, one would ideally draw from studies with relatively recent data that is nationally representative in terms of both the characteristics of health plans participating in Medicare Advantage and the characteristics of beneficiaries covered by the Medicare program. Performance measures would capture a broad range of metrics assessing both quality of care and access to care, and would include enrollees’ assessments, process measures, and outcome measures. The comparisons would adjust for factors that might explain differences in performance between Medicare Advantage and traditional Medicare, such as variations in medical practice by geographical location and patient health status. In an ideal world, studies would provide information to help clarify if differences vary by plan type, and how quality and access indicators compare for the typical Medicare beneficiary, as well as beneficiaries who are in relatively poor health with significant medical needs.
Source: kff.org

What You Need to Know About Premium Support

Although Medicare continues to face substantial long-term financial challenges stemming from the aging of the population and the continued rise in costs throughout the U.S. health care system, adopting a premium support system would represent a big step in the wrong direction. Traditional Medicare — rather than private health insurance — has been the leader in instituting reforms in the health care payment system to improve efficiency and constrain costs. Because of its large buying power, Medicare can secure the implementation of payment and delivery system reforms that private insurance companies lack the market clout themselves to extract from health care providers. Historically, Medicare has instituted reforms, such as prospective payment systems for hospitals and other health care providers, and private insurance companies have followed Medicare’s lead. Indeed, partly because of its record of innovation, Medicare has outperformed private insurance in holding down the growth of health costs. Between 1970 and 2009, Medicare spending per enrollee grew by an average of one percentage point less each year than comparable private health insurance premiums.
Source: cbpp.org

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

Allsup Medicare Advisor Frequently Asked Questions

Allsup does not provide tax, legal, investment, insurance, financial planning or medical advice or counsel under the Allsup Medicare Advisor and related services. You are responsible for making all decisions with respect to the products or services you utilize under the Allsup Medicare Advisor, including but not limited to selecting a Medicare plan that best matches your needs, and for obtaining any personal tax, legal, investment, insurance, financial planning, medical or other advice or counsel that you believe is necessary or advisable with respect to such products or services. To review the full Allsup Medicare Advisor terms and conditions, visit www.amaterms.com. If you would like to have the terms and conditions mailed to you, please let us know and we will be happy to send you a copy. After you made your selection, Allsup or its subsidiary may or may not receive a commission from the plan provider you choose.
Source: allsup.com

American Retirement Advisors 800

From time to time we are honored by being asked to participate in the popular media.  Business Week, Forbes, Inc, and many other have asked for our expert input on many stories concerning healthcare retirement planning.  Continue reading for the most recent articles. Forbes: American Retirement Advisors does what many of our contemporaries dismiss as trivial. We delve into tough concerns like Health Care and Medicare before we delve into client’s finances!  …
Source: americanretirementadvisors.com

Medicare Advantage Plans Information and Quotes

Most Advantage plans also cover prescriptions. Medicare rarely does.  If you drop a Medigap plan that covered your prescriptions to switch to an Advantage plan, you would not be able to switch back.  Although you may keep a Medigap plan that covers prescriptions, you can no longer join one.   If you drop an Advantage plan that has prescription coverage, you’d need a Part D prescription drug plan to replace it.
Source: medigapadvisors.com

Medicare Supplemental Health Insurance Plans

"My experience with MediGap Advisors has been excellent primarily due to the efforts of my agent, Jim Kinert. Jim spends considerable time with me in order to provide the single best coverage I could have ever hoped for. He is an exceptional representative of your organization, far surpassing my expectations by making the entire process easy to understand and easy to actuate. Rarely have I dealt with a salesperson that has made me feel that he had my best interests at heart. I have never particularly enjoyed the prospect of obtaining insurance of any kind, but Jim’s approach gave me a great sense of confidence that I was doing business with the right man and the right company. Jim’s winning personality, in-depth knowledge, and lack of high pressure sales tactics convinced me to do business with you."
Source: medigapadvisors.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 Advantage, Medicare Advantage 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

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

About the Blue Cross and Blue Shield Association

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Blue Cross Blue Shield Association and Blue Health Intelligence have collaborated and released the Blue Cross Blue Shield, The Health of America Report. This report analyzed three years of independent Blue Cross and Blue Shield (BCBS) companies’ claims data for typical knee and hip replacement surgeries and found that their cost can vary by as much as 313%, depending on where the surgeries are performed. Read the full report.
Source: bcbs.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

Health Insurance for North Carolina

We’ll be doing website maintenance Thursday, November 13 from 8 p.m. until 10 p.m. You may experience problems accessing certain areas of bcbsnc.com during that time. We’re sorry for the inconvenience.
Source: bcbsnc.com

Extra Help with Medicare Prescription Drug Plan Costs

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Medicare beneficiaries can qualify for Extra Help with their Medicare prescription drug plan costs. The Extra Help is estimated to be worth about $4,000 per year. To qualify for the Extra Help, a person must be receiving Medicare, have limited resources and income, and reside in one of the 50 States or the District of Columbia.
Source: socialsecurity.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

I need or get Extra Help / Medicaid

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 Resources: Extra Help

The Centers for Medicare & Medicaid Services (CMS) requires that all plan sponsors accept evidence presented by a Medicare beneficiary that he or she is eligible for extra help/ Low Income Subsidy (LIS) even if Medicare records show otherwise. Once a beneficiary submits the Best Available Evidence to Cigna-HealthSpring, we will request that CMS update the beneficiary’s LIS status in the CMS system.
Source: cigna.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 Is Not “Bankrupt”

The 2030 date does not applyto Medicare coverage for physician and outpatient costs or to the Medicare prescription drug benefit; these parts of Medicare do not face insolvency and cannot run short of funds. These parts of Medicare are financed through the program’s Supplementary Medical Insurance (SMI) trust fund, which consists of two separate accounts — one for Medicare Part B, which pays for physician and other outpatient health services, and one for Part D, which pays for outpatient prescription drugs. Premiums for Part B and Part D are set each year at levels that cover about 25 percent of costs; general revenues pay the remaining 75 percent of costs.[2] The trustees’ report does not project that these parts of Medicare will become insolvent at any point — because they can’t. The SMI trust fund always has sufficient financing to cover Part B and Part D costs, because the beneficiary premiums and general revenue contributions are specifically set at levels to assure this is the case. SMI cannot go “bankrupt.”
Source: cbpp.org

TEXAS MEDICAID APPLICATION

Posted by:  :  Category: Medicare

In order to participate in Medicaid, federal law requires states to cover certain population groups (mandatory eligibility groups) and gives them the flexibility to cover other population groups (optional eligibility groups). States set individual eligibility criteria within federal minimum standards. States can apply to the Centers for Medicare & Medicaid Services (CMS) for a waiver of federal law to expand health coverage beyond these groups. Medicaid is an entitlement program, which means the federal government does not, and a state cannot, limit the number of eligible people who can enroll, and Medicaid must pay for any services covered under the program. In December 2011, about one in seven Texans (3.7 million of the 25.9 million) relied on
Source: texasmedicaidapplications.com

Texas Medicaid/CHIP Vendor Drug Program

Processes out-patient pharmacy prescription claims for Medicaid fee-for-service, the Texas Women’s Health Program, the DSHS Children with Special Health Care Needs (CSHCN) Services Program, and the DSHS Kidney Health Care (KHC) program.
Source: txvendordrug.com

Texas Medicaid Program: Client Information

Call the Civil Rights Office at 1-888-388-6332 (toll-free) if you weren’t treated fairly (discriminated against) because of race, color, national origin, sex, age, disability, religion, or political beliefs.
Source: tx.us

Rick Perry's Refusal to Expand Texas' Medicaid Program Could Result In Thousands of Deaths

Two hours after sending his letter, Perry was on Fox News comparing the Medicaid expansion to “adding 1,000 people to the Titanic.” Instead, Perry said, states like Texas should be given Medicaid block grants to create their own system for health-care coverage, without elaborating further on what that system might entail. Fox News correspondent Jenna Lee, much to Perry’s visible annoyance, began to press him for specifics. “According to a new federal government report—I know you’ve seen this—Texas has ranked last when it comes to health services provided by the state,” Lee pointed out. “The facts are one out of four Texans is without health insurance. One out of four Texans is on Medicare or Medicaid. The health crisis, the big crisis for the country and for your state, what is one solution you are offering to the citizens of Texas?”
Source: texasobserver.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

Contact Information and Websites of Organizations for Medicare

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Source: medicare.gov

Ohio Medicaid and Medicare Phone Number, Contact Info

Call Member Services/Provider Services at 1-855-364-0974 or TTY OH 7-1-1, 24 hours a day, 7 days a week (and during all holidays). Our office is closed New Year’s Day, Martin Luther King Jr. Day, Memorial Day, Independence Day, Labor Day, Thanksgiving and Christmas Day.
Source: aetnabetterhealth.com

Medicare Unmasked: Behind the Numbers

This project uses data made public by the Centers for Medicare and Medicaid Services. It shows the dollar amounts that doctors and other medical providers received in Medicare reimbursements in 2012 and 2013, 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