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 Cuts In Store For Medicare Plans

I am an Insurance Agent that works with the Senior market. I sell the Medicare Advantage plans and Medicare supplement plans. Whichever one the client wants that is what I put them on. I hate that the government again is going to try to squeeze the medicare advantage plans out of the picture. It is plain that they are not thinking about the Senior but the money that they can save. Everybody today is feeling the pinch of not having enough money let alone any extra money. There are many many Seniors out there that cannot afford a medicare supplement and then adding on the Part D RX plan. Let us remember these medicare supps only pick up the deductible and the 20% not paid by Medicare. Many times the supps are not paying that much out a year and yet these supps raise every year. I have some clients that are just retiring and they have income that can afford these but many of them elect to have a HSA and put money aside that will pay the 20% not covered by Medicare and then some choose the Supplement, (the ones who can afford it). However there are many of my clients who cannot afford a supp and separate RX plan and they make a little to much money to be eligible for a Medicaid card that will pick out the 20%. I have ran into more Seniors that are in this boat. Medicare Advantage plans have been a lifesaver for them. There is some plans that are on average around $30 to 40 a month and some in my area that is a $0 premium. People are paying around $5 to $15 for a doctor visit that covers all their lab and they pay around $35 to $45 for a specialist. The RX is included. They end up paying between $200 to around $1200 for each admission. A small co pay for Outpatient surgery around $200 to $300. Many benefits of a having a Medicare Advantage. Some plans even will provide eye exams and glasses and even dental benefits. I AM FOR THE SENIOR. I make a commission no matter if they pick a Supplement or a Medicare Advantage plan so I am happy either way. But if the government takes away these Medicare Advantage plans many senior will have to do without something to pay the 20% medicare does not pay. I believe if these plans are cut than the Senior RX Part D plan will be next. The Medicare Supplement will eventually be the next target. My clients are so happy to have these plan available to them. I have seen people cutting back on food and other things they needed because of not enough money and it scares me now that Obama wants to cut these plans until they just drop which in turn will make Senior pay out more for medical care. If he wants to do this then give all Seniors a Medicaid card in addition to their Medicare card and this will allow them not to have to pay anything for their medical care or leave the Medicare advantage plans alone.
Source: forbes.com

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

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

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

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 Information Office

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

How to Locate a Medicare Office (6 Steps)

The Social Security Administration handles the U.S. health care program known as Medicare. Medicare helps senior citizens over 65 years of age get the health care and medical supplies they need. According to the Social Security Administration website, ssa.gov, most Medicare related tasks, such as applying for coverage, can be completed online or over the phone. However, there are a few crucial tasks that must be completed in person. Medicare offices are maintained in local Social Security Offices, which can be located through the Social Security Administration in two ways.
Source: ehow.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 in New Hampshire

Medicare Advantage Organizations and Prescription Drug Plan Sponsors must have a contract with Medicare in order to sell Medicare insurance plans (such as a Medicare HMO or a Medicare Part D Plan. Depending on the terms of the contract between the plan and Medicare, not every plan is available statewide or in all service areas. Each year, the plan must renew their contract with Medicare, so the availability of a plan in a specific service area is subject to change as a result of the annual contract renewal.
Source: ehealthmedicare.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

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

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

How to Locate a Medicare Office (6 Steps)

Posted by:  :  Category: Medicare

The Social Security Administration handles the U.S. health care program known as Medicare. Medicare helps senior citizens over 65 years of age get the health care and medical supplies they need. According to the Social Security Administration website, ssa.gov, most Medicare related tasks, such as applying for coverage, can be completed online or over the phone. However, there are a few crucial tasks that must be completed in person. Medicare offices are maintained in local Social Security Offices, which can be located through the Social Security Administration in two ways.
Source: ehow.com

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

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: 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 Coding Rules for SLP Services

Untimed CPT codes represent “typical” visit lengths or times to conduct a typical test unless the time is specified in the CPT descriptor. For significantly atypical procedures, a “-22″modifier can be used to indicate that the work is substantially greater than typically required and a “-52″modifier for an abbreviated procedure. Modifier “-22″ should not be used frequently because the Medicare contractor could make the determination that the procedure reflects typical service delivery. For claims with the “-22″ modifier a description of the need for extended services should accompany the claim. Modifier “-59″ is used to establish one procedure as distinct from another procedure billed on the same day. Part B services provided under plans of care for speech-language pathology or dysphagia services require a GN modifier as a suffix to the CPT code. The requirement applies to physician offices as well as facilities and private practices. Occupational therapy and physical therapy modifiers are GO and GP, respectively. For therapy services that exceed the annual therapy cap, a -KX modifier is required, indicating services are medically necessary and the documentation is available for review.
Source: asha.org

Colorectal cancer screenings

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

What’s Medicare Supplement Insurance (Medigap)?

Posted by:  :  Category: Medicare

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

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 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

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 Insurance Quote Engine

In addition to Medicare supplement insurance, we are pleased to be participating in the Medicare Advantage market. The Medicare Advantage policy is a low cost alternative to a Medicare supplement policy and is especially advantageous for those less than 65 years old. The Private Fee For Service (PFFS) is a type of Advantage plan that allows Medicare recipient to visit any doctor, any hospital, anywhere. Therefore, many Medicare recipients are well served by the lower cost Private Fee For Service plan.
Source: bestmedicaresupplement.com

Medicare Supplement Insurance and Plans

Medicare is the federal program the vast majority of Americans 65 and older depend on for their healthcare. People under 65 with disabilities and individuals with end-stage renal disease can also qualify. Medicare is commonly divided into four parts. Original Medicare Part A and Part B help pay costs for hospital care and medical expenses, respectively. Specifically, Part A pays for medically-necessary inpatient hospital services, skilled nursing facility care after a hospital stay, certain home healthcare, and hospice care. Part A does not pay for private hospital rooms, surgery that is not deemed medically-necessary, most care received outside the United States, unskilled personal care, and a variety of other services. Part B, meanwhile, pays only 80% of most Medicare-covered medical costs. Deductible, copayment, and coinsurance costs associated with Original Medicare add up quickly for many people.
Source: medicaremall.com

Medicare Supplement Insurance & Medicare Advantage Personal Service

Medicare Supplement Insurance, also known as MediGap Insurance, is designed to help cover some of the medical costs that are not covered by Medicare.  These Medigap coverage plans are available to anyone enrolled in Part A and B of Medicare.  There is an open MediGap Insurance enrollment period for the first six months after you turn age 65, in which you do not need to qualify or answer any questions about your prior medical history.
Source: medigapadvisors.com

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

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

Medicare/Medicaid Crossover Claims

A copy of the Medicare EOB (and TPL EOB if applicable) is required. Claims received without a Medicare EOB will not be processed and returned to the provider. UB-04 NOTICE: The submitter of this form understands that misrepresentation of falsification of essential information as requested by this form may serve as the basis for civil monetary penalties and assessments and may upon conviction include fines and/or imprisonment under Federal and/or State Laws. Refer to CMS Manual System, Transmittal 1104 , dated November 3, 2006 for the UB-04 Printing Standards. Compliance with these standards is required to facilitate the use of image processing technology. Claims will be returned to the submitter if they do not meet these standards and/or are not printed on an original UB-04 NUBC approved claim form.
Source: tn.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

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

The plans below offer Medicare Advantage and Part D coverage to Tennessee 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

Plan F Medicare Supplement Plan in TN

* A benefit period begins on the first day you receive service as an inpatient in a hospital and ends after you have been out of the hospital and have not received skilled care in any other facility for 60 days in a row. ** NOTICE: When your Medicare Part A hospital benefits are exhausted, the insurer stands in the place of Medicare and will pay whatever amount Medicare would have paid for up to an additional 365 days as provided in the policy’s “Core Benefits.” During this time the hospital is prohibited from billing you for the balance based on any difference between its billed charges and the amount Medicare would have paid.
Source: trh.com

Medicare Plan Finder for Health, Prescription Drug and Medigap plans

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: 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 drug plans: rating and reviews.

Part D Medicare prescription drug plan ratings and reviews to help you evaluate and find the best Medicare drug plan for 2015. Compare costs of Medicare Part D plans to save money. You can also rate and review your Medicare prescription drug plan to help others learn from your drug plan experience. On our forums, read comments, complaints, and suggestions about Medicare plans, the coverage gap (the “doughnut hole”) and low-cost medications from reputable online pharmacies. To find ratings and compare plans, click your state on the map below.
Source: medicaredrugplans.com

Extra Help with Medicare Prescription Drug Plan Costs

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 Prescription Drug Coverage: MedlinePlus

Part D is the name of Medicare’s prescription drug coverage. It’s insurance that helps people pay for prescription drugs. It is available to everyone who has Medicare. It provides protection if you pay high drug costs or have unexpected prescription drug bills. It doesn’t cover all costs. You have to pay part of the cost of prescription drugs. Most people also have to pay an additional monthly cost.
Source: nih.gov

Prescription Drug Coverage

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

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 Plan Finder for Health, Prescription Drug and Medigap plans

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: 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

Extra Help with Medicare Prescription Drug Plan Costs

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 drug plans: rating and reviews.

Part D Medicare prescription drug plan ratings and reviews to help you evaluate and find the best Medicare drug plan for 2015. Compare costs of Medicare Part D plans to save money. You can also rate and review your Medicare prescription drug plan to help others learn from your drug plan experience. On our forums, read comments, complaints, and suggestions about Medicare plans, the coverage gap (the “doughnut hole”) and low-cost medications from reputable online pharmacies. To find ratings and compare plans, click your state on the map below.
Source: medicaredrugplans.com

Prescription Drug Coverage

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 Prescription Drug Coverage: MedlinePlus

Part D is the name of Medicare’s prescription drug coverage. It’s insurance that helps people pay for prescription drugs. It is available to everyone who has Medicare. It provides protection if you pay high drug costs or have unexpected prescription drug bills. It doesn’t cover all costs. You have to pay part of the cost of prescription drugs. Most people also have to pay an additional monthly cost.
Source: nih.gov

Compare Medicare Advantage & Supplemental Plans

Medicare Advantage insurance is offered by private insurance companies with a Medicare contract, and replaces Original Medicare Part A and Part B. You must continue to pay your Part B premiums. Medicare Advantage plans typically offer additional benefit options and have less cost-sharing than Original Medicare, and you may have to pay a monthly premium in return for the extra benefits. Medicare Advantage plans come in a variety of formats, such as HMO, PPO and PFFS plans, as well as special needs plans. Medicare beneficiaries can enroll in Medicare Advantage plans if they have Medicare Part A and Part B, but only during designated enrollment periods. These enrollment periods change from time-to-time, so please call us to get the most-up-to-date information.
Source: medicaresolutions.com

What are Medicare Advantage Plans?

Posted by:  :  Category: Medicare

Medicare Advantage Plans are health plans that are approved by Medicare and provided by private companies such as Aetna, Cigna, Coventry, Health Net, Humana, United HealthCare, WellCare, and many others. Medicare sets the rules for Medicare Advantage Plans and regulates the private companies who operate the Plans. Medicare Advantage Plans are also sometimes referred to as Medicare Health Plans, Medicare Part C Plans, and MAs/MA-PDs (and originally, Medicare Advantage Plans were called Medicare+Choice plans). A Medicare Advantage Plan combines your Medicare Hospitalization (or Medicare Part A) and Medical insurance or Doctor’s Visit Coverage (or Medicare Part B) into one Health Plan that provides the same Medically-Necessary Services as Original Medicare. Some, but not all Medicare Advantage Plans also offer Prescription Drug Coverage (or Medicare Part A and Medicare Part B and Medicare Part D) at no additional cost and are called MA-PDs.
Source: q1medicare.com

Costs for Medicare Advantage Plans

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

Medicare Part C Definition

Patients who receive Medicare Part A and Part B can apply for the Medicare Advantage plan. There are several plans offered through Part C. Part C covers benefits through preferred provider organizations (PPOs) and managed health maintenance organization (HMO) plans. It also provides optional fee-for-service coverage and specialty programs. Patients who enroll in Part C receive a Medicare health card to use when they receive services. Enrollment periods for Part C are limited. Patients must enroll during initial Medicare enrollment or open enrollment, between November 15 and December 31 of each calendar year. The plan covers emergency care visits as well as additional medical services, such as dental and vision services. Medicare subsidizes a portion of the Part C premium, but depending upon the plan chosen, individuals cover the remaining premium.
Source: ehow.com