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 Hospital Compare Quality of Care

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Source: medicare.gov

CIGNA Medicare Supplemental Insurance

Posted by:  :  Category: Medicare

There are many different CIGNA Medicare plans that seniors can choose from in their quest for the best type of health insurance. For those who may need prescription drug coverage, these benefits can be acquired via a few different CIGNA plans such as CIGNA Medicare Access Plus Rx and CIGNATURE Rx to name two of the main types. No matter what seniors are searching for with regard to Medicare health plans they are sure to find the answer with CIGNA Medicare.
Source: seniors-health-insurance.com

Find the Right Medicare Plan

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Source: cigna.com

Medical Insurance Coverage for Air Ambulance

Posted by:  :  Category: Medicare

It’s important to know what health care services Medicare helps to cover. You get all your regular Medicare covered services under Medicare Part A and Part B. To learn more about Medicare, look at your copy of the “Medicare & You” handbook, which is mailed each fall to people with Medicare. You can order a copy by calling 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048. You can also read or print a copy of this handbook at www.medicare.gov on the web. Select “Search Tools” and then select “Find a Medicare Publication.”
Source: usairambulance.net

How to Figure Out Which Medicare Coverage Is Right for You

A more traditional way to get help shopping for Medicare insurance plans is to consult an independent insurance agent. Such agents typically get paid a commission to sell you a policy, although they offer plans from a number of providers. There’s a directory by city and/or ZIP Code at the Web site for the Independent Insurance Agents and Brokers of America (iiaba.net). But keep in mind that agents typically aren’t familiar with all the Medicare plans in your market; instead, they specialize in the ones they represent.
Source: wsj.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

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

How to compare Medigap policies

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Source: medicare.gov

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

"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.gov Physician Compare Home Page

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Source: medicare.gov

Compare Medicare Advantage Plans in 2015

The Kaiser Family Foundation also says that plans and costs are bound to differ wildly in different areas of the country or even regions of the same state. Available plans and premiums can differ when you cross a ZIP code boundary or into a new county. The key is to find different options in your local area and select the one that suits your needs and budget the best. Your own right choice will depend upon the premium, options available in your town or city, the network of medical providers, covered benefits and benefit amounts, and the potential for out of pocket costs.
Source: medicareadvantageplans2015.net

Medicare Part D Prescription Drug Plans Coverage and Comparison

Medicare Part D Prescription Drug Plans, also known as “PDPs,” are stand-alone prescription drug plans that are sold by private insurance companies with a Medicare contract. Medicare beneficiaries can sign up for a PDP if they would like to add Part D drug coverage to their Original Medicare coverage. Certain Medicare Advantage plans, such as Cost Plans, Private Fee-for-Service (PFFS) plans, and Medical Saving Account (MSA) plans might allow you to add a stand-alone PDP to this coverage, although these situations may vary. Anyone enrolled in Medicare Part A and/or Medicare Part B is eligible to enroll in a Medicare Part D plan.
Source: planprescriber.com

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

Posted by:  :  Category: Medicare

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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 Plan Finder for Health, Prescription Drug and Medigap plans

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Source: medicare.gov

Fraud Still Plagues Medicare Drug Program, Watchdog Finds

New York and Los Angeles remain hotbeds for questionable prescribing, with far higher use of expensive drugs associated with fraud than other parts of the country. The New York metropolitan area, for instance, accounted for half of all prescriptions for the expensive topical ointment Solaraze last year, a disproportional rate. The drug is used for lesions formed as a result of overexposure to the sun. New York and Los Angeles also stood out for prescribing of two omega-3 fatty acids, used to help reduce very high triglyceride levels. The two regions accounted for nearly half of all prescriptions for Vascepa and about a third of those for Lovaza.
Source: propublica.org

Check Medicare Eligibility at www.CheckMedicare.com.

Posted by:  :  Category: Medicare

1. 24 hour availability is not a guarantee of service uptime. It is merely hours of service operation under normal operating conditions.   2. Works Best with Internet Explorer 7 with a resolution of 1024×768 or higher. Firefox is also supported.   3. Average response time is 3-6 seconds, but may be up to 1 minute during peak times. This response time is affected by various factors including, but not limited to, network congestion, CheckMedicare.com server load, and the status of the CMS Medicare HETS system. If you experience consistent response times over 6 seconds please feel free to contact CheckMedicare.com support for system status or assistance.   © 2009-2014 ICS Software, Ltd. All rights reserved. All other copyrights and trademarks are copyrights and trademarks of their respective owners. This disclaimer relates and applies to all pages and content served by ICS Software, Ltd.
Source: checkmedicare.com

The Eligibility Verification Site! Check Medicare Benefits Instantly

The Eligibility Verification Site! Aids your practice in getting paid accurately and getting paid quickly. Our online service provides every size practice with an affordable, real-time way to check eligibility on over 500 of the largest benefit payers, like: Medicare, Medicaid, BCBS, United Healthcare, Cigna, Etna, ..plus hundreds of others.   
Source: eligibilityverification.net

How to Verify Eligibility & Benefits of Medicare Patients

Review eligibility guidelines for Part D, Advantage and Medigap plans if you require prescription coverage or additional hospital and/or outpatient medical coverage. All these plans require enrollment in Medicare as the first eligibility requirement. However, unlike Part A and B, these plans also require that other eligibility requirements be met, including residing in a specific geographic region within the United States. You can determine eligibility requirements and explanation of benefits for these plans under "Plan Choices" on medicare.gov.
Source: ehow.com

Who is Eligible for Medicare?

Your eligibility for Medicare is based on your age and your medical condition. If you’re eligible, you can usually sign up for Medicare Part A — hospital care and similar expenses — without paying a premium, based on the years you or your spouse have been working and paying Medicare taxes. If you haven’t put in enough work, the premium, at time of writing, was $407 a year. Part B, which covers doctor visits and other services, costs $104.90 a month, though some high-income individuals pay more.
Source: ehow.com

Eligibility verification FAQ

First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.
Source: fcso.com

Rhode Island Division of Elderly Affairs: Programs

Posted by:  :  Category: Medicare

Medicare is the nation’s health insurance program for people 65 and older, and younger people who are disabled or who have end stage renal disease. Medicare consists of four parts–Part A (Hospital Insurance), Part B (Medical Insurance), Part C (Medicare Advantage Insurance Plans) and MedicarePart D (Medicare Prescription Drug Plans). Almost all persons over age 65 are automatically entitled to Medicare Part A if they or their spouse are eligible for Social Security or Railroad Retirement.
Source: ri.gov

Medicare Premium Payment Program

The Medicare Premium Payment Program helps adults over age 65 and disabled adults pay all or some of the costs of Medicare Part A and Part B premiums, deductibles and co-payments. Medicare Part A is hospital insurance coverage and Medicare Part B is for physician services, durable medical equipment and outpatient services.  Depending on income and resources, individuals may qualify for one of the following:
Source: ri.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

Rhode Island Medical Assistance Program Provider Search

This Provider Search has been created to assist in locating Medical Assistance doctors, specialist, therapist, and other supporting services. This list does not guarantee the provider is currently accepting new Medicaid clients.  If you are a Managed Care client, please contact your health plan for participating providers.
Source: ri.gov

Rhode Island Department of Business Regulation: Division of Insurance Regulation

For questions on obtaining flood insurance, what to do before, during and/or after flooding, or to report flood claims (for property owners who purchased a flood policy) contact: National Flood Insurance Program (NFIP) at 800-638-6620; www.floodsmart.gov
Source: ri.us

Indiana State Medical Association

Posted by:  :  Category: Medicare

Can a physician withhold a patient’s record for a past due balance (for services rendered)? No. The Office of the Indiana Attorney General filed a Complaint with the Indiana Medical Licensing Board against Shashi Puttaswamy, MD, in June 2006 alleging that withholding patient records for a past due balance violates physician standards of practice. The Complaint cited the Indiana law that states, “On written request and reasonable notice, a provider shall supply to a patient the health records possessed by the provider concerning the patient.”  Ind. Code § 16-39-1-1(c). On April 24, 2008, the parties stipulated that physicians are responsible for having knowledge of the legal standards of conduct and practice and that the doctor knowingly violated that law. On May 5, 2008, the Medical Licensing Board approved the stipulation and ordered the physician to pay the costs of transcribing the action.  (The physician would have also had to pay for her own legal fees and appeared before the Board multiple times before this matter was resolved.)    Similarly, AMA Ethical Opinion 7.02 states medical records should not be withheld for an unpaid balance.
Source: ismanet.org

Healthcare business news, research, data and events from Modern Healthcare

Many view price and quality transparency as fundamental to moving the U.S. to a true consumer-driven healthcare market. New Hampshire started down that road a decade ago and the state, recently recognized as the nation’s transparency leader, offers lessons to other states that aren’t as far along.
Source: modernhealthcare.com

Medicare Fee for Service for Parts A & B

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Source: cms.gov

Older Americans, Medicare, and the Affordable Care Act: What's Really In It for Elders?

Most of the enacted changes are targeted at the components of the plans themselves, but their overall effect reduces the profit potential of operating a Medicare Advantage plan. Thus, the ACA restructures payments to these plans and offers a range of bonuses to encourage quality enhancement. At the same time, the ACA mandates certain minimum levels of expenditures for patients’ medical care via stipulated “medical loss ratios.” Thus, the plans are limited in terms of what they pay for non-medical expenses, such as marketing, profits, salaries, administrative costs, and agent commissions (HHS, 2010). Because Medicare Advantage plans may not discontinue any “guaranteed Medicare benefits,” they are likely to scale back or eliminate many of the extra benefits they provide, such as vision and dental care. Some Medicare Advantage plans may raise premiums for their enrollees, while other plans may cease participating in the Medicare program.
Source: asaging.org

Search Results, Medicare.gov

Posted by:  :  Category: Medicare

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Source: medicare.gov

Obtain a previously issued PTAN

First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.
Source: fcso.com

Mandatory Insurer Reporting (NGHP)

Posted by:  :  Category: Medicare

Reporting is accomplished by either the submission of an electronic file of liability, no-fault, and workers’ compensation claim information, where the injured party is a Medicare beneficiary, or by entry of this claim information directly into a secure Web portal, depending on the volume of data to be submitted. Upon receipt of this information, CMS checks whether the injured party associated with the claim report is a Medicare beneficiary, and determines if the other insurance is primary to Medicare. CMS then uses this information in the Medicare claims payment process and, if Medicare paid first when it should not have, uses it to seek repayment from the other insurer or the Medicare beneficiary.
Source: cms.gov

Medicare Reimbursement Claims

Four years later the Medicare, Medicaid and SCHIP Extension Act of 2007 (MMSEA) added more penalties for non-compliance to the Medicare Secondary Payer (MSP) Statute.  Section 111 of the MMSEA requires the providers of liability insurance (including self-insurance), no fault insurance and workers’ compensation insurance (hereinafter “insurers”) to determine the Medicare-entitlement of all claimants and report certain information about those claims to the Secretary of Health and Human Services.  The penalty for non-compliance with Medicare reporting standards is strict: $1,000 per day for each day the insurer is out of compliance.
Source: garretsongroup.com

MMSEA Section 111 Reporting

While there is no one-size-fits-all solution, most MEDVAL clients have made the strategic decision to develop their own internal capabilities for MMSEA Section 111 Reporting. MEDVAL is in optimal alignment with this approach, offering expert guidance, recommending appropriate protocols, and helping your staff execute your compliance strategy.
Source: medval.com

Medicare Home Health Compare

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Source: medicare.gov