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 Changes For 2015

Deductible Increase–Drug deductibles will increase in 2015 AARP reports, “The maximum Part D annual drug deductible rises by $10, to $320, in 2014. More plans will charge a deductible (from $1 to $320) and fewer will wave the deductible.” There is an expected rise of 4 percent—while that does not sound huge, that is the expected average. Kaiser Family Foundation notes that number “masks a significant amount of variation across plans…enrollees in six of the 10 most popular [stand-alone plans] will experience double-digit premium increases if they stay in the same plans in 2015, while enrollees in three of the 10 most popular [stand-alone plans] will see double-digit premium decreases”
Source: nasdaq.com

How to Change Medicare Plans

Some people also add a Medicare supplement insurance plan to help with some costs that Original Medicare doesn’t pay. You must start or stop Medicare supplement coverage by contacting the insurance company directly.
Source: medicaremadeclear.com

Health Care Innovation Awards Round Two

AZ*/initiatives/Health-Care-Innovation-Awards-Round-Two/Arizona.html^CA*/initiatives/Health-Care-Innovation-Awards-Round-Two/California.html^CO*/initiatives/Health-Care-Innovation-Awards-Round-Two/Colorado.html^CT*/initiatives/Health-Care-Innovation-Awards-Round-Two/Connecticut.html^DC*/initiatives/Health-Care-Innovation-Awards-Round-Two/Washington-DC.html^FL*/initiatives/Health-Care-Innovation-Awards-Round-Two/Flordia.html^GA*/initiatives/Health-Care-Innovation-Awards-Round-Two/Georgia.html^IL*/initiatives/Health-Care-Innovation-Awards-Round-Two/Illinois.html^IA*/initiatives/Health-Care-Innovation-Awards-Round-Two/Iowa.html^KS*/initiatives/Health-Care-Innovation-Awards-Round-Two/Kansas.html^MD*/initiatives/Health-Care-Innovation-Awards-Round-Two/Maryland.html^MA*/initiatives/Health-Care-Innovation-Awards-Round-Two/Massachusetts.html^MI*/initiatives/Health-Care-Innovation-Awards-Round-Two/Michigan.html^MN*/initiatives/Health-Care-Innovation-Awards-Round-Two/Minnesota.html^MO*/initiatives/Health-Care-Innovation-Awards-Round-Two/Missouri.html^NE*/initiatives/Health-Care-Innovation-Awards-Round-Two/Nebraska.html^NH*/initiatives/Health-Care-Innovation-Awards-Round-Two/New-Hampshire.html^NM*/initiatives/Health-Care-Innovation-Awards-Round-Two/New-Mexico.html^NY*/initiatives/Health-Care-Innovation-Awards-Round-Two/New-York.html^NC*/initiatives/Health-Care-Innovation-Awards-Round-Two/North-Carolina.html^OH*/initiatives/Health-Care-Innovation-Awards-Round-Two/Ohio.html^OR*/initiatives/Health-Care-Innovation-Awards-Round-Two/Oregon.html^PA*/initiatives/Health-Care-Innovation-Awards-Round-Two/Pennsylvania.html^SD*/initiatives/Health-Care-Innovation-Awards-Round-Two/South-Dakota.html^TX*/initiatives/Health-Care-Innovation-Awards-Round-Two/Texas.html^VA*/initiatives/Health-Care-Innovation-Awards-Round-Two/Virginia.html^WA*/initiatives/Health-Care-Innovation-Awards-Round-Two/Washington.html^WI*/initiatives/Health-Care-Innovation-Awards-Round-Two/Wisconsin.html^
Source: cms.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

Your Medicare coverage choices

There are 2 main ways to get your Medicare coverage— Original Medicare (Part A and Part B) or a Medicare Advantage Plan (Part C). Some people get additional coverage, like Medicare prescription drug coverage or Medicare Supplement Insurance (Medigap). Use these steps to help you decide what coverage you want:
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

Medicare Part D Formulary, List of PDP Drugs

Posted by:  :  Category: Medicare

Medicare Part B covered drugs include a limited number of prescription drugs such as those you get in a hospital outpatient department under certain circumstances, injected drugs you get in a doctor’s office, certain oral cancer drugs, and drugs used with some types of durable medical equipment (like a nebulizer or infusion pump).  Medicare Part B drugs include, but are not limited to, the following types of drugs.
Source: coventryhealthcare.com

Medicare Drug List – Drug Formulary

Below are the lists of covered drugs in our Cigna-HealthSpring Medicare Advantage and Rx plans. If your drug appears on the drug list, then it is a covered drug under that plan. However, there may be certain requirements, such as prior authorization or quantity limits that need to be fulfilled as part of your prescription drug coverage. If you have questions, please visit our Drug List Frequently Asked Questions (FAQ) page.
Source: cigna.com

Browse Any 2015 Medicare Part D or Medicare Advantage Plan Formulary

- Copay / Coinsurance – These figures apply to the initial coverage phase of your plan. This is the phase after the initial deductible has been met and before you reach the Coverage Gap (Donut Hole). Plans often cover drugs in “tiers”. Tiers are specific to the list of drugs covered by the plan. Plans may have several tiers, and the copay for a drug depends on which tier the drug is in. The drug Tier is shown to the left of this column. These cost sharing figures DO NOT necessarily apply to the Coverage Gap. The plan may have a separate copay/coinsurance for the same drug while in the Coverage Gap. There are two figures shown under this “Cost Sharing” category:
Source: q1medicare.com

Coventry Medicare: Formulary (Drug List)

A formulary is a list of prescription medications that are covered by your plan and are available in a booklet format and an online searchable tool.  A pharmacy directory is a listing of pharmacies in your plan’s network, including retail chain pharmacies, preferred and non-preferred mail-order pharmacies, home infusion and long-term care pharmacies. 
Source: coventryhealthcare.com

Does Medicare pay for hospice services?

Posted by:  :  Category: Medicare

Room and board Medicare doesn’t cover room and board for hospice care. It does not cover the cost of rent or fees for a home, nursing home or assisted living. However, if the hospice medical team determines that your loved one needs short-term inpatient or respite care services that they arrange, then the stay in the nursing home or assisted living facility is covered. If your loved one’s permanent home was already in the nursing home, hospice care is covered. Your loved one may have to pay a small copayment for the respite stay.
Source: agingcare.com

Medicare Guidelines for Hospice Care

Medicare does not pay for prescription drugs a hospice patient takes for any reason other than controlling the symptoms and pain of the terminal illness. While in hospice care if the patient receives medical treatment for a condition unrelated to the terminal illness, the patient may be responsible for part of the cost. For example, if prior to hospice care, the patient paid copayments and a deductible, this still applies to care unrelated to hospice. In addition, the patient may be responsible for 5 percent of the cost of respite care.
Source: ehow.com

Welcome to Arkansas Medicaid

Posted by:  :  Category: Medicare

Private Option enrollees will not receive Medicaid ID cards but will receive insurance cards from their private health plan issuers. Private Option enrollees will use their private insurance cards to access medical services. Medicaid will provide limited supplemental services for Private Option enrollees, including Early and Periodic Screening, Diagnosis, & Treatment (EPSDT) for 19 and 20 year olds and non-emergency transportation. These services can be accessed using the Medicaid ID number that was sent to the Private Option enrollee in the plan enrollment notice. The Medicaid ID number can be used for retroactive coverage and interim coverage from the eligibility approval date until the date that the qualified health plan takes effect.
Source: ar.us

Arkansas Medicaid: eligibility, enrollment and benefits

However, the future of Arkansas’ Private Option is threatened. The state legislature must reauthorize the Private Option annually – with a 75 percent majority in both the House and Senate. In 2014, it took five attempts to pass reauthorization. In the 2015 session, Republicans have larger majorities in both the state House and Senate. Mike Beebe, a Democrat and Private Option supporter, faced a term limit and left office in January 2015. Incoming Gov. Asa Hutchinson, a Republican, did not announce a position on the Private Option prior to taking office. Hutchison may make his opinion known in a speech on health care slated for late January.
Source: healthinsurance.org

Arkansas Medicaid: The Medicaid Project, Arkansas Medicaid Eligibility, Help, Assistance

Many groups of people are covered by Medicaid. Even within these groups, though, certain requirements must be met. These may include your age, whether you are pregnant, disabled, blind, or aged; your income and resources (like bank accounts, real property, or other items that can be sold for cash); and whether you are a U.S. citizen or a lawfully admitted immigrant. The rules for counting your income and resources vary from state to state and from group to group. There are special rules for those who live in nursing homes and for disabled children living at home.
Source: quickbrochures.net

Medicaid Expansion in Arkansas

Beneficiaries who make at least 6 non-consecutive monthly account contributions in a calendar year receive account credits that can be used to offset future QHP premiums (after enrollment in the Medicaid private option ends), employee contributions to ESI, or Medicare premiums (for those over age 64).  The credits will be distributed as cash once the beneficiary is no longer eligible for Medicaid as a new adult, if the beneficiary continues to reside in Arkansas.  For each month that they make a timely account contribution, beneficiaries accrue the lesser of their monthly contribution amount or $15, regardless of the amount of co-payments or co-insurance charged to the card.  Credits are capped at $200 and must be used within 2 years of accrual.
Source: kff.org

Get accurate health insurance quotes instantly

Posted by:  :  Category: Medicare

If they continue to believe, but the larger point, heads of household should drop cable. This can actually be affordable if the plan you are going to be costly and labor intensive to administer the plan, contact the health and how to get through the campus admission office as well. This includes cuts to hospitals, Medicare Advantage plans, you still be healthier and pay only regular income taxes up to $1,500 for each and every beneficiary is assured of getting all the hospital the insurance companies are infamous for dragging their feet when having to pay for medical debts, they focus on providing health fairs, flu vaccinations, and more. The key phrase searches and keyword searches carried. Reason Codes are for tax returns. Health care requirements like in-house nurses and medical Insurance can give you a broader selection of the most popular way to fix bad medical insurance policy, by Medicaid, Medicare, or private health insurance high costs for travel insurance pays for that for your state’s department of health has estimated that 90 per cent of gross domestic product. A good coverage and what you need.
Source: cheaphealthinsurancequotes.net

Find the *** BEST CHEAP HEALTH INSURANCE PLANS *** all in one place!

One secret to getting cheap health insurance involves figuring out precisely what coverage you need. Many people overpay for policies full additional coverage they could do without. Be sure to carefully read any insurance policy before you buy. While you shouldn’t skimp on coverage, you’re sure to find that some cheaper policies still can offer what you need. Shopping around using online insurance quotes is a great way to compare coverage and costs.
Source: findyourinsurer.com

Your Plan Choices and Next Steps

On June 10, 2015, Assurant Health’s parent company, Assurant, Inc., announced an exit from the health insurance marketplace to focus on housing and lifestyle specialty protection products and services. Assurant will wind down its major medical operations and not participate in the next Affordable Care Act open enrollment period beginning in November 2015. Assurant is committed to providing a smooth process for our customers and will meet all claims and benefit commitments. This announcement does not affect Assurant Supplemental Coverage or Assurant Self-Funded Program. Read news release If you are a current Assurant Health major medical customer, you will receive a letter from us and you can visit assuranthealth.com/nextsteps for more information.
Source: assuranthealth.com

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

The Medicare Evidence Development and Coverage Advisory Committee expressed moderate confidence Wednesday in treatments of peripheral artery disease. The lukewarm vote means it’s unlikely Medicare will pay for tests to diagnose or treat this disease most commonly found in seniors.
Source: modernhealthcare.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.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.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.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 Plans & Coverage: Part A, Part B, Part C, Part D

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

Medicare Coverage Database – Centers for Medicare & Medicaid Services

Contextual Help & Page Help – Contextual Help is a new feature that provides users with the ability to receive onscreen help for specific elements on the page. To use the feature, click the "Contextual Help" link and move the mouse to the onscreen location of the associated page element. The user can turn the feature off when help is no longer required. Users who are unable to use this feature, or who prefer to have a link to a single page of help for the entire page, may continue to use the "Page Help" link to get assistance.
Source: cms.gov

Your Medicare coverage choices

Posted by:  :  Category: Medicare

There are 2 main ways to get your Medicare coverage— Original Medicare (Part A and Part B) or a Medicare Advantage Plan (Part C). Some people get additional coverage, like Medicare prescription drug coverage or Medicare Supplement Insurance (Medigap). Use these steps to help you decide what coverage you want:
Source: medicare.gov

Original Medicare, Part A and Part B

Each year, you generally must pay a set amount (a deductible) for your health care before Medicare pays its share. Then, Medicare pays its share, and you pay your share (coinsurance) for covered services and supplies. If you have Medicare Part A, you can generally get the covered services listed in Part A Benefits. If you have Medicare Part B, you can generally get the covered services listed in Part B Benefits. You usually pay a monthly premium for Medicare Part B. For more info, see How much does Medicare cost? You generally don’t need to file Medicare claims. Providers (like doctors, hospitals, skilled nursing facilities, and home health agencies) and suppliers are required by law to file Medicare claims for the covered services and supplies you get.
Source: ehealthmedicare.com

What’s Medicare Supplement Insurance (Medigap)?

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

Original Medicare vs. Medicare Advantage

Medicare Advantage (MA, also known as Part C) plans are sold by private insurance companies. In order to be eligible to join one, you must already have Original Medicare. MA plan enrollment occurs either through your Initial Enrollment Period (when you first sign up for Part A and Part B) or during the Annual Election Period, which runs from October 15 to December 7 each year. If you are diagnosed with ESRD, you can only join a MA plan in certain situations and may be able to join Medicare Special Needs Plan (SNP) if one is available in your area. Remember, even if you are enrolled in an MA plan, you will still need to keep paying your Part B monthly premium.
Source: planprescriber.com

Choosing Traditional Medicare vs. Medicare Advantage

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