Contact Information and Websites of Organizations for Medicare

Posted by:  :  Category: Medicare

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Source: medicare.gov

The United States Social Security Administration

We have a longstanding commitment to meeting the distinct needs of the single, working woman. By better understanding your benefits as a single woman, you can capture more Social Security income over your lifetime, and we want to show…
Source: socialsecurity.gov

Total Number of Medicare Beneficiaries

Data indicators about private plans participating in the Medicare Advantage program and the Medicare prescription drug program. The Medicare Health and Prescription Drug Plan Tracker enables users to monitor trends in enrollment, market penetration and other topics for Medicare Advantage plans since 1999 and stand-alone Medicare drug plans since 2006 by state, county and other sub-state geographies.
Source: kff.org

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

Review Contractor Directory

The primary goal of the Zone Program Integrity Contractors (ZPICs) is to identify cases of suspected fraud, develop them thoroughly and in a timely manner, and take immediate action to ensure that Medicare Trust Fund monies are not inappropriately paid out and that any mistaken payments are recouped. There are seven ZPIC zones and the ZPICs for these zones are tasked with performing program integrity for Medicare Parts A, B, C, Durable Medical Equipment (DME), Home Health and Hospice (HH +H), and the Medicare-Medicaid data match program (Medi-Medi).
Source: cms.gov

Extra Help with Medicare Prescription Drug Plan Cost Forms and Publications

Posted by:  :  Category: Medicare

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

Application Form and Instructions

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.gov – the Official Government Site for Medicare – Complaint Form

Please note that this tool is for non-critical complaints. If your issue needs to be addressed within 10 days, you should call 1-800-MEDICARE (1-800-633-4227). 1-800-MEDICARE is available 24 hours, 7 days a week, including some federal holidays. TTY/TTD users can call 1-877-486-2048. Selecting the ‘Continue Form’ button will change your answer from “Yes” to “No” for the question “Does your complaint or concern need to be addressed within 10 days?”. Selecting the ‘Exit Form’ button will navigate you to a page instructing you to contact Medicare over the phone.
Source: medicare.gov

Texas Medicare Part D & Medicare Advantage Plans

Posted by:  :  Category: Medicare

Choosing a Texas Medicare Part D plan that fits your circumstances is very important as there are many plans to choose from. Texas Medicare Part D plans are offered by private insurance companies so there are plans with different deductibles, copays and premiums. Before you choose a Medicare Part D plan in Texas you should determine your annual out-of-pocket expenses for prescription medications. Make sure the Texas Medicare Part D plan you select covers all of your prescriptions. You should consider the copays, deductibles and premiums of each plan to determine which Medicare Part D plan offers the most savings. You can compare Texas Medicare Part D plans by using the PlanPrescriber Medicare Part D plan comparison tool to find a plan in Texas that works for you.
Source: mytexasmedicare.net

CMS 855A Medicare Application | CMS 855A Medicare Application made easy

We have assisted well over 1,200 Home Health Care Agencies with the completion of the CMS 855 A Medicare Application and Medicare Accreditation process. We complete your Home Health Care Agency’s CMS 855 A Medicare Application and paperwork requirements. The recent and ongoing changes to licensing standards and regulatory requirements can make the completion of the CMS 855 A Form challenging. At 21st Century Health Care Consultants, you provide us the Medicare Application information required, we do the rest; its that simple. We complete your CMS 855 A Medicare Application and include the required Civil Rights Package for your State. We offer a full Home Health Care Medicare Accreditation Program, we will get your Home Health Care Agency Medicare Accredited, no question.
Source: cmsmedicareapplication.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

Medicare Supplement Plan N

Posted by:  :  Category: Medicare

* A benefit period begins on the first day you receive services 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: bcbsil.com

Medicare Supplement Plan N

* A benefit period begins on the first day you receive services 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: bcbstx.com

AARP Medicare Supplement Plan N

One thing is certain. Medicare Advantage plans are changing and in many instances, monthly premiums are increasing. Some Advantage plans now cost more than a Medicare supplement. An Advantage plan will certainly  require cost sharing for hospital inpatient charges. Most plans require you to pay a couple hundred dollar co-pay, for a fixed number of days, as part of your cost sharing responsibility. You may even be required to pay more than if you had only Medicare. This is not the case with AARP Medicare supplement Plan N.
Source: seniorsupplementinsurance.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 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

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 (Medigap Plans) and other Medicare / Health Insurance Plans

A Medicare Supplement plan is a health insurance policy sold by private insurance companies in your state. It provides additional protection for what is not covered by Original Medicare. This insurance is specifically designed to fill the “gaps” in Medicare Part A and Part B coverage.
Source: libertymedicare.com

Affordable Health Coverage

Posted by:  :  Category: Medicare

Rating and national average are based on Controlling High Blood Pressure 2013 ratings from the Healthcare Effectiveness Data and Information Set (HEDIS) for commercial plans published by the National Committee for Quality Assurance. HEDIS is a tool used by more than 90 percent of America’s health plans to measure performance on important dimensions of care and service. HEDIS is a registered trademark of the National Committee of Quality Assurance (NCQA). For more information, visit ncqa.org.
Source: kaiserpermanente.org

Affordable Care Act: Obamacare & Health Reform Facts

You should get more details from your employer about changes that may affect your plan in 2015. Check with your employer for information on how to get coverage. You may be able to select coverage through your employer, through the Small Business Health Options Program (SHOP) Marketplace, or directly from Kaiser Permanente. (Exception: Residents of Washington, D.C., purchasing health coverage on their own must buy coverage from the Marketplace.) You may be able to get federal financial help if you qualify. To do so, you would need to apply and get your coverage through the Marketplace.
Source: kaiserpermanente.org

Quality Health Care Coverage Provider

Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. received the highest numerical score among commercial health plans in the Mid-Atlantic region (VA, MD, D.C.) in the proprietary J.D. Power 2015 U.S. Member Health Plan StudySM. Study based on 31,543 total member responses, measuring six plans in the Mid-Atlantic region (excludes Medicare and Medicaid). Proprietary study results are based on experiences and perceptions of members surveyed November-December 2014. Your experiences may vary. Visit jdpower.com.
Source: kaiserpermanente.org

A History of Total Health

During World War II, compliance with federal law (such as the Fair Employment Practice Committee) as well as decent best practices meant that employees were treated without institutional discrimination. An estimated 20,000 African Americans, along with many Chinese Americans, Native Americans, and Hispanic Americans, worked in the Kaiser shipyards. Kaiser Industries took great pride in this ethnic and racial diversity, featuring stories in the shipyard newsletters. A caption for a photo of an elegantly attired African-American female shipyard worker launching the Liberty ship S. Hall Young boasted: “How’s this, Adolf? It’s Richmond’s answer to your efforts to split America into warring racial groups.”
Source: kaiserpermanentehistory.org

Kaiser Permanente California

WASHINGTON, D.C. — Nearly all Kaiser Permanente hospitals (pdf) have been given an A rating for patient safety — and none lower than a B — in a new national report card issued Wednesday by The Leapfrog Group. While Kaiser Permanente hospitals were rated among the safest in the country, hospitals nationwide fared far worse. Of the more than 2,600 hospitals that were graded in the report, nearly half (47 percent) received a C grade or lower. In California, it was a similar story. Of the 264 hospitals in California that were rated, 109 (or 41 percent) received a C grade or lower. The complete list of Leapfrog Hospital Safety Score results can be found at www.hospitalsafetyscore.org.
Source: kaiserinsuranceonline.com

Fertility Clinic in California (Bay Area)

When you visit our state-of-the-art Center for Reproductive Health, you’ll find an expert team of doctors and embryologists who utilize advanced equipment and innovative technologies to provide you with the best medical treatments available. If you’re a Kaiser Permanente member, our electronic medical record system allows your infertility physician to see a total picture of your health so they can recommend the fertility treatment that’s right for your unique needs.
Source: kpivf.com

What Is the Medicare Deductible?

Posted by:  :  Category: Medicare

Medicare Part A covers inpatient hospital stays. The deductible per benefit period is $1,216 as of 2014. A benefit period starts when someone is admitted to a hospital or skilled nursing facility and ends once 60 consecutive days elapse without receiving further hospital or skilled nursing care. Medicare Part B covers other medical care such as outpatient treatment and visits to the doctor. The Part B deductible is $147 per year as of 2014. Part C or Medicare Advantage substitutes a managed health care plan for Parts A and B. Maximum deductibles for Medicare Advantage are the same as for Parts A and B. Plan providers may set deductibles lower. Part D is the Medicare prescription drug plan and there is no deductible as such.
Source: ehow.com

Medicare Supplement High Deductible Plan F

* A benefit period begins on the first day you receive services 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. ** This high deductible plan pays the same benefits as Plan F after one has paid a calendar-year $2,180 deductible. Benefits from High Deductible Plan F will not begin until out-of-pocket expenses are $2,180. Out-of-pocket expenses for this deductible are expenses that would ordinarily be paid by the policy. This includes the Medicare deductibles for Part A and Part B, but does not include the plan’s separate foreign travel emergency deductible. *** 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: bcbsil.com

Medicare Premium And Deductible Changes

Even if your Medicare supplement policy will cover these increased expenses you should keep in mind that any additional cost that is incurred by the insurance company will be another reason for potential rate increases. The same holds true for Medicare Advantage Plans. Advantage Plans must include all Part A and Part B benefits and as you see increases in Medicare costs you will eventually see increases in monthly premiums, higher co-payments or coinsurance and possibly a decrease in benefits.
Source: affordablemedicareplan.com

Are Medicare Premiums Tax Deductible?

Medicare beneficiaries normally pay their premiums through withholding by the Social Security Administration. If you’re retired, for example, your premiums will come out of your monthly benefits. Social Security keeps track of these payments and will issue a form 1099-SSA in January to itemize the amount of your Medicare premiums over the last year. If you’re self-employed, and filing a Schedule C for your business, premiums you pay for health insurance are deductible as an "above the line" write-off on Line 29 of Form 1040.
Source: ehow.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

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

New York Medicare Advantage Plans for 2015 from Touchstone Health

Posted by:  :  Category: Medicare

We understand that everyone has different health care needs. That is why we have a robust selection of Medicare plans to choose from including plans with or without prescription drug coverage and a plan for those who qualify for Medicaid.
Source: touchstoneh.com

Information for Medicare Beneficiaries

Medicare covers two types of physical exams; one when you’re new to Medicare and one each year after that. The Welcome to Medicare physical exam is a one-time review of your health, education and counseling about preventive services, and referrals for other care if needed. Medicare will cover this exam if you get it within the first 12 months of enrolling in Part B. You will pay nothing for the exam if the doctor accepts assignment. When you make your appointment, let your doctor’s office know that you would like to schedule your Welcome to Medicare physical exam. Keep in mind, you don’t need to get the Welcome to Medicare physical exam before getting a yearly Wellness exam. If you have had Medicare Part B for longer than 12 months, you can get a yearly wellness visit to develop or update a personalized prevention plan based on your current health and risk factors. Again, you will pay nothing for this exam if the doctor accepts assignment. This exam is covered once every 12 months.
Source: ny.gov

AARP Medicare Supplement Insurance Plan F

At Plan Medicare we also know how important it is to get personal. We give every client the attention they need to choose, understand, enroll and maintain the best Medicare coverage. Our licensed agents manage everything from: eligibility, paperwork, liaising with insurance providers, billing and payment questions, and staying up to date on policy changes. We are here to help our clients get the most out of their coverage.
Source: planmedicare.com

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

Medicare Part A (Hospital Insurance) Coverage

A spell of illness, called a “benefit period,” refers to the time you are treated in a hospital or skilled nursing facility, or some combination of the two. The benefit period begins the day you enter the hospital or skilled nursing facility as an inpatient and continues until you have been out for 60 consecutive days. If you are in and out of the hospital or nursing facility several times but have not stayed out completely for 60 consecutive days, all your inpatient bills for that time will be figured as part of the same benefit period (even if you are readmitted for a different illness or injury).
Source: nolo.com

How to Enroll in a Medicare Part D Drug Plan

Medicare Rights Center The Medicare Rights Center, an independent, non-profit group, is the largest organization in the United States (aside from the federal government) that provides information and assistance for people with Medicare. Its site has a section about Medicare Part D drug coverage, including information about programs that could help you pay for your prescription drug costs. A unique feature of the site is the Medicare Interactive Counselor, a tool that walks you through the process of finding the drug plan that makes sense for you.
Source: about.com

Medical Brochures : HFS 3757 Medicare Savings for Qualified Beneficiaries

Posted by:  :  Category: Medicare

Many Illinoisans with Medicare can save up to $1,258.80 each year by participating in Medicare cost sharing programs. These programs may pay for Medicare premiums. You can keep more of your Social Security check by enrolling. Many people use the extra money to help pay for living expenses or prescription drugs.
Source: illinois.gov

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

Illinois Medicare Supplement

Welcome to SSIinsure.com, a Insurance website that was built with you in mind.  We are Senior Services of Illinois, Inc., an independent, authorized senior general agent for Blue Cross Blue Shield of Illinois.  Specializing in Medicare Supplement Plans, Medicare Advantage Plans, Medicare Part D prescription drug coverage and Individual Health Insurance.  Now you might be thinking that we are just another insurance site, but we are here to let you know that we want you to understand your coverage options- first and foremost!  That is why you are on the Internet in the first place, right? Looking for good, quality information.  So look around, read some articles and view our testimonials from our clients. Let us help you make an informed descison with your individual and family insurance needs.
Source: ssiinsure.com

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Source: illinoislegalaid.org

Community Care Alliance of Illinois, NFP Medicare Advantage Plans with Part D (Prescription Drug) Coverage

The following Community Care Alliance of Illinois, NFP plans offer Medicare Advantage and Part D coverage to Illinois 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