Blue Medicare PPO and Blue Medicare HMO Providers

Posted by:  :  Category: Medicare

Blue Cross and Blue Shield of North Carolina is an HMO, PPO, and PDP plan with a Medicare contract. Enrollment in Blue Cross and Blue Shield of North Carolina depends on contract renewal. Blue Cross and Blue Shield of North Carolina does not discriminate based on race, ethnicity, national origin, religion, gender, age, mental or physical disability, health status, claims experience, medical history, genetic information, evidence of insurability or geographic location within the service area. All Blue Cross and Blue Shield of North Carolina items and services are available to all eligible beneficiaries in the service area.
Source: bcbsnc.com

Health Insurance Quotes & Plans

If you’d like to speak with us about your insurance coverage options, we have more than 10,000 licensed insurance benefits advisors across the nation. It’s our job to ensure you find the right plan for your needs.
Source: gohealthinsurance.com

Income Limits for Medicare

Posted by:  :  Category: Medicare

The Qualified Medicare Beneficiary program helps to cover the premiums for Parts A and B, plus deductibles, co-payments and co-insurance. The income limits for 2010 are $923 per month for an individual and $1,235 for a married couple. The Specified Low Income Medicare Beneficiary and Qualified Beneficiary programs only help pay Part B premiums. The income limits for these are $1,103 and $1,239 for a single person and $1,477 and $1,660 for married couples, respectively. Finally, the Qualified Disabled and Working Individuals program helps pay for Part A premiums only. The income limits imposed are $3,695 monthly for an individual and $4,942 monthly for a married couple.
Source: ehow.com

What is the Income limit set by Social Security when applying for extra help with Medicare prescription drug plan costs?

(Source: Social Security Administration: Understanding The Extra Help With Your Medicare Prescription Drug Plan publication 10508, SSA Publication No. 05-10115, January 2011. Additional examples and links from Q1Group LLC)
Source: q1medicare.com

FICA – Wage Limits and Tax Rates

To determine the gross pay subject to social security tax withholding, up to the wage base limit, you must first add any taxable fringe benefit amounts and taxable employer-paid deductions. From that taxable gross total, then subtract any Before-Tax Employee Insurance Benefits, parking deductions, and Health Care or Dependent Daycare Reimbursement deductions. The remainder is your social security taxable gross. NOTE: Effective for 2013, an additional .9% Medicare tax is withheld when employees’ wages are in excess of $200,000.  The additional Medicare tax withholding begins with the pay period in which the wages exceed the $200,000 threshold.
Source: umn.edu

Medicare Savings Programs Help Pay Medicare Costs for Qualified Low

To be eligible as a QMB, your income must be no more than slightly above the Federal Poverty Guidelines (FPG), or Federal Poverty Level (FPL). This figure is established each year by the federal government; in 2015, the poverty level is $11,770 per year for an individual and $15,930 per year for a married couple. These figures are somewhat higher in Alaska and Hawaii. It’s important to know, however, that certain amounts of income are not counted in determining QMB eligibility. Particularly if you are still working and most of your income comes from your earnings, you may be able to qualify as a QMB even if your total income is almost twice the FPG. QMB follows the SSI guidelines for countable income, which means roughly half of your income from work is not counted. If, after applying these rules, the figure you arrive at is anywhere close to the QMB qualifying limit ($1001 in monthly countable income in 2015), it is worth applying for it.
Source: nolo.com

California Health Advocates: Medicare Policy, Advocacy and Education

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» Ryan Coble from the Office of Inspector General will discuss durable medical equipment (DME) fraud. Topics include: common DME fraud schemes; DME case examples; and trends and hotspots. She will also discuss what SMPs, beneficiaries and their representatives can look for to detect DME fraud, and what information to provide the OIG when referring DME fraud cases. Due to the law enforcement sensitive information, this training will not be recorded. Register today!
Source: cahealthadvocates.org

Medigap Insurance in California

So, how do you go about choosing and enrolling in the California Medigap insurance plan that meets your unique needs? First, it’s important to comprehend Original Medicare and how a California Medigap supplemental insurance plan can protect you from the “gaps” in coverage. It’s important to learn that Medigap insurance in California is created to protect you from costly physician and medical bills. You can learn more about Original Medicare by reading the resources made available on our website. Next, seniors should obtain quotes from top quality health insurance companies who offer Medigap insurance plans in California. After receiving quotes from at least three trusted California insurers you can then compare the plans yourself or have a professional help you. When you are ready to review California Medigap insurance plans and start the process of getting coverage enter your zip code at the top of the page and our quick and easy plan finder will quickly assist you. There is no obligation. Finally, you can begin the application process with online forms and receive priority processing or speak to one of our Medicare specialists who can help you.
Source: californiamedigap.com

Best Medicare Supplement Insurance Quotes

Every Medicare supplemental insurance plan must follow federal and state laws designed to protect you. Medicare supplement plan insurance companies can only sell you a “modernized” Medicare supplemental insurance plan identified by letters A through N. Each modernized Medicare supplemental insurance plan must offer the same basic benefits, no matter which insurance company sells it.
Source: medicaresupplementplans.com

2010 Medicare Part B Fee Schedules (January 1, 2010 through November 30, 2010)

Posted by:  :  Category: Medicare

On May 10, 2010 CMS released revised physician payment files to Medicare Contractors necessary to reflect changes to payments as a result of the CY 2010 correction notice published in the Federal Register on May 11, 2010 and changes resulting from the Patient Protection and Affordable Health Care Act.  This fee schedule also reflects the Department of Defense Appropriations Act of 2010, the Temporary Extension Act of 2010, and the Continuing Extension Act of 2010 which have provided for a zero percent update to the 2010 Medicare Physician Fee Schedule and is effective for claims with dates of service from January 1, 2010 through May 31, 2010.  Instructions regarding the reprocessing of claims paid prior to the implementation of the revised files is forthcoming from CMS.
Source: ahcancal.org

Medicare Fraud Reporting Center

Medicare Whistleblowers are typically healthcare professionals who are aware of hospitals, clinics, pharmacies, Nursing Homes, Hospices, long term care and other health care facilities that routinely overcharge or seek reimbursement from government programs for medical services not rendered, drugs not used, beds not slept in and ambulance rides not taken. If you have information about a person or a company that is cheating the Medicare program (or any other government run healthcare program), you may be able to collect a large financial reward for reporting it here.
Source: medicarefraudcenter.org

Medicare Supplemental Insurance

Finding the best Medicare Supplemental insurance, Medicare Advantage, and Medicare Part D has gotten more complicated nearly every year. In 2010 Medicare Supplement Insurance added 2 new plans Medigap plan N and Medigap Plan M. At the same time they eliminated several other Medicare Supplement options. Medicare Advantage insurance plans redefine benefits and premiums every year. And, with future Medicare subsidies uncertain due to changing regulation from healthcare reform who can keep up. For many individuals Medicare Supplement Insurance is becoming the best option. Unfortunately, comparing Medicare Supplemental Insurance Plan premiums (Medigap) and Medicare Advantage plans can be a time consuming endeavor. Our highly trained insurance advisors can explain all of your supplemental Insurance options, and assist in finding the best Medicare supplement and Medicare Part D combination that best fits your specific needs. With all the options affecting Supplement insurance and Part D it makes sense to have an expert assist you through the maze.
Source: mysenioradvisorsgroup.com

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 eligibility for new immigrants who are green card holders

A: If you don’t enroll into various parts of Medicare when you are first eligible, and if you want to enroll into any of them later, you will incur the penalties and some of those penalties will continue to apply as long as you have Medicare. Later you apply, more penalties will keep accruing. Therefore, it is the best thing to enroll into all parts of Medicare when you are first eligible. You can find more information about the penalties on Medicare web site including the late enrollment penalty calculator.
Source: insubuy.com

Medicare Card, Replacement, Blog, Social Security Help, Information, Medicaid, Retirement Benefits, Dental Insurance, dental health care plans

For all others, the standard Medicare Part B monthly premium will be $110.50 in 2011, which is a 15% increase over the 2009 premium.  The Medicare Part B premium is increasing in 2011 due to possible increases in Part B costs.  If your income is above $85,000 (single) or $170,000 (married couple), then your Medicare Part B premium may be higher than $110.50 per month.  For additional details, see the FAQ titled: "2011 Part B Premium Amounts for Persons with Higher Income Levels".
Source: medicarecard.com

New Medicare Cards Will Not Display Social Security Numbers

As a reminder, we strongly encourage you to verify the legitimacy of text messages, emails, or phone calls by people who say they are from Social Security. Please contact your local Social Security office, or call Social Security’s nationwide toll-free customer service at 1‑800-772-1213. (Those who are deaf or hard-of-hearing can call Social Security’s TTY number at 1-800-325-0778.) 
Source: ssa.gov

New way to replace a Medicare card

So I thought it was good news when Social Security, which is the managing agency for Medicare, announced this morning that it was making it easier to get a replacement card. Beginning today, as long as you have an account on the MySocialSecurity.gov portal, available at SocialSecurity.gov/myaccount, you can order one. When you get to your MySocialSecurity.gov account, select the “Replacement documents” tab. Then select “Mail my replacement Medicare card,” and expect it to arrive by U.S. mail within 30 days.
Source: bankrate.com

New or Replacement Social Security Number Card

You need a Social Security number to get a job, collect Social Security benefits and get some other government services. But you don’t often need to show your Social Security card. Do not carry your card with you. Keep it in a safe place with your other important papers.
Source: socialsecurity.gov

Medicare Supplement and Medicare Advantage Plans in Texas

Posted by:  :  Category: Medicare

From Houston to Plano, San Antonio to Corpus Christi, Dallas/Ft. Worth to Austin, El Paso to Arlington, Amarillo, Beaumont, Brownsville, Denton, Frisco, Garland, Irving, Laredo, Lubbock, Pasadena or Waco it is important that you find the medicare coverage that fits your life and your lifestyle. We feel that the best care is received when you have your choice of Doctors, and you and your Doctor make your medical decisions. Medigap plans in Texas are available with no medical underwriting during your initial enrollment period. This is when you become eligible for Medicare Part B. You may however, apply to a company and fill out the medical underwriting questions at any time. We are pleased to introduce our Texas Medicare Supplement Comparison Quoting System. It is a very simple process where you enter a few bits of information and then we will quote all of the medicare supplement plans offered by several companies. The companies that we select to quote are based on their strong reputations and competitive pricing. Some of the companies that we represent are: Aetna, BlueCross BlueShield of Texas, Combined Insurance, Equitable Life, Heartland National, Omaha Insurance Company, Standard Life & Casualty, UCT, United American and UnitedHealthcare
Source: medicare-texas.net

Medicare Supplement Quotes in Texas

First, we hope this website provides you a better understanding of what is about to happen like the fact that regardless of what you do or don’t do most if not all seniors automatically become enrolled in Part A of Medicare, this is the part of Medicare that provides your basic coverage. Also you should know that you should automatically have eligibility in Part B of Medicare, that’s the part that provides out patient benefits like doctor charges and testing. There is a small fee for Part B that is deducted from your Social Security benefits. We have provided more detailed information on Texas Medicare Eligibility to hopefully assist in understanding more about it. 
Source: medicareinsurancetexas.com

Texas Medicaid Program: Texas Dual Eligible Integrated Care Project

Beginning April 1, 2015, dual eligible members in the six demonstration counties will be passively enrolled into a Medicare-Medicaid plan, following a notification process, which is explained below. The letters explain the project and identify the Medicare-Medicaid plan the member will be enrolled in if the member takes no action. The plan will provide the member the full array of Medicaid and Medicare services, integrating acute care and long term services and supports. 
Source: tx.us

Texas Medicare Part D & Medicare Advantage Plans

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

Texas Medicaid Eligibility Requirements

To be considered a resident of Texas, a person must have an established residence within the state of Texas and intend to continue living in Texas. Medicaid applicants can leave Texas and visit other states as long as they plan to return. They also can leave the United States for up to 30 consecutive days without affecting eligibility. If an applicant plans to visit another state or reside in another location in Texas for more than a month, he should report the change of address to the Health and Human Services Commission.
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

Ohio Department of Insurance

2015 Medicare Check -Up Events:  Do you need accurate, unbiased information about Medicare? Join OSHIIP this fall at a Medicare Check-up Event to learn about important 2016 changes regarding Medicare Part D plans, and Medicare Advantage Plans.  A full list of events can be found here.
Source: ohio.gov

Medicare Eligibility Requirements

Posted by:  :  Category: Medicare

Note: You can qualify for Medicare on your spouse’s work record if he or she is at least age 62 and you are at least age 65. You also may qualify on the work record of a divorced or deceased spouse. Following the Supreme Court’s ruling on the Defense of Marriage Act in June 2013, people in same-sex marriages may qualify on their spouse’s work record if they live in the state where they were wed or in another state that recognizes same-sex marriage, or if they are civilian or military employees of the federal government. It’s currently unclear whether same-sex couples outside of these categories have the same rights — but if you’re in this position, you should apply anyway.
Source: aarp.org

Medicare Eligibility Rules

If you are age 65 and currently receiving Social Security or Railroad Retirement Benefits, you are eligible for Medicare and you will be automatically enrolled in Medicare Part A and Part B. However, because Part B has a premium, you have the option of declining Part B coverage. In addition, Part B does require payment of a monthly premium of $104.90, barring certain exceptions, for individuals enrolling in Part B January 1, 2015 or later. These premiums can change on an annual basis.
Source: planprescriber.com

Federal Poverty Level for Determining Eligibility for Medicare and Medicaid Benefits

If your income is under 135% FPL, there are other Medicare Savings Programs you can qualify for. One of these programs is the Qualifying Individual (QI) program, which pays your monthly Part B premium. The income limit for another Medicare Savings Program, Specified Low-Income Medicare Beneficiary (SLMB), is 120%, but the program provides the same benefit – payment of the monthly Part B premium.
Source: nolo.com

Raising the Ages of Eligibility for Medicare and Social Security

Raising the ages at which people can collect Medicare and Social Security would reduce federal spending and increase federal revenues by inducing some people to work longer. However, raising the eligibility ages for those programs also would reduce people’s lifetime Social Security benefits and cause many of the people who would otherwise have enrolled in Medicare to face higher premiums for health insurance, higher out-of-pocket costs for health care, or both. This issue brief reviews how ages of eligibility affect beneficiaries under current law and how delaying eligibility would affect beneficiaries, the federal budget, and the economy.
Source: cbo.gov

Medicare Part D: A First Look at Plan Offerings in 2014

Posted by:  :  Category: Medicare

In contrast to the program’s first years, a growing number of PDPs are using preferred pharmacy networks, whereby enrollees pay lower cost sharing for their prescriptions when they use preferred pharmacies (although cost-sharing differences vary considerably across the plans).  This trend has gained prominence in recent years with the market entry of co-branded PDPs featuring relationships with specific pharmacy chains, such as the Humana Walmart-Preferred Rx PDP (new in 2011) and the Aetna CVS/Pharmacy PDP (new in 2012).  In 2006, there were some co-branding relationships between PDPs and pharmacy chains, but in general they were not accompanied by lower cost sharing at the pharmacy chains.  About 72 percent of all PDPs in 2014 will have a preferred pharmacy network with lower cost-sharing levels when prescriptions are filled at preferred pharmacies.  For example, in the AARP Medicare Rx Saver Plus PDP, the copayment for a preferred brand drug will be $20 in a preferred pharmacy and $30 in another network pharmacy.  Copayments in the new Humana Walmart Rx Plan at a preferred pharmacy will be $1 for drugs on the preferred generic tier and $4 for drugs on the non-preferred generic tier, compared to $10 and $33, respectively, at other network pharmacies.
Source: kff.org

J5 MAC Part B Provider Home Page

Applicable FARSDFARS Restrictions Apply to Government Use. This product includes CPT which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60654. U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer data bases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(2) (November 1995) and/or subject to the restrictions of DFARS 227.7202-1(a) (June 1995) and DFARS 227.7202-3(a) (June 1995), as applicable for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14 (June 1987) and/or subject to the restricted rights provisions of FAR 52.227-14 (June 1987) and FAR 52.227-19 (June 1987), as applicable, and any applicable agency FAR Supplements, for non-Department of Defense Federal procurements.
Source: wpsmedicare.com

UnitedHealthcare Medicare Plans

Posted by:  :  Category: Medicare

A Medicare Advantage Plan (Part C) is a type of Medicare health plan offered by a private insurance company that contracts with Medicare to provide Original Medicare (Parts A and  B) benefits. Medicare Advantage Plans can combine hospital, doctor and drug coverage in one plan, and may include extra benefits not offered by Original Medicare.
Source: uhc.com

What is Medicare? What is Medicaid?

Medicare Part A, or Hospital Insurance (HI), helps pay for hospital stays, which includes meals, supplies, testing, and a semi-private room. This part also pays for home health care such as physical, occupational, and speech therapy that is provided on a part-time basis and deemed medically necessary. Care in a skilled nursing facility as well as certain medical equipment for the aged and disabled such as walkers and wheelchairs are also covered by Part A. Part A is generally available without having to pay a monthly premium since payroll taxes are used to cover these costs.
Source: medicalnewstoday.com