Florida Department of Children and Families

Posted by:  :  Category: Medicare

This may result in fines of up to $250,000, a prison term or both, if you are convicted of public assistance fraud. In addition you will not be able to get benefits for 12 months the first time, 24 months the second time, and permanently the third time that you provide false or inaccurate information.
Source: myflorida.com

South Florida Doctor Indicted for Medicare Fraud

The indictment alleges that from as early as 2004 and continuing through at least Dec. 31, 2013, Melgen participated in a scheme to defraud Medicare and other health care benefit programs, by submitting false claims and creating fraudulent entries on patients’ medical charts.  Melgen is alleged to have falsely diagnosed patients with serious eye conditions, notably age-related macular degeneration (ARMD or AMD) and retinal disorders.  Macular degeneration is a disease of the retina that is one of the leading causes of severe vision loss in persons age 65 and older.  There are two forms of ARMD, “dry” and “wet.”  In patients with dry macular degeneration, the cells of the central area of the retina (the macula) break down, causing distorted and blurred vision.  In wet macular degeneration, abnormal blood vessels leak blood and fluid into the macula, causing scarring and rapid loss of vision.  Without treatment, wet ARMD can lead to permanent vision loss.  Based upon the false diagnoses, the defendant would allegedly perform and bill for medically unreasonable and unnecessary tests and procedures, which included unnecessary laser surgeries and eye injections.
Source: justice.gov

Social Security Atlanta Region Florida Area

The Florida area is comprised of all the cities in the state of Florida. Click "here" to find more information about the address, location, phone number, and hours of operation for the following offices:
Source: ssa.gov

Get Medicare Part D Quotes in Seconds

Posted by:  :  Category: Medicare

As could be expected, prices for Humana policies rocketed for the 2014 calendar year. Mean premiums for Humana Part D jumped from $21.80 to $38.70. Medicare Part D is priced at $41.55 and Part D Medicare comes in at the slightly lower price of $38.80. Humana’s standalone market share coverage has dropped to 18.6% whereas their Medicare Part D policies have increased to a market share of 12.8%.
Source: medicareaide.com

Health Insurance, Dental Insurance & Other Insurance Plans

Saving money on health care can be a challenge. But we’re here to help. There are a number of ways to reduce your out-of-pocket costs. For example, choose an in-network doctor or hospital instead of one that’s out of network. Another good way to save is to choose a plan that is compatible with a tax-advantaged health savings account.
Source: aetna.com

SilverSneakers Medicare Programs

So, what exactly is SilverSneakers?  SilverSneakers is essentially a gym membership or fitness club membership to participating centers across the country.  You can find participating gyms by going to www.silversneakers.com and typing in your zip code.  You can find out if your Medicare plan offers Silver Sneakers by calling 1-888-423-4632.  Here are some of the features offered by SilverSneakers.
Source: medicare-plans.net

Medicare Open Enrollment 2016

Posted by:  :  Category: Medicare

Doughnut hole: A gap in prescription drug benefits. In 2015, Part D enrollees will pay a monthly premium and may, depending on the plan, pay a deductible on prescriptions. Once any deductible is met, they pay copayments or co-insurance for their drugs until total drug spending – what the plan pays and what the enrollee pays combined – reaches $2,970 for the year. Then the enrollee pays 47.5 percent of the cost of brand-name drugs and 79 percent of the cost of generics until total out-of-pocket expenses for the year reach $4,750. After that, the enrollee reaches catastrophic coverage and pays only a small portion of drug costs, either 5 percent or copayments of $2.65 for generics and $6.60 for brands, whichever is more.
Source: medicarehealthinsurancefacts.com

MEDICARE HEALTH INSURANCE, and Supplemental Insurance for Medicare by 1

Posted by:  :  Category: Medicare

What is an Annuity and what is the benefit of having one? One of the biggest concerns of retirees is the fear that they might outlive their income. Many insurance companies and financial institution can help to alleviate these fears by providing you with and annuity; a long-term, interest building agreement that guarantees that you will not outlive your income. There are various types of annuities and they have different structures and interest rates. The type of annuity that is right for you will depend on what goals you have established for your financial future. An annuity can work along-side your life insurance policy to provide you and your loved ones with financial security. Life insurance protects in the event of death and an annuity guarantees long-term income if you should live an exceptionally long life.  Establishing a personal annuity could be the most important tool in setting yourself up for a comfortable retirement. Many annuities provide guaranteed interest and/or annuity income rates. They also provide you relief from dealing with probate and they are tax differed (1). With tax deferral, you would not pay income taxes on the annuity until funds are withdrawn (2). This means that they annuity will have the potential to grow at a faster rate. Again, plans will differ from company to company and it is important to research the different types of annuities and to make sure you are aware of all the positives and negatives of each type of annuity before deciding on a plan type and company. 1 Please seek the council of a tax advisor to verity the laws of your state. If the beneficiary is the owner’s estate then the proceeds may be subject to probate.
Source: youandmedicare.com

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 Supplement Insurance Plans & Medigap Plans and Rates for
2011. See Plan Chart for AL, AR, AZ, CO, FL, GA, IA, ID, KS, KY, LA, MD, MI, MO, MN, MS,
NC, NE, NM, OH, OK, SC, TN, TX, VA & WV. Medigap Insurance Plans including the
Popular Plan F & G

Year after year we have found Medicare Supplement Plan F or Medicare Supplement Plan G to be the best value for the dollar. The new Plan N is a great alternative to a Medicare Advantage plan.  Plan N might be recommended depending on which state you live in and how much the supplement cost in relation to available Medicare Advantage plans. A plan N will provide more coverage and a very reasonable premium. In Florida we have the lowest rate for plan F & plan N. See the Medicare Supplement Plan chart below. In general, the higher you go up in the plan chart the more Gaps the plan fills. Medicare Supplement Plan F is the most comprehensive supplement plan and there is not a better plan than F. Most people will select a Plan F. However, depending on your personal situation there may be a more cost efficient choice.
Source: themedicarechannel.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

Annual Statistical Supplement, 2011

Beginning January 1, 2006, upon voluntary enrollment in either a stand-alone PDP or an integrated Medicare Advantage plan that offers Part D coverage in its benefit, subsidized prescription drug coverage. Most FDA-approved drugs and biologicals are covered. However, plans may set up formularies for their drug coverage, subject to certain statutory standards. (Drugs currently covered in Parts A and B remain covered there.) Part D coverage can consist of either standard coverage or an alternative design that provides the same actuarial value. (For an additional premium, plans may also offer supplemental coverage exceeding the value of basic coverage.) Standard Part D coverage is defined for 2006 as having a $250 deductible, with 25 percent coinsurance (or other actuarially equivalent amounts) for drug costs above the deductible and below the initial coverage limit of $2,250. The beneficiary is then responsible for all costs until the $3,600 out-of-pocket limit (which is equivalent to total drug costs of $5,100) is reached. For higher costs, there is catastrophic coverage; it requires enrollees to pay the greater of 5 percent coinsurance or a small copay ($2 for generic or preferred multisource brand and $5 for other drugs). After 2006, these benefit parameters are indexed to the growth in per capita Part D spending (see Table 2.C1). In determining out-of-pocket costs, only those amounts actually paid by the enrollee or another individual (and not reimbursed through insurance) are counted; the exception is cost-sharing assistance from Medicare’s low-income subsidies (certain beneficiaries with low incomes and modest assets will be eligible for certain subsidies that eliminate or reduce their Part D premiums, cost-sharing, or both) and from State Pharmacy Assistance Programs. A beneficiary premium, representing 25.5 percent of the cost of basic coverage on average, is required (except for certain low-income beneficiaries, as previously mentioned, who may pay a reduced or no premium). For PDPs and the drug portion of Medicare Advantage plans, the premium will be determined by a bid process; each plan’s premium will be 25.5 percent of the national weighted average plus or minus the difference between the plan’s bid and the average. To help them gain experience with the Medicare population, plans will be protected by a system of risk corridors, which allow Part D to assist with unexpected costs and to share in unexpected savings; after 2007, the risk corridors became less protective. To encourage employer and union plans to continue prescription drug coverage to Medicare retirees, subsidies to these plans are authorized; the plan must meet or exceed the value of standard Part D coverage, and the subsidy pays 28 percent of the allowable costs associated with enrollee prescription drug costs between a specified cost threshold ($250 in 2006, indexed thereafter) and a specified cost limit ($5,000 in 2006, indexed thereafter).
Source: ssa.gov

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

Annual Statistical Supplement, 2011

d. Standard premium rate for voluntary enrollment by certain aged and disabled individuals not otherwise entitled to Hospital Insurance (HI). (Most individuals aged 65 and older and many disabled individuals under age 65 are insured for HI benefits without payment of any premium.) Beginning in 1994, a reduced premium is available to premium-paying HI enrollees with at least 30 quarters of Medicare-covered employment (either their own or through a current or former spouse if the marriage meets certain duration criteria). In most cases, a surcharge applies for beneficiaries who enroll after their initial enrollment period.
Source: ssa.gov

California Health Advocates: Medicare Policy, Advocacy and Education

Posted by:  :  Category: Medicare

» 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

2015 Medicare Advantage Plans Available to Residents of California

AK  AL  AR  AZ  CA  CO  CT  DC  DE  FL  GA  HI  IA  ID  IL  IN  KS  KY  LA  MA  MD  ME  MI  MN  MO  MS  MT  NC  ND  NE  NH  NJ  NM  NV  NY  OH  OK  OR  PA  RI  SC  SD  TN  TX  UT  VA  VT  WA  WI  WV  WY
Source: q1medicare.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

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

North Carolina Medicare Advantage Plans with Part D (Prescription Drug) Coverage

Posted by:  :  Category: Medicare

The plans below offer Medicare Advantage and Part D coverage to North Carolina 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

NC DMA: Medicaid for Medicare Recipients

Medicare-Aid is a free Medicaid program for people who have Medicare and also have limited income and resources. The program can help pay your Medicare premiums, co-payments and deductibles. It is also known as Medicare Savings Program. There are three different levels of Medicare-Aid. All are based on an individual’s countable income.
Source: ncdhhs.gov

North Carolina Medicare Supplement Plans

When should you sign up for a Medicare Supplement plan in North Carolina? The best time to enroll is during the six-month period called the Medigap Open Enrollment Period (OEP). This period begins when you are both age 65 or older and are enrolled in Medicare Part B. Medicare beneficiaries can enroll in a plan during this time without being subjected to medical underwriting. This means that an insurance company offering Medicare Supplement plans in North Carolina cannot deny you coverage completely, or restrict plan availability for medical reasons.
Source: ehealthmedicare.com

Health Insurance for North Carolina

We’ll be doing website maintenance Thursday, November 13 from 8 p.m. until 10 p.m. You may experience problems accessing certain areas of bcbsnc.com during that time. We’re sorry for the inconvenience.
Source: bcbsnc.com

Nursing Homes in North Carolina; NC Convalescent Homes, Nursing Home Directory

422 North Carolina Nursing Homes, rehab and rehabilitation, convalescent facilities listed in the Compare Nursing Homes database at www. medicare.gov. We do not sell, endorse or recommend any service, product or particular facility.
Source: dibbern.com

Social Security Atlanta Region North Carolina Area

The North Carolina area is comprised of all the cities in the state of North Carolina. Click "here" to find more information about the address, location, phone number, and hours of operation for the following offices:
Source: ssa.gov

2015 Medicare Advantage Plans Available to Residents of Florida

Posted by:  :  Category: Medicare

AK  AL  AR  AZ  CA  CO  CT  DC  DE  FL  GA  HI  IA  ID  IL  IN  KS  KY  LA  MA  MD  ME  MI  MN  MO  MS  MT  NC  ND  NE  NH  NJ  NM  NV  NY  OH  OK  OR  PA  RI  SC  SD  TN  TX  UT  VA  VT  WA  WI  WV  WY
Source: q1medicare.com

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

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

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

EmblemHealth: Family & Individual Health Insurance Plans In New York

Posted by:  :  Category: Medicare

To view this Web site, you need to have JavaScript enabled in your browser. Don’t worry — you can still sign in to the secure myEmblemHealth Web site or search for a doctor using the links below. If you need help registering for the secure site, please call Customer Service at the number on the back of your ID card.
Source: emblemhealth.com

Hip Replacement and Medicare coverage??? (medical, plan, hospital, doctor)

Barb, I had a total hip replacement on the left side last last June 2012 and wish I had done it sooner! I researched the surgeons who only do the anterior approach. It is much less invasive, zero chance of dislocation (unless you really mess up yourself by pivoting with your foot flat on the floor), not as much blood loss or complications etc., and a much easier recovery. I was in the hospital only 3 days, went to a rehab place for 5 days, but it was an awful place and I was not getting any PT etc., so I checked out of there and went home. Did not have any family support or care at home, except for the physical therapy (Medicare covers) at home, probably 9 times, I forget. Then outpatient PT to which I drove myself there. Was offered home health care, but didn’t need or want it, was doing fine after 3 weeks and driving. Look up doctors who specialize in the anterior method. Smaller incision high on the hip, no muscles are cut etc., excellent way to go. Mine is ceramic and titanium, they don’t do metal on metal anymore. With the old method you have a lot of strict precautions. Now I need to have the right hip done (which is now bone on bone, yikes), and will schedule it for March or so right here at home in NC; that way I’m good to go for the spring and summer best weather; and I know what to expect. I won’t go to any rehab/nursing center, better off at home with PT at the house. Those places are awful. Actually, the one I went to did some fraudulent Medicare billing and I’ve reported them. I never once got PT and they billed something like $1700 for PT which I never got, and something ridiculous for OT (occupational therapy which I never got). I had no choice about where to go for rehab, it was chosen on a first come first serve basis. (I did not have it done here in NC, had it done up north to be near family. haha.) So depending on where you live, if you want to go to rehab, visit the places and make sure they are clean and well rated. Most good hospitals and surgeons have a "Joint Center" and you have a private room, and great care. Choose the best surgeon you can find. Once you are recovered, probably within a month, you will wish you had it done sooner. No more pain.
Source: city-data.com

Medicare plans big payment changes for knee and hip replacements

Six years after end-of-life planning nearly derailed development of the Affordable Care Act amid charges of “death panels,” the Obama administration has revived a proposal to reimburse physicians for talking with their Medicare patients about how patients want to be cared for as they near death. ( Noam N. Levey )
Source: latimes.com

Medicare proposes payment changes to hospitals for hip, knee replacement

The proposal announced Thursday by the Centers for Medicare and Medicaid Services is part of the Obama administration’s efforts to overhaul the health-care system, in part by using the payment system to reward quality of care rather than volume of services. Under the current system, doctors and hospitals typically get paid set fees for every procedure they perform, regardless of how patients fare.
Source: washingtonpost.com

U.S. proposes bundling some Medicare knee, hip replacement payments

The Centers for Medicare and Medicaid Services (CMS) invited providers on Thursday to comment on a proposal that would hold hospitals in 75 geographic areas accountable for the quality of care they deliver to Medicare fee-for-service beneficiaries for hip and knee replacements from surgery through recovery.
Source: reuters.com

Medicare Plans to Fix Rates on Knee, Hip Replacements

WASHINGTON—Medicare wants to start paying hospitals fixed amounts for hip and knee replacements, rather than letting providers bill individually for each surgical and recovery service provided to older Americans, health officials said Thursday.
Source: wsj.com

Department of Human Services

Posted by:  :  Category: Medicare

For questions about New Jersey Medicaid, call 1-800-356-1561 or your County Welfare Agency For questions about NJ FamilyCare call 1-800-701-0710 You can also get information by visiting NJHelps.org, where you can self-screen for eligibility for NJ FamilyCare/Medicaid, as well as for many other social service programs.
Source: nj.us

New Jersey Medicaid Attorney

He met with me and explained all of my options for my mom, from at home/community care, assisted living, state, county and local programs for the elderly, financial eligibility for benefits, Medicaid qualification, pharmaceutical assistance, utility aid, Medicare and Veteran’s benefits, etc.  While I felt overwhelmed by it all, Mr. Niemann clearly was in control of what could be done for Mom.  We engaged him to make applications for subsidized at-home care and assistance through available grant programs and as part of his services to us, he is counseling us on a reverse mortgage, income and financial products to enhance Mom’s monthly income and to reduce her expenses.  Mom would tell me to let Mr. Niemann make all the decisions although I am her Power of Attorney.  I value so much his confident and generally caring manner.  If you’re trying to help your Mom, Dad or family member deal with a life changing health condition, call Mr. Niemann.  I’m glad I did and so is Mom.
Source: njmedicaidattorney.com

Medicaid : New Jersey Estate Planning & Elder Law Blog

If you give away an asset and keep a life estate in that asset, the life estate acts like a "string" that pulls 100% of the value of the asset into your taxable estate.  From an estate tax perspective, this mean that (1) 100% of the value of the house is included in decedents taxable estate, and (2) the cost basis of the house is "stepped-up" to the value of the house on date of death (IRC 2036).  So, if Mom bought the house for $40,000 and it is now worth $440,000, Mom’s estate includes the house valued at $440,000, and kids get the house with a $440,000 basis.  When they sell the house for $450,000 down the road, then they only have $10,000 of capital gain.  The $400,000 of appreciation that occurred during Mom’s lifetime essentially disappears (you potentially pay estate tax instead).  If the total estate is less than $675,000 (New Jersey) or $1,000,000 (federal starting in 2011 – unless congress changes it), then there will be no estate tax due.  If there is a New Jersey estate tax, the rate ranges up to 16% on amounts over $675,000 – this is far less than the capital gains tax (15% federal plus 7.5% NJ) on $400,000 if Mom simply gave the house to the kids without keeping the life estate.  
Source: njelderlawestateplanning.com

New Jersey Office of the State Comptroller

The New Jersey “Medicaid Program Integrity and Protection Act”, C.30:4D-53 et seq. established the Office of the Medicaid Inspector General to detect, prevent, and investigate Medicaid fraud and abuse, recover improperly expended Medicaid funds, enforce Medicaid rules and regulations, audit cost reports and claims, and review quality of care given to Medicaid recipients. On June 29, 2010, Governor Chris Christie signed P.L. 2010, Chapter 33, which officially transferred these functions, powers and duties of the Office of the Medicaid Inspector General to the Office of the State Comptroller. The Office of the State Comptroller then created the Medicaid Fraud Division. The Division conducts investigations of fraud, waste and abuse, performs background checks on all Medicaid provider applicants, and coordinates oversight efforts among all State agencies which provide and administer Medicaid services and programs, including FamilyCare and Charity Care. The Medicaid Fraud Division also works to recover improperly expended Medicaid funds, enforces Medicaid rules and regulations, audits cost reports and claims, reviews the quality of care given to Medicaid recipients, and excludes or terminates providers from the Medicaid program where necessary. Additionally, the Division refers criminal prosecutions to the Attorney General’s office, issues recommendations for corrective or remedial actions to the Governor, President of the Senate, and Speaker of the General Assembly and conducts educational programs for Medicaid providers, vendors, contractors and recipients.
Source: nj.gov

Medicare Supplement Insurance

Posted by:  :  Category: Medicare

* Plan F also has an option called a high-deductible Plan F. This high-deductible plan pays the same or offers 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. These expenses include the Medicare deductibles for Part A and Part B, but do not include the plan’s separate foreign travel emergency deductible. ** Hospital benefits must be provided by facilities participating with Medicare. Payments are limited to the reasonable charge as determined by Medicare. *** After 90 days of hospitalization, Medicare benefits are paid from a one-time lifetime reserve of 60 additional days (days 91-150) which are not renewable each benefit period. See your Outline of Coverage for details and limitations of these benefits.
Source: bcbsnm.com

Nursing Homes in New Mexico

At the top of the New Mexico nursing homes list are those with a rating of five stars from the federal Centers for Medicare & Medicaid Services for their overall performance in health inspections, nurse staffing and quality of medical care. About 20 percent of all nursing homes in New Mexico earned an overall five-star rating. Narrow your search for a Best Nursing Home by clicking on a metro area or region or by entering a ZIP code.
Source: usnews.com

New Mexico health insurance: find affordable coverage

New Mexico received a federal grant of nearly $77.4 million under the ACA to create a Consumer Operated and Oriented Plan (CO-OP). In total, more than $2 billion was awarded for CO-OP creation, but only 22 states participated. New Mexico Health Connections is the newly-created CO-OP, offering plans for sale in the New Mexico exchange along with three other carriers: Blue Cross and Blue Shield of New Mexico, Molina Healthcare of New Mexico, and Presbyterian Health Plan. In late July, the state announced that CHRISTUS Health Plan of Texas would be joining the exchange for the 2015 open enrollment that begins in November, bringing the total number of carriers to five.
Source: healthinsurance.org

New Mexico Association for Home & Hospice Care

Our Mission: New Mexico Association for Home and Hospice Care is a resource that serves its membership by facilitating advocacy, networking, education and communication to promote success and best practices in home and hospice care and related support services. With 40 years of experience and more than 150 agency members – the New Mexico Association for Home and Hospice Care works to ensure that every New Mexican in need of care who wants to stay at home has access to quality care- at home.
Source: nmahc.org