Medicare & Medicaid Lawyers

Posted by:  :  Category: Medicare

Your doctor prescribes some drugs or orders a test when you visit his office; it’s no big deal, right? You made an appointment to figure out what’s wrong with you and the doctor’s trying to do just th … Read more
Source: lawyers.com

California Health Advocates: Medicare Policy, Advocacy and Education

» 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

Atlanta Georgia Elder Law Attorney Medicare Medicaid Nursing Home Care Lawyer, Ira M. Leff, Attorney at Law

Since 1989, my practice has concentrated in the area of elder law.  I work with families who are facing the likelihood of having to pay the high cost of long-term care and they do not have sufficient funds or insurance to cover that cost.  I assist the families with incapacity planning (powers of attorney and advance health care directives); estate planning (wills and trusts); retirement planning; Medicare, Medicaid, Medigap, health insurance, pharmaceutical insurance and long-term care insurance; Veteran’s Benefits; housing options; and nursing home malpractice.
Source: iraleff.com

Grassley to Attorney General Lynch: crack down on Medicare Advantage overbilling

Grassley additionally referenced Center for Public Integrity reports on “an increasing number” of whistleblower lawsuits targeting Medicare Advantage. The suits argue that some insurance companies that offer Medicare Advantage “are allegedly engaging in billing abuse by altering patient records in order to claim patients are sicker than they actually are….News reports indicate that some insurance companies are wrongfully claiming sicker patients, leading to inflated risk scores and reimbursements,” Grassley wrote.
Source: publicintegrity.org

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

New York Medicare Advantage Plans with Part D (Prescription Drug) Coverage

The plans below offer Medicare Advantage and Part D coverage to New York 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

EmblemHealth: Family & Individual Health Insurance Plans In New York

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

Visiting Nurse Service of New York

Since the devastation of Sandy, VNSNY’s Emergency Response team is coordinating the efforts of thousands of professional and paraprofessional clinicians and office staff who continue to work around the clock to ensure that care is delivered seamlessly. Please donate online now to help us give New Yorkers the care they deserve, call 212-609-1525 to make a contribution over the phone, or print our donation form and mail it directly to us. We have established the VNSNY Relief Fund to help the many patients and employees affected by the aftermath of Sandy.
Source: vnsny.org

Kentucky: Cabinet for Health and Family Services

Posted by:  :  Category: Medicare

Resources include but are not limited to, checking accounts, savings accounts, stocks, bonds, certificates of deposit, annuities, trusts and life insurance policies. Some resources may be excluded if they fall under the exemption criteria for Medicaid eligibility. Some examples would be the home you live in, the vehicle you drive or up to $1,500 for burial expenses or life insurance.
Source: ky.gov

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

The page could not be loaded. The Medicare.gov Home page currently does not fully support browsers with "JavaScript" disabled. Please note that if you choose to continue without enabling "JavaScript" certain functionalities on this website may not be available.
Source: medicare.gov

Kentucky: Cabinet for Health and Family Services

- The CHFS Institutional Review Board for the Protection of Human Subjects (CHFS-IRB) provides protection for clients or employees of CHFS involved in research as subjects.  Any request to conduct research that involves clients or employees of CHFS as subjects or information or data about CHFS clients or employees for research purposes must be submitted to the CHFS-IRB for review and approval.
Source: ky.gov

Florida Blue Medicare Advantage Plans for 2015

Posted by:  :  Category: Medicare

Are you a Florida senior citizen who is trying to maximize your Medicare benefits? Just as each senior citizen has her own unique needs and preferences, insurers offer a variety of different ways to enjoy these hard-earned health benefits and even help you plan for medical expenses that original Medicare does not completely cover. At Secure Health Options, we want to help all Floridians find the right plan that assures them of convenient and affordable access to the best medical providers. You can request information on Medicare Advantage plans and Florida Medicare supplemental insurance in your own local area by entering your home ZIP code in the box at the top of this page. If you have questions or would like help signing up, be sure to give us a call.
Source: floridamedicareadvantageplans.com

Download claims with Medicare’s Blue Button

MyMedicare.gov’s Blue Button provides you an easy way to download your personal health information to a file. Once you’re in your MyMedicare.gov account, you can download the file of your personal data and save the file on your own personal computer. After you have saved it, you can import that same file into other computer-based personal health management tools. The Blue Button is safe, secure, reliable, and easy to use.
Source: medicare.gov

Medicare plans from Independence Blue Cross

Posted by:  :  Category: Medicare

To file an appeal or grievance for your medical benefit coverage or your prescription drug coverage, contact Keystone 65 Customer Service at 1-800-645-3965; Personal Choice 65 Customer Service at 1-888-718-3333; Select Option Customer Service at 1-888-678-7009. TTY/TDD users should call 711, 7 days a week, 8 a.m. to 8 p.m.
Source: ibxmedicare.com

Keystone 65 HMO Medicare Advantage Plans with Part D (Prescription Drug) Coverage

The following Keystone 65 HMO plans offer Medicare Advantage and Part D coverage to Pennsylvania 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

Personal Choice 65 PPO Medicare Advantage Plans with Part D (Prescription Drug) Coverage

The following Personal Choice 65 PPO plans offer Medicare Advantage and Part D coverage to Pennsylvania 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

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

New York Doctor Pleads Guilty in $14.2 Million Medicare Fraud Scheme

Roman Johnson, 40, formerly of Buffalo, New York, pleaded guilty before U.S. Magistrate Judge Marilyn D. Go in the Eastern District of New York to one count of conspiracy to commit health care fraud.  Sentencing will be scheduled at a later date.  As part of the plea, Johnson agreed to pay $5,386,363 in restitution to the Medicare program, which represents the total amount of money Medicare paid as the result of the fraudulent claims.
Source: justice.gov

Benefits for People with Disabilities

Posted by:  :  Category: Medicare

The Social Security and Supplemental Security Income disability programs are the largest of several Federal programs that provide assistance to people with disabilities. While these two programs are different in many ways, both are administered by the Social Security Administration and only individuals who have a disability and meet medical criteria may qualify for benefits under either program.
Source: ssa.gov

Medicare Eligibility Requirements

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

What is the Difference between Medicare and Medicaid?

Unlike Medicare, which is federally-run, Medicaid is run at the state level with federal guidelines. There are also very different qualifying guidelines for Medicaid. Because Medicaid is a needs-based program, there are specific income and asset limits. The limits vary by state and by the number of dependents in a particular household. Having low-income, however, is not always enough to qualify for Medicaid in some states. Priority is usually given to pregnant women, families, children, the disabled and elderly. For example, a single male may make the same amount of money as a single, pregnant female, but the male may not qualify whereas the female will qualify due to the fact that she is with child and the child will also qualify once he or she is born.
Source: disability-benefits-help.org

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

Coventry Medicare: Advantra Plans

Posted by:  :  Category: Medicare

Our Medicare Advantage plans are open to all Medicare beneficiaries eligible by age or disability and living in the plan’s service area. You must be entitled to Medicare benefits under Part A and be enrolled in Part B. You must continue to pay your Medicare Part B premium if not otherwise paid for under Medicaid or by another third party. If you switch to premium withhold or move from premium withhold to direct bill, it can take up to three months for the switch to take effect. You will be held responsible for those premiums.  You may enroll during specific times of the year. You cannot enroll in this plan if your current or former employer helps pay for your drugs.  For information on enrollment periods and for full information on Coventry benefits, please click here to contact our Customer Service Department.
Source: coventryhealthcare.com

Coventry Medicare: Advantra (HMO/PPO)

Whether you are an employer, health care provider, someone interested in enrolling, or already a current member, our goal is to provide you with valuable and convenient online resources and information. Come explore the ways in which we can help you take charge of your Medicare Advantage coverage.
Source: coventryhealthcare.com

Coventry Medicare: Advantra (HMO/PPO)

Western Pennsylvania & Ohio Phone: 1-855-338-9566   Central Pennsylvania & Southeastern Pennsylvania Phone: 1-855-338-9566   TDD/TTY: 711 Telecommunications Relay Service or 1-800-877-8973 8:00 a.m. – 8:00 p.m., local time, seven days a week, from October 1 – February 14 8:00 a.m. – 8.00 p.m., Monday – Friday, from February 15 – September 30
Source: coventryhealthcare.com

Coventry Medicare: Advantra

For general information about all of Coventry Health Care’s Medicare products, call 1-877-988-3589, TDD/TTY: 711 Telecommunications Relay Service 8:00 a.m. – 8:00 p.m., local time, seven days a week, from October 1 – February 14 8:00 a.m. – 8.00 p.m., Monday – Friday, from February 15 – September 30 Para informacion en español, por favor de llamar gratis al 1-866-981-5344.
Source: coventryhealthcare.com

Coventry Advantra HMO for State of Illinois Medicare retirees: Home

*By providing my email address or telephone number, I give permission to Coventry Health Care sales and service representatives to contact me in the manner indicated above regarding Coventry Health Care Medicare Advantage (HMO/PPO/HMO-POS) plans, products, services and/or educational initiatives related to health care. Coventry Health Care is a Coordinated Care plan with a Medicare contract. Enrollment in our plan depends on contract renewal. The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan. Limitations, copayments and restrictions may apply. Benefits, formulary, pharmacy network, provider network, premium and/or copayments/coinsurance may change on January 1 of each year. You must continue to pay your Medicare Part B premium. SilverSneakers® is a registered mark of Healthways, Inc. Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next.
Source: aetna-coventryretiree.com

Coventry Health Care of Missouri: Members

Learn more about the Affordable Care Act and what it means to you. View important health care reform information on our corporate site. For existing members, to obtain the terms of your policy or a copy of your plan document, please contact us at the number located on the back of your member ID card. If you are not an existing member, for additional information on the terms of the policy or a copy of the plan document, please contact us using the appropriate number.
Source: coventryhealthcare.com

New Hampshire Insurance Department

Posted by:  :  Category: Medicare

- Special Fraud Alert from the Office of Inspector General (OIG) The OIG has received credible information that some Durable Medical Equipment (DME) suppliers continue to use independent marketing firms to make unsolicited telephone calls to Medicare beneficiaries marketing Durable Medical Equipment.  Section 1834(a)(17)(A) of the Social Security Act prohibits unsolicited telemarketing by Durable Medical Equipment Suppliers.  Please contact the OIG, US Department of Health and Human Services at 617-565-2664 if you have any information about DME suppliers engaging in these activities. 
Source: nh.gov

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

The page could not be loaded. The Medicare.gov Home page currently does not fully support browsers with "JavaScript" disabled. Please note that if you choose to continue without enabling "JavaScript" certain functionalities on this website may not be available.
Source: medicare.gov

Medicare Penalizes Nine N.H. Hospitals For Too Many Readmissions

In fact, since the penalty first came out two years ago, hospital readmissions are down 20 percent statewide. Whether this is caused by the new penalties or simply coincides with them, or both, is impossible to know. But assuming readmission rates keep dropping, that’ll be cheaper for hospitals in the long run and better for patients.
Source: nhpr.org

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

Tennessee Medicare Assistance

Posted by:  :  Category: Medicare

Both programs work hand in hand to assist all Tennesseans with their questions and concerns about Medicare issues. Working through federally funded grants from Centers for Medicare and Medicaid Services and Administration on Aging, SHIP and SMP is administered throughout the nine Area Agencies on Aging and Disability.
Source: tnmedicarehelp.com

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

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

Tennessee Medicare Supplement Plans

If you are interested in a Medicare Supplement plan in Tennessee, it is helpful to become familiar with the different plan types so that you can choose the best plan type for your specific needs. Once a plan type is selected, you can compare plans between various companies to find the one that fits within your budgetary guidelines. Keep in mind that costs will also vary from county to county within the state, so a Part A plan in Shelby County might have a different premium than the same plan in Montgomery County.
Source: ehealthmedicare.com