2012 Medicare Part B Premium, Deductible Will Be Lower Than Expected

Posted by:  :  Category: Medicare

By law, the standard Part B premium is set to represent 25 percent of expected costs in the program for the following year. So beneficiaries not protected by the COLA freeze bore the brunt of higher costs over the past two years. But in 2012, everyone will share those costs. That, together with lower-than-expected cost increases in the program — in part because of changes brought about by the new health care law, the Affordable Care Act — accounts for the relatively small increase in the standard premium, Medicare officials say.
Source: aarp.org

Medicare premium increases, Part B premiums in 2014

There is no question Medicare premiums are going up and up as are Medicare taxes. But to blame that on Obamacare is misdirected. Premiums are going up primarily because of the underlying use of health care services by a growing Medicare population and by the cost of each of those services.
Source: quinnscommentary.com

Medicare Advantage 2014 Spotlight: Plan Availability and Premiums

While many organizations offer Medicare Advantage plans, a few – particularly Humana, United Healthcare, and the Blue Cross and Blue Shield (BCBS) affiliates – have particularly large geographic spread and these organizations historically account for a disproportionate share of enrollment. In 2014, 44 percent of available plans are being offered by one of these three firms or affiliates (Table A4).  Plans offered by these firms are available to most beneficiaries.  Nationwide, 83 percent of Medicare beneficiaries will have access to one or more Humana plans, 73 percent will have access to a BCBS affiliated plan (including BCBS plans offered by Wellpoint), and 68 percent will have access to a United Healthcare plan (Exhibit 5; Table A5).  The general availability of these firms’ products has not noticeably changed from 2013 to 2014.  However, the similarities in BCBS offerings from 2013 to 2014 obscure a decline in availability of BCBS branded Wellpoint plans (declining from 88 plans to 55 plans between 2013 and 2014), which is mostly offset by the growth in plans offered by other BCBS affiliates (growing from 205 plans to 233 plans between 2013 and 2014).
Source: kff.org

How to Reform Medicare: First Stage to Fix the Current Program

[5]The significant differences in official long-term projections, including projections of the program’s unfunded liability, reflect the differences in agency assumptions, particularly about the likelihood of the continuation of current law. The Medicare Trustees and the Congressional Budget Office (CBO) are required to make projections under current law, which assumes, for example, that the large Medicare Part A payment reductions are sustainable and that the projected 29.4 percent reduction in Medicare physician payment will be implemented in 2012. The Office of the Actuary in the Centers for Medicare and Medicaid Services (CMS) makes projections based on the premise that key elements of current law are simply “unworkable.” See John D. Shatto and M. Kent Clemens, “Projected Medicare Expenditures Under an Illustrative Scenario with Alternative Payment Updates to Medicare Providers,” Centers for Medicare and Medicaid Services, Office of the Actuary, May 13, 2011, at https://www.cms.gov/ReportsTrustFunds/downloads/2010TRAlternativeScenario.pdf (September 19, 2011).
Source: heritage.org

Medicare Supplement and Medicare Advantage Plans in Nevada

Posted by:  :  Category: Medicare

From Las Vegas to Henderson, Reno to Paradise, North Las Vegas to Sunrise Manor, Spring Valley, Enterprise, Carson City, Pahrump, Whitney or Sparks 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 Nevada 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 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/American Continental, Equitable Life, Mutual of Omaha, Standard Life & Casualty, Transamerica Premier, United American and UnitedHealthcare
Source: medicare-nevada.com

Noridian Healthcare Solutions, LLC

Part A claims processing covers services provided through hospitals and post-hospital care. Noridian administers Part A for ‘)” onmouseout=”UnTip()”>Jurisdiction F and ‘)” onmouseout=”UnTip()”>Jurisdiction E.
Source: noridianmedicare.com

Las Vegas Medicare, Clark County NV Medicare

Original Medicare covers Part A and Part B.  Medicare Part A is hospital insurance and Medicare Part B is medical Insurance.  Medicare Part C, or Medicare Advantage is what private insurance companies offer, and coverage varies on the plan you choose. Part D in some cases is included in the plans.  The two main plans under Medicare Advantage are HMO plans and PPO plans.  PPO plans offer the freedom to choose out-of-network doctors and specialists while in most cases HMO plans do not.  However, the copay or deductible may be higher if the beneficiary chooses an out-of-network doctor under a PPO plan.
Source: healthplanone.com

Medicare Broker in Las Vegas NV

Find out more about your Medicare and insurance options. Enhancing Medicare Parts A & B with a Medicare Supplement and drug plan or a Medicare Advantage plan. Medicare Supplements come in a variety of plan choices so speaking with a knowledgeable Medicare broker about your options is a wise move. By the way, the broker is compensated by the insurance carrier and if you buy direct you pay the same price that the broker quotes to you. Their knowledge about Medicare is why you should use a broker.
Source: insurance4unevada.com

Nevada Consumer Assistance

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

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

2015 Wisconsin Medicare Part D Prescription Drug Plan Highlights www.Q1Medicare.com

Posted by:  :  Category: Medicare

Coverage Gap the Donut Hole: In the CMS Standard Plan, the beneficiary must pay the next $3720 in drug costs (the Donut Hole). The Healthcare Reform provides that for Plan Year 2015, ALL formulary generics will have at least a 35% discount and ALL brand drugs will have at least a 55% discount in the coverage gap. The Gap Coverage Types discussed in this section are in addition to the Healthcare Reform mandated discounts. In our chart, you will see one of the following:
Source: q1medicare.com

Wisconsin Senior Medicare Patrol –

A Chicagoland couple who own a home-healthcare business paid kickbacks to employees and marketers in exchange for referring elderly and disabled patients for unnecessary treatment that was funded by Medicare. Des Plaines residents Estrellita and Miguel Duquilla were charged with conspiracy to pay and receive healthcare kickbacks. The couple own HCN Home Healthcare in Chicago, reports the Chicago […]
Source: wisconsinsmp.org

Medicare Advantage Special Needs, Medicaid Plans WI –iCare

The iCare Medicare Plan is an all-in-one health care benefits program for all eligible Medicare beneficiaries with special needs. Independent Care Health Plan contracts with the federal government to offer this Medicare Advantage program. We have combined health care services provided by Medicaid and Medicare to offer a complete package of benefits, including the Medicare Part D Prescription Drug program. 2015 iCare Medicare Plan (HMO SNP) Program
Source: icare-wi.org

The Cost of Medicare: What the Future Holds

Posted by:  :  Category: Medicare

The second reason why thinking about long-term costs is important is the case of Medicare: I don’t see transformation in this bill. I was looking at my newspaper clips yesterday, and the L.A. Times had a story on the Web last night that described the Medicare bill as a "landmark overhaul" of Medicare. I had to scratch my head at that because I really saw quite the opposite in this bill. In a sense, this was the sort of bill that Medicare reformers in 1998 wanted to make sure never happened again. When the Balanced Budget Act in 1997 passed with hundreds and hundreds of lines of provisions and very little time for CBO and other policy analysts to really figure out how it would all work, a policy mess resulted. There were plenty of mistakes in both the drafting of the bill and the estimates of the bill (some of them that I made and my other colleagues at CBO made others). Staff wrote things into the law that had unintended consequences. For example, the law was supposed to improve private plan participation in Medicare, but it ended up cutting it by not quite half.
Source: heritage.org

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

Cost and Quality Conundrum of U.S.

While an increase in medical care is to be expected at the end of one’s life, Riley and Lubitz’s study found, and Teno’s study validated, that aggressive treatment at the end of life has been increasing over time and is showing no signs of slowing down.  For example, Riley and Lubitz found that the percent of decedents undergoing multiple hospitalizations increased from 20 percent in 1978 to 27 percent in 2006 and the percent using Intensive Care Unit (ICU) services in the last 2-3 months of life increased from 26 percent in 1983 to 33 percent in 2006.  The more recent study by Teno also shows that while death in hospitals is decreasing and hospice use is increasing, the percentage of people in the ICU in the last month of life has been steadily increasing since the year 2000, reaching 29 percent in 2009.
Source: medicarenewsgroup.com

Costs for Medicare Advantage Plans

If you’re in a Medicare plan, review the “Evidence of Coverage” (EOC) and “Annual Notice of Change” (ANOC) your plan sends you each fall. The EOC gives you details about what the plan covers, how much you pay, and more. The ANOC includes any changes in coverage, costs, or service area that will be effective in January.
Source: medicare.gov

Medicare Cost Savings Programs

The SLMB program provides payment of Medicare Part B premiums only for individuals who would be eligible for the QMB program except for excess income. Income for this program must be more than 100% of the FPL, but not exceed 120% or 135% of the FPL.
Source: mo.gov

When and How to Apply for Medicare

Posted by:  :  Category: Medicare

If you are not yet receiving Social Security benefits (or benefits from the Railroad Retirement system) you are eligible to sign up for Medicare 3 months prior to the month you turn 65, but your enrollment will not happen automatically. You must call or apply online – details below. It is to your benefit to sign up for Medicare Part A as soon as you are eligible, even if you still have coverage through a group health plan.
Source: about.com

Do I Need to Apply for Medicare?

You are already receiving Social Security benefits, or Railroad Retirement Board (RRB) benefits, and you turn 65. Your Medicare coverage starts the first day of the month you turn 65. If your birthday is the first day of the month, your coverage starts the month before. For example, if you turn 65 on November 27th, your coverage starts on November 1st. If your birthday is November 1st, your coverage starts on October 1st.
Source: ehealthmedicare.com

How to Apply for a CLIA Certificate, Including International Laboratories

NOTE: If you have any questions regarding the completion of the CMS-116 form, contact the appropriate State Agency. You should also contact this State Agency for additional forms that may be necessary to complete the registration process or for any additional questions. For example, the state of California has additional licensure requirements that must be met as a prerequisite to CLIA certification and thus California applicants should contact their local State Agency at (213) 620-6160. Be sure to make contact with your State Agency to ensure that you have all the necessary information that is required for the application.
Source: cms.gov

When & how to sign up for Part A & Part B

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

Colorado Medicare Plans and Supplements

Posted by:  :  Category: Medicare

RMHP’s contract with Medicare is renewed annually. The availability of coverage beyond the end of the current contract year is not guaranteed. RMHP has contracted with Medicare to provide benefits since 1977. This page was last updated: 7/24/15.  Please call to confirm you have the most up to date information about our Medicare Cost plans. Medicare Disclaimers RMHP is a Medicare-approved Cost plan. Enrollment in RMHP depends on contract renewal. H0602_MS_MC300WEB_RMHP11 Pending 
Source: rmhp.org

Colorado Medicare Medigap

Private companies provide different insurance plans at varying Medicare supplement rates. Even if you have similar plans with the very same features, your monthly premiums could vary to as much as 2 times. For instance, the Medigap K can be obtained for a monthly premium between $85 and $165. Basically, this is showing that amongst the many providers of this plan, at least one is providing it for only $85 monthly premium, whilst the same standardized plan with identical features will be offered for $165 monthly premium.
Source: coloradomedicaremedigap.com

2015 Medicare Advantage Plans Available to Residents of Colorado

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

2015 Medicare Co Pays for Nursing Home Care

Do you know your rights to nursing home coverage under Medicare? Medicare Part A pays for inpatient hospital care, and then for care in a skilled nursing facility IF the patient has a "qualified" hospital stay of at least 3 days (not counting day of discharge) before being admitted to the skilled nursing facility. Admission to the nursing home must be within 30 days of the hospital discharge. But patients put on Hospital Observation Status end up paying out-of-pocket if they need nursing home care:
Source: masshealthhelp.com

Silver Sneakers Locations in Colorado

The SilverSneakers® Fitness Program is an innovative health, exercise and wellness program helping older adults live healthy, active lifestyles. Get fit, have fun, make friends! Eligible members can receive a basic membership at any participating fitness center, where they can enjoy specialized SilverSneakers fitness classes focusing on improving strength, flexibility, balance and coordination. Certified SilverSneakers fitness instructors teach the classes, and participants can also enjoy other basic membership amenities, including use of exercise equipment, weight and circuit training, and other fitness offerings and social events.
Source: medicarecolorado.com

Joint Guidelines for Therapy Co

A 66 year old female status post ischemic stroke with resulting severe hemiparesis on the left side was admitted to an inpatient rehabilitation facility 3 days ago from the acute care hospital. She has hypertension, diabetes and is obese. She was previously independent in all activities and working part time outside of the home. She lives alone in a single level house. The patient is being seen by PT and OT. Among her many rehabilitation goals are: to increase sitting balance to perform self care, independence in transfers from bed to wheelchair to toilet, and ambulation with assistive devices. The PT and OT perform co-treatments that include the following: PT facilitates weight shift and balance training in a sitting position while the OT works on upper extremity dressing strategies and techniques which require trunk stability. PT works on bed mobility from supine to sitting and transfer from the bed to the wheelchair and to the toilet. The OT works on toilet training using adaptive devices and compensatory techniques as well as on dressing and hygiene management skills while the PT facilitates lower extremity weight shift and standing from the toilet. The PT facilitates balance and weight shifting while standing as the OT works on bilateral fine and gross motor IADL tasks as components of simple meal preparation in the kitchen.
Source: asha.org

Nebraska DHHS: Medicaid & Medicare

Posted by:  :  Category: Medicare

Home About DHHS Contact Us A-Z Topics Adoption – Children Available for Adoption Audio & Video Clips Birth Certificates Child Support Enforcement Children & Families Disabilities Disasters & Emergencies Diseases Environmental Health Epidemiology Financial Assistance Grant and Contract Opportunities Health, Safety & Wellness Legislation Licensing & Registrations Medicaid & Medicare Mental & Behavioral Health Public Meeting Calendar Rules & Regulations Seniors & Aging Special Populations Statistics & Reports Volunteer!
Source: ne.gov

NEBRASKA MEDICAID PROGRAM

To apply for medical assistance, an application must be completed and given to the Nebraska Department of Health & Human Services. For more information, contact your nearest Department of Health and Human Services Office; Or, you may download an application form and mail it to the nearest Department of Health and Human Services Office.
Source: ne.gov

Coventry Medicare: Advantra (HMO/PPO)

Whether you are an employer, health care provider, interested in enrolling, or already a 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

Nebraska Department of Insurance

The state of Nebraska is part of the U.S. insurance regulatory framework which is a highly coordinated state-based national system designed to protect policyholders and to serve the greater public interest through the effective regulation of the U.S. insurance marketplace. Through the National Association of Insurance Commissioners (NAIC), U.S. insurance regulators establish national standards and best practices, conduct peer reviews and coordinate their regulatory oversight to better protect the interests of consumers while ensuring a strong, viable insurance marketplace. U.S. insurance regulators also participate in the International Association of Insurance Supervisors (IAIS) along with the NAIC by participating in all of its major standard setting initiatives, including working with fellow regulators from around the world to better supervise cross-border insurers, identifying systemic risk in the insurance sector, and creating international best practices.
Source: nebraska.gov

2015 Wisconsin Medicare Part D Prescription Drug Plan Highlights www.Q1Medicare.com

Posted by:  :  Category: Medicare

Coverage Gap the Donut Hole: In the CMS Standard Plan, the beneficiary must pay the next $3720 in drug costs (the Donut Hole). The Healthcare Reform provides that for Plan Year 2015, ALL formulary generics will have at least a 35% discount and ALL brand drugs will have at least a 55% discount in the coverage gap. The Gap Coverage Types discussed in this section are in addition to the Healthcare Reform mandated discounts. In our chart, you will see one of the following:
Source: q1medicare.com

Wisconsin Medicare Supplement (Medigap) Health Insurance Plans

Medicare.gov, evaluates plans based on a 5-star rating system. Star ratings are calculated each year and may change from one year to the next. Wisconsin Physicians Service Insurance Corporation (WPS MedicareRx Plan) is a PDP plan with a Medicare contract. Enrollment in WPS MedicareRx Plan depends on contract renewal. CMS Accepted. S5753_26599_021_1406
Source: wpsic.com

Medicare Advantage Special Needs, Medicaid Plans WI –iCare

The iCare Medicare Plan is an all-in-one health care benefits program for all eligible Medicare beneficiaries with special needs. Independent Care Health Plan contracts with the federal government to offer this Medicare Advantage program. We have combined health care services provided by Medicaid and Medicare to offer a complete package of benefits, including the Medicare Part D Prescription Drug program. 2015 iCare Medicare Plan (HMO SNP) Program
Source: icare-wi.org

Wisconsin Senior Medicare Patrol –

A former owner-operator of a Los Angeles-based ambulance firm has been convicted for his involvement in Medicare fraud schemes that took in approximately $7 million in false billing. The LA Business Journal reports that Yaroslav Proshak, the former owner-operator of Gardena ambulance firm ProMed Medical Transportation, along with two managers of the firm  were convicted of health […]
Source: wisconsinsmp.org

Medicare Supplemental Insurance Quotes

Because the Medicare system is standardized, Medicare Supplement coverage is identical with all companies. The only difference between companies is price. Medicare Supplements Made Easy provides you with free Medicare Supplement Insurance Quotes from the leading Insurance Companies.
Source: medicaresupplementsmadeeasy.com

Medicare Dental Plan Overview And Private insurance Details For Nationwide Coverage

Posted by:  :  Category: Medicare

Keep in mind that usually the mothly premium will affect the amount of benefits you receive in most cases. Most “insurance plans” such as indemnity, HMO or PPO plans will require a waiting period of 6 months to 1 year for Major services. Discount plans are NOT Insurance but usually offer full benefits under the plan from day 1. We have researched most of the companies and plans. And have included our top choices on this website for your convenience. Please Visit
Source: medicaredentalplan.com

Medicare Advantage Dental, Medicare Advantage Dental Plan

Aetna Medicare is an HMO/PPO/PDP plan with a Medicare contract. Enrollment in Aetna Medicare 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.
Source: aetnamedicare.com

Dental Insurance, Individual Vision Plan, Senior, Medicare Supplement

MWG Insurance Mall is the premier health insurance site online. Here, you’ll find great support in your search for Medicare supplemental insurance, dental insurance, and many other types of coverage. We strive to make our site as accessible as possible. Find a solution for your health insurance needs by relying on us to find the perfect senior life insurance plan, vision plan, or dental coverage. If you require further guidance, reach out to us.
Source: mwginsurancemall.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

What's the Difference Between Medicare and Medicaid? Do They Include Dental Coverage?

Perhaps you receive Medicaid but live in a state that does not provide comprehensive dental coverage. Or maybe you are elderly and looking for assistance in paying for the dental work that Medicare is legally prohibited from providing. You may be tempted to postpone visits to your dentist because of the financial burden. Thanks to discount dental plans like the Careington 500 Series plan, however, you don’t need to sacrifice your dental health just because your finances are precarious. 
Source: 1dental.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