Medicare Card: Applying for a New Medicare Card and Replacing a Lost Medicare Card

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Once you have enrolled in the Medicare program, your red, white, and blue Medicare card should arrive in the mail about three months before your coverage begins. For U.S. citizens and legal permanent residents approaching their 65th birthday, enrollment in Medicare could be automatic. This happens if you receive Social Security Administration (SSA) benefits or Railroad Retirement Board (RRB) benefits. In these cases, you are enrolled in Medicare Part A beginning on the first day of the month in which you turn 65, and your card should arrive three months prior to this.
Source: planprescriber.com

How to Replace a Lost Medicare Card

While you might not really need to replace a lost Social Security card, as a Medicare beneficiary, your red, white, and blue Medicare card is the most piece of information you own. Your Medicare card is proof that you are enrolled in Original Medicare and will usually be needed in order to receive medical services or medications covered by Medicare.
Source: about.com

Order a Medicare Replacement Card Online

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Source: medicarecard.com

How do I get a new Medicare card if my card is lost, stolen, or damaged? How do I change my contact information?

You can now request a replacement red, white, and blue Medicare card online on Social Security’s (SSA) web site. Your card will be mailed within 30 days to the address SSA has on record. This service can be accessed during the following hours: Monday-Friday: 5 a.m. until 1 a.m. Saturday : 5 a.m. until 11 p.m. Sunday : 8 a.m. until 10 p.m. Holidays : 5 a.m. until 11 p.m. To make an online request, you will need the following information:
Source: hhs.gov

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

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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

Contact Information and Websites of Organizations for Medicare

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Source: medicare.gov

Contact Information and Websites of Organizations for Medicare

Posted by:  :  Category: Medicare

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Source: medicare.gov

How to Find a Medicare Number (3 Steps)

Look at your social security card. Your social security number is the first part of your Medicare number for part A and B benefits. The second part is the letter A or B, depending on which benefit you are needing the number for. Part A is inpatient hospital benefits and Part B is outpatient medical benefits. For example, if your social security number is 111-22-3333, then your Medicare number for Part A benefits is 111-22-3333-A. If you do not have a social security card or your Medicare card, contact your local SSA office for a list of documents required for obtaining a replacement card.
Source: ehow.com

Ohio Medicaid and Medicare Phone Number, Contact Info

Call Member Services/Provider Services at 1-855-364-0974 or TTY OH 7-1-1, 24 hours a day, 7 days a week (and during all holidays). Our office is closed New Year’s Day, Martin Luther King Jr. Day, Memorial Day, Independence Day, Labor Day, Thanksgiving and Christmas Day.
Source: aetnabetterhealth.com

Total Number of Medicare Beneficiaries

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

Compare Medicare Supplement (Medigap) Plans and Rates in Your Area

Posted by:  :  Category: Medicare

"Times have changed since my mother had an AARP J plan and I was totally confused by the options available. Stan walked me through the process in a very educational, methodical, friendly way, and I feel secure now that we’re making the correct decision to provide the best possible coverage for my husband." – Pat K.
Source: medigap360.com

What’s Medicare Supplement Insurance (Medigap)?

Some Medigap policies also offer coverage for services that Original Medicare doesn’t cover, like medical care when you travel outside the U.S. If you have Original Medicare and you buy a Medigap policy, Medicare will pay its share of the Medicare-approved amount for covered health care costs. Then your Medigap policy pays its share.
Source: medicare.gov

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

Medicare Supplement (Medigap) Insurance Plans

MedSupp plans can help pay Original Medicare’s copayments and deductibles. Each type of plan offers a different level of coverage, and is named with a different letter (such as Plan A). The plans are standardized, so that all plans of the same letter offer the same benefits. In other words, the benefits for a Medicare Supplement Plan D enrollee in Rhode Island are the same for a Medicare Supplement Plan D enrollee in Tennessee. However, the premiums can differ among these private insurance companies.
Source: planprescriber.com

Compare Medicare Advantage & Supplemental Plans

Medicare Advantage insurance is offered by private insurance companies with a Medicare contract, and replaces Original Medicare Part A and Part B. You must continue to pay your Part B premiums. Medicare Advantage plans typically offer additional benefit options and have less cost-sharing than Original Medicare, and you may have to pay a monthly premium in return for the extra benefits. Medicare Advantage plans come in a variety of formats, such as HMO, PPO and PFFS plans, as well as special needs plans. Medicare beneficiaries can enroll in Medicare Advantage plans if they have Medicare Part A and Part B, but only during designated enrollment periods. These enrollment periods change from time-to-time, so please call us to get the most-up-to-date information.
Source: medicaresolutions.com

Medicare 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

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

Supplements & other insurance

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Source: medicare.gov

Humana Medicare Advantage PDP Certification

Posted by:  :  Category: Medicare

CMS requires agents/brokers and health plans to provide translation/interpreter services when needed to ensure “equality of opportunity for meaningful access” to healthcare services and activities. This includes ensuring that non-English/limited English and disabled members are provided effective communication methods during the enrollment process (i.e. access to over-the-phone Interpretation, video interpretation and in-person interpretation (including American Sign Language). What this means to agents When scheduling an appointment with a prospect to review their healthcare needs, agents can confirm whether they need assistance with multilingual communication or sign language interpretation. If so, agents may provide this service through Voiance, a diversified language services company. How to Access Voiance (Available in over 200 languages) Voiance has setup a no contract, pay-as-you-go model for agents and brokers to offer interpretation services in 200 languages and video interpretation in 24 languages (including American Sign Language) to meet contractual and federal requirements. The cost to the agent for either over-the-phone or video is $0.95 per minute. To setup access to this pay-as-you-go service, agents may click on this link. https://www.voiance.com/services/AccountSignUp/ServiceAgreement.aspx?g=d0db2690-d029-4197-8eee-27e292848969 In-Person Sign Language Interpretation If an in-person sign language interpreter is needed for appointments with Humana existing or potential members, Deaf-Interpreters (www.deaf-interpreter.com) has setup an in-person sign language service available across the United States to make it easy for agents and brokers to meet Title III of ADA and Section 504 of Rehabilitation Act requirements regarding hearing impaired patients. To schedule an in-person sign language appointment, agents can call 844-545-2946 or send an email to requests@deaf-interpreter.com and provide the following information:
Source: psmbrokerage.com

Prescription Drug Coverage

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Source: cms.gov

Extra Help with Medicare Prescription Drug Plan Costs

Medicare beneficiaries can qualify for Extra Help with their Medicare prescription drug plan costs. The Extra Help is estimated to be worth about $4,000 per year. To qualify for the Extra Help, a person must be receiving Medicare, have limited resources and income, and reside in one of the 50 States or the District of Columbia.
Source: socialsecurity.gov

Medicare Part D coverage gap

In 2006, the first year of operation for Medicare Part D, the donut hole in the defined standard benefit covered a range in true out-of-pocket expenses (TrOOP) costs from $750 to $3,600. (The first $750 of TrOOP comes from a $250 deductible phase, and $500 in the initial coverage limit, in which the Centers for Medicare and Medicaid Services (CMS) covers 75 percent of the next $2,000.) In the first year of operation, there was a substantial reduction in out-of-pocket costs and a moderate increase in medication utilization among Medicare beneficiaries, although there was no evidence of improvement in emergency department use, hospitalizations, or preference-based health utility for those eligible for Part D.
Source: wikipedia.org

Medicare Prescription Drug, Improvement, and Modernization Act

The bill came to a vote at 3 a.m. on November 22. After 45 minutes, the bill was losing, 219-215, with David Wu (D-OR-1) not voting. Speaker Dennis Hastert and Majority Leader Tom DeLay sought to convince some of dissenting Republicans to switch their votes, as they had in June. Istook, who had always been a wavering vote, consented quickly, producing a 218-216 tally. In a highly unusual move, the House leadership held the vote open for hours as they sought two more votes. Then-Representative Nick Smith (R-MI) claimed he was offered campaign funds for his son, who was running to replace him, in return for a change in his vote from “nay” to “yea.” After controversy ensued, Smith clarified no explicit offer of campaign funds was made, but that he was offered “substantial and aggressive campaign support” which he had assumed included financial support.
Source: wikipedia.org

Medicare/Medicaid Vision Benefits

Posted by:  :  Category: Medicare

Cataract surgery. Medicare covers many of the costs associated with cataract surgery, including the cost of a standard intraocular lens (IOL) used to replace your eye’s natural crystalline lens that has become clouded by a cataract.   If you choose a premium intraocular lens, such as a multifocal IOL to correct your eyesight at all distances and thereby reduce your need for reading glasses after surgery, you must pay the added cost for this IOL (above the cost of a standard IOL) out-of-pocket.
Source: allaboutvision.com

Vision Coverage under Medicare

Private Medicare Advantage (Medicare Part C) plans provide the same amount of coverage as Original Medicare. They may offer more in the way of vision coverage, but every plan is different and you may wind up paying a higher premium amount to get these additional vision benefits. On the other hand, you might find a Medicare Advantage plan that covers prescription drugs, vision services, and other items and services that are important to you, at a cost you can easily afford. To find a plan, you can:
Source: medicareconsumerguide.com

Medicare Coverage of Vision Assistive Equipment for Low Vision Patients

Additionally, in the market for equipment for the visually impaired, the greatest numbers of new product innovations over the past decade have been introduced by the manufacturers that occupy higher-tiered price positions.  Price pressure on low vision equipment would limit the margin earned by manufacturers, driving market volume to low cost manufacturers and harming those producers that have invested in new products and technology for the end-user.  This will eventually result in poorer patient outcomes and declines in consumer satisfaction with the low vision care received.   Low vision device manufacturers enjoy lower rates of return on research & development expenditures than most other industries even when new products are successful due to the small size of the market being served.  Speaking for a leading manufacturer of equipment for the visually impaired, I know first-hand that decreased future manufacturing margins on low vision equipment would be compensated for in reduced service levels for low vision care providers and a reduction in research and development into better and more effective devices.
Source: pplvr.com

How Can I Get Vision and Dental Coverage Under Medicare?

Medicare Advantage (Medicare Part C) plans are offered by private companies and include the same coverage as Original Medicare Parts A and B, plus a number of additional benefits that Original Medicare does not offer. Dental and vision care are often included in Medicare Advantage plans, and most plans also include prescription drug coverage. Some plans charge a premium, in addition to the Part B premium you pay to Medicare. Because Medicare Advantage plans are run privately, not all plans are available in all regions. You can find out what plans are available near you by using Medicare’s  plan finder, an online tool at Medicare.gov.
Source: medicaremadeclear.com

Compare Medicare Advantage & Supplemental Plans

Posted by:  :  Category: Medicare

Medicare Advantage insurance is offered by private insurance companies with a Medicare contract, and replaces Original Medicare Part A and Part B. You must continue to pay your Part B premiums. Medicare Advantage plans typically offer additional benefit options and have less cost-sharing than Original Medicare, and you may have to pay a monthly premium in return for the extra benefits. Medicare Advantage plans come in a variety of formats, such as HMO, PPO and PFFS plans, as well as special needs plans. Medicare beneficiaries can enroll in Medicare Advantage plans if they have Medicare Part A and Part B, but only during designated enrollment periods. These enrollment periods change from time-to-time, so please call us to get the most-up-to-date information.
Source: medicaresolutions.com

Medicare Advantage Plans 2016

A type of Medicare health plan offered by a private company that contracts with Medicare to provide you with all your Medicare Part A and Part B benefits. Medicare Advantage Plans include Health Maintenance Organizations, Preferred Provider Organizations, Private Fee‑for‑Service Plans, Special Needs Plans, and Medicare Medical Savings Account Plans. If you’re enrolled in a Medicare Advantage Plan, Medicare services are covered through the plan and aren’t paid for under Original Medicare. Most Medicare Advantage Plans offer prescription drug coverage.
Source: medicarehealthinsurancefacts.com

Blue Cross & Blue Shield of Mississippi

If you provide care to a Medicare Advantage Private Fee for Service (PFFS) member from an out-of-area Blue Cross and/or Blue Shield Plan, this tool allows you to view the terms and conditions of the member’s plan. Using the tool takes you away from the Blue Cross & Blue Shield of Mississippi website.
Source: bcbsms.com

Compare Anthem Medicare Supplements

Medigap Companies: Admiral Life Insurance Aetna Life Insurance American Continental Insurance American National Life Insurance Anthem Life American Pioneer Life Insurance American Republic Insurance Bankers Fidelity Life Insurance Blue Cross and Blue Shield Central Reserve Life Insurance Christian Fidelity Life Insurance Combined Insurance Company Conseco Insurance Company Continental General Insurance Continental Life Insurance Company Equitable Life and Casualty Insurance Family Life Insurance Company Forethought Insurance Company Genworth Life Insurance Company Gerber Life Insurance Company Globe Life and Accident Insurance Golden Rule Insurance Company Great American Life Insurance Guarantee Trust Life Insurance Humana Insurance Company Lincoln Heritage Life Insurance Loyal American Life Insurance Marquette National Life Insurance Mutual of Omaha Insurance Company National States Insurance Company New Era Life Insurance Company Old Surety Life Insurance Company Pacificare Life Assurance Company Pennsylvania Life Insurance Company Philadelphia American Life Insurance Physician’s Life Insurance Company Provident American Life & Health Reserve National Insurance Company Royal Neighbors of America Sierra Health and Life Insurance Southwest Service Life Insurance Standard Life and Accident Insurance State Mutual Insurance Company Sterling Investors Life Insurance Sterling Life Insurance Company Unicare United American Insurance Company United Commercial Travelers (UCT) United National Life Insurance United of Omaha Life Insurance United Teacher Associates United World World Corp Insurance Company
Source: medigap360.com

CMS 1500 Claim Form, Codes & Information

Posted by:  :  Category: Medicare

The 1500 Health Insurance Claim Form answers the needs of many health payers. It is the basic paper claim form prescribed by many health plans for claims submitted by physicians and suppliers, and in some cases, for ambulance services. In the 1960s there were a number of different claim forms and coding systems required by third-party payers to communicate information regarding procedures and services to agencies concerned with insurance claims. However, there was no standardized form for physicians and other health care providers to report health care services. Therefore, the American Medical Association (AMA) embraced an assignment in the 1980s to work with the Centers for Medicare & Medicaid Services (CMS; formerly known as HCFA), and many other payer organizations through a group called the Uniform Claim Form Task Force to standardize and promote the use of a universal health claim form. Although many providers now submit electronic claims, many of their software/hardware systems depend on the existing 1500 Claim Form in its current image. Minor changes have been made to the form in order to accommodate the National Provider Identifier (NPI) as well as other identifiers.
Source: findacode.com

What’s Medicare Supplement Insurance (Medigap)?

Posted by:  :  Category: Medicare

Some Medigap policies also offer coverage for services that Original Medicare doesn’t cover, like medical care when you travel outside the U.S. If you have Original Medicare and you buy a Medigap policy, Medicare will pay its share of the Medicare-approved amount for covered health care costs. Then your Medigap policy pays its share.
Source: medicare.gov

Compare Medicare Advantage & Supplemental Plans

Medicare Advantage insurance is offered by private insurance companies with a Medicare contract, and replaces Original Medicare Part A and Part B. You must continue to pay your Part B premiums. Medicare Advantage plans typically offer additional benefit options and have less cost-sharing than Original Medicare, and you may have to pay a monthly premium in return for the extra benefits. Medicare Advantage plans come in a variety of formats, such as HMO, PPO and PFFS plans, as well as special needs plans. Medicare beneficiaries can enroll in Medicare Advantage plans if they have Medicare Part A and Part B, but only during designated enrollment periods. These enrollment periods change from time-to-time, so please call us to get the most-up-to-date information.
Source: medicaresolutions.com

Medicare Part B Medical Insurance: Coverage, Premiums, Coinsurance & Deductibles

The Medicare Part B premium ($104.90 in 2015) is automatically deducted from your Social Security check every month. If you don’t receive Social Security benefits, you will be billed for Part B. People with higher incomes (individuals with annual incomes over $85,000 and couples with incomes over $170,000) will pay higher Part B premiums. See table below.
Source: cahealthadvocates.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