7 Tips To Help You Pick The Best Medicare Advantage Plan 

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2-If you have developed a serious illness or chronic condition, it may be better to quit your Medicare Advantage plan and return to original Medicare. Under original Medicare, you have coverage for any doctor or hospital participating in the Medicare program. This means you can see any primary care doctor, any specialist, and receive treatment at any medical center specializing in your ailment or condition. You will pay more under original Medicare, for Part B doctor coverage, Part D drug coverage, and Medi-gap supplemental coverage for your co-payments and deductible charges, than you have been paying for the Medicare Advantage plan. But you now have access to a bigger array of doctors and hospitals, an important tool in dealing with your new and challenging medical condition.
Source: huffingtonpost.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

Medicare Supplement Plan G

The reason why Medicare Supplement Plan G is more favorable many times is due to the fact that, on average, the Supplemental Plan G costs approximately $20 – $25 less per month than the more comprehensive Plan F, thus saving roughly $240 – $300 per year. With the only difference between Plan G and Plan F being the annual Medicare Part B Deductible ($140 in 2012), the premium savings on Plan G usually outweigh the additional cost of paying for the Plan F, and you can still enjoy virtually all of the same benefits.
Source: medicaresupplementsolutions.com

How to Choose the Best Medicare Advantage Plan

Although PFFS plans typically allow you to go to any doctor, other healthcare provider or hospital, those providers must accept the plan’s payment terms and agree to provide treatment. Some PFFS plans have a network of providers who have already agreed to always treat plan members. You do not need to choose a PCP or get a referral to see a specialist in a PFFS plan. If you join one of these plans, you can also go to an out-of-network provider who accepts the plan’s terms, but your out-of-pocket costs will likely be higher. If your chosen PFFS plan does not provide prescription drug coverage, you have the option to join a Medicare prescription drug plan.
Source: investopedia.com

Compare Medicare Supplement Rate for Best Medigap Insurance Plan

And what’s better is that since Medicare Supplement Insurance is standardized from one Medicare Supplement insurance company to the next, you can get the exact same or even better coverage for lower Medigap rates. But who has time to shop dozens of Medigap (Medicare Supplement) insurance companies?  Even more, why would you want to deal with the loads of information that they send you (that is more confusing than it is helpful) or with salespeople that want to come to your home and pressure you to buy what their Medigap insurance company is paying them to sell (not what’s necessarily best for you.)  Well the good news is that you no longer have to.  With one simple phone call to Medigap 360 you will talk to a licensed Medicare Supplement Insurance Specialist.  He or she will be able to help you choose the right Medicare Supplement Plan and ensure that you are saving money and paying fair and lower Medigap Insurance rates.
Source: medigap360.com

Gerber Life Medicare Supplement Insurance

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is appointed with Gerber Life in the following states: Alabama, Arizona, Arkansas, California, Colorado, Delaware, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, Wisconsin and Wyoming.
Source: medicaresupplementspecialists.com

Gerber Life Medicare Supplements

Gerber Life was named one of the Top 50 Performing Life & Health Companies in the U.S. in 2009 by the Ward Group, an operational consulting firm and leading provider of benchmarking services to the insurance industry. This special recognition reflects Ward’s analysis showing that Gerber Life passed all safety and consistency screens and achieved superior performance during the five years analyzed.
Source: planmedigap.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 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 Supplemental Insurance

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

Medicare Advantage Part C

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All information herein has been prepared solely for informational purposes, and it is not an offer to buy or sell, or a solicitation of an offer to buy or sell any security or instrument or to participate in any particular trading strategy. The Money Alert does not make any representations or warranties as to the accuracy, timeliness, suitability, completeness, or relevance of any information prepared by any unaffiliated third party, whether linked to this web site or incorporated herein, and takes no responsibility. All such information is provided solely for convenience purposes only. The Money Alert is not affiliated with any of the firms or entities listed unless specifically stated. The Money Alert does not provide investment, tax or legal advice. Please consult the appropriate professional regarding your personal situation.
Source: themoneyalert.com

Medicare Plans & Coverage: Part A, Part B, Part C, Part D

Medicare is a federal insurance program that covers hospitalization expenses as well as doctor and medical expenses. To be eligible for Medicare, one must be an American citizen 65 years or older, or younger with a qualifying disability.
Source: medicareconsumerguide.com

What does medicare part c mean?

The Balanced Budget Act (BBA) of 1997 establishes a Medicare+Choice program under part C of Title XVIII, Section 4001, of the Social Security Act. Under this program, an eligible individual may elect to receive Medicare benefits through enrollment in a Medicare+Choice plan. Beneficiaries may choose to use private pay options, establish medical savings accounts, use managed care plans, or join provider-sponsored plans.
Source: definitions.net

Medicare Part B Monthly Premium 2015

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You may have to pay more, if you did not enroll in Part B when you first were eligible (a late enrollment penalty will be added each month to your premium), or if your income is above a certain amount. If you filed an individual tax return last year and reported income over $85,000 ($170,000 for a joint return), you will have to pay a higher premium. If your reported taxable income (the most recent tax return information provided to Social Security by the IRS) was more than $214,000 for single filers, or $428,000 for joint tax payers, you are required to pay the maximum Part B premium of $335.70 per person. If you have to pay a higher Part B premium because of your income, you should be notified by Social Security.
Source: medicareanswers.org

Your 2015 Monthly Premiums for Medicare

If you aren’t eligible for premium-free Part A, and you don’t buy it when you’re first eligible, your monthly premium may go up 10%. You will have to pay the higher premium for twice the number of years you could have had Part A, but didn’t sign-up. For example, if you were eligible for Part A for 2 years but didn’t sign-up, you will have to pay the higher premium for 4 years. Usually, you don’t have to pay a penalty if you meet certain conditions that allow you to sign up for Part A during a Special Enrollment Period. If you aren’t eligible for premium-free Part A, and you don’t buy it when you’re first eligible, your monthly premium may go up 10%. You will have to pay the higher premium for twice the number of years you could have had Part A, but didn’t sign-up. For example, if you were eligible for Part A for 2 years but didn’t sign-up, you will have to pay the higher premium for 4 years. Usually, you don’t have to pay a penalty if you meet certain conditions that allow you to sign up for Part A during a Special Enrollment Period. Read more under Medicare Part A Special Enrollment Period.
Source: q1medicare.com

Medicare Part B Premium Schedule

Make sure you enroll in Medicare just before reaching age 65, even if you are covered by another health plan. If you are already collecting Social Security or Railroad Retirement benefits, Medicare Part B premiums will be deducted from your monthly benefits. If you are not collecting Social Security or Railroad Retirement, you can pay premiums through an automatic deduction from your bank, by credit card or by mail. More »
Source: about.com

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

AHIP Medicare + Fraud, Waste & Abuse Training: Login to the site

Now there’s one single source for both Medicare and Fraud, Waste and Abuse (FWA) training. Our comprehensive online program gives you the background to make informed decisions on Medicare, including plan options, marketing, enrollment requirements, and FWA guidelines.
Source: ahipmedicaretraining.com

Coventry Medicare: Agents & Brokers

Welcome to the Coventry Health Care Broker Portal, designed to help successfully sell our Medicare products. Coventry is committed to working with our broker and agent partners to help your clients learn more about the Medicare products available through Coventry Health Care. Our Medicare Advantage and Part D Prescription Drug products offer flexible benefit designs and a variety of ways to ensure cost savings.
Source: coventryhealthcare.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

Difference between the Medicare Provider Numbers

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

Medicare.gov Nursing Home Compare

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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

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

Healthcare business news, research, data and events from Modern Healthcare

The 25 health systems with highest ratio of unfunded pension liabilities, ranked by the organization’s ratio of unfunded pension liabilities in 2014. Source: Modern Healthcare reporting on largest 50 health systems by total assets. Published Sept. 28, 2015, p. 38.
Source: modernhealthcare.com

About Medicare Supplement

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Other Plan Provisions You must satisfy an annual deductible of $300 before the Plan starts paying. If you meet your annual out-of-pocket limit of $3,000, the Plan’s reimbursement level — when combined with Medicare Parts A and B — is 100% of most covered charges for the rest of that calendar year. The Plan covers some items Medicare may not, such as transition benefits from pre-65 medical plans sponsored by ExxonMobil, in-home skilled-nursing care and medical care received outside the United States. See page 18.
Source: exxonmobilfamily.com

Overview of the Medicare Program at My New York Medicare

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Because you are buying Medicare Advantage through a private insurance company, the plans can vary. The plan must cover at least what Original Medicare covers, but it may cover those services differently and it may cover even more services. Many Medicare Advantage plans include coverage for prescription drugs, vision care, dental care – even out-of-country care. Further, these plans may offer discount programs for gym memberships, chiropractic care, vitamins and other health-related products and services. These plans may also have network restrictions.
Source: mynewyorkmedicare.net

New York Medicare Advantage Plans for 2015 from Touchstone Health

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

AARP Medicare Supplement Insurance Plan F

At Plan Medicare we also know how important it is to get personal. We give every client the attention they need to choose, understand, enroll and maintain the best Medicare coverage. Our licensed agents manage everything from: eligibility, paperwork, liaising with insurance providers, billing and payment questions, and staying up to date on policy changes. We are here to help our clients get the most out of their coverage.
Source: planmedicare.com

Medicare Coverage of Speech

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This area of the Reimbursement site provides information on the major aspects of Medicare related to audiology and speech-language pathology services, including Medicare coverage guidelines and reimbursement rates.
Source: asha.org

Calculating Medicare Fee Schedule Rates

MPPR is a per-day policy that applies across disciplines and across settings. For example, if an SLP and a physical therapist both provide treatment to the same patient on the same day, the MPPR applies to all codes billed that day, regardless of discipline. Under MPPR, full payment is made for the therapy service or unit with the highest practice expense value (MPFS reimbursement rates are based on professional work, practice expense, and malpractice components) and payment reductions will apply for any other therapy performed on the same day. For the additional procedures provided on the same day, the practice expense (i.e., support personnel time, supplies, equipment, and indirect costs) of each fee will be reduced by 50% (effective April 1, 2013) for Part B services in all settings. The professional work and malpractice expense components of the payment will not be affected. ASHA has developed three MPPR scenarios to illustrate how reductions are calculated.
Source: asha.org

Aetna to cut pathology reimbursement to 45

In 2011, Medicare paid between 18 and 30 percent more than other insurers for 20 high-volume and/or high-expenditure lab tests. Medicare could have saved $910 million, or 38 percent, on these lab tests if it had paid providers at the lowest established rate in each geographic area. State Medicaid programs and 83 percent of FEHB plans use the Medicare CLFS as a basis for establishing their own fee schedules and payment rates, although most pay less. However, unlike Medicare, FEHB programs incorporate factors such as competitor information, changes in technology used in performing lab tests, and provider requests in their payment rates. Some State Medicaid programs and FEHB plans required copayments for lab tests, which, in effect, lowered the costs of lab tests for the insurer.
Source: pathologyblawg.com

Medicare Reimbursement Rates

Medicare pays hospice agencies based on the level of care the patient receives each day, regardless of whether a service was provided to the patient on that day. Hospice payment rates are updated annually by the Centers for Medicare & Medicaid Services. BKD understands these rates are critical to your business operations and is making available the Medicare payment rates for your agency’s service area. The rates available include those effective for federal fiscal years 2011, 2012, 2013, 2014 and 2015.
Source: bkd.com

How Medicare, Other Payers Determine Physician Reimbursement Rates

Do you know how Medicare and other payers determine reimbursement rates? Most physicians don’t. Reading this summary of the history and elements will take less than three minutes, and will make you better informed than most. History. The resource-based relative value scale (RBRVS) was introduced in the Omnibus Budget Reconciliation Act of 1989. The intent was to create a uniform and objective payment system to address the large payment disparities produced under the traditional usual, customary, and reasonable (UCR) standard. The new scheme was adopted over a five-year transition period.  NOTE: The sustainable growth rate (SGR) was part of the Balanced Budget Act of 1997 and is separate. Relative Value Units (RVUs) and CPT codes. Three RVUs are assigned to each CPT code: Physician work RVU: A relative measure of the time, skill, training, and intensity required to provide a specific service The goal is for each CPT code to be reviewed at least every five years in order to make adjustments to reflect changes in the components of the service. Practice expense RVU: Addresses expenses associated with providing the service. The direct costs (staff allocation, supplies, and equipment) of the service are calculated; indirect costs (any costs of operations not directly involved in providing the service) are allocated. A new method of calculating practice expense was fully implemented in 2010, after a transition period. Malpractice RVU: Costs associated with professional liability expenses. Who sets RVUs? CMS sets RVUs based upon the recommendations of the Specialty Society Relative Value Scale Update Committee (RUC). The RUC is made up of 29 physicians, 23 of whom are nominated by professional societies. Almost all are specialists. CMS is not bound to accept either the professional society nominees or the RUC’s recommendations, but it has historically approved more than 90 percent of RUC recommendations. The process has been criticized for a lack of transparency. There are also those who argue for more representation by primary-care providers, private insurers, and employee health plan purchasers. Geographic Practice Cost Indices (GPCI). A GPCI is calculated, by CMS, for each of the RVU components. The GPCIs are reviewed every three years and attempt to take into account the different costs associated with different areas of the country. Conversion Factor (CF). The CF translates RVUs and GPCIs into actual dollars. It is updated annually according to a formula specified by statute. CMS may not, by statute, increase its total annual budget by more than $20 million. If shifts in the RVUs would increase CMS’ budget by more than $20 million, the CF is used to achieve, essentially, budget neutrality. Congress may override the CF formula and regularly does. Non-Facility Payment Amount. A non-facility is a freestanding physician’s office, as well as other freestanding settings. Inpatient facilities, hospital outpatient clinic settings, and off-site hospital-owned locations are considered “facilities.” The payment for each CPT code in a non-facility is calculated as follows: Payment = [(Physician Work RVU X Work GPCI) + (Non-Facility Practice Expense RVU X Practice Expense GPCI) +     (Malpractice RVU X Malpractice GPCI)] X (Conversion Factor, adjusted for budget neutrality) 2014 Payment Changes. CMS released the finalized payment rates and policies for 2014 on Nov. 27, 2013. The total payments under the fee schedule are projected to be $87 billion. The largest increases go to psychiatry, clinical psychologists, and clinical social workers, as well as other providers of mental health services. There was also an aggregate increase in physician work RVUs and a corresponding decline in practice expense RVUs. Beginning in 2015, CMS will establish separate payments for managing a patient’s care outside of face-to-face contact. Private Payer Reimbursement. Most, if not all, private payers tie their reimbursement rates to Medicare’s. Contrary to widespread perception, private payers often reimburse at rates lower than Medicare. As intricate as this may seen, these are just the basics. Bonuses and penalties for quality, patient satisfaction, eRX, and meaningful use are topics for another day.
Source: physicianspractice.com