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

Compare Medicare Supplement Plans A

If an insurance company wants to sell Medicare Supplement Insurance, they are required by law to offer Medigap Plan A. If they wish to offer any additional plans, then they must sell either Plan C or Plan F in addition to any other plans they would like to sell. Providers do not have to offer every Medicare Supplement plan.
Source: ehealthinsurance.com

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

"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

Compare Medicare Supplement Insurance Plans

Every Medicare supplemental plan must follow federal and state laws designed to protect you. Medicare supplement plan insurance companies can only sell you a “modernized” Medicare supplemental plan identified by letters A through N. Each modernized Medicare supplemental plan must offer the same basic benefits, no matter which insurance company sells it.
Source: medicaresupplementplans.com

Best Medicare Supplement Insurance Quotes

Every Medicare supplemental insurance plan must follow federal and state laws designed to protect you. Medicare supplement plan insurance companies can only sell you a “modernized” Medicare supplemental insurance plan identified by letters A through N. Each modernized Medicare supplemental insurance plan must offer the same basic benefits, no matter which insurance company sells it.
Source: medicaresupplementplans.com

Compare Medicare Advantage Plans for 2014

Finding the right Medicare Advantage plan in 2014 is important for getting quality coverage at an affordable rate from a trusted provider. While it can seem overwhelming, the good news is, you have choices, and that’s great for making sure you get the most value for your health care dollars. When it comes to securing vision, dental or prescription drug coverage with a Medicare Advantage plan you can depend on, make an informed choice easily with the right resources and Secure Health Options by your side.
Source: medicareadvantageplans2014.net

Medicare Part D Drug Benefit

Posted by:  :  Category: Medicare

Namenda IR Availability As of January 2015 the company that produces Namenda will cease production of one version of Namenda (Namenda IR tablets, usually taken twice per day) and it will no longer be available. While supplies of Namenda IR may be available at local pharmacies for a period of time after the company stops distributing it in January, it is anticipated that individuals on this prescription will have to switch to another version of Namenda (XR = extended release once per day capsules). In addition, it is our understanding that a generic version of Namenda IR may be available as early as mid-2015; however, an official date has not been shared and it is not currently listed on the Medicare Part D formularies.
Source: alz.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: ssa.gov

Medicare Prescription Drug Coverage (Medicare Part D)

Medicare sets standard costs for the prescription drug benefit each year. Private companies approved by Medicare offer plans with different costs and selections of prescription drugs. You can select a plan based on the prescriptions you take and select a company that is most effective for you. To reduce your costs, enter your medications on Medicare’s secure online Find health and drug plans website. You will pay more if your prescriptions are not in the plan formulary or the plan restricts or limits their use.
Source: texas.gov

How to Verify Eligibility & Benefits of Medicare Patients

Posted by:  :  Category: Medicare

Review eligibility guidelines for Part D, Advantage and Medigap plans if you require prescription coverage or additional hospital and/or outpatient medical coverage. All these plans require enrollment in Medicare as the first eligibility requirement. However, unlike Part A and B, these plans also require that other eligibility requirements be met, including residing in a specific geographic region within the United States. You can determine eligibility requirements and explanation of benefits for these plans under "Plan Choices" on medicare.gov.
Source: ehow.com

Check Medicare Eligibility at www.CheckMedicare.com.

1. 24 hour availability is not a guarantee of service uptime. It is merely hours of service operation under normal operating conditions.   2. Works Best with Internet Explorer 7 with a resolution of 1024×768 or higher. Firefox is also supported.   3. Average response time is 3-6 seconds, but may be up to 1 minute during peak times. This response time is affected by various factors including, but not limited to, network congestion, CheckMedicare.com server load, and the status of the CMS Medicare HETS system. If you experience consistent response times over 6 seconds please feel free to contact CheckMedicare.com support for system status or assistance.   © 2009-2014 ICS Software, Ltd. All rights reserved. All other copyrights and trademarks are copyrights and trademarks of their respective owners. This disclaimer relates and applies to all pages and content served by ICS Software, Ltd.
Source: checkmedicare.com

How to Find Out If My Medicaid Is Active?

Obtain your state’s Medicaid office contact information from the National Association of State Medicaid Directors website, a link to which is included in the "Resources" section of this article. If you do not have access to the Internet, you can call NASMD at (202) 682-0100. If you have your Medicaid number, skip to Step 3. If you do not, continue to Step 2.
Source: ehow.com

Defense Enrollment Eligibility Reporting System

If you’re enrolled in any TRICARE plan (e.g. TRICARE Prime, TRICARE Reserve Select, TRICARE Retired Reserve or TRICARE Young Adult) remember to also change your address and other personal information with your regional contractor.
Source: tricare.mil

Rhode Island Division of Elderly Affairs: Programs

Posted by:  :  Category: Medicare

Medicare is the nation’s health insurance program for people 65 and older, and younger people who are disabled or who have end stage renal disease. Medicare consists of four parts–Part A (Hospital Insurance), Part B (Medical Insurance), Part C (Medicare Advantage Insurance Plans) and MedicarePart D (Medicare Prescription Drug Plans). Almost all persons over age 65 are automatically entitled to Medicare Part A if they or their spouse are eligible for Social Security or Railroad Retirement.
Source: ri.gov

Rhode Island Division of Elderly Affairs: Medicare Prescription Drug Coverage

The Rhode Island Department of Elderly Affairs is pleased to provide you with information about an important new federal health care initiative from the Center for Medicare/Medicaid Services (CMS) called Medicare Prescription Drug Coverage.
Source: ri.gov

2016 Rhode Island Medicare Part D Prescription Drug Plan Highlights www.Q1Medicare.com

Coverage Gap the Donut Hole: In the CMS Standard Plan, the beneficiary must pay the next $3752.5 in drug costs (the Donut Hole). The Healthcare Reform provides that for Plan Year 2016, ALL formulary generics will have at least a 42% 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

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

Medicare plans from AmeriHealth

For additional information from the Centers for Medicare and Medicaid Services (CMS) visit https://www.medicare.gov. If you prefer to file a grievance through CMS, please complete the Medicare Complaint Form. For additional assistance, visit The Office of the Medicare Ombudsman.
Source: amerihealthmedicare.com

How to Become a Medicare Provider

Posted by:  :  Category: Medicare

A completed Medicare provider application goes to the appropriate state agency, which checks the application and supporting documents for completeness and accuracy. For a health-care facility, the agency will provide a time frame in which you can expect an unannounced inspection to verify that your facility meets Medicare standards. Although an inspection is standard during enrollment, state agencies have the authority to conduct random unannounced inspections at any time. Once verifications and inspections are complete, the agency makes a recommendation and forwards the applications and results to the CMS for final approval or rejection.
Source: ehow.com

2010 COLA for Federal Retirees : CSRS / FERS

Recent Articles & Resources  No 2016 Federal Retiree COLA: CSRS and FERS There will be no 2016 cost-of-living adjustment (COLA) for Social Security recipients and annuitants in CSRS and FERS.  With Recent Stock Market Downturn, Now May Be a Good Time for a Roth IRA Conversion or Recharacteriz Federal benefits expert, Ed Zurndorfer, explains why now may be a good time for traditional IRA owners to convert some of their traditional IRAs to Roth IRAs and for those traditional IRA owners who converted last year when the stock market was at a higher level, to "recharacterize" their Roth IRA conversions
Source: myfederalretirement.com

Older Americans, Medicare, and the Affordable Care Act: What's Really In It for Elders?

Most of the enacted changes are targeted at the components of the plans themselves, but their overall effect reduces the profit potential of operating a Medicare Advantage plan. Thus, the ACA restructures payments to these plans and offers a range of bonuses to encourage quality enhancement. At the same time, the ACA mandates certain minimum levels of expenditures for patients’ medical care via stipulated “medical loss ratios.” Thus, the plans are limited in terms of what they pay for non-medical expenses, such as marketing, profits, salaries, administrative costs, and agent commissions (HHS, 2010). Because Medicare Advantage plans may not discontinue any “guaranteed Medicare benefits,” they are likely to scale back or eliminate many of the extra benefits they provide, such as vision and dental care. Some Medicare Advantage plans may raise premiums for their enrollees, while other plans may cease participating in the Medicare program.
Source: asaging.org

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

After a report from the government watchdog said few people were exploiting vulnerabilities in the enrollment process that could allow them to receive insurance subsidies while still enrolled in Medicaid, Democrats in the House called the GAO report just another effort by Republicans to derail the…
Source: modernhealthcare.com

Application status lookup tool

Posted by:  :  Category: Medicare

First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.
Source: fcso.com

Applicationstatus lookup tool

First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.
Source: fcso.com

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 Reimbursement Claims

Posted by:  :  Category: Medicare

Four years later the Medicare, Medicaid and SCHIP Extension Act of 2007 (MMSEA) added more penalties for non-compliance to the Medicare Secondary Payer (MSP) Statute.  Section 111 of the MMSEA requires the providers of liability insurance (including self-insurance), no fault insurance and workers’ compensation insurance (hereinafter “insurers”) to determine the Medicare-entitlement of all claimants and report certain information about those claims to the Secretary of Health and Human Services.  The penalty for non-compliance with Medicare reporting standards is strict: $1,000 per day for each day the insurer is out of compliance.
Source: garretsongroup.com

MMSEA Section 111 Reporting

While there is no one-size-fits-all solution, most MEDVAL clients have made the strategic decision to develop their own internal capabilities for MMSEA Section 111 Reporting. MEDVAL is in optimal alignment with this approach, offering expert guidance, recommending appropriate protocols, and helping your staff execute your compliance strategy.
Source: medval.com

Medicare Savings Programs

Posted by:  :  Category: Medicare

Medicare Part A premium. Note: Some people are required to pay a premium for Medicare Part A because they do not have enough Social Security credits. Most people do not pay a premium for Medicare Part A because they or their spouse earned enough credits by working 40 or more quarters (approx. 10 years of working full-time, four quarters per year). People who worked 30-39 quarters may buy Part A coverage and pay a monthly premium of $224 in 2015. People who worked fewer than 30 quarters may also buy Part A coverage and pay a higher monthly premium of $407 in 2015.
Source: cahealthadvocates.org

Human Resources: Benefits

In early January, Blue Shield sent letters to thousands of members who used Sutter Health providers in Northern California, informing them that contract negotiations between the two sides had broken down and the Blue Shield/Sutter Health contract was terminated, effective January 1, 2015. Had the two sides not come to their recent agreement, non-Medicare UC employees and retirees enrolled in Blue Shield plans would have faced significantly increased costs when using Sutter Health providers.
Source: ucdavis.edu

Blue Medicare PPO and Blue Medicare HMO Providers

Posted by:  :  Category: Medicare

Blue Cross and Blue Shield of North Carolina is an HMO, PPO, and PDP plan with a Medicare contract. Enrollment in Blue Cross and Blue Shield of North Carolina depends on contract renewal. Blue Cross and Blue Shield of North Carolina does not discriminate based on race, ethnicity, national origin, religion, gender, age, mental or physical disability, health status, claims experience, medical history, genetic information, evidence of insurability or geographic location within the service area. All Blue Cross and Blue Shield of North Carolina items and services are available to all eligible beneficiaries in the service area.
Source: bcbsnc.com

Medicare Advantage Plans In Florida

By offering multiple options, Florida Blue allows you to sign up for the one that is right for you. Then, you can ensure that you have the coverage that you need when you need it. Plus, you don’t have to worry about paying for additional services that you know you won’t use. For example, if you know that you don’t mind seeing in-network providers for your healthcare and do not mind getting referrals when you need to see a specialist, you can choose a more affordable HMO plan. This can help you keep more money in your pocket, which is especially important if you are in retirement and are living on a fixed income.
Source: medicareadvantageplansinflorida.org

Medicare Supplement Plans

Posted by:  :  Category: Medicare

There are no fees associated with requesting Medicare Supplement Insurance comparisons, and you are under no obligation. If you have questions, and/or need advice you can contact one of our Licensed Medicare Supplement Insurance Specialists at 1-855-593-0069.
Source: directmedsup.com

Medicare Plans for Different Needs

Your health is important. Find a UnitedHealthcare Medicare Advantage plan or Medicare prescription drug plan that may be right for you before Open Enrollment ends December 7. With a Medicare Supplement Insurance plan* you may apply at any time throughout the year.  
Source: uhcmedicaresolutions.com

Direct Mail Leads for Medicare Supplement, Final Expense and More

Send a mailer to the names available on our accurate and qualified lists using our turn key lead services. Names to mail with age and income selection, forms, printing, bulk rate outgoing shipping, response postage and handling, scanning, uploading and data entry into TLLM are all included in the price you are given. If you would like to select additional demographics or duplicate lists we can add those options to your order. All leads returned are EXCLUSIVE to you and your order. The households (not just the names) you mail are also protected for at least 90 days giving you plenty of time to receive and work your leads.
Source: targetleads.com

Medicare Direct Data Entry (DDE)

Say good-bye to modems, password re-sets, and disconnects. Manage your own MAC credentials, get support for multiple submitter IDs, and benefit from complete visibility to Medicare claim submissions and eligibility verification, with built-in EDI tracking capability.
Source: abilitynetwork.com

Highmark Direct :: Medicare Information

A Medicare Supplement policy is different from a Medicare Advantage Plan.  MA plans offer ways to get Medicare benefits, while a Medicare Supplement policy only supplements your Original Medicare benefits.  You can purchase a Medicare Supplement insurance plan from a private company to help pay for costs and services that your Original Medicare doesn’t cover.  In addition to helping offset Original Medicare’s high cost-sharing (copayment, coinsurance and deductible costs). Medicare Supplement policies may cover other services such as medical care during travel outside of the U.S.
Source: highmarkdirect.com