Employment Opportunities : Span America

Posted by:  :  Category: Medicare

In addition, Span-America employs a national network of medical sales professionals throughout the United States. Manufacturers’ representatives are also contracted in both the Medical and Custom Products divisions.
Source: spanamerica.com

Texas Medicare Supplement (Medigap) Specialist

Posted by:  :  Category: Medicare

On this website you will find important information about Medicare and Texas Medicare Supplements, or Medigap Policies.  You will learn what Medicare covers…. and doesn’t cover.  You will learn when and how to sign up for Medicare.  We provide information about Medicare Supplements, and explain everything in detail.  We will guide you to find the best policy for your needs.  All it takes is a phone call, email, or simply fill out a form provided, and we will automatically shop over 30 highly rated insurance companies, to find you a great rate!  Have a Medicare question, simply phone or email, for one on one personal service!  Having a real person to talk to whenever you need, will give you extra peace of mind!
Source: tx-medicaresupplement.com

Enroll Today for Texas Medicare Plans

If you’re eligible for Medicare, we invite you to learn more about Allegian Advantage Plans— Texas Medicare Advantage Plan. With Allegian Advantage,you get more benefits than Original Medicare at no extra cost to you, and no monthly premium. We serve Medicare-eligible Texans in Hidalgo, Willacy and Cameron counties as well as El Paso and Bexar Counties effective 1/1/2016.
Source: allegianadvantage.com

2016 Texas 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

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

Whistleblower: Medicare Advantage Padded TX Charges

The private insurance plans offer seniors an alternative to standard Medicare, which pays doctors for each service they render. Medicare Advantage plans receive a set fee monthly for each patient based on a risk score that pays higher rates for sicker people and less for those in good health. Medicare essentially trusts health plans to report these risk scores accurately. The Medicare Advantage plans have grown rapidly in recent years, and now cover almost 17 million people.
Source: texastribune.org

How to Apply Online For Social Security Retirement Benefits

Posted by:  :  Category: Medicare

Social Security offers an online retirement application that you can complete in as little as 15 minutes. It’s so easy. Better yet, you can apply from the comfort of your home or office at a time most convenient for you. There’s no need to drive to a local Social Security office or wait for an appointment with a Social Security representative.
Source: ssa.gov

Department of Human Services

Posted by:  :  Category: Medicare

For questions about New Jersey Medicaid, call 1-800-356-1561 or your County Welfare Agency For questions about NJ FamilyCare call 1-800-701-0710 You can also get information by visiting NJHelps.org, where you can self-screen for eligibility for NJ FamilyCare/Medicaid, as well as for many other social service programs.
Source: nj.us

Welcome to Arkansas Medicaid

Private Option enrollees will not receive Medicaid ID cards but will receive insurance cards from their private health plan issuers. Private Option enrollees will use their private insurance cards to access medical services. Medicaid will provide limited supplemental services for Private Option enrollees, including Early and Periodic Screening, Diagnosis, & Treatment (EPSDT) for 19 and 20 year olds and non-emergency transportation. These services can be accessed using the Medicaid ID number that was sent to the Private Option enrollee in the plan enrollment notice. The Medicaid ID number can be used for retroactive coverage and interim coverage from the eligibility approval date until the date that the qualified health plan takes effect.
Source: ar.us

New Jersey Medicaid Eligibility

This page provides general guidelines for the New Jersey Medicaid eligibility requirements. This is an assistance program that provides medical coverage for low-income people of all ages. The department that handles the Medicaid program is New Jersey Department of Human Services. If you have questions or issues about the Medicaid application or the eligibility requirements, contact the New Jersey Medicaid office.
Source: medicaidoffice.net

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

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 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

Medicare Open Enrollment 2016

In accordance with section 1853(b)(1) of the Social Security Act (the Act), we are notifying you of the annual Medicare Advantage (MA) capitation rate for each MA payment area for CY 2014 and the risk and other factors to be used in adjusting such rates. The capitation rate tables for 2013 are posted on the Centers for Medicare & Medicaid Services (CMS) web site at http://www.cms.gov/Medicare/Health-Plans/MedicareAdvtgSpecRateStats/index.html under Ratebooks and Supporting Data. The statutory component of the regional benchmarks, transitional phase-in periods for the Affordable Care Act rates, qualifying counties, and each county’s applicable percentage are also posted at this website.
Source: medicarehealthinsurancefacts.com

Medigap (Medicare Supplemental) Plans Quotes & Information

Finding the right plan can be overwhelming when it comes to solving the Medicare and retirement puzzle.  You have limited budget with many concerns.   First you need to decide if the Medicare Advantage plans (MAPD) will meet your need or you need to select among Medigap Plans (Medicare supplemental plans) that usually require a higher monthly premium.   What about Long Term Care insurance, Nursing Home and Home Healthcare coverage?   Do you have need for such coverage and can you afford it? Do you need some additional life insurance coverage?  Does Medicare cover recipient’s healthcare cost outside of United States?   Do you need to buy Travel health insurance when you travel to Europe or Canada?
Source: medigap.net

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

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

Health Insurance, Dental Insurance & Other Insurance Plans

Posted by:  :  Category: Medicare

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

Child Dental Benefits Schedule

financial assistance under the Military Rehabilitation and Compensation Act Education and Training Scheme (MRCAETS) and cannot be included as a dependent child for the purposes of Family Tax Benefit because they are 16 years or older
Source: gov.au

Medicare Benefits – Health Plans and Benefits for America's Seniors

The Supreme Court rules that companies cannot attain patents on naturally occurring strands of human DNA. Companies can, however, patent synthetic ally created strands composed of cDNA, or composite DNA. As gene therapy progresses and expands in scope, emerging medical technology has burgeoned to a $1B industry.  As private genetic labs race to find new […]
Source: medicarebenefits.us

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 Dental Insurance

Dental insurance coverage is one of the most common questions for seniors after they settle their Medicare Supplemental Insurance and Medicare Part D coverage. "How about dental" almost always follows the Medicare Supplement Insurance, and drug plan enrollment. Unfortunately Medicare has no dental insurance coverage. Discount Dental plans, Dental, Vision, and Hearing combinations, or Dental only plans are available in most areas. We believe the first and second choice provide the best value. The following information will help you compare these two options.
Source: medicaredentalcenter.com

ConnectiCare VIP Medicare Insurance

Posted by:  :  Category: Medicare

Medicare beneficiaries who are eligible to join a ConnectiCare VIP Medicare Plan may do so by selecting the button “Enroll online for a plan”. By completing the online enrollment application you will be submitting an actual enrollment request to join a ConnectiCare VIP Medicare Plan. In most cases, once your application is submitted electronically, you’re done. ConnectiCare will process your application and contact you if we need more information. Otherwise you’ll receive your Welcome Kit and Member ID card in the mail.
Source: connecticare.com

Enroll in a Medicare Plan

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

Enroll for Medicare Part B: Step By Step Guide

If you are automatically enrolled in Part B, you will receive your card in the mail three months before your benefits are scheduled to begin (except for those with ALS). You do not have to accept Part B. Your card comes with instructions for rejecting coverage. Simply follow them and send the card back if you do not wish to receive Part B coverage. You will pay Part B premiums as long as you keep the card.
Source: mymedicaremedicaid.com

When to Enroll in Medicare

You cannot be denied Medicare supplement insurance if you apply during this period. If you miss your Medicare supplement insurance open enrollment period, you can still apply for coverage at any time. But you may be denied or charged a higher premium if your health history suggests that you may be a higher risk. If you enroll in a Medicare Advantage plan, you won’t be able to use Medicare supplement insurance.
Source: medicaremadeclear.com

Medicare plans from Independence Blue Cross

Posted by:  :  Category: Medicare

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

Blue Cross Blue Shield Medicare Coverage

Your 65th birthday involves a big life event: your health plan ends and Medicare starts. While this isn’t the only time you can join Medicare, knowing your healthcare needs now is key. For starters, ask your doctors if:
Source: bcbsil.com

Blue Cross Blue Shield Medicare Coverage

In order for medical services to be considered for payment by Medicare, doctors, hospitals and other health care providers that are approved by Medicare must be used. Always check with your doctor or other health care providers to make sure he or she is Medicare-approved.
Source: bcbstx.com

Michigan Medicare Health Insurance Plans

Medicare is a health insurance program run by the government for people age 65 and older, and for people under 65 with certain disabilities. Understanding more about Medicare will make it easier to choose the right plan. Our Medicare 101 section has resources to help you do that.
Source: bcbsm.com

Medicare Information, Help, and Plan Enrollment

Humana is a Medicare Advantage [HMO, PPO and PFFS] organization with a Medicare contract. Enrollment in any Humana plan depends on contract renewal. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments and restrictions may apply. Benefits, premiums and/or member cost-share may change on January 1 of each year.
Source: medicare.com

Download claims with Medicare’s Blue Button

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

2015 Medicare Part D Program Compared to 2014, 2013, 2012 and 2011

Posted by:  :  Category: Medicare

Proposal in the 2015 Advanced Notice: This rule proposes to revise the definition of negotiated prices to require all price concessions from pharmacies to be reflected in negotiated prices. The proposed rule would provide greater cost savings for beneficiaries in return for offering preferred cost sharing so that sponsors cannot incentivize use of selected pharmacies, including the sponsors’ own related-party pharmacies that charge higher rates than their competitors. Also, CMS may request that Part D plans increase the number of pharmacies offering preferred, or lower, cost sharing as CMS is concerned that some plans that offer preferred cost sharing do not provide beneficiaries with sufficient access to the lower cost sharing at select network pharmacies. The intent of this policy will be to ensure that beneficiaries are not misled into enrolling in a plan only to discover that they do not have meaningful access to the advertised lower cost sharing. From the 2015 Announcement: Although we [CMS] are not adopting any network adequacy standards at this time, sponsors should be aware that we are continuing to monitor beneficiary access to preferred cost sharing in plans that purport to offer it. For the 2014 and 2015 plan years, we [CMS] will continue to review the retail networks of plans offering preferred cost sharing and will continue to take appropriate action regarding any plan whose network of pharmacies offering preferred cost sharing appears to offer too little meaningful access to the preferred cost sharing. For instance, a stand-alone PDP that offers preferred cost sharing at only seven pharmacies in a PDP region may be asked to increase the number of pharmacies offering preferred cost sharing or to restructure its benefit design during the bid negotiation process. The intent of these negotiations will be to ensure that beneficiaries are not misled into enrolling in a plan only to discover that they do not have meaningful access to the advertised lower cost sharing. We [CMS] note that beginning in 2015, we [CMS] will no longer use the terms "preferred" and "non-preferred" to describe network pharmacies, but rather will describe such pharmacies as offering standard or preferred cost-sharing.
Source: q1medicare.com

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

Changes to Tests, CLIA for MedicareAAPC News

For purposes of the Clinical Laboratory Fee Schedule (CLFS), beginning April 1, when performing a qualitative drug screening test for multiple drug classes that use chromatographic methods, 80100 is the appropriate code to bill. New test code G0430 was created to limit the billing to one time per procedure and to remove the method’s (chromatographic) limitation when it’s not used in the performance of the test. As a result, when a clinical laboratory not requiring a CLIA certificate of waiver performs a qualitative drug screening test for multiple drug classes not using chromatographic methods, new test code G0430 is the appropriate code to bill. When a clinical laboratory requiring a CLIA certificate of waiver performs a qualitative drug screening test for multiple drug classes not using chromatographic methods, G0430-QW is the appropriate code to bill. New test code G0431 is a direct replacement for 80101. For purposes of the CLFS, beginning April 1, new test code G0431 should be utilized by those clinical laboratories that do not require a CLIA certificate of waiver. Clinical laboratories requiring a CLIA certificate of waiver should utilize new test code G0431-QW.
Source: aapc.com

Medicare Advantage 2015 Data Spotlight: Overview of Plan Changes

When SNPs were authorized, there were few requirements beyond those otherwise required of other Medicare Advantage plans. The Medicare Improvements for Patients and Providers Act (MIPPA) of 2008 established additional requirements for SNPs, including requiring all SNPs to provide a care management plan to document how care would be provided for enrollees and requiring C-SNPs to limit enrollment to beneficiaries with specific diagnoses or conditions. As a result of the new MIPPA requirements, the number of SNPs declined in 2010. The ACA required D-SNPs to have a contract with the Medicaid agency for every state in which the plan operates, beginning in 2013. Additionally, in 2013, joint federal-state financial alignment demonstrations to improve the coordination of Medicare and Medicaid for dually eligible beneficiaries began to enroll beneficiaries. Today, financial alignment demonstrations are underway in 12 states: California, Colorado, Illinois, Massachusetts, Michigan, Minnesota, New York, Ohio, South Carolina, Texas, Virginia, and Washington. The financial alignment demonstrations could influence the availability of D-SNPs in these states, either increasing or decreasing the availability of SNPs, depending on the design of the demonstration.
Source: kff.org

Medicare Supplement Plans (Medigap Plans) and other Medicare / Health Insurance Plans

Posted by:  :  Category: Medicare

A Medicare Supplement plan is a health insurance policy sold by private insurance companies in your state. It provides additional protection for what is not covered by Original Medicare. This insurance is specifically designed to fill the “gaps” in Medicare Part A and Part B coverage.
Source: libertymedicare.com

Coventry Medicare: Advantra (HMO/PPO)

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

Medicare Part C Appeals > Home

Attention Medicare Health Plans- Updated Medicare Advantage Process Manual, Appendix, Reconsideration Background Data Form, and Dismissal Case File Data Form are now available under the ‘Health Plans’ section. Plans should begin using the new Reconsideration Background Data Form for appeals submitted to MAXIMUS Federal Services effective 1/1/2015. For dismissal review cases files submitted to MAXIMUS upon request after 1/1/14, health plans must use the Dismissal Case File Data Form.
Source: medicareappeals.com

Find a 2015 PA Medicare Part D Plan

- Cost Sharing – These figures apply to the initial coverage phase of your plan. This is the phase after the initial deductible has been met and before you reach the Coverage Gap (Donut Hole). Plans often cover drugs in “tiers”. Tiers are specific to the list of drugs covered by the plan. Plans may have several tiers, and the copay for a drug depends on which tier the drug is in. Plans can form their own tiers, so you should contact the plan or reference it’s summary of benefits to find out what copays and limitations are associated with each tier. These cost sharing figures DO NOT necessarily apply to the Coverage Gap. The plan may have a separate copay/coinsurance for the same drug while in the Coverage Gap. (Search Tip: If you would like to reduce the plans shown to just plans that have a tier 1 (Generics) co-pay of up to a certain value (ex: $0 co-pay), enter the value (ex: 0) in the “Max. Co-pay Tier 1 (Generics)” field.)
Source: q1medicare.com