Tufts Health Plan Medicare Preferred

Posted by:  :  Category: Medicare

In 2016, our HMO plans earned 5 out of a possible 5 Stars by the Center for Medicare and Medicaid Services. This rating combines the scores our plans received for the various medical and/or prescription drug services our plans offer.
Source: tuftsmedicarepreferred.org

Tufts Health Plan Provider Information

Tufts Health Plan has undergone a brand change across our three divisions – commercial, Tufts Health Plan Medicare Preferred and Tufts Health Plan SCO, and Medicaid/subsidized plans (Tufts Health Plan – Network Health), and we are now communicating under the name Tufts Health Plan.  
Source: tuftshealthplan.com

General Medicare Requirements

Posted by:  :  Category: Medicare

Enforcement of Medicare’s documentation requirements has become more stringent, and it’s affecting healthcare professionals and patients. If a claim is denied, the patient may have to assume financial responsibility. We’re helping everyone understand the new policies in order to help patients get qualified claims covered by Medicare, rather than denied. Working together, we can help patients get the equipment and services they need, while ensuring that Medicare coverage guidelines are met.
Source: apria.com

Medicare Eligibility Rules

Posted by:  :  Category: Medicare

If you are age 65 and currently receiving Social Security or Railroad Retirement Benefits, you are eligible for Medicare and you will be automatically enrolled in Medicare Part A and Part B. However, because Part B has a premium, you have the option of declining Part B coverage. In addition, Part B does require payment of a monthly premium of $104.90, barring certain exceptions, for individuals enrolling in Part B January 1, 2015 or later. These premiums can change on an annual basis.
Source: planprescriber.com

Medicare Eligibility Requirements

In purchasing a Medigap Supplemental Insurance Policy, getting enrolled by the initial enrollment period is very crucial. If you apply during the IEP, by law, you are guaranteed that all insurers selling Medigap coverage in your state must offer you all the Medigap Supplemental Policy coverage plans that they sell. In addition, this guarantees, by law, that the insurance rate premiums offered to you will be the same as a person considered to be in good health. This applies, regardless of the fact that your current or past health history may not have been good or you have ongoing health issues.
Source: medicare.net

Medicare Eligibility and Enrollment

re already getting Social Security checks, you will be automatically enrolled in traditional Medicare. You’ll get your Medicare card three months before your 65th birthday. The benefits kick in on the first day of the month of your 65th birthday. Traditional Medicare, which is also called original Medicare, includes Medicare Parts A and B. Part A is hospital coverage. Part B covers doctor visits, lab tests, and other outpatient services.
Source: webmd.com

Medicare Eligibility Requirements

Note: You can qualify for Medicare on your spouse’s work record if he or she is at least age 62 and you are at least age 65. You also may qualify on the work record of a divorced or deceased spouse. Following the Supreme Court’s ruling on the Defense of Marriage Act in June 2013, people in same-sex marriages may qualify on their spouse’s work record if they live in the state where they were wed or in another state that recognizes same-sex marriage, or if they are civilian or military employees of the federal government. It’s currently unclear whether same-sex couples outside of these categories have the same rights — but if you’re in this position, you should apply anyway.
Source: aarp.org

Original Medicare (Part A and B) Eligibility and Enrollment

To be eligible for premium-free Part A, an individual must be entitled to receive Medicare based on their own earnings or those of a spouse, parent, or child. To receive premium-free Part A, the worker must have a specified number of quarters of coverage (QCs) and file an application for Social Security or Railroad Retirement Board (RRB) benefits. The exact number of QCs required is dependent on whether the person is filing for Part A on the basis of age, disability, or End Stage Renal Disease (ESRD). QCs are earned through payment of payroll taxes under the Federal Insurance Contributions Act (FICA) during the person’s working years. Most individuals pay the full FICA tax so the QCs they earn can be used to meet the requirements for both monthly Social Security benefits and premium-free Part A.
Source: cms.gov

Medicare Supplement Plans & Quotes

Posted by:  :  Category: Medicare

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 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 (Medigap)

Please call us at 954-384-8647 to obtain rates on Medicare Supplement Insurance Plans, to request an application or any question that you may have. To view the insurance companies that we work with in your area, please click on your resident state below. We are here to serve you and we would be delighted to hear from you. You can also email us at quotes@medicaresupplementspecialists.com and we will respond promptly to your inquiry.
Source: medicaresupplementspecialists.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

Welcome to Your Texas Benefits

Posted by:  :  Category: Medicare

You can fill out this screening form to find out which benefits and support services you might be able to get. At the end of the form, you can decide if you want to log in and: (1) apply for benefits, and (2) send your form to support programs and ask them to contact you about their services.
Source: yourtexasbenefits.com

Health and Human Services Commission

HHSC is seeking candidates for the Texas Medicaid Electronic Health Record (EHR) Incentive Program Ad Hoc Review panel. Ideal candidates would be familiar with EHR systems and the EHR Incentive Program. Responsibilities include reviewing materials related to the processes regarding Medicaid EHR incentive payments. Panel members will participate in discussions and provide recommendations to HHSC regarding the materials reviewed. Work is estimated to take up to 5 hours a month and meetings will be conducted by web or phone. All positions are voluntary. The term for serving on the panel is one year. Interested candidates should complete and submit an application.
Source: tx.us

How to Sell Medicare Supplements

Posted by:  :  Category: Medicare

Medicare Supplement Open Enrollment Period The most popular time to purchase a Medicare Supplement insurance policy (also called a Medigap policy) is during the Medigap open enrollment period. This six month period begins on the first day of the month in which your client turns 65 or older and enrolls in Medicare Part B. During the Medicare supplement open enrollment period, you will not use medical underwriting. This means Medicare supplement companies can’t refuse to sell your client any Medigap policy that they offer, make them wait for coverage to start, or charge more for a Medigap policy because of health conditions. Clients are also provided a six month window prior to their Medicare A and B effective dates (their 65th birthday) to apply for a Medicare Supplement without underwriting. Medicare Supplement Guaranteed-Issue Guaranteed-issue periods are generally shorter than Open Enrollment, and allow seniors to switch Medicare Supplement policies for the best price for their age, without a waiting period and regardless of health condition. The Guaranteed-Issue period generally occurs when your client’s current health care plan is changing in a certain way, you are involuntarily losing your coverage, or in some cases when an insurance company may have their own Guaranteed-Issue situation. There are seven circumstances that could take place and cause Guaranteed-Issue: 1. Your client’s employer or union coverage that acts as a Medicare Supplement is ending 2. Your client’s Medicare Advantage plan is leaving the Medicare program, stopping service in their area, or they are moving out of the area the plan services. 3. Your client is moving out of you Medicare Select’s service area though they can keep their current policy, they want to change policies. 4. Your client’s Medicare Supplement company goes bankrupt or they lose their Medicare Supplement policy through no fault of their own 5. After enrolling in Medicare Advantage or PACE they decide they want to switch to original Medicare (and a Medicare Supplement) within a year of joining 6. Your client dropped their Medicare Supplement to switch to a Medicare Advantage plan or Medicare SELECT for the first time; however, if after less than a year they decide you want to switch back to a Medicare Supplement policy 7. Your client decides to drop their Medicare Supplement or Medicare Advantage plan because the company has not followed the guidelines or misled them in some way Medicare Supplement Underwriting If your client is not in an Open Enrollment or Guaranteed-Issue period, then their Medicare Supplement will be subject to underwriting. Underwriting is the “Yes/No” portion of the Medicare Supplement application process, with those who answer the most questions “No” having a better chance at receiving coverage. Some insurance companies also do a telephone interview to further go over the responses to the questions and decide if they will qualify for their Medicare Supplement.
Source: psmbrokerage.com

Medicare Supplement Plans 2016

We had been looking on the web and found your number. After a phone call, issues became so much clearer. You addressed all our concerns and answered all our questions. You handled it in such a professional way. We never felt you didn’t have the time to talk and address each and every concern. You immediately gathered all our information and emailed forms with the various plans with pricing. That made everything so simple. You assisted us in filling out these forms correctly which was also a concern of ours.
Source: medisupps.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

Comprehensive Medicare Supplement Insurance in Nebraska!

That’s where we come in. Medigap360, the 190th fastest growing private company in America in the annual Inc. 500 list last year, has been in this industry for nearly three decades now and we’ve helped thousands of seniors find the perfect Medicare Supplement Insurance Plans at the best prices. We’ve worked with every major Medicare Supplement Insurance provider in the country. We’ve done the research and we know where to find the most comprehensive Medicare Supplement Insurance Plans with the most affordable rates.
Source: medicaresupplementsnebraska.com

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 HMO and PPO Coverage and Options

For example: George C. lives in Massachusetts and has a Medicare Advantage Plan through Fallon Community Health, one of the highest-rated health plans in the country. He has an HMO plan with drug coverage. His monthly premium cost for the plan is $208.40 (the Medicare Part B premium of $96.40 plus $112 charged by Fallon). Also, his out-of-pocket expenses include a $15 copay for each PCP visit, $20 for each specialist visit, 10% coinsurance for durable medical equipment, and an annual deductible of $310 for prescription medications.
Source: about.com

AvMed Medicare Choice (HMO)

Posted by:  :  Category: Medicare

Medicare Special Needs Plans are a type of Medicare Advantage Plan (Part C) for people with certain chronic diseases and conditions or who have specialized needs (such as people who have both Medicare and Medicaid or people who live in certain institutions). Medicare SNPs provide their members with all Medicare Part A (Hospital Insurance), Medicare Part B (Medical Insurance) services, and Medicare prescription drug coverage (Part D). Medicare SNPs were created to give certain groups of people better access to Medicare with plans designed to meet their unique needs.
Source: medhpc.com

Individual Health Insurance Quotes

As an AvMed Individual Health member, you also have the option of going to hospitals and physicians outside both the AvMed network and the PHCS network, anywhere in the United States. Your out-of-pocket expenses would be highest in this case, regardless of whether you receive care in or out of the AvMed service area. Covered services will be paid at the lowest level of your plan benefits. Because there are no contracts with these providers, you may be billed the difference between the billed charge and the usual, reasonable and customary fee allowance covered by your plan.
Source: floridaavmed.com

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

Posted by:  :  Category: Medicare

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

Medicare Part A Overview: Coverage and Premiums

  Medicare has several parts to consider when making your health care insurance choices. Understanding Medicare and how it works will allow you to choose the best plan to fit your needs. One part of the Medicare program is called Part A. Most people do not have to pay a premium for Part A because the individual or their spouse paid Medicare taxes while working. Others can buy Part A if they meet certain criteria. Below is an explanation of Medicare Part A and the coverage received under this plan. Use this information to decide if Part A is for you.
Source: medicareconsumerguide.com

Medicare Part A: Hospital Care and Services

The Social Security Administration handles Medicare enrollment. You are automatically enrolled in Medicare Part A and Part B if you’re 65 and receive Social Security checks. Typically, you’ll get your Medicare card three months before your 65th birthday. If you have private health insurance, it likely makes sense to sign up for Medicare Part A because it will provide you with additional coverage at no extra cost. However, you may wish to delay signing up for Part B coverage — for which there is a monthly premium — if your private insurance provides adequate coverage for outpatient medical services. To avoid paying a higher premium, you need to enroll during a Special Enrollment Period should you ultimately lose your private coverage.
Source: webmd.com

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

The page could not be loaded. The Medicare.gov Home page currently does not fully support browsers with "JavaScript" disabled. Please note that if you choose to continue without enabling "JavaScript" certain functionalities on this website may not be available.
Source: medicare.gov