Medigap (Medicare Supplement) Insurance

Posted by:  :  Category: Medicare

Plans are assigned letters A through N, and are not to be confused with the “parts” of Medicare, such as Parts A & B. Each Medigap policy plan must offer the same basic benefits, no matter which insurance company sells it. For example Plan K from insurance company ABC must offer the same benefits as Plan K from insurance company XYZ.
Source: mo.gov

Coventry Medicare: Coventry Health Care of Missouri (MO, IL)

Whether you are an employer, health care provider, interested in enrolling, or already a 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

McDonald & Osborne, PA. Certified Public Accountants

What is the Largest Federal Tax Break for Individuals? According to a Congressional Research Service report, the biggest break is the home mortgage deduction, which is expected to cost the government (some might say, save the taxpayer) an estimated $74.8 billion in fiscal year 2015. An estimated $51 Billion in income taxes was paid on […]
Source: mo-cpablog.com

Texas Association of Health Plans (TAHP)

Posted by:  :  Category: Medicare

TAHP has issued a Request for Proposals (RFP) for the development, implementation, and management of a Texas Statewide Consolidated Credentialing Verification Organization (CVO) for Medicaid health plans. The concept for a statewide CVO emerged from discussions that began in 2014 between TAHP and Medicaid health plans aimed at streamlining the administrative process for providers joining health plan networks. The CVO is intended to reduce administrative time and burden for providers seeking to deliver quality care to Texans enrolled in a Medicaid health plan. The statewide CVO is part of a broader TAHP vision to improve the experience of Medicaid providers and increase efficiency in the health care industry.     Vendor RFP responses are due to TAHP by 3pm on October 2, 2015. The TAHP Proposal Evaluation Team will review proposals and make recommendations for a contract award. TAHP anticipates announcing a tentative award by October 23, 2015.
Source: tahp.org

Quote Texas Health Insurance plans side by side and apply online

Stateside Insurance Services and www.texasplans.com offer the most comprehensive tool available for individuals, families, small businesses and seniors to research, compare and shop for health insurance in Texas. Accident Rider Option – Stateside offers a stand alone accident rider option that can cover the first dollar of an accident claim up to either $2,500 or $25,000. Claims are paid on a per occurrence basis. The deductible options are for each accident, not an annual deductible. For more information and to enroll in the accident rider coverage click on Accident Rider Coverage Information. QUOTE FROM YOUR PHONE
Source: texasplans.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

Medicare: What Are Medigap Plans?

If you are going to buy a Medigap plan, the open enrollment period is six months from the first day of the month of your 65th birthday — as long as you are also signed up for Medicare Part B — or within six months of signing up for Medicare Part B. During this time, you can buy any Medigap policy at the same price a person in good health pays. If you try to buy a Medigap policy outside this window, there is no guarantee that you’ll be able to get coverage. If you do get covered, your rates might be higher.
Source: webmd.com

Medigap (Medicare Supplement Health Insurance)

A Medigap policy is health insurance sold by private insurance companies to fill the “gaps” in Original Medicare Plan coverage. Medigap policies help pay some of the health care costs that the Original Medicare Plan doesn’t cover. If you are in the Original Medicare Plan and have a Medigap policy, then Medicare and your Medigap policy will each pay its share of covered health care costs. Generally, when you buy a Medigap policy you must have Medicare Part A and Part B. You will have to pay the monthly Medicare Part B premium ($96.40 in 2011 for most beneficiaries). In addition, you will have to pay a premium to the Medigap insurance company. As long as you pay your premium, your Medigap policy is guaranteed renewable. This means it is automatically renewed each year. Your coverage will continue year after year as long as you pay your premium. In some states, insurance companies may refuse to renew a Medigap policy bought before 1992. Insurance companies can only sell you a “standardized” Medigap policy. Medigap policies must follow Federal and state laws. These laws protect you. The front of a Medigap policy must clearly identify it as “Medicare Supplement Insurance.” It’s important to compare Medigap policies, because costs can vary. The standardized Medigap policies that insurance companies offer must provide the same benefits. Generally, the only difference between Medigap policies sold by different insurance companies is the cost. You and your spouse must buy separate Medigap policies.Your Medigap policy won’t cover any health care costs for your spouse. Some Medigap policies also cover other extra benefits that aren’t covered by Medicare. You are guaranteed the right to buy a Medigap policy under certain circumstances. For more information on Medigap policies, you may call 1-800-633-4227 and ask for a free copy of the publication “Choosing a Medigap Policy: A Guide to Health Insurance for People With Medicare.” You may also call your State Health Insurance Assistance Program (SHIP) and your State Insurance Department. Phone numbers for these Departments and Programs in each State can be found in that publication.
Source: cms.gov

Consumer Guide to Health Care

Medicare is the main insurance for people 65 and older and also provides coverage for some people with disabilities. It is the nation’s largest health insurance program – covering 49 million Americans in 2012. The federal Centers for Medicare and Medicaid Services (CMS), which runs the program, provides lots of information on its  Medicare website. Here is additional information about the program.
Source: wisconsin.gov

Online Comparison of Medicare Supplemental Insurance Policies From Multiple Insurance Providers

Our customers will tell you, that things like this don’t happen to them. Our Medigap Insurance Brokers on staff are also professional “field underwriters.” So we’ll not only aid you in finding the most affordable for Medigap Costs, but we’ll make sure that you’ll meet the provider’s requirements for the coverage before we ask you to apply. With a few quick questions about your health, you can easily qualified for Medicare Supplement Coverage which will approve you on the spot, without hassles or misgivings of revoking insurance.
Source: medigapwisconsin.com

Understanding Medigap Medicare Supplemental Insurance

If you already have a comprehensive retiree health plan to supplement Original Medicare, you may not need a Medigap plan. If your retiree policy provides more-generous benefits, or benefits not covered by Medicare or Medigap policies, you should think carefully before dropping your retiree health plan for a less expensive choice. (You might not be able to get that employer plan back once you drop it.) Check with your union or your former employer’s benefits manager or health plan to make sure you understand all the stipulations. Can you accept some restrictions on your care? If so, Medicare Select is a Medigap policy that limits the providers you can see. Costs can be lower than with standard Medigap policies because Medicare Select policies cover services only at certain hospitals and through specific doctors. Your state insurance department can tell you if there are Medicare Select plans in your state and give you more information about them.
Source: aarp.org

Medicare Changes to 2010 CPT Inpatient Consultation Codes

Posted by:  :  Category: Medicare

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Source: inhealthcare.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

Medicare Fraud Reporting Center

Medicare Whistleblowers are typically healthcare professionals who are aware of hospitals, clinics, pharmacies, Nursing Homes, Hospices, long term care and other health care facilities that routinely overcharge or seek reimbursement from government programs for medical services not rendered, drugs not used, beds not slept in and ambulance rides not taken. If you have information about a person or a company that is cheating the Medicare program (or any other government run healthcare program), you may be able to collect a large financial reward for reporting it here.
Source: medicarefraudcenter.org

To Switch or Be Switched: Examining Changes in Drug Plan Enrollment among Medicare Part D Low

During the Medicare Part D annual enrollment period from October 15 to December 7, people on Medicare can review and compare stand-alone prescription drug plans (PDPs) and Medicare Advantage plans and switch plans if they choose.  Low-income beneficiaries who receive premium and cost-sharing assistance through the Part D Low-Income Subsidy (LIS) program have a subset of premium-free PDPs (benchmark plans) available to them, but can also choose to enroll in a non-benchmark plan and pay a premium. Each year, the list of premium-free PDPs changes. When PDPs lose their premium-free status, the Centers for Medicare & Medicaid Services (CMS) automatically reassigns many of their LIS enrollees to another premium-free PDP; however, CMS does not reassign LIS enrollees who have chosen a plan other than their assigned PDP.  LIS Part D plan enrollees, unlike non-LIS enrollees, are also permitted to switch plans at any time outside the annual enrollment period.
Source: kff.org

California Medicare Plans Benefits And Premium Information Publications And Forms

Posted by:  :  Category: Medicare

We provide access to plan benefit guides, forms and publications along with general and specific insurance information for all California beneficiaries. You will find many details and links listed on this site. You may also make an instant request for materials or call our Toll-Free Medicare insurance helpline which is 800-458-7805 Need Help Fast?? Click Here  You should seek the advice of an insurance professional if you are not sure how each insurance plan works. You should not have to pay for the consultation since insurance brokers are usually paid directly from insurance companies. A good Broker or Agent should give you a non-biased opinion of many plans and answer your specific questions. We have a staff of insurance professionals available to answer any of your questions and we will provide you with specific enrollment materials or Medicare Plan summary of benefits by request. 2012 Medicare And You Hand Book Please feel free to use any of our resources and don’t hesitate to call our helpline at any time. We are happy to answer questions and provide you with any forms or publications that you may need. Individual Non Medicare Insurance From AETNA For Those Under 65 You may download anything you would like from this site for free or you may also visit our other site at www.todaysmedicare.com check back often. This site will be updated regularly. Check back often for updated information or call our Toll Free Helpline 1-800-683-6729
Source: californiamedicare.org

What Does Medicare Cover?

Also called medical insurance, Part B covers outpatient care. For instance, it pays for your visits to a doctor’s office, tests, and preventive health care like cancer screenings and vaccines. Part B also covers some medical supplies, like blood sugar test strips, therapeutic shoes, and more. It’s common for people to be automatically enrolled in Part B, too.
Source: webmd.com

Get the Most out of Medicare

OneExchange helps you choose the Medicare plan that best fits your medical needs and budget. Working with us will help you make informed and confident enrollment decisions. We apologize that our site is not fully accessible to customers using screen readers at this time. We are currently building a new site with accessibility in mind that will be launched in late 2016. Until then, we encourage you to call Towers Watson’s at 1-866-322-2824 (#711) to speak to one of our expert benefit advisors.
Source: oneexchange.com

Medicare Choices Made Simple & Affordable

OneExchange helps you choose the Medicare plan that best fits your medical needs and budget. Working with us will help you make informed and confident enrollment decisions. We apologize that our site is not fully accessible to customers using screen readers at this time. We are currently building a new site with accessibility in mind that will be launched in late 2016. Until then, we encourage you to call Towers Watson’s at 1-866-322-2824 (#711) to speak to one of our expert benefit advisors.
Source: oneexchange.com

Medicare Health Plans, Coverage And Online Enrollment

*Plan performance summary star ratings are assessed each year and may change from one year to the next. (Centers for Medicare & Medicaid Services Health Plan Management System, Plan Ratings 2012. Kaiser Permanente contract #H0524, #H0630, #H1170, #H1230, #H2150, #H6360, #H9003). This page was last updated: October 1, 2012 at 12 a.m. PT
Source: kaiserpermanente.org

Medicare Advice: Enrollment, Eligibility, Plans

You don’t have to do this on your own. Get help from a trusted source that can help you think through your options and compare plans. Start with our Medicare QuickCheck™ to get a personalized report on your options and use that to start a conversation with a licensed benefits advisor.
Source: mymedicarematters.org

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

How Much You’ll Pay
For Medicare in 2011

Medicare just announced the 2011 rates for monthly premiums for Part B coverage of doctor’s visits and outpatient treatment and Part D coverage of prescription drugs. The big news for next year: For the first time, higher-income beneficiaries (about 5% of all Medicare recipients) will pay a Part D surcharge. They’ll pay the regular Part D premium to their private insurance plan and will pay the income-related adjustment to Medicare.
Source: kiplinger.com

Medicare Premiums for 2011 Frozen or Hiked for Beneficiaries, Boomers

There will be three "standard" Part B premium levels next year, a situation brought about by the freezing of Social Security cost-of-living adjustments in 2010 and 2011. Under existing law, when COLAs do not rise, standard Part B premiums must be frozen too — but only for people whose premiums are deducted from their Social Security checks. This means that in 2011 many people will pay the same premiums as they did in 2009 or 2010, but others will pay the new higher standard amount for 2011.
Source: aarp.org

National Government Services

Posted by:  :  Category: Medicare

National Government Services is one of the few organizations in the federal health care market that has true roots in health care and a history of delivering solutions that solve complex challenges. Our capabilities are designed to be flexible, scalable, and most importantly the right fit to meet our customers’ demands.
Source: ngsservices.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

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

Noridian Healthcare Solutions, LLC

Posted by:  :  Category: Medicare

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.gov Physician Compare Home Page

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

Dental Blue® Indemnity Plan

Posted by:  :  Category: Medicare

Filing Claims Participating dentists send claims to Blue Cross Blue Shield of Massachusetts for you; just show them your Dental Blue ID card. We will send payment directly to your dentist, if we receive claims within one year of completed service.
Source: bluecrossma.com

Summary of Benefits: CIGNA Indemnity Plan

Covered 80% of R&C* after deductible Therapy days, provided as part of an approved Home Health Care Plan, accumulate to the Outpatient Short Term Rehab maximum. If multiple outpatient services are provided on the same day, they constitute one day, but a separate copy will apply to the services provided by each participating provider.
Source: doe.gov