229 CIGNA complaints and reviews @ Pissed Consumer

Posted by:  :  Category: Medicare

The CIGNA “reviewer” of my son’s coverage for ASD (Autism Spectrum Disorder) therapy made derogatory comments to his Psychologist/Therapist about this condition. Apparently CIGNA guidelines and Dr. S. Friedman believes that ASD is not a lifelong support issue and can be cured in less than a few years!?! Can’t imagine how CIGNA’s “appeals process” will turnout. In their favor I’m sure. Absolutely…
Source: pissedconsumer.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

Arizona Medicare Supplement: Arizona Medigap

There are plenty of companies out there advertising supplemental insurance in Arizona, but how do you know you are picking the right one? First and foremost, you have to make sure that they have competitive prices, as well as a knowledgeable and respectable staff. Arizona Medicare Supplements provides both of those things, as we serve seniors with Arizona Medigap Coverage or Arizona Medicare Supplement policies. We strive to provide affordable rates as well as complete customer service both before and after the sale.
Source: arizonamedicaresupplements.com

Affordable Arizona Medicare Plans

insuranceQuotes is an independent, privately-owned company that provides thousands of consumers with an effective and free way to shop and compare insurance quotes online. We are not affiliated with healthcare.gov or other state-based exchanges; however, through trusted partnerships with thousands of insurance agents in your local area and at over a hundred of the nation’s elite insurance providers, consumers using our services can receive quotes for insurance plans that may appear on state-based and/or federal exchanges, as well as for private plans that meet federal standards to be a qualified health plan under the Affordable Care Act. We do not sell health plans ourselves, but work with these licensed entities.
Source: arizonamedicare.org

Help with Paying Medicare Costs Only

You are invited to participate in a survey regarding your experience using the AHCCCS website. This survey will take approximately two minutes. Your responses will help us ensure that you have a high quality experience.
Source: azahcccs.gov

Medicare supplemental insurance in the state of Arizona

The absolute best time to enroll in Arizona Medicare supplemental insurance plan is during the six-month leeway period after you sign up for parts one and parts two. This special time is known as “open enrollment” and it allows clients to buy the plan that is best for them without partaking in a physical at their doctor. Companies who offer supplemental plans are also not allowed to deny senior citizens a plan because of their lifestyle or a pre-existing condition. They are however allowed to delay coverage for certain pre-existing conditions for up to six months of time. It is important that you ask the company you are interested in before purchasing their Medigap packages about what policies they implement when it comes to pre-existing medical conditions.
Source: medicaresupplementalinsurancecomparison.net

WellCare Classic (PDP) Texas $26.50/mo TX

Posted by:  :  Category: Medicare

If you are entitled to Medicare Part A (enrolled or not) or currently enrolled in Medicare Part B you may join the WellCare Classic prescription drug plan. Unless you also receive benefits from Medicaid, enrollment in a Part D plan is voluntary. This plan is available in Houston, San Antonio, Dallas, Austin, Fort Worth, El Paso, Arlington, Corpus Christi, Plano, Laredo, Lubbock, Garland, Irving, Amarillo, Grand Prairie, Brownsville, Pasadena, McKinney, Mesquite, McAllen, Killeen, Frisco, Waco, Carrollton, Denton, Midland, Abilene, Beaumont, Round Rock, Odessa, Wichita Falls, Tyler, Richardson, Lewisville and all other towns and cities in Texas.
Source: medicarewire.com

The Medicare Billing Manual for Long

Posted by:  :  Category: Medicare

Frosini Rubertino, RN, BSN, C-NE, CDONA/LTC, is a regulatory specialist with more than 25 years of experience in the healthcare industry. She is the author of HCPro’s The QIS Mock Survey Guide, The Medicare Billing Manual for Long-Term Care, The Complete Guide to Long-Term Care Medicare Billing, QAPI: A Nursing Home’s Guide to Implementation and Management, Dementia Care: A Handbook for Long-Term Care, Caring for the Dementia Resident: Ensuring Regulatory Compliant Care, and TrainingInMotion.org’s Carmelina: Essential Nursing Systems for Long-Term Care. As the founder of TrainingInMotion.org and instructor for HCPro’s Medicare Boot Camp®— Long-Term Care Version, she is a nationally-recognized trainer and speaker, advising long-term care organizations in regulatory compliance and how to maintain excellence in their respective roles.
Source: hcmarketplace.com

Medicare Billing: Wheelchairs, Scooters, Lift Chairs

We understand that the process of submitting claims to Medicare can be difficult and time consuming. To help make the process easier, SpinLife offers what is known as “courtesy billing”. This means that after you purchase an eligible product from SpinLife and request at checkout that we courtesy bill Medicare, we send you all of the documentation required by Medicare for you to complete with your physician. Once medically qualifying documentation is submitted into SpinLife, we can submit a claim to Medicare on your behalf. If your claim is approved by Medicare, they will reimburse you directly for their portion of your claim via mail.
Source: spinlife.com

Preventive services billing for Priority Health Medicare

Adults at high risk for HCV infections. “High risk” is defined as having a current or past history of illicit injection drug use, or those who received a blood transfusion prior to 1992. Repeat screening for high-risk persons is covered annually only for persons who have had continued illicit injection drug use since the prior negative screening test. The determination of “high risk for HCV” is identified by the primary care physician or practitioner who assesses the patient’s history, which is part of any complete medical history, typically part of an annual wellness visit and considered in the development of a comprehensive prevention plan. The medical record should be a reflection of the service(s) provided. 
Source: priorityhealth.com

Inpatient admissions billing for Medicare patients

Under this final rule, surgical procedures, diagnostic tests and other treatments (in addition to services designated as inpatient-only) are generally appropriate for inpatient hospital admission and payment under Medicare Part A when (1) the physician expects the beneficiary to require a stay that crosses at least two midnights and (2) admits the beneficiary to the hospital based upon that expectation.  See updates at the CMS website.
Source: priorityhealth.com

Medicare, Medicaid and Medical Billing

When a Part A claim is processed by Medicare, Medicare pays the provider directly for the service rendered by the provider. On the other hand, in a Part B claim, who pays depends on who has accepted the assignment of the claim. If the provider accepts the assignment of the claim, Medicare pays the provider 80% of the cost of the procedure, and the remaining 20% of the cost is passed on to the patient. You should recognized that 80-20 breakdown: it’s a classic example of coinsurance.
Source: medicalbillingandcoding.org

Medicare Advantage HMO & PPO Plans

Posted by:  :  Category: Medicare

This information is available for free in other languages. Please call our customer service number at 1-888-247-1028 (TTY: 711), Monday through Sunday, 8 a.m. to 8 p.m. Esta información está disponible en otros idiomas de manera gratuita. Comuníquese con Servicios al Cliente al 1-800-282-5366 (TTY: 711). Horario de atención: de 8 a.m. a 8 p.m., los siete días de la semana.
Source: aetnamedicare.com

Medicare Advantage PPO Plans (Preferred Provider Organization)

Generally, beneficiaries can receive their health care from any doctor or health care provider while enrolled in a PPO plan. These plans have network doctors and providers, but plan members are still given the flexibility to choose out-of-network doctors. Be aware that out-of-network care will cost more for the beneficiary as the PPO plan will cover less of the expenses. Some Medicare Advantage plans require beneficiaries to choose a primary care doctor to coordinate their health care, but PPO plans do not have this requirement. Additionally, referrals from a primary care doctor are not required for a beneficiary to see a specialist. Like with other aspects of care under a PPO plan, using an in-network plan specialist will usually cost less than using an out-of-network specialist.
Source: planprescriber.com

Medicare Advantage Health Plans: Options and Coverage

Medicare Advantage plans are private insurance health plans, regulated by the government. Medicare Advantage is also known as “MA” or Medicare Part C. All individuals enrolled in Original Medicare, Part A and Part B, are eligible to enroll in a Medicare Advantage plan, with the exception of those diagnosed with End Stage Renal Disease (ESRD), there are exceptions.
Source: planprescriber.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

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 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

CMS National Training Program

Posted by:  :  Category: Medicare

The page could not be loaded. The CMS.gov Web site currently does not fully support browsers with “JavaScript” disabled. Please enable “JavaScript” and revisit this page or proceed with browsing CMS.gov with “JavaScript” disabled. Instructions for enabling “JavaScript” can be found here. Please note that if you choose to continue without enabling “JavaScript” certain functionalities on this website may not be available.
Source: cms.gov

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

HealthCare Administrative Solution

NOTE: In the Final Rule published in the Federal Register on April 15, 2010, CMS clarified that providers “who have met the fraud, waste, and abuse certification requirements through enrollment into the Medicare program or accreditation as a Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) are deemed to have met the training and educational requirements for fraud, waste, and abuse.”
Source: hcasma.org

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

Medicare Open Enrollment 2016

Posted by:  :  Category: Medicare

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

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 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

Medicare Open Enrollment 2016

One thing that many senior citizens find confusing are the two periods of the year in which they can make adjustments to their Medicare plans. If you currently have Medicare or a Medicare Advantage plan, however, it is smart to make yourself aware of these two annual periods. Then, during certain times of the year, you can adjust your coverage, sign up for Medigap coverage, shop and compare plans, switch back to original Medicare and more. These are the two yearly periods that you should mark your calendar for so that you will be ready to make these adjustments, if necessary.
Source: medicareopenenrollment2016.com

Medicare Open Enrollment 2016

Doughnut hole: A gap in prescription drug benefits. In 2015, Part D enrollees will pay a monthly premium and may, depending on the plan, pay a deductible on prescriptions. Once any deductible is met, they pay copayments or co-insurance for their drugs until total drug spending – what the plan pays and what the enrollee pays combined – reaches $2,970 for the year. Then the enrollee pays 47.5 percent of the cost of brand-name drugs and 79 percent of the cost of generics until total out-of-pocket expenses for the year reach $4,750. After that, the enrollee reaches catastrophic coverage and pays only a small portion of drug costs, either 5 percent or copayments of $2.65 for generics and $6.60 for brands, whichever is more.
Source: medicarehealthinsurancefacts.com

Medicare Open Enrollment Period

If what you have is working for you, you can relax and do nothing. Your coverage will continue as is. If your health status or life circumstances have changed, then you may want to change your Medicare coverage, too.
Source: medicaremadeclear.com

Medicare Advantage Plans in Montana

Posted by:  :  Category: Medicare

Below are Medicare Advantage plans available to residents of Montana. 6 carriers offer 46 plans and eligibility differs by county. Residents may choose plans from multiple carriers. This data has been made available by the Centers for Medicare & Medicaid Services (CMS) and is for informational purposes only. Some data may be inaccurate or incomplete. Please note that plans can vary by city, county, and state and all plans listed may not be available in all areas.
Source: online-health-insurance.com

Montana Consumer Assistance

The page could not be loaded. The CMS.gov Web site currently does not fully support browsers with “JavaScript” disabled. Please enable “JavaScript” and revisit this page or proceed with browsing CMS.gov with “JavaScript” disabled. Instructions for enabling “JavaScript” can be found here. Please note that if you choose to continue without enabling “JavaScript” certain functionalities on this website may not be available.
Source: cms.gov

Montana Medicare Supplements

Medigap Companies: Admiral Life Insurance Aetna Life Insurance American Continental Insurance American National Life Insurance Anthem Life American Pioneer Life Insurance American Republic Insurance Bankers Fidelity Life Insurance Blue Cross and Blue Shield Central Reserve Life Insurance Christian Fidelity Life Insurance Combined Insurance Company Conseco Insurance Company Continental General Insurance Continental Life Insurance Company Equitable Life and Casualty Insurance Family Life Insurance Company Forethought Insurance Company Genworth Life Insurance Company Gerber Life Insurance Company Globe Life and Accident Insurance Golden Rule Insurance Company Great American Life Insurance Guarantee Trust Life Insurance Humana Insurance Company Lincoln Heritage Life Insurance Loyal American Life Insurance Marquette National Life Insurance Mutual of Omaha Insurance Company National States Insurance Company New Era Life Insurance Company Old Surety Life Insurance Company Pacificare Life Assurance Company Pennsylvania Life Insurance Company Philadelphia American Life Insurance Physician’s Life Insurance Company Provident American Life & Health Reserve National Insurance Company Royal Neighbors of America Sierra Health and Life Insurance Southwest Service Life Insurance Standard Life and Accident Insurance State Mutual Insurance Company Sterling Investors Life Insurance Sterling Life Insurance Company Unicare United American Insurance Company United Commercial Travelers (UCT) United National Life Insurance United of Omaha Life Insurance United Teacher Associates United World World Corp Insurance Company
Source: medigap360.com

Montana Medicare Supplement Plans

Any Montana resident enrolled in Medicare Part A and Part B may also choose to enroll in a Medicare Supplement (Medigap) plan. Medigap is a plan provided by private insurance companies that covers costs such as copayments, deductibles, and coinsurance that Original Medicare does not cover. Most states, including Montana, have a standardized list of ten plan options all labeled with identical letters (Plan C, Plan F, etc) by all insurance providers.
Source: ehealthmedicare.com

Montana Medicare Supplemental Insurance

The coverage provided by Medigap varies depending on which policy is chosen.  For example, eight Medigap plans cover the policyholder’s time spent in a nursing care facility, while two do not.  Likewise, eight Medigap policies cover the full costs of 3 pints of transfused blood, while two cover this expense in part.  Some seniors prefer to choose the most expansive coverage to ensure that they will be covered for all potential situations, while others prefer to take a more limited plan, and to upgrade their coverage when necessary.  A significant benefit of Medigap in Montana and throughout the country is that health insurance companies are obligated to take applicants in most cases.  However, if a pre-existing health condition is present, the policyholder may be required to wait six months in order to receive coverage for that condition.
Source: medicaresupplementalinsurance.com

Blue Cross and Blue Shield of Montana

The Medicare Annual Enrollment Period is going on now. But how can you be sure you’re getting the coverage benefits you need at the price you want? Fortunately, the Medicare Savings Kit is here to help.
Source: missoulamedicare.com

Medicare Plans for Different Needs

Posted by:  :  Category: Medicare

Learn about UnitedHealthcare Medicare Advantage plans, Medicare prescription drug plans and Medicare Special Needs plans that might be a good fit for you. Or learn about Medicare-related plans, like Medicare Supplement Insurance plans*.  
Source: uhcmedicaresolutions.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

NY Medicare / New York Medicare Specialist

Posted by:  :  Category: Medicare

All Rights Reserved – NY Medicare Specialists / Century Benefits Group, Inc. NY State Insurance License LA-517306 This is a proprietary website. and is not, associated, endorsed or authorized by the Social Security Administration, the Department of Health and Human Services or the Center for Medicare and Medicaid Services. This site contains decision-support content and information about Medicare, services related to Medicare and services for people with Medicare. If you would like to find more information about the Medicare program please visit the Official U.S. Government Site for People with Medicare located at http://www.medicare.gov
Source: nymedicare.org

Medicaid and the Medicare Savings Programs 2015

Applications for these programs may be obtained from the Medicaid office at the local (county) Department of Social Services. Or, you may print the application form from the link below. All applications for the Medicare Savings Program must be mailed to the local Department of Social Services where you live. The phone number and address for the local Department of Social Services may be found in the government pages of the telephone book.
Source: ny.gov

Workers Compensation & Medicare

If Peter accepts the payout, then all workers’ compensation benefits are terminated. Now, if you remember, early on we learned that Peter was eligible for Social Security Disability (SSD) benefits. A component of SSD is Medicare. Recently Medicare has set up a program where by they insist that if there is a settlement of a third-party suit and if workers’ compensation has been terminated (not simply on holiday) then Peter will be required to spend down a certain portion of his settlement before Medicare pays one dollar towards medical benefits as a result of the injuries that the settlement is based upon. Under these circumstances, Peter is required to set up a Medicare Set Aside Trust (MSA). This trust will be funded by part of the proceeds of the settlement and Peter will be required to spend for his medical costs related to the injury out of this trust before Medicare kicks in and picks up the medical bills.
Source: stephanpeskin.com

Information for Medicare Beneficiaries

Medicare covers two types of physical exams; one when you’re new to Medicare and one each year after that. The Welcome to Medicare physical exam is a one-time review of your health, education and counseling about preventive services, and referrals for other care if needed. Medicare will cover this exam if you get it within the first 12 months of enrolling in Part B. You will pay nothing for the exam if the doctor accepts assignment. When you make your appointment, let your doctor’s office know that you would like to schedule your Welcome to Medicare physical exam. Keep in mind, you don’t need to get the Welcome to Medicare physical exam before getting a yearly Wellness exam. If you have had Medicare Part B for longer than 12 months, you can get a yearly wellness visit to develop or update a personalized prevention plan based on your current health and risk factors. Again, you will pay nothing for this exam if the doctor accepts assignment. This exam is covered once every 12 months.
Source: ny.gov

New York Medicare Advantage Plans for 2015 from Touchstone Health

On January 1, 2016 Touchstone Health HMO, Inc. will no longer offer coverage of Medicare Advantage benefits to our Medicare members in the following service area: Bronx, Queens, Kings, Richmond, New York, Westchester and Orange counties.
Source: touchstoneh.com

AgeWell New York Health Insurance Plans

Our multi-lingual staff can assist you, your family and your caregivers in our service areas, including Westchester, Bronx, New York (Manhattan), Queens, Kings (Brooklyn), Nassau, and  Suffolk counties.
Source: agewellnewyork.com