About the Blue Cross and Blue Shield Association

Posted by:  :  Category: Medicare

Blue Cross Blue Shield Association and Blue Health Intelligence have collaborated and released the Blue Cross Blue Shield, The Health of America Report. This report reveals that women are receiving less aggressive treatments after a heart attack than men. Following a heart attack, women are 27% less likely than men to receive angioplasties to open clogged arteries and are 38% less likely than men to undergo coronary bypass surgery. Read the full report.
Source: bcbs.com

National Doctor and Hospital Finder

You can narrow your search by choosing from a range of criteria when you see your results, such as gender, accepting new patients, hospital affiliation. (The criteria vary depending on whether you’re searching for doctors, clinics, hospitals or other providers.)
Source: bcbs.com

BCBS Medicare Supplement Insurance Plans

Your state officials control which Medigap plans are available in your state, but you can see the benefits of all 10 forms of Medigap insurance by clicking here. And, our instant quotes will show you a selection of Medigap plans for your state offered by leading insurance companies that have been prescreened for financial soundness. We rely on A.M. Best, an independent financial rating organization, and represent insurers with some of the highest ratings.
Source: medigapadvisors.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

Medicare Information Office

Scammers are calling Medicare beneficiaries and telling them they need a new Medicare card. They ask for people’s Medicare numbers and banking information. They may have some already, which makes them sound convincing. DO NOT GIVE THIS INFO! Medicare will NEVER call you or stop by and ask for your personal information. Here is a flyer with more information you can print and post.
Source: alaska.gov

Medigap (Medicare Supplement)

Medigap insurance companies in Alaska sell “standardized” policies which means companies can only sell 10 plans identified by the letters A, B, C, D, F, G, K, L, M, and N. A company does not have to sell all 10 plans, but every company must sell Plan A (Basic Benefits only). If the insurance company offers any plan in addition to Plan A, the company must also offer Plan C or F. Each company decides which Medigap policy it wants to sell. As long as you compare the same alphabet letter the benefits are the same, the only difference is the company and the monthly (premium) cost.
Source: alaska.gov

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

The Medicare & Medicaid Center: What’s the Difference Between Medicare and Medicaid?

Insurance companies are constantly trying to improve the level of service they provide to customers even if it means a lot of work on new products and services. In 2012 Medicare is trying to improve service on their website with the “Blue Button” that should help with navigation. Your information and previous records will be much easier to access with this tool. You can logon from anywhere at any time and be able to access your medical history, health care providers and medications. Continue reading
Source: medicare-medicaid.com

Medicare Supplemental Insurance Quotes

Because the Medicare system is standardized, Medicare Supplement coverage is identical with all companies. The only difference between companies is price. Medicare Supplements Made Easy provides you with free Medicare Supplement Insurance Quotes from the leading Insurance Companies.
Source: medicaresupplementsmadeeasy.com

About the Blue Cross and Blue Shield Association

Posted by:  :  Category: Medicare

Blue Cross Blue Shield Association and Blue Health Intelligence have collaborated and released the Blue Cross Blue Shield, The Health of America Report. This report reveals that women are receiving less aggressive treatments after a heart attack than men. Following a heart attack, women are 27% less likely than men to receive angioplasties to open clogged arteries and are 38% less likely than men to undergo coronary bypass surgery. Read the full report.
Source: bcbs.com

BCBS Medicare Supplement Insurance Plans

Your state officials control which Medigap plans are available in your state, but you can see the benefits of all 10 forms of Medigap insurance by clicking here. And, our instant quotes will show you a selection of Medigap plans for your state offered by leading insurance companies that have been prescreened for financial soundness. We rely on A.M. Best, an independent financial rating organization, and represent insurers with some of the highest ratings.
Source: medigapadvisors.com

Health Care Providers: Insurance Plans & Processing Claims

Coordination of Benefits (COB) refers to how to make sure people receive full benefits and prevent double payment for services when a member has coverage from two or more sources. There are specific guidelines for which insurer has primary responsibility for primary payment, which has secondary, etc. To find out more about how to file specific COB Claims, contact your local BCBS Plan.
Source: bcbs.com

Texas Medicare Supplements

Posted by:  :  Category: Medicare

Most existing beneficiaries will be "held harmless" and will pay $104.90 in 2016. Beneficiaries not subject to the “hold harmless” provision will pay $121.80, as calculated reflecting the provisions of the Bipartisan Budget Act signed into law by President Obama last week. Medicare Part B beneficiaries not subject to the “hold-harmless” provision are those not collecting Social Security benefits, those who will enroll in Part B for the first time in 2016, dual eligible beneficiaries who have their premiums paid by Medicaid, and beneficiaries who pay an additional income-related premium. These groups account for about 30 percent of the 52 million Americans expected to be enrolled in Medicare Part B in 2016. 
Source: medicare-texas.net

Medicare Supplement Quotes in Texas

First, we hope this website provides you a better understanding of what is about to happen like the fact that regardless of what you do or don’t do most if not all seniors automatically become enrolled in Part A of Medicare, this is the part of Medicare that provides your basic coverage. Also you should know that you should automatically have eligibility in Part B of Medicare, that’s the part that provides out patient benefits like doctor charges and testing. There is a small fee for Part B that is deducted from your Social Security benefits. We have provided more detailed information on Texas Medicare Eligibility to hopefully assist in understanding more about it. 
Source: medicareinsurancetexas.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

Medicare Coverage in Texas

People with Original Medicare can join a Medicare Supplement (Medigap) plan to help offset some of their out-of-pocket costs. There are 10 plans available, with each type designated by a different letter (for example, Medigap Plan A). Medigap coverage is standardized, so no matter which insurer you purchase from, the benefits across each plan letter will be the same. States aren’t required to offer every plan type, so if you are looking for a Medicare Supplement plan in Texas, you may have different options available than someone in another state.
Source: planprescriber.com

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

California Medicare Plans Benefits And Premium Information Publications And Forms

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

Extra Help with Medicare Prescription Drug Plan Cost Forms and Publications

Appeal the decision we made about your eligibility for Extra Help by completing an Appeal of Determination for Extra Help with Medicare Prescription Drug Plan Costs (SSA-1021) in English or Español. Find Instructions for Completing the Appeal form in English or Español.
Source: ssa.gov

Medicare Payment Reform: Aligning Incentives for Better Care

In 1982, Congress established the Medicare risk contracting program, which provided an alternative option for enrollees who chose to obtain their Medicare benefits from private managed care plans. In 1997 and again in 2003, Congress expanded the number and scope of private plans available through this program, now called Medicare Advantage. Medicare Advantage plans receive a monthly payment for each Medicare beneficiary enrolled in the plan, based on the location, age, and health status of the beneficiary. The fixed per-member per-month payment should give the plan a financial incentive to provide more coordinated, effective, and efficient care—but payments to Medicare Advantage plans historically have exceeded what their enrollees were expected to cost in traditional Medicare, diluting the incentive for efficiency; moreover, although Medicare Advantage plans receive a fixed payment per enrollee, it is not clear how those incentives influence the way the plans actually pay their providers.
Source: commonwealthfund.org

Serving Older Adults with Complex Care Needs: A New Benefit Option for Medicare

While home- and community-based services are covered through state Medicaid programs, less than a third of Medicare beneficiaries with complex care needs are covered by Medicaid (the so-called dual eligibles). Low- and modest-income Medicare beneficiaries not covered by Medicaid face significant obstacles—financial and otherwise—to obtaining these services. Even beneficiaries who can afford to pay out of pocket for noncovered services can find it challenging to identify reliable, competent personal care providers. Physicians, nurses, and other traditional health care providers often cannot make knowledgeable recommendations about community services, such as senior day care centers, support for caregivers, or other personal care providers. This can even be true for individuals in Medicare Advantage Special Needs Plans (Medicare managed care plans that cover dual eligibles and facilitate coordination with Medicaid benefits), unless the contracting entity offers its enrollees a highly coordinated program.
Source: commonwealthfund.org

Sweeping Changes to Medicare Payment for Clinical Laboratory Services

Posted by:  :  Category: Medicare

The Act also updates the processes by which new laboratory tests are coded by Medicare.  CMS is now required to adopt temporary HCPCS codes to identify new “advanced diagnostic laboratory tests” and new tests that are cleared or approved by the Food and Drug Administration (FDA).  These temporary codes will be effective for a period of up to two years pending the adoption of a permanent HCPCS  or Current Procedural Terminology (CPT).(CPT is a registered trademark of the American Medical Association.)code.  In addition, by 2016, all advanced diagnostic laboratory tests and tests cleared or approved by the FDA, which are currently paid under the CLFS without unique codes, will be assigned unique HCPCS codes.  This should reduce coverage and payment uncertainties associated with the current practice of using non-specific or not-otherwise-classified codes.  The requirement for specific temporary coding should assist laboratories and manufacturers to commercialize new tests for which uncertainty or delay in obtaining test-specific codes has currently hindered market adoption.
Source: mwe.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 Changes to 2010 CPT Inpatient Consultation Codes

stdClass Object ( [term_id] => 207 [name] => Hot Coding Topics [slug] => hot-coding-topics [term_group] => 0 [term_order] => 0 [term_taxonomy_id] => 207 [taxonomy] => category [description] => The latest news [parent] => 0 [count] => 929 [cat_ID] => 207 [category_count] => 929 [category_description] => The latest news [cat_name] => Hot Coding Topics [category_nicename] => hot-coding-topics [category_parent] => 0 ) [1] => stdClass Object ( [term_id] => 312 [name] => ICD-10 [slug] => icd-10 [term_group] => 0 [term_order] => 0 [term_taxonomy_id] => 4475 [taxonomy] => category [description] => All About ICD-10 [parent] => 0 [count] => 96 [cat_ID] => 312 [category_count] => 96 [category_description] => All About ICD-10 [cat_name] => ICD-10 [category_nicename] => icd-10 [category_parent] => 0 ) [3] => stdClass Object ( [term_id] => 349 [name] => Provider News [slug] => provider-news [term_group] => 0 [term_order] => 2 [term_taxonomy_id] => 104 [taxonomy] => category [description] => Insurers, CMS, etc [parent] => 0 [count] => 335 [cat_ID] => 349 [category_count] => 335 [category_description] => Insurers, CMS, etc [cat_name] => Provider News [category_nicename] => provider-news [category_parent] => 0 ) [4] => stdClass Object ( [term_id] => 102 [name] => Coding Challenge [slug] => coding-challenge [term_group] => 0 [term_order] => 3 [term_taxonomy_id] => 102 [taxonomy] => category [description] => Test Your Skills [parent] => 0 [count] => 291 [cat_ID] => 102 [category_count] => 291 [category_description] => Test Your Skills [cat_name] => Coding Challenge [category_nicename] => coding-challenge [category_parent] => 0 ) [5] => stdClass Object ( [term_id] => 350 [name] => Toolkit [slug] => toolkit [term_group] => 0 [term_order] => 4 [term_taxonomy_id] => 110 [taxonomy] => category [description] => Coding & Billing Tools [parent] => 0 [count] => 133 [cat_ID] => 350 [category_count] => 133 [category_description] => Coding & Billing Tools [cat_name] => Toolkit [category_nicename] => toolkit [category_parent] => 0 ) ) –>
Source: inhealthcare.com

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

Big Changes Coming for Medicare, Social Security

Kicking off the rare election-year debate: a move to rescue the Social Security disability fund before 20% cuts in monthly payments need to be made (recipients are people unable to work because of illness or injury). Congress will find a solution before money runs short in fall 2016. Tighter eligibility standards are likely to be added as a condition of more money being pumped into the fund.
Source: kiplinger.com

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

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

Medicare Advantage Specialists

MAS is your partner for comprehensive solutions in the booming senior life and health insurance market, including Medicare Advantage, Medicare Supplements, Final Expense Life Insurance, Critical Illness, Hospital Indemnity, Long Term Care plans and more!
Source: medicareadvantagespecialists.com

How Medicare Advantage Plans work

Medicare Advantage Plans, sometimes called “Part C” or “MA Plans,” are offered by private companies approved by Medicare. If you join a Medicare Advantage Plan, you still have Medicare. You’ll get your Medicare Part A (Hospital Insurance) and Medicare Part B (Medical Insurance) coverage from the Medicare Advantage Plan and not Original Medicare.
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

The United States Social Security Administration

In my short 5 years with SSA I can truly say I have and continue to enjoy my role as a public servant because it’s a double reward to give back to my community and always give my 110% to each person I serve each day in and out.
Source: socialsecurity.gov

HealthMarkets Medicare – Find Affordable Medicare Plans Online

When it comes to considering your Medicare options, you can spend hours doing your own research or you can make a single call to HealthMarkets Insurance Agency. We’ll search thousands of plans from nationally recognized companies to find the coverage that’s right for you … at a price that fits your budget.  And we’ll do it at no cost to you.
Source: healthmarkets.com

How to Change My Address for Medicare

Posted by:  :  Category: Medicare

Medicare Part D patients will need to call the issuing insurer before the move to make sure the plan will remain valid in the new location. Patients moving across town shouldn’t have any problems with the address change, but those moving out of state could lose coverage. Part D members without insurance changes can often change the address online through the issuer’s website. For more information, or if you have reason to question your coverage, call Medicare itself at 1-800-633-4227.
Source: ehow.com

Medicare Advantage Specialists

MAS is your partner for comprehensive solutions in the booming senior life and health insurance market, including Medicare Advantage, Medicare Supplements, Final Expense Life Insurance, Critical Illness, Hospital Indemnity, Long Term Care plans and more!
Source: medicareadvantagespecialists.com

my Social Security – Sign In Or Create an Account

account using your own personal information and for your own exclusive use.  You cannot create or use an account on behalf of another person, even if you have that person’s written permission. You can never share the use of your account with anyone else under any circumstances. Unauthorized use of this service is a misrepresentation of your identity to the federal government and could subject you to criminal or civil penalties, or both.
Source: socialsecurity.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

Medicare Supplemental Policies: Do You Need One? 

We’ll start with what they cover. Supplemental insurance is sold to cover “what Medicare doesn’t.” Remember I said that wasn’t quite true. Unless a supplemental policy specifically states otherwise, the most it will cover are the Medicare deductibles ($147 outpatient and $1,187 hospitalization) and the 20 percent co-insurance. Supplemental policies do not usually cover any medical services Medicare won’t cover. What’s more, Medicare supplemental insurance will only pay health care providers what you would pay if you didn’t have the supplemental policy. Providers aren’t paid any more for taking care of you if you have one of these policies.
Source: huffingtonpost.com

Quest Diagnostics : Medicare Limited Coverage Policies Reference Guide

Please note that local policies are determined by the performing test location. This is determined by the state in which your performing laboratory resides. The state links below provide a quick reference tool. Please click on the state where your testing is commonly performed. For example: If your office is located in Indiana but testing is sent to Cincinnati, choose Ohio. If your office is located in Indiana, but testing is sent to Auburn Hills Michigan, choose Michigan. If your office is located in Indiana and testing is sent to Indianapolis then select Indiana.
Source: questdiagnostics.com

Medicare Policies and Guidelines

Important: FindACode.com uses Javascript to provide a rich, interactive user experience. We have detected that your browser either does not support Javascript or has been configured to not allow it. To use FindACode.com, you will need to either change your Javascript settings or use a different web browser.
Source: findacode.com

How to compare Medigap policies

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 Payment and Policies for Hospital Settings

This page contains information and resources on Medicare payment and policies for hospital settings. Content is subdivided by acute care hospitals (IPPS) and/or long-term hospitals (LTCH), inpatient rehabilitation (IRF), and outpatient care.
Source: apta.org

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