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 Cost Savings Programs

The SLMB program provides payment of Medicare Part B premiums only for individuals who would be eligible for the QMB program except for excess income. Income for this program must be more than 100% of the FPL, but not exceed 120% or 135% of the FPL.
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

Missouri HIT Assistance Center

Recent efforts to transform the healthcare system emphasize the vital role of patients in improving the costs and quality of care. Patient-centered medical homes, accountable care organizations, and other innovative delivery models strive to place patients at the center of their care by focusing on shared decision-making, goal setting, preventative health, and self-management. To support these objectives, healthcare providers are embracing a host of innovative tools aimed at keeping patients informed and engaged about their health.
Source: missouri.edu

Oklahoma Insurance Department

Posted by:  :  Category: Medicare

The Senior Health Insurance Counseling Program (SHIP) is a non-profit organization helping to inform the public about Medicare and other senior health insurance issues. This division provides accurate and objective counseling, assistance, and advocacy relating to Medicare, Medicaid, Medicare supplements, Medicare Advantage, long-term care, and other related health coverage plans for Medicare beneficiaries, their representatives, or persons soon to be eligible for Medicare.
Source: ok.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

Oklahoma Insurance Department

Medicare is made up of Parts A, B, C & D. Most people over age 65 get Medicare Part A premium free but most must pay a monthly premium for Medicare Part B ($104.90 in 2014). A choice of how you take your Medicare is given with Medicare Part C (Medicare Advantage), and Part D gives the opportunity to purchase a prescription drug plan.
Source: ok.gov

Coventry Medicare: Advantra (PPO)

Posted by:  :  Category: Medicare

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

Find a 2016 NC 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

NC Health Coverage, Al Crouse

Let Al Crouse and his expert staff assist you with all your NC health insurance needs.  If you are in the Hickory area, stop by and get a personal NC health insurance quote today. If you have any questions or would like more information, please contact us 828-256-3224, email us, or use our online request form.
Source: nchealthcoverage.com

North Carolina Senior Citizens Medicare Supplement Rates

experienced a rate increase with your insurance premiums? If you have a Medicare supplement policy and wondering if you can save on your current premiums, you should compare premium rates. Premium rates vary widely among the various insurance companies for Plan F and Plan G for the same identical coverage.  Mutual of Omaha recently announced a new policy with a 12% household premium discount for North Carolina senior citizens. Mutual of Omaha is the only insurance company in North Carolina that has this unique 12% household premium discount. And, the premium rates are among the
Source: turning65nc.com

INFOGRAPHIC: Poverty and People in North Carolina

Poverty remains elevated in North Carolina, touching the lives of more than 1.7 million Tar Heels. Disapirites persist too, with poverty maintaining the fiercest grip on communities of color, children, and single-parent households. Poverty is also strongly skewed by geography. Rural and eastern parts of the state are plagued by persistent generational poverty. And while urban and suburban areas experience lower overall poverty rates, they house deep pockets of poverty that erode economic opportunity.
Source: ncjustice.org

Medicare Supplement Plan J for AL, AR, AZ, CO, DC, FL, GA, KS, KY, LA, MD, MO, MS, NC, OH, OK, SC, TN, TX, VA & WV.

Posted by:  :  Category: Medicare

* A benefit period begins on the first day you receive service as an inpatient in a hospital and ends after you have been out of the hospital and have not received skilled care in any other facility for 60 days in a row. ** We do not recommend The High Deductible plan J. Plan J without the high deductible is very recommended. This high deductible plan pays the same or offers the same benefits as Plan J after you have paid a calendar year $2000 deductible. Benefits from the high deductible Plan J will not begin until out-of-pocket expenses are $2000. Out-of-pocket expenses for this deductible are expenses that would ordinarily be paid by the policy. This includes the Medicare deductibles for Part A and Part B, but does not include the plan’s separate foreign travel emergency and prescription drug deductibles.
Source: themedicarechannel.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

South Carolina Medicare Supplements

Posted by:  :  Category: Medicare

There are many different companies that sell Medicare supplements in the state of South Carolina, but which one is the best for you? With competitive rates in all of the Medicare supplement plans, South Carolina Medicare Supplements can help get you a low price on the perfect plan for you. Fill out our form today to receive a free quote for South Carolina Medigap.
Source: southcarolinamedicaresupplements.com

How to Apply for Medicare in South Carolina

Go to the office with your documents. Be at the office as soon as it opens to avoid having a long wait to see a case worker. This is especially true for offices in more densely-populated cities such as Columbia and Charleston. Let the case worker know you want to apply for Medicare benefits. She will walk you through the application by asking questions about your identity, age, income, marital status, living arrangements and medical history. Give the case worker your verification paperwork and she will submit the application.
Source: ehow.com

Nursing Homes in South Carolina; SC Convalescent Homes, Nursing Home Directory

177 South Carolina Nursing Homes and rehabilitation, convalescent facilities listed in the Compare Nursing Homes database at www. medicare.gov. We do not sell, endorse or recommend any service, product or particular facility.
Source: dibbern.com

South Carolina Mobility Scooters, Power Wheelchairs Sales, Rentals, Medicare, Repair

Abbeville SC, Abney SC, Adams Run SC, Aiken SC, Alcolu SC, Alcot SC, Allendale SC, Alvin SC, Anderson SC, Andrews SC, Antioch SC, Arcadia SC, Arcadia Lakes SC, Ashland SC, Ashton SC, Atkins SC, Atlantic Beach SC, Awendaw SC, Aynor SC, Ballentine SC, Bamberg SC, Barkersville SC, Barnwell SC, Barr SC, Barton SC, Batesburg SC, Batesburg-Leesville SC, Batesville SC, Bath SC, Bayview SC, Beaufort SC, Beckhamville SC, Beech Island SC, Bellinger SC, Belton SC, Belvedere SC, Bendale SC, Bennettsville SC, Berlin SC, Bethcar SC, Bethel SC, Bethera SC, Bethune SC, Bigcreek SC, Bishopville SC, Blacksburg SC, Blackstock SC, Blackville SC, Blair SC, Blake SC, Blenheim SC, Bloomville SC, Bluff Estates SC, Bluffton SC, Blythewood SC, Boiling Springs SC, Bolen SC, Bon Air SC, Bonneau SC, Bordeaux SC, Borden SC, Bowling Green SC, Bowman SC, Bowyer SC, Boykin SC, Bradley SC, Branchville SC, Breeze Hill SC, Brighton SC, Brighton Beach SC, Brittons Neck SC, Britts SC, Broad Street SC, Brogdon SC, Brunson SC, Bucksport SC, Buffalo SC, Burnettown SC, Burton SC, Cades SC, Cainhoy SC, Calhoun Falls SC, Callawassie Island SC, Callison SC, Camden SC, Cameron SC, Campobello SC, Canadys SC, Capitol SC, Capitol View SC, Carlisle SC, Cartersville SC, Cassatt SC, Catawba SC, Cateechee SC, Cayce SC, Cayce-West SC, Cedar Terrace SC, Centenary SC, Central SC, Chapin SC, Chappells SC, Cheraw SC, Cherokee Falls SC, Cherry Grove Beach SC, Chesnee SC, Chester SC, Chesterfield SC, Clarks Hill SC, Clearwater SC, Clemson SC, Cleora SC, Cleveland SC, Clifton SC, Clinton SC, Clio SC, Clover SC, Clyde SC, Cochrantown SC, College Park SC, Colliers SC, Conestee SC, Congaree SC, Converse SC, Conway SC, Coosaw SC, Coosawatchie SC, Cope SC, Cordesville SC, Cordova SC, Cornwell SC, Cottageville SC, Coward SC, Cowpens SC, Crafts Farrow SC, Crane Forest SC, Crescent Beach SC, Creston SC, Crocketville SC, Cross SC, Cross Anchor SC, Cross Hill SC, Cypress Crossroads SC, Dale SC, Dalzell SC, Daniel Island SC, Darlington SC, Dataw Island SC, Daufuskie Island SC, Davis Crossroads SC, Davis Station SC, De Kalb SC, Dekalb SC, Delmar SC, Delta SC, Denmark SC, Denny Terrace SC, Dewees Island SC, Dillon SC, Dixiana SC, Donalds SC, Dorchester SC, Douglass SC, Drayton SC, Due West SC, Dunbarton SC, Duncan SC, Dunkins Mill SC, Dusty Bend SC, Dutch Fork SC, Early Branch SC, Easley SC, Eastmont SC, Eastover SC, Eau Claire SC, Edgefield SC, Edgemoor SC, Edgewood SC, Edisto SC, Edisto Beach SC, Edisto Island SC, Edmund SC, Effingham SC, Ehrhardt SC, Elgin SC, Elko SC, Elliott SC, Elloree SC, Emory SC, Enoree SC, Estill SC, Eureka SC, Eutaw Springs SC, Eutawville SC, Fair Play SC, Fairfax SC, Fairfield SC, Fairfield Terrace SC, Fairforest SC, Fairview Crossroads SC, Farrow Terrace SC, Fechtig SC, Felderville SC, Fingerville SC, Five Points SC, Florence SC, Floyd Dale SC, Folly Beach SC, Forest Acres SC, Forest Lake SC, Foreston SC, Fork SC, Fort Jackson SC, Fort Lawn SC, Fort Mill SC, Fort Motte SC, Fountain Inn SC, Fripp Island SC, Frogmore SC, Fruit Hill SC, Furman SC, Gable SC, Gadsden SC, Gaffney SC, Gaillard Crossroads SC, Galaxy SC, Galivants Ferry SC, Garden City SC, Garden City Beach SC, Gardens Corner SC, Garnett SC, Gaston SC, Georgetown SC, Gifford SC, Gilbert SC, Gillisonville SC, Glendale SC, Glenn Springs SC, Gloverville SC, Glympville SC, Goat Island Resort SC, Goose Creek SC, Gramling SC, Graniteville SC, Gray Court SC, Grays SC, Great Falls SC, Greeleyville SC, Green Pond SC, Green Sea SC, Greenbrier SC, Greenview SC, Greenville SC, Greenwood SC, Greer SC, Gresham SC, Grover SC, H L Crossroads SC, Hagood SC, Hamer SC, Hammond Crossroads SC, Hampton SC, Hanahan SC, Harbison SC, Harbville SC, Hardeeville SC, Harleyville SC, Hartsville SC, Haskell Heights SC, Hazelwood Acres SC, Heath Springs SC, Hebron SC, Hemingway SC, Heritage Village Usa SC, Hibernia SC, Hickory Grove SC, Highway Four Forty One SC, Hilda SC, Hilton Head Island SC, Hodges SC, Holly Hill SC, Hollywood SC, Hollywood Hills SC, Holtson Crossroads SC, Honea Path SC, Hopkins SC, Horatio SC, Horrel Hill SC, Hoyt Heights SC, Huger SC, Inman SC, Irmo SC, Islandton SC, Isle of Palms SC, Iva SC, Jackson SC, Jacksonboro SC, James Island SC, Jamestown SC, Jamison SC, Jefferson SC, Jenkinsville SC, Jericho SC, Joanna SC, Johns Island SC, Johnsonville SC, Johnston SC, Johnstown SC, Jones Crossroads SC, Jonesville SC, Jordan SC, Kathwood SC, Kelton SC, Kershaw SC, Kiawah Island SC, Killian SC, Kinards SC, Kings Creek SC, Kingstree SC, Kingville SC, Kirkland SC, Kirkwood SC, Kitchings Mill SC, Kline SC, Kneece SC, La France SC, Ladson SC, Ladys Island SC, Lake City SC, Lake Murray SC, Lake Murray Shores SC, Lake View SC, Lake Wylie SC, Lamar SC, Lancaster SC, Lando SC, Landrum SC, Lane SC, Langley SC, Latta SC, Laurel Bay SC, Laurens SC, Leeds SC, Leesburg SC, Leesville SC, Lexington SC, Liberty SC, Liberty Hill SC, Limehouse SC, Lincolnshire SC, Lincolnville SC, Little Mountain SC, Little River SC, Little Rock SC, Livingston SC, Lobeco SC, Lockhart SC, Lodge SC, Lone Star SC, Long Creek SC, Longs SC, Longtown SC, Loris SC, Lowndesville SC, Lucknow SC, Lugoff SC, Luray SC, Lydia SC, Lyman SC, Lynchburg SC, Macedon SC, Madison SC, Manning SC, Manville SC, Marietta SC, Marion SC, Market Center SC, Martin SC, Maryville SC, Mauldin SC, Mayesville SC, Mayo SC, McBee SC, McClellanville SC, McColl SC, McConnells SC, McCormick SC, McCutchen Crossroads SC, McEntire Air National Guard SC, McKenzie Crossroads SC, Mechanicsville SC, Meeting Street SC, Meggett SC, Midway SC, Miley SC, Millford SC, Minturn SC, Mitchellville SC, Mixville SC, Modoc SC, Moncks Corner SC, Monetta SC, Monticello SC, Montmorenci SC, Moore SC, Moselle SC, Moss SC, Motbridge SC, Mount Carmel SC, Mount Croghan SC, Mount Pleasant SC, Mountain Brook SC, Mountain Rest SC, Mountville SC, Mullins SC, Murrells Inlet SC, Myrtle Beach SC, Naval Hospital SC, Neeses SC, Nesmith SC, New Ellenton SC, New Holland SC, New Holland Crossroads SC, New Zion SC, Newberry SC, Newry SC, Nichols SC, Ninety Six SC, Nixville SC, Norris SC, North SC, North Augusta SC, North Myrtle Beach SC, North Pointe SC, Northeast SC, Norway SC, Oak Dale SC, Oakdale SC, Oakley SC, Oats SC, Ocean Drive Beach SC, Okatie SC, Olanta SC, Olar SC, Olympia SC, Ora SC, Orangeburg SC, Osborn SC, Oswego SC, Pacolet SC, Pacolet Mills SC, Pageland SC, Palmetto Plaza SC, Pamplico SC, Panola SC, Park Place SC, Parksville SC, Parlers SC, Parris Island SC, Patrick SC, Pauline SC, Pawleys Island SC, Paxville SC, Peak SC, Pecan Way Terrace SC, Pelion SC, Pelzer SC, Pendleton SC, Peniel Crossroads SC, Perry SC, Pickens SC, Piedmont SC, Pinehaven SC, Pineland SC, Pineridge SC, Pineville SC, Pinewood SC, Pinopolis SC, Pisgah SC, Pleasant Hill SC, Pleasant Lane SC, Plum Branch SC, Pocataligo SC, Pomaria SC, Pontiac SC, Port Royal SC, Poston SC, Pritchardville SC, Promised Land SC, Prosperity SC, Purysburgh SC, Quinby SC, Rains SC, Rantowels SC, Ravenel SC, Ravenwood SC, Red Bank SC, Red Hill SC, Reevesville SC, Reidville SC, Rembert SC, Richburg SC, Richland SC, Richland Springs SC, Ridge Spring SC, Ridgeland SC, Ridgeville SC, Ridgeway SC, Ridgewood SC, Rimini SC, Rion SC, Ritter SC, River Hills SC, Robertville SC, Robinson SC, Rock Hill SC, Rocky Springs SC, Roebuck SC, Round O SC, Rowesville SC, Ruby SC, Ruffin SC, Russellville SC, Saint Andrews SC, Saint Charles SC, Saint George SC, Saint Helena SC, Saint Helena Island SC, Saint Matthews SC, Saint Stephen SC, Salem SC, Salkehatchie SC, Salley SC, Salters SC, Saluda SC, Saluda Gardens SC, Saluda Terrace SC, Samaria SC, Sandwood SC, Sandy Springs SC, Santee SC, Sardinia SC, Sardis SC, Savannah River Plant SC, Scotia SC, Scottsville SC, Scranton SC, Seabrook SC, Seabrook Island SC, Seigling SC, Seivern SC, Sellers SC, Seneca SC, Shamokin SC, Sharon SC, Shaw AFB SC, Sheldon SC, Shiloh SC, Shirley SC, Shoals Junction SC, Shulerville SC, Silverstreet SC, Simpsonville SC, Singleton SC, Six Mile SC, Slater SC, Slighs SC, Smallwood SC, Smoaks SC, Smyrna SC, Snelling SC, Socastee SC, Society Hill SC, South Congaree SC, South Lynchburg SC, South of the Border SC, Spartanburg SC, Spring Hill SC, Spring Island SC, Spring Mills SC, Springdale SC, Springfield SC, Stark Terrace SC, Starr SC, Startex SC, State Hospital SC, State Park SC, Stateburg SC, Steedman SC, Stiefeltown SC, Stockman SC, Stokes Bridge SC, Stoneboro SC, Stoney Hill SC, Stover SC, Stuckey SC, Sullivans Island SC, Summerland SC, Summerton SC, Summerville SC, Summit SC, Sumter SC, Sunset SC, Surfside SC, Surfside Beach SC, Swansea SC, Sycamore SC, Tamassee SC, Tarboro SC, Tatum SC, Taxahaw SC, Taylors SC, Tega Cay SC, Thor SC, Tigerville SC, Tillman SC, Timmonsville SC, Townville SC, Travelers Rest SC, Trenton SC, Trio SC, Troy SC, Tuckertown SC, Turbeville SC, Twin Lake Hill SC, Ulmer SC, Una SC, Union SC, Union Crossroads SC, U SC SC, Valley Falls SC, Van Wyck SC, Vance SC, Varnville SC, Vaucluse SC, Wadmalaw Island SC, Wagener SC, Walhalla SC, Wallace SC, Walterboro SC, Wando SC, Ward SC, Ware Shoals SC, Warrenville SC, Wateree SC, Waterloo SC, Watsonia SC, Wedgefield SC, Wellford SC, West Union SC, Westminster SC, Westover Acres SC, Westville SC, White Bluff SC, White Hall SC, White Oak SC, White Pond SC, White Rock SC, White Stone SC, Whitmire SC, Williams SC, Williamston SC, Willington SC, Williston SC, Wilson SC, Windsor SC, Winnsboro SC, Winnsboro Mills SC, Wisacky SC, Withrop College SC, Woodrow SC, Woodruff SC, Woodward SC, Workman SC, Yemassee SC, Yonges Island SC, York SC .
Source: easymedonline.com

State of Oregon: Medicare starts at 65

Posted by:  :  Category: Medicare

Oregon provides this information to help you understand Medicare before you turn 65. Even if you continue to work or are not receiving Social Security, you need to know about Medicare to avoid penalties in your Medicare coverage.
Source: oregon.gov

Oregon Medicare & Medical Plans

The price for your health plan is the same whether you let us help you or not. Working with an agent that represents many different plans helps you get objective advice and extra service.   This way you’re not just a number… you’re a person that we care about.
Source: oregonmedicareplans.net

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

How to Find a Dentist That Accepts Medicaid

Posted by:  :  Category: Medicare

According to a report published early in 2015 by the Center for Health Care Strategies, 47 states offer some form of Medicaid dental coverage, but 15 of those limit it to emergency care and only 16 offer comprehensive coverage, which includes regular check-ups. Participation by individual providers is always optional. If your state Medicaid program includes dentistry, and you have a local dentist in mind, contact their office directly to inquire whether or not they will accept Medicaid insurance. If they don’t, they may be able to refer you to another dentist who will. If you have trouble scheduling an appointment, contact the state Medicaid agency for assistance. Bring your insurance card to the dentist’s office and be prepared to complete some paperwork, if it’s your first visit.
Source: ehow.com

Dental Discount Plans Beat Insurance

Discount plans may not be an option if you live in the boondocks. You can find out the story in your state by searching at INeedDentalBenefits.com, maintained by the dental plans’ trade association. Searching Florida, we found 19 discount plans serving Miami, including Aetna and Cigna plans offered through Dentalplans.com. The plans cost $80 to $140 a year for a single person. Picking one can be tricky, since each has different providers and discounts. But you can switch plans every year if the discounts don’t add up as advertised or your otherwise pricey periodontist switches plans.
Source: forbes.com

Costs in the coverage gap

Posted by:  :  Category: Medicare

Mrs. Anderson reaches the coverage gap in her Medicare drug plan. She goes to her pharmacy to fill a prescription for a covered brand-name drug. The price for the drug is $60, and there’s a $2 dispensing fee that gets added to the cost. Mrs. Anderson will pay 45% of the plan’s cost for the drug ($60 x .45 = $27) plus 45% of the cost of the dispensing fee ($2 x .45 = $0.90), or a total of $27.90, for her prescription. $57.90 will be counted as out-of-pocket spending and will help Mrs. Anderson get out of the coverage gap because both the amount that Mrs. Anderson pays ($27.90) plus the manufacturer discount payment ($30.00) count as out-of-pocket spending. The remaining $4.10, which is 5% of the drug cost and 55% of the dispensing fee paid by the drug plan, isn’t counted toward Mrs. Anderson’s out-of-pocket spending.
Source: medicare.gov

Medicare Part D coverage gap

The Medicare Part D coverage gap (informally known as the Medicare donut hole) is a period of consumer payment for prescription medication costs which lies between the initial coverage limit and the catastrophic-coverage threshold, when the consumer is a member of a Medicare Part D prescription-drug program administered by the United States federal government. The gap is reached after shared insurer payment – consumer payment for all covered prescription drugs reaches a government-set amount, and is left only after the consumer has paid full, unshared costs of an additional amount for the same prescriptions. Upon entering the gap, the prescription payments to date are re-set to $0 and continue until the maximum amount of the gap is reached: copayments made by the consumer up to the point of entering the gap are specifically *not* counted toward payment of the costs accruing while in the gap.
Source: wikipedia.org

Medicare Part D Donut Hole – Prescription Drug Coverage Gap

Most Medicare Part D plans have a coverage gap, sometimes called the Medicare donut hole. This means that after you and your Medicare drug plan have spent a certain amount of money for covered prescription drugs, you then have to pay all costs out-of-pocket for the drugs, up to a certain limit. The yearly deductible, co-insurance, or co-payments, and what you pay while in the coverage gap, all count toward this out-of-pocket limit. The limit doesn’t include the drug plan’s premium.
Source: ehealthmedicare.com

The Medicare Gap; Coverage Doughnut Hole: from The Medicare Project Information Center

Your Medicare Part D prescription drug coverage has a phase when none of your prescription medication costs are paid for by your Medicare plan. This interval is called the Coverage Gap, or “Doughnut Hole”. (The word “Gap” is used also to refer to services that are not 100% paid for in Medicare Part A and Part B, including co-pays and deductibles. This article refers to Medicare Part D Prescription Drug Coverage only.) In the odd structure of Medicare Part D there is, first, a $250 deductible, which means you don’t get any help until your drug costs pass $250. Above $250, you must pay 25% of the costs up to $2,000. When your drug costs total 2,250 you reach the infamous “doughnut hole” — and coverage generally stops until your prescriptions and drugs reach $5,100, at which point it’s coverage starts again and pays 95 percent of any additional costs. When you buy a Medicare Part D insurance policy –or a Medicare health care policy that includes prescription drug coverage– you have the option of selecting a policy that will covers all or part of your costs through the coverage gap. As you would expect, this type of coverage costs more than policies that do not provide coverage through the “doughnut hole”.
Source: quickbrochures.net

www.Q1Medicare.com Your Source for Medicare Part D Plan Information

Posted by:  :  Category: Medicare

Looking for a place to get started? Here is an overview of the Medicare Part D prescription drug and Medicare Advantage programs: Medicare Part D prescription drug plans (or PDPs) provide insurance coverage for your prescription drugs. Medicare Advantage plans (MAs or MA-PDs) provide your Medicare Part A coverage (In-patient and Hospitalization) and your Medicare Part B coverage (Doctors visits and Out-Patient care) – and maybe even Medicare prescription drug coverage. Medicare Part D plans and Medicare Advantage plans are both voluntary programs and you are not required to join a plan. But you may be subject to a late-enrollment penalty if you decide to join a prescription drug plan sometime after your initial enrollment period has ended. Medicare Part D plans and Medicare Advantage plans are regulated by the Centers for Medicare and Medicaid Services (CMS or Medicare) and implemented by private insurance companies (such as Aetna, Humana, and United HealthCare). If you decide to enroll in a Medicare Part D plan or Medicare Advantage plan, you will find that, like any insurance, you pay a monthly premium. The monthly premiums for a Medicare Part D PDP can range from under $20 to over $130 dollars. The monthly premiums for a Medicare Advantage plan with (MA-PD) or without (MA) prescription coverage can range from $0 (no kidding) to well over $100. Medicare Part D and Medicare Advantage plans may have an initial deductible, co-payments or co-insurance, and some Donut Hole (Doughnut Hole) or Gap coverage (you can find more on these topics in our Glossary). When you enroll in a Medicare Part D prescription drug plan or a Medicare Advantage plan that offers prescription coverage, you should find that your prescription medication costs are reduced. The amount of savings depends on the Medicare plan you select. If you wish to learn more, you can click on this link to view all of the Medicare Part D plans in your State
Source: q1medicare.com

Medicare Part D coverage gap

The Medicare Part D coverage gap (informally known as the Medicare donut hole) is a period of consumer payment for prescription medication costs which lies between the initial coverage limit and the catastrophic-coverage threshold, when the consumer is a member of a Medicare Part D prescription-drug program administered by the United States federal government. The gap is reached after shared insurer payment – consumer payment for all covered prescription drugs reaches a government-set amount, and is left only after the consumer has paid full, unshared costs of an additional amount for the same prescriptions. Upon entering the gap, the prescription payments to date are re-set to $0 and continue until the maximum amount of the gap is reached: copayments made by the consumer up to the point of entering the gap are specifically *not* counted toward payment of the costs accruing while in the gap.
Source: wikipedia.org

How Part D works with other insurance

While prescription drug coverage is an essential health benefit, prescription drug coverage in a Marketplace or SHOP plan isn’t required to be at least as good as Medicare Part D coverage (creditable). However, all private insurers offering prescription drug coverage, including Marketplace and SHOP plans, are required to determine if their prescription drug coverage is creditable each year and let you know in writing.
Source: medicare.gov

Medicare Plan Finder for Health, Prescription Drug and Medigap plans

Between January 1–February 14, if you’re in a Medicare Advantage Plan, you can leave your plan and switch to Original Medicare. If you switch to Original Medicare during this period, you will have until February 14 to also join a Medicare Prescription Drug Plan to add drug coverage. Your coverage will begin the first day of the month after the plan gets your enrollment form.
Source: medicare.gov

Costs for Medicare drug coverage

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

Part D Drug Formulary 2016

Generally, if you are taking a drug that was covered at the beginning of the year, we will not discontinue or reduce coverage of the drug during the coverage year except when we receive information from the FDA that a drug is no longer safe or effective. Complete information about these changes is included in the formulary documents above. Group Health Medicare Advantage plans cover both brand name drugs and generic drugs. Generic drugs have the same active-ingredient formula as a brand name drug. Generic drugs usually cost less than brand name drugs and are rated by the Food and Drug Administration (FDA) to be as safe and effective as brand name drugs.
Source: ghc.org

Medicare Advantage Plan Formularies (Drug Lists)

Coverage limitations: To be covered, drugs must be prescribed for a use that is approved by the FDA or documented in at least one of the specific peer-review compendia identified by the Centers for Medicare and Medicaid Services (CMS). You can find out if any additional prescription drug coverage limitations apply to your drugs by looking at the Prior Authorization. Prior authorization requires you or your doctor to get approval from the plan before your drug is covered. View the prior authorization criteria PDF below that applies to your plan to determine if the drug is covered. You will need the free Adobe
Source: uhcmedicaresolutions.com