Medicare Part B: Doctor Costs and Lab Tests

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Preventive services. Medicare Part B helps pay for a number of tests, screenings, vaccinations, and a one-time physical exam to help you stay healthy. Many of these services are available at no cost at the time of the visit. Part B also covers screening and counseling for alcohol use (for people who are not considered alcoholic), obesity screening and counseling, screening for depression, sexually transmitted infections screening and counseling, and cardiovascular behavioral counseling.
Source: webmd.com

When & how to sign up for Part A & Part B

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Source: medicare.gov

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

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Source: medicare.gov

Enroll for Medicare Part B: Step By Step Guide

If you are automatically enrolled in Part B, you will receive your card in the mail three months before your benefits are scheduled to begin (except for those with ALS). You do not have to accept Part B. Your card comes with instructions for rejecting coverage. Simply follow them and send the card back if you do not wish to receive Part B coverage. You will pay Part B premiums as long as you keep the card.
Source: mymedicaremedicaid.com

Rules for Medicare health plans

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Source: medicare.gov

EmblemHealth: Medicare Coverage

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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 copayments/coinsurance may change on January 1 of each year. You must continue to pay your Medicare part B premium. This information is available for free in other languages. Please call our customer service number at 1-877-344-7364 (HMO Customer Service) or 1-866-557-7300 (PPO Customer Service), TTY/TDD users call 711, Monday through Sunday, from 8 am to 8 pm. Esta información está disponible gratis en otros idiomas. Por favor llame a nuestro número de servicios de atención al cliente al 1-877-344-7364 (HMO Servicios de atención al cliente) o 1-866-557-7300 (PPO Servicios de atención al cliente) (TTY/TDD: 711) de 8 am a 8 pm, los siete días de la semana.
Source: emblemhealth.com

EmblemHealth: Health Insurance Information & Resources For Our Members

To view this Web site, you need to have JavaScript enabled in your browser. Don’t worry — you can still sign in to the secure myEmblemHealth Web site or search for a doctor using the links below. If you need help registering for the secure site, please call Customer Service at the number on the back of your ID card.
Source: emblemhealth.com

Social Security Office for Provo, UT 84601

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Social Security offices have seen their hours reduced the past few years. Almost all Social Security offices are open 9:00 to 4:00, except for 9:00 to noon on Wednesdays. Call to see if you can get an appointment by phone first. Fridays may have more appointments available. Try doing things online like applying for disability benefits at ssa.gov.
Source: socialsecurityhop.com

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

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Source: medicare.gov

Location of Medicare Offices

If you are seeking office opening hours, the Department of Human Services Service Centre locator contains information updated weekly, a search function and maps. Please visit the Service Centre locator here: humanservices.findnearest.com.au
Source: gov.au

Utah Medicaid Food Stamp and Welfare Offices

Utah Medicaid Food Stamp and Welfare Offices administrates your local program under Utah State guidelines. Medicaid provides health care for low income people. Supplemental Nutrition Assistance Program (SNAP) or Food Stamps helps low-income families buy food. While Welfare program (TANF) give assistance to those who have little or no income.
Source: medicaidoffice.us

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

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Source: medicare.gov

When & how to sign up for Part A & Part B

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Source: medicare.gov

How To Apply For Medicare

Medicare is available for people age 65 or older, to younger people with disabilities, and people with End-Stage Renal Disease (ESRD or permanent kidney failure). Anyone currently receiving benefits from the Social Security Administration (SSA) or the Railroad Retirement Board (RRB) is automatically entitled to Medicare Part A (Hospital Insurance) and Part B (Medical Insurance). In these instances, coverage begins the first day of the month that you turn 65.
Source: ehealthinsurance.com

Medicare Plan Finder for Health, Prescription Drug and Medigap plans

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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

Medicare Select Supplement Insurance

If you are 65 or older, have a Medicare SELECT policy and move out of the plan’s service area or network, you have the right to buy a new Medigap plan (a “guaranteed-issue” right). The plans you can choose from depend on where you live and which plans are sold in your area. Some states extend this guaranteed-issue right to people who are under 65.
Source: medicaresupplementspecialists.com

About Medicare health plans

Generally, a plan offered by a private company that contracts with Medicare to provide Part A and Part B benefits to people with Medicare who enroll in the plan. Medicare health plans include all Medicare Advantage Plans, Medicare Cost Plans, and Demonstration/Pilot Programs. Programs of All-inclusive Care for the Elderly (PACE) organizations are special types of Medicare health plans that can be offered by public or private entities and provide Part D and other benefits in addition to Part A and Part B benefits.
Source: medicare.gov

What’s Medicare Supplement Insurance (Medigap)?

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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

DMEPOS Competitive Bidding

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Under the program, a competition among suppliers who operate in a particular competitive bidding area is conducted. Suppliers are required to submit a bid for selected products. Not all products or items are subject to competitive bidding. Bids are submitted electronically through a web-based application process and required documents are mailed. Bids are evaluated based on the supplier’s eligibility, its financial stability and the bid price. Contracts are awarded to the Medicare suppliers who offer the best price and meet applicable quality and financial standards. Contract suppliers must agree to accept assignment on all claims for bid items and will be paid the bid price amount. The amount is derived from the median of all winning bids for an item.
Source: cms.gov

Competitive Bidding Program

The Competitive Bidding Program replaces the outdated prices Medicare has been paying with lower, more accurate prices. Under this program, suppliers submit bids to provide certain medical equipment and supplies at a lower price than what Medicare now pays for these items. Medicare uses these bids to set the amount it pays for those equipment and supplies under the Competitive Bidding Program. Qualified, accredited suppliers with winning bids are chosen as Medicare contract suppliers.
Source: medicare.gov

DME Competitive Bidding Program

The Competitive Bidding Program replaces the outdated prices Medicare has been paying with lower, more accurate prices. Under this program, suppliers submit bids to provide certain medical equipment and supplies at a lower price than what Medicare now pays for these items. Medicare uses these bids to set the amount it will pay for those equipment and supplies under the competitive bidding program. Qualified, accredited suppliers with winning bids are chosen as Medicare-contract suppliers.
Source: medicare.gov

Contract Supplier Locations

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Source: cms.gov

Cost Report Data provides hospital financial information from Medicare cost reports filed by hospitals and contained in the CMS HCRIS file

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CostReportData.com provides online Medicare cost report data to healthcare financial and reimbursement professionals. Our database of more than 6,000 hospitals is built from Medicare cost report information obtained from the federal Centers for Medicare and Medicaid Services (CMS).
Source: costreportdata.com

Cost Reports by Fiscal Year

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Source: cms.gov

Health Care Medicare Cost Report by Walters Financial Services

The cost report is an annual report submitted by all institutional providers participating in the Medicare program. The report is submitted on prescribed forms, depending on the type of provider (for example, hospital, skilled nursing facility, etc.). The cost information and statistical data reported must be current, accurate and in sufficient detail to support an accurate determination of payments made for the services rendered. The cost report contains provider information such as facility characteristics, utilization data, and financial statement data. CMS maintains the cost report data in the Healthcare Provider Cost Reporting Information System (HCRIS).  The Medicare Cost Report records each institution’s total costs and charges associated with providing services to all patients, the portion of those costs and charges allocated to Medicare patients, and the Medicare payments received.
Source: medicarecostreport.com