Medicare Payment & Reimbursement

Posted by:  :  Category: Medicare

Highlights Summary of the Medicare Access and CHIP Reauthorization Act of 2015 – 4/16/15 This act has implications for the sustainable growth rate, therapy cap, PQRS, postacute care providers, durable medical equipment orders, renewal of MAC contracts, and telehealth, as well as other Medicare payment provisions.
Source: apta.org

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

Australian Psychological Society : Medicare rebates for mental health services provided by psychologists: Information for clients

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Psychologists study the way people feel, think, act and interact. Through a range of strategies and therapies they aim to reduce distress and to enhance and promote emotional wellbeing. Psychologists are experts in human behaviour, and have studied the brain, memory, learning and human development. Psychologists can assist people who are having difficulty controlling their emotions, thinking and behaviour, including those with mental health problems such as anxiety and depression, serious and enduring mental illness, addictive behaviours and childhood behaviour disorders.
Source: org.au

Connecticut Medicare Plans

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Department of Social Services – The broader Department of Social Services also provides support to Connecticut Medicare beneficiaries. The office has a variety of resources on the state’s Medicare Savings Programs, which provide assistance to state residents who are unable to afford their health care coverage on their own. Three different programs are currently offered in the state to help qualifying beneficiaries pay their premiums on their Medicare Part B coverage. Connecticut residents must qualify for the various programs, based on their monthly income amount. Links to downloadable brochures explaining the savings programs are also available on this website.
Source: ehealthinsurance.com

Michigan Medicare Health Insurance Plans

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Medicare is a health insurance program run by the government for people age 65 and older, and for people under 65 with certain disabilities. Understanding more about Medicare will make it easier to choose the right plan. Our Medicare 101 section has resources to help you do that.
Source: bcbsm.com

Medicare Eligibility and Enrollment

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re already getting Social Security checks, you will be automatically enrolled in traditional Medicare. You’ll get your Medicare card three months before your 65th birthday. The benefits kick in on the first day of the month of your 65th birthday. Traditional Medicare, which is also called original Medicare, includes Medicare Parts A and B. Part A is hospital coverage. Part B covers doctor visits, lab tests, and other outpatient services.
Source: webmd.com

Original Medicare (Part A and B) Eligibility and Enrollment

To be eligible for premium-free Part A, an individual must be entitled to receive Medicare based on their own earnings or those of a spouse, parent, or child. To receive premium-free Part A, the worker must have a specified number of quarters of coverage (QCs) and file an application for Social Security or Railroad Retirement Board (RRB) benefits. The exact number of QCs required is dependent on whether the person is filing for Part A on the basis of age, disability, or End Stage Renal Disease (ESRD). QCs are earned through payment of payroll taxes under the Federal Insurance Contributions Act (FICA) during the person’s working years. Most individuals pay the full FICA tax so the QCs they earn can be used to meet the requirements for both monthly Social Security benefits and premium-free Part A.
Source: cms.gov

Medicare Eligibility Requirements

In purchasing a Medigap Supplemental Insurance Policy, getting enrolled by the initial enrollment period is very crucial. If you apply during the IEP, by law, you are guaranteed that all insurers selling Medigap coverage in your state must offer you all the Medigap Supplemental Policy coverage plans that they sell. In addition, this guarantees, by law, that the insurance rate premiums offered to you will be the same as a person considered to be in good health. This applies, regardless of the fact that your current or past health history may not have been good or you have ongoing health issues.
Source: medicare.net

Medicare Eligibility Rules

If you are age 65 and currently receiving Social Security or Railroad Retirement Benefits, you are eligible for Medicare and you will be automatically enrolled in Medicare Part A and Part B. However, because Part B has a premium, you have the option of declining Part B coverage. In addition, Part B does require payment of a monthly premium of $104.90, barring certain exceptions, for individuals enrolling in Part B January 1, 2015 or later. These premiums can change on an annual basis.
Source: planprescriber.com

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

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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

More Medicare Information

If you live in Puerto Rico you will not receive Medicare Medical Insurance (Medicare Part B) automatically. You will need to sign up for it during your initial enrollment period or you will pay a penalty. To sign up, please call our toll-free number at 1-800-772-1213 (TTY 1-800-325-0778). You also may contact your local Social Security office. You can find your local Social Security office by using our Office Locator.
Source: ssa.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

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

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 Benefits – Health Plans and Benefits for America's Seniors

The Supreme Court rules that companies cannot attain patents on naturally occurring strands of human DNA. Companies can, however, patent synthetic ally created strands composed of cDNA, or composite DNA. As gene therapy progresses and expands in scope, emerging medical technology has burgeoned to a $1B industry.  As private genetic labs race to find new […]
Source: medicarebenefits.us

Medicare PFFS Information for Providers

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Medicare offices are maintained in local Social Security Offices, which can be located by zip code through the Social Security Administration website at https://secure.ssa.gov/apps6z/FOLO/fo001.jsp. Websites:
Source: dmba.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

New Hampshire Insurance Department

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- Special Fraud Alert from the Office of Inspector General (OIG) The OIG has received credible information that some Durable Medical Equipment (DME) suppliers continue to use independent marketing firms to make unsolicited telephone calls to Medicare beneficiaries marketing Durable Medical Equipment.  Section 1834(a)(17)(A) of the Social Security Act prohibits unsolicited telemarketing by Durable Medical Equipment Suppliers.  Please contact the OIG, US Department of Health and Human Services at 617-565-2664 if you have any information about DME suppliers engaging in these activities. 
Source: nh.gov

Medicare in New Hampshire

You can also choose to receive your Medicare benefits through Medicare Advantage (Medicare Part C), which is private insurance. In New Hampshire and throughout the US, Medicare Advantage is required by the government to offer at least the same coverage as Original Medicare, Part A and Part B. Some Medicare Advantage plans offer extra coverage not available under Original Medicare, like hearing benefits, for example, if you wear a hearing aid, or vision coverage if you require eyeglasses, so be sure to compare all Medicare Advantage plans available in New Hampshire to select the one that includes all the benefits you require. Find out more about Medicare Advantage plans in New Hampshire.
Source: planprescriber.com

Medicare in New Hampshire

Medicare Advantage Organizations and prescription drug plan sponsors must have a contract with Medicare in order to sell Medicare insurance plans (such as a Medicare HMO or a Medicare Part D prescription drug plan). Depending on the terms of the contract between the plan and Medicare, not every plan is available statewide or in all service areas. Each year, the plan must renew their contract with Medicare, so the availability of a plan in a specific service area is subject to change as a result of the annual contract renewal.
Source: ehealthmedicare.com