Department of Human Services

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For questions about New Jersey Medicaid, call 1-800-356-1561 or your County Welfare Agency For questions about NJ FamilyCare call 1-800-701-0710 You can also get information by visiting NJHelps.org, where you can self-screen for eligibility for NJ FamilyCare/Medicaid, as well as for many other social service programs.
Source: nj.us

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

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Source: medicare.gov

Department of Human Services

In 2012, more than nearly 51,000 seniors and caregivers received information and assistance by calling 800-792-8820. Another 170,000 callers reached their county offices on aging, including an estimated 75,000 who used the ADRC toll-free number.
Source: nj.us

Medicare Plan Finder for Health, Prescription Drug and Medigap plans

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Source: medicare.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

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

Posted by:  :  Category: Medicare

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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

Department of Health & Hospitals

The Medicare Catastrophic Coverage Act of 1988 added a limited range of Medicaid benefits to a group of eligible persons called Qualified Medicare Beneficiaries (QMB). In 1990, Congress increased Medicare cost-sharing amounts to a group called Specified Low-Income Medicare Beneficiaries (SLMB).  There is also a group know as Qualified Individuals (QI-1). People in these groups who have Medicare Hospital Insurance (Part A) and income and resources that place them in one of these three groups can receive help with the payment of their Medicare premiums and, in some cases, their deductibles & co-payments for the Medicare Prescription Drug Plan (Medicare Part D).
Source: louisiana.gov

Medicare Supplement Plan F

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Medicare Supplement Plan F may offer expansive coverage, but it does not cover everything. Under Plan F, beneficiaries are still required to pay their Medicare Part B premium payments each month. Additionally, it is possible to have Medicare Part A without a monthly premium if the beneficiary has worked and paid Social Security taxes for at least 40 calendar quarters (10 years). Otherwise, a monthly premium for Part A coverage is also required. These costs are not covered under Medicare Supplement Plan F.
Source: ehealthinsurance.com

Medicare Supplement Plan F

* A benefit period begins on the first day you receive services 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. ** NOTICE: When your Medicare Part A hospital benefits are exhausted, the insurer stands in the place of Medicare and will pay whatever amount Medicare would have paid for up to an additional 365 days as provided in the policy’s “Core Benefits.” During this time the hospital is prohibited from billing you for the balance based on any difference between its billed charges and the amount Medicare would have paid.
Source: bcbsil.com

How to compare Medigap policies

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Source: medicare.gov

The comprehensive solution for Medicare Administration

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RAM Technologies, Inc. is pleased to offer a comprehensive solution focused on your Medicare requirements.  This offering provides the performance you need at a fraction of the operating costs traditionally incurred for this population.  Switch to HEALTHsuite Mercato and stop worrying about administration and compliance and focus on the care of your members.
Source: ramtechnologiesinc.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

Health Financial Systems Medicare Cost Report Software (MCR)

History: Since 1981, Health Financial Systems (HFS) has been developing and marketing CMS approved Medicare cost reporting software to assist health care facilities meet their governmental reporting requirements. HFS Medicare Cost Report software is used to prepare more cost reports than any other cost report system, making HFS the largest automated cost report vendor in the United States. [more…]
Source: hfssoft.com

Coventry Medicare: Advantra Plans

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Our Medicare Advantage plans are open to all Medicare beneficiaries eligible by age or disability and living in the plan’s service area. You must be entitled to Medicare benefits under Part A and be enrolled in Part B. You must continue to pay your Medicare Part B premium if not otherwise paid for under Medicaid or by another third party. If you switch to premium withhold or move from premium withhold to direct bill, it can take up to three months for the switch to take effect. You will be held responsible for those premiums.  You may enroll during specific times of the year. You cannot enroll in this plan if your current or former employer helps pay for your drugs.  For information on enrollment periods and for full information on Coventry benefits, please click here to contact our Customer Service Department.
Source: coventryhealthcare.com

Medicare Advantage Plans By State, Plan Comparison

Aetna Medicare is a PDP, HMO, PPO plan with a Medicare contract. Our SNPs also have contracts with State Medicaid programs. Enrollment in our plans depends on contract renewal. See Evidence of Coverage for a complete description of benefits, exclusions, limitations and conditions of coverage. Plan features and availability may vary by location. ©2015 Aetna Inc. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, formulary, pharmacy network, provider network, premium and/or copayments/coinsurance may change on January 1 of each year. Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next. Our dual-eligible Special Needs Plan is available to anyone who has both Medical Assistance from the state and Medicare. Premiums, copays, coinsurance and deductibles may vary based on the level of Extra Help that you receive. Please contact the plan for further details. You must continue to pay your Medicare Part B premium. The Part B premium is covered for full-dual members. This information is available for free in other languages. Please call our customer service number at 1-866-865-0662 (TTY: 711) OR Coventry Health Care at 1-877-988-3589 (TTY: 711), 8 a.m. to 8 p.m., seven days, from October 1 – February 14; 8 a.m. to 8 p.m. Monday – Friday, from February 15 – September 30. Esta información está disponible en otros idiomas de manera gratuita. Comuníquese con Servicios al Cliente al 1-866-865-0662 (TTY: 711), de 8 am a 8 pm, siete días a la semana, desde el 1º de octubre hasta el 14 de febrero, y de 8 am a 8 pm, de lunes a viernes, desde el 15 de febrero hasta el 30 de septiembre. Medicare beneficiaries may also enroll in Coventry plans through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov. For mail-order, you can get prescription drugs shipped to your home through the network mail-order delivery program. Typically, mail-order drugs arrive within 7 to 14 days. You can call First Health Part D at 1-866-865-0662 (TTY: 711), 8 a.m. to 8 p.m., local time, seven days, from October 1 – February 14; 8 a.m. to 8 p.m. Monday – Friday, from February 15 – September 30, if you do not receive your mail-order drugs within this timeframe. Members may have the option to sign-up for automated mail-order delivery. Cost sharing for members who get “Extra Help” is the same at preferred and network pharmacies. The formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary. Participating physicians, hospitals and other health care providers are independent contractors and are neither agents nor employees of Aetna. The availability of any particular provider cannot be guaranteed, and provider network composition is subject to change. This material is for informational purposes only and is not medical advice. Health information programs provide general health information and are not a substitute for diagnosis or treatment by a physician or other health care professional. Contact a health care professional with any questions or concerns about specific health care needs. Providers are independent contractors and are not agents of Aetna. Provider participation may change without notice. Aetna is not a provider of health care services and, therefore, cannot guarantee any results or outcomes. The availability of any particular provider cannot be guaranteed and is subject to change. Information is believed to be accurate as of the production date; however, it is subject to change. For more information about Aetna plans, refer to www.aetnamedicare.com
Source: coventryhealthcare.com

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

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Source: medicare.gov

Medical Billing and Coding Guidelines and tips to improve billing.: Medicare claim submission address

Medical Billing Solution, Medical Billing Training Program, About Outsourcing Services, Medical Billing Process and Concept, Tips to Medical Biller, Specialist. Medical Insurance Billing Denial Guidelines. Medical Billing Training Articles and Software Review. Medicare Billing CPT code ,ICD-9 DX Code Update.
Source: whatismedicalinsurancebilling.org

Medicare Advice: Enrollment, Eligibility, Plans

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

Posted by:  :  Category: Medicare

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Source: medicare.gov

How to Apply for Medicaid

If you choose a managed care plan, you and your family receive their basic health care through a primary care doctor associated with a managed care plan. Medical care will be arranged through the managed care plan that you chose, and you must receive medical care with the doctors, hospitals, pharmacies associated with that managed care plan.
Source: illinois.gov