Fidelis Care > Products > Medicare Advantage and Dual Advantage > Overview

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A: Medicare Advantage, also referred to as “Part C” coverage, is a different way to get your Medicare coverage. You still have Medicare Part A (Hospital) and Part B (Medical) coverage, but most of your Medicare-covered services will be paid by Medicare Advantage. You or someone on your behalf must continue to pay your monthly Part B premium, as well as any Medicare Advantage premium.
Source: fideliscare.org

Medicare.gov Physician Compare Home Page

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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

Getting and Replacing Your Medicare Card

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If you are almost 65 and not yet receiving retirement benefits: It is important to note that not all beneficiaries are automatically enrolled in Medicare. If you are not yet receiving retirement benefits, close to turning 65, you will need to enroll in Medicare Part A and/or Medicare Part B during your Initial Enrollment Period (IEP), which begins three months before you turn 65 and lasts seven months. You can apply for Medicare Part A and/or Part B through Social Security (if you worked for a railroad, you need to apply through the Railroad Retirement Board). The start of your coverage will depend on which month you sign up during your IEP, and you should receive your Medicare card within 30 days of being approved.
Source: ehealthmedicare.com

Medicare Advantage/Part D Contract and Enrollment Data

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The page could not be loaded. The CMS.gov Web site currently does not fully support browsers with “JavaScript” disabled. Please enable “JavaScript” and revisit this page or proceed with browsing CMS.gov with “JavaScript” disabled. Instructions for enabling “JavaScript” can be found here. Please note that if you choose to continue without enabling “JavaScript” certain functionalities on this website may not be available.
Source: cms.gov

Enrollment & Disenrollment in Medicare Advantage Plans

In addition, there are Special Election Periods (SEPs) during which you may be able to enroll in or disenroll from your MA plan, depending on your situation. For example, if you move out of your plan’s service area, you have a Special Election Period (of up to 3 months) to disenroll from your plan and join a plan available in your new location. See Special Election Periods (SEPs).
Source: cahealthadvocates.org

Medicare.gov Supplier Directory

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Source: medicare.gov

HCPCS Codes in Billing and Coding

Here’s an example. A patient receives an injection of 20 mg of adalimumab to temporarily relieve the signs of rheumatoid arthritis. If you received this medical report, leaving aside the CPT procedure code and the ICD diagnosis code, you’d look at the amount of medication and the type of medication. You’d also know, from going over the HCPCS Level II format, that you’re looking at a J-code—a drug administered any way except orally. A lot of J-codes are injected drugs, and that’s what we’re looking at in this example.
Source: medicalbillingandcoding.org

Medicare Supplement Insurance Plans

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*In some cases, a referral is required. **Policy cannot be canceled as long as you pay your premium when due, unless we find the application to be fraudulent or a misrepresentation. The company reserves the right to increase premiums on a class basis.
Source: cigna.com

Cigna Medicare Supplement Plans

Cigna and its predecessor companies have been in business since 1792 when a group of citizens in Philadelphia formed the Insurance Company of North America. Today, Cigna is dedicated to growing within the Medicare market and has introduced Medicare Supplement Plans in many different states.
Source: medicaresupplementshop.com

Cigna Medicare Supplement Insurance

Although any of these Cigna Medicare supplement plans will provide great protection, Medicare Supplement Insurance Plan F covers the fullest range of coinsurance, deductibles, and excess charges that otherwise would have to be paid out of pocket. It covers the blood that basic Medicare does not cover, and provides a full extra year of hospitalization coverage. Plan F also covers skilled nursing service and approved health care costs you incur while traveling outside the United States. It even allows you to choose any doctor who accepts Medicare. With fixed premiums and generally no unexpected out-of-pocket costs, Plan F is the Medigap plan chosen by nearly half of Americans who purchase Medicare supplement insurance plans.
Source: medicaremall.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

Medicare.gov Physician Compare Home Page

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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

Coventry Medicare: Doctors & Hospitals

Coventry’s provider search function below is updated regularly and is based on the particular plan you are selecting.  When you enroll in a Coventry Medicare Advantage plan, it is important to know that services are provided through the plan’s delivery system.  Coventry Health Care regularly seeks to broaden the scope of our provider network with additional physicians and hospitals for our Medicare Advantage plans.  However, the availability or continued participation of any one doctor, hospital, or other provider cannot be guaranteed.
Source: coventryhealthcare.com

Your Medicare coverage choices

Posted by:  :  Category: Medicare

There are 2 main ways to get your Medicare coverage— Original Medicare (Part A and Part B) or a Medicare Advantage Plan (Part C). Some people get additional coverage, like Medicare prescription drug coverage or Medicare Supplement Insurance (Medigap). Use these steps to help you decide what coverage you want:
Source: medicare.gov

Medicare Care Choices Model

Due to robust interest, CMS has expanded the model from an originally anticipated 30 Medicare-certified hospices to over 140 Medicare-certified hospices and extended the duration of the model from 3 to 5 years. This is expected to enable as many as 150,000 eligible Medicare beneficiaries with advanced cancers, chronic obstructive pulmonary disease, congestive heart failure, and human immunodeficiency virus/ acquired immunodeficiency syndrome who receive services from participating hospices to experience this new option and flexibility.
Source: cms.gov

2016 Medicare Part D Prescription Drug Plans: Overview by State

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Choose your State from the list below for an overview of the Medicare Part D Prescription Drug Plans available in 2016. Please note – Medicare Part D Plans vary in cost and coverage by State – this means that if you move to a new State during the enrollment year, you may pay a different premium and/or possibly may not have access to the same selection of Medicare Part D plans. Select your state below or choose from one of these links to other tools available to review 2016 Medicare Part D Plans:
Source: q1medicare.com

2016 Utah Medicare Part D Prescription Drug Plan Highlights www.Q1Medicare.com

Coverage Gap the Donut Hole: In the CMS Standard Plan, the beneficiary must pay the next $3752.5 in drug costs (the Donut Hole). The Healthcare Reform provides that for Plan Year 2016, ALL formulary generics will have at least a 42% discount and ALL brand drugs will have at least a 55% discount in the coverage gap. The Gap Coverage Types discussed in this section are in addition to the Healthcare Reform mandated discounts. In our chart, you will see one of the following:
Source: q1medicare.com

Medicare Part D Coverage & Enrollment

Coverage gap, or “donut hole”: After you and your plan have spent a certain amount on covered medications (including the deductible), you may enter the coverage gap, which is a temporary increase in your out-of-pocket prescription drug costs. In the past, beneficiaries paid for all prescription costs once they entered the coverage gap; however, recent health-care legislation created discounts on your costs for covered brand name and generic drugs in the coverage gap. Once you have paid up to a certain amount out of pocket, you’re out of the coverage gap and your Medicare plan begins catastrophic coverage, during which you pay only a small copayment or coinsurance for covered prescription drugs for the rest of the year, while your plan covers the rest of the costs. Health-care reform lowers your costs in the “donut hole” every year until 2020, when the coverage gap is closed.
Source: ehealthinsurance.com

Medicare Part D Prescription Drug Plans Coverage and Comparison

Medicare Part D Prescription Drug Plans, also known as “PDPs,” are stand-alone prescription drug plans that are sold by private insurance companies with a Medicare contract. Medicare beneficiaries can sign up for a PDP if they would like to add Part D drug coverage to their Original Medicare coverage. Certain Medicare Advantage plans, such as Cost Plans, Private Fee-for-Service (PFFS) plans, and Medical Saving Account (MSA) plans might allow you to add a stand-alone PDP to this coverage, although these situations may vary. Anyone enrolled in Medicare Part A and/or Medicare Part B is eligible to enroll in a Medicare Part D plan.
Source: planprescriber.com

2016 Medicare Plans Provo Utah (UT)

We want to help you find both. At the top of the page you can browse and compare all Provo Medicare Plans. Below are your some of the local providers that offer healthcare service to people with Medicare benefits.
Source: medicarewire.com