What’s Medicare Supplement Insurance (Medigap)?

Posted by:  :  Category: Medicare

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

Find a Medigap Policy in Your Area

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

Compare Medigap Insurance Plans

Enter your ZIP code to compare quotes from top insurance companies on Medigap.com. Prices vary from company to company, so shop around for the best prices. Medicare supplement insurance is available in up to 10 standardized insurance plans. Each plan is named with a letter of the alphabet. In Massachusetts, Minnesota and Wisconsin there are different standardized plan options available.
Source: medigap.com

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

Competitive Bidding Program

Posted by:  :  Category: Medicare

The Competitive Bidding Program replaces the outdated prices Medicare has been paying with lower, more accurate prices.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

DMEPOS Competitive Bidding

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

Contract Supplier Locations

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

Medicare Competitive Bidding ROBERTS HOME MEDICAL Germantown, MD (855) 646

Round 2 contracts (which affect Roberts Home Medical’s service areas) became effective on July 1, 2013 in 100 CBAs. At that time, if you are a newly referred Medicare patient, you will need to begin using a contracted provider for competitively bid products. In most cases, if you are a currently served patient, you may continue to be served by your current provider, if both you and the provider agree. For certain products, you may need to see your physician again before you can be served by a contracted provider. The contract period for Round 2 product categories ends June 30, 2016.
Source: robertshomemedical.com

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

Posted by:  :  Category: Medicare

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

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

Highmark: Your Health Care Partner

Posted by:  :  Category: Medicare

Highmark Inc. is a national, diversified health care partner serving members through its businesses in health insurance, dental insurance, vision care and reinsurance. Our mission is to make high-quality health care readily available, easily understandable and truly affordable in the communities we serve.
Source: highmark.com

Highmark Medicare Services is now Novitas Solutions

Physicians and medical billing companies should not face many disruptions as a result of this transition. According to Novitas Solutions, the current Highmark Medicare website will be fully transitioned to the new Novitas site by March 30, 2012. During the transition, visitors to the old website (https://www.highmarkmedicareservices.com) will be automatically re-directed to the new Novitas Solutions website (https://www.novitas-solutions.com), where a new header and page logo can be seen. Bookmarks that users may already have for the Highmark website will purportedly still work with the new page. The Electronic Payer ID has not appeared to change, so claims submission and processing should remain unaffected by the transition. For more information, see the Informational Alert here: https://www.novitas-solutions.com/partb/info-alerts.html.
Source: healthcarebiller.com

Highmark Direct :: Medicare Information

Highmark is a registered mark of Highmark Inc. Highmark Choice Company, Highmark Senior Health Company and Highmark Senior Solutions Company are Medicare Advantage plans with a Medicare contract. HM Health Insurance Company is a PDP plan with a Medicare contract. Enrollment in Highmark Choice Company, Highmark Senior Health Company, Highmark Senior Solutions Company and HM Health Insurance Company depends on contract renewal. Highmark Senior Health Company, Highmark Choice Company, Highmark Senior Solutions Company and HM Health Insurance Company are independent licensees of the Blue Cross and Blue Shield Association.
Source: highmarkdirect.com

Medicare Advantage: Private Health Insurance Through Medicare

Posted by:  :  Category: Medicare

Medicare Advantage plans may give you some discounts or pay for services that Original Medicare may not cover. However, Medicare Advantage plans are administered by private health insurers and you’ll be required to follow your plan’s rules. Original Medicare allows you to see just about any doctor and go to any hospital that accepts Medicare , which most providers accept. With Medicare Advantage plans, you’re typically restricted to the doctors and hospitals included in the plan’s network. You might need referrals to see a specialist.
Source: webmd.com

Welcome to Your Texas Benefits

Posted by:  :  Category: Medicare

You can fill out this screening form to find out which benefits and support services you might be able to get. At the end of the form, you can decide if you want to log in and: (1) apply for benefits, and (2) send your form to support programs and ask them to contact you about their services.
Source: yourtexasbenefits.com

Health Insurance Quotes & Plans

Posted by:  :  Category: Medicare

If you’d like to speak with us about your insurance coverage options, we have more than 10,000 licensed insurance benefits advisors across the nation. It’s our job to ensure you find the right plan for your needs.
Source: gohealthinsurance.com

What Is a Health Insurance Premium?

Posted by:  :  Category: Medicare

A number of factors impact the premiums you pay for health insurance. For instance, employer groups typically obtain lower prices relative to what individuals get on their own. The insurance company provides that discount because there is an advantage in acquiring a 500- or 1,000-employee customer base as opposed to an individual customer. In general, rising single and group policy rates were a major factor in the introduction of the Affordable Care Act. As of January 2015, average family premiums were $16,800 per year.
Source: ehow.com

What Is a Health Insurance Premium?

This health care coverage typically includes paying for health-related services such as doctor visits, hospitalizations, prescriptions and medications. In short, the premium is the payment that you make to your health care provider annually that keeps coverage fully active. If a premium is not fully paid, a health care provider may suspend of cancel services until the amount is paid in full.
Source: about.com

Compare Medicare Supplement Quotes

Posted by:  :  Category: Medicare

When retirement is supposed to be a special time to enjoy the simple pleasures of life, the last thing you want to worry about is keeping up with your health care costs. Anyone who has been covered by Medicare knows that, by itself, it’s hardly an ideal plan for handling all the expenses you will face, even with good health, throughout your twilight years. Fortunately, there are good options available to you which can provide more comprehensive coverage than Medicare alone.
Source: compare-medicare-quotes.com

Get Medicare Supplemental Insurance Plan Quotes

As long as you enroll during this six-month open enrollment period, the insurance company cannot refuse to sell you a Medigap policy, charge you more because you have health problems, or make you wait for coverage to begin. However, you may have to wait up to six months for coverage of a pre-existing condition. Original Medicare will still cover that health problem even if your Medicare Supplement Plan doesn’t cover your out-of-pocket costs.
Source: ehealthmedicare.com

Medicare Sustainable Growth Rate

Posted by:  :  Category: Medicare

Section 101 of the Tax Relief and Health Care Act of 2006 (MIEA-TRHCA) provided a 1-year update of 0% for the conversion factor for CY 2007 and specified that the conversion factor for CY 2008 must be computed as if the 1-year update had never applied. Section 101 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (MMSEA) provided a 6-month increase of 0.5% in the CY 2008 conversion factor, from January 1, 2008, through June 30, 2008, and specified that the conversion factor for the remaining portion of 2008 and the conversion factors for CY 2009 and subsequent years must be computed as if the 6-month increase had never applied. Section 131 of the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA) extended the increase in the CY 2008 conversion factor that was applicable for the first half of the year to the entire year, provided for a 1.1% increase to the CY 2009 conversion factor, and specified that the conversion factors for CY 2010 and subsequent years must be computed as if the increases had never applied.
Source: wikipedia.org

House Passes 'Doc Fix' for Medicare Doctors

"This will be the first real entitlement reform that we’ve seen in nearly two decades, and that’s a big win for the American people. It was a true bipartisan agreement, and I want to thank Leader Pelosi and Democrat Whip (Maryland Rep. Steny) Hoyer for their efforts in helping to put this together. I was pleased to hear the president would sign the bill, and I would urge the Senate to pass it expeditiously."
Source: nbcnews.com