How to compare Medigap policies

Posted by:  :  Category: Medicare

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Source: medicare.gov

Medicare Supplement Plan G

* 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

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

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Source: medicare.gov

Things to know about Medicare Advantage Plans

Posted by:  :  Category: Medicare

Medicare Advantage Plans have a yearly limit on your out-of-pocket costs for medical services. Once you reach this limit, you’ll pay nothing for covered services. This limit may be different between Medicare Advantage Plans and can change each year. You should consider this when choosing a plan.
Source: medicare.gov

Extra Help with Medicare Prescription Drug Plan Costs

Posted by:  :  Category: Medicare

Medicare beneficiaries can qualify for Extra Help with their Medicare prescription drug plan costs. The Extra Help is estimated to be worth about $4,000 per year. To qualify for the Extra Help, a person must be receiving Medicare, have limited resources and income, and reside in one of the 50 States or the District of Columbia.
Source: ssa.gov

Medicare Fraud Reporting Center

Posted by:  :  Category: Medicare

Medicare Whistleblowers are typically healthcare professionals who are aware of hospitals, clinics, pharmacies, Nursing Homes, Hospices, long term care and other health care facilities that routinely overcharge or seek reimbursement from government programs for medical services not rendered, drugs not used, beds not slept in and ambulance rides not taken. If you have information about a person or a company that is cheating the Medicare program (or any other government run healthcare program), you may be able to collect a large financial reward for reporting it here.
Source: medicarefraudcenter.org

Help fight Medicare fraud

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Source: medicare.gov

CarePlus Health Plans (Florida Medicare) Doctors: Book Online By Insurance, Reviews & ZIP

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“Dr. Chakote is exactly what the reviews say he is. He doesn’t care at all about the patient. All he asked is what i was there for…. listened to my heart beat then sent me on my way. I had to do a follow up and booked an appt at his other location and when I showed up he wasn’t even the doctor in office. He gave no advanced notice that he would be having me see someone else. His nurse practitioner is amazing though. Her name was Norma and she was very professional and knowledgeable.”
Source: zocdoc.com

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

AARP’s Medicare Question and Answer Tool

Medicare does not have to be complex. AARP’s Medicare Question and Answer Tool can offer practical and comprehensive information about how the Medicare program works and when to enroll. AARP is here to help make understanding Medicare easier. The tool can help clarify eligibility requirements and provide answers to questions on plan choices, coverage and costs in an easy-to-understand manner.
Source: aarp.org

Claim Status Request and Response

Posted by:  :  Category: Medicare

Providers have a number of options to obtain claim status information from Medicare contractors: •Providers can call the provider help lines for their local Part A and Part B Medicare Administrative Contractor (MAC) and ask to speak to a customer service representative. •Providers can enter data via Interactive Voice Response (IVR) telephone systems operated by Medicare contractors. •Providers can enter claim status queries via direct data entry screens maintained by Medicare contractors. •Providers can send a Health Care Claim Status Request (276 transaction) electronically and receive a Health Care Claim Status Response (277 transaction) back from Medicare. The electronic 276/277 process is recommended since many providers are able to automatically generate and submit 276 queries as needed, eliminating the need for manual entry of individual queries or calls to a contractor to obtain this information. Submission of 276 queries and issuance of 276 responses should be less expensive for both providers and for Medicare. In addition, the 277 response is designed to enable automatic posting of the status information to patient accounts, again eliminating the need for manual data entry by provider staff members. If unsure whether your software is able to automatically generate 276 queries or to automatically post 277 responses, you should contact your software vendor or billing service.
Source: cms.gov

Claims: Contact information

First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.
Source: fcso.com

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

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Source: medicare.gov

Medicare Made Clear: Medicare Information

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Keep in mind that Original Medicare (Parts A and B) doesn’t cover everything and could leave many people with gaps in coverage. It’s important to understand the plan choices you have and how those choices may affect your health and budget.
Source: uhc.com

Medicare News and Updates

Medicare is not just for when you’re sick or injured. Some Medicare benefits are designed to help you get and stay healthy. Your annual Medicare Wellness Visit is one such benefit you don’t want to pass up. It’s covered by Medicare Part B. You pay no deductible and no copay for the visit.
Source: medicaremadeclear.com

Good News: Medicare Part B Covers Cataract Surgery

If you have Original Medicare, you will be responsible for paying 20 percent of the Medicare-approved costs associated with the surgery. The Part B deductible will apply. If you have Medicare Advantage or a Medicare supplement plan, your out-of-pocket costs may differ. Call the number on the back of your member ID card to talk to a customer service representative.
Source: medicaremadeclear.com