Medicare Health Plans, Coverage And Online Enrollment

Posted by:  :  Category: Medicare

*Plan performance summary star ratings are assessed each year and may change from one year to the next. (Centers for Medicare & Medicaid Services Health Plan Management System, Plan Ratings 2012. Kaiser Permanente contract #H0524, #H0630, #H1170, #H1230, #H2150, #H6360, #H9003). This page was last updated: October 1, 2012 at 12 a.m. PT
Source: kaiserpermanente.org

Affordable Health Coverage

Rating and national average are based on Controlling High Blood Pressure 2013 ratings from the Healthcare Effectiveness Data and Information Set (HEDIS) for commercial plans published by the National Committee for Quality Assurance. HEDIS is a tool used by more than 90 percent of America’s health plans to measure performance on important dimensions of care and service. HEDIS is a registered trademark of the National Committee of Quality Assurance (NCQA). For more information, visit ncqa.org.
Source: kaiserpermanente.org

Medicare Exclusion Database

Posted by:  :  Category: Medicare

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Source: cms.gov

Health First Health Plans Medicare

Posted by:  :  Category: Medicare

The Medicare Program rates all health and prescription drug plans each year, based on a plan’s quality and performance. Medicare Plan Ratings help you to know how good a job our plan is doing. You can use this Plan Rating to compare our plan’s performance to other plans. View our Star Ratings in English or Español. Plan performance summary star ratings are assessed each year and may change from one year to the next.
Source: health-first.org

Coventry Medicare: First Health Part D

First Health Part D (Legal Disclaimers) 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 co-payments/co-insurance 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

Does Medicare Cover Dental Care?

Posted by:  :  Category: Medicare

For example, Medicare might pay for a tooth extraction if it is required before heart surgery. Or, a person with oral cancer might get a procedure covered prior to radiation treatment. Even if Medicare does pay for some services as preparation for a medical procedure, it will not cover the cost of implants or dentures.
Source: ncoa.org

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

What’s Medicare Supplement Insurance (Medigap)?

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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

How to compare Medigap policies

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Source: medicare.gov

Medicare Supplemental Policies: Do You Need One?

We’ll start with what they cover. Supplemental insurance is sold to cover “what Medicare doesn’t.” Remember I said that wasn’t quite true. Unless a supplemental policy specifically states otherwise, the most it will cover are the Medicare deductibles ($147 outpatient and $1,187 hospitalization) and the 20 percent co-insurance. Supplemental policies do not usually cover any medical services Medicare won’t cover. What’s more, Medicare supplemental insurance will only pay health care providers what you would pay if you didn’t have the supplemental policy. Providers aren’t paid any more for taking care of you if you have one of these policies.
Source: huffingtonpost.com

Compare Medicare Supplement (Medigap) Plans and Rates in Your Area

"Times have changed since my mother had an AARP J plan and I was totally confused by the options available. Stan walked me through the process in a very educational, methodical, friendly way, and I feel secure now that we’re making the correct decision to provide the best possible coverage for my husband." – Pat K.
Source: medigap360.com

Medigap (Medicare Supplement Health Insurance)

A Medigap policy is health insurance sold by private insurance companies to fill the “gaps” in Original Medicare Plan coverage. Medigap policies help pay some of the health care costs that the Original Medicare Plan doesn’t cover. If you are in the Original Medicare Plan and have a Medigap policy, then Medicare and your Medigap policy will each pay its share of covered health care costs. Generally, when you buy a Medigap policy you must have Medicare Part A and Part B. You will have to pay the monthly Medicare Part B premium ($96.40 in 2011 for most beneficiaries). In addition, you will have to pay a premium to the Medigap insurance company. As long as you pay your premium, your Medigap policy is guaranteed renewable. This means it is automatically renewed each year. Your coverage will continue year after year as long as you pay your premium. In some states, insurance companies may refuse to renew a Medigap policy bought before 1992. Insurance companies can only sell you a “standardized” Medigap policy. Medigap policies must follow Federal and state laws. These laws protect you. The front of a Medigap policy must clearly identify it as “Medicare Supplement Insurance.” It’s important to compare Medigap policies, because costs can vary. The standardized Medigap policies that insurance companies offer must provide the same benefits. Generally, the only difference between Medigap policies sold by different insurance companies is the cost. You and your spouse must buy separate Medigap policies.Your Medigap policy won’t cover any health care costs for your spouse. Some Medigap policies also cover other extra benefits that aren’t covered by Medicare. You are guaranteed the right to buy a Medigap policy under certain circumstances. For more information on Medigap policies, you may call 1-800-633-4227 and ask for a free copy of the publication “Choosing a Medigap Policy: A Guide to Health Insurance for People With Medicare.” You may also call your State Health Insurance Assistance Program (SHIP) and your State Insurance Department. Phone numbers for these Departments and Programs in each State can be found in that publication.
Source: cms.gov

Medicare Age In Information

Posted by:  :  Category: Medicare

Do I need to maintain Medicare B coverage to keep my State of Maine health insurance policy? Yes.  If Medicare cancels your Medicare B coverage due to non-payment of premiums, you will automatically lose health insurance coverage with the State of Maine.  You would not be eligible to re-enroll after cancellation unless you satisfy your Medicare B premiums and Medicare reinstates your Medicare B coverage without a break in coverage.  If you are dis-enrolled due to non-payment of Medicare B premiums on four (4) separate occasions, you will permanently lose your eligiblity and cannot re-enroll in the State of Maine health plan.
Source: maine.gov

Medicare Supplement Leads, Senior Health Insurance Leads and Medicare Leads

Posted by:  :  Category: Medicare

All Web Leads simplifies the process when your agency wishes to buy senior health or Medicare leads. Our easy to use system is fully automated and highly customizable so you can target your search results by location, age, or coverage needs. There has never been an easier solution to your need for Medicare supplement insurance leads or other senior health insurance types. Every lead you receive will adhere to the filters you have selected, which also increases your chances of improving sales for your agency. As soon as we have identified a fresh lead that meets the needs of your agency, All Web Leads will contact you via email or your mobile device so you have fast access to the information you need to make a sale. 
Source: allwebleads.com

Life Insurance Leads, Final Expense Leads Sales Associate

Our marketing approach can play a huge role in increasing your sales. By using our services will keep you and your team of sales agents doing exactly what you should be doing…selling! We have the experience and the expertise with years of service. Our cost effective method of life insurance leads, Medicare supplement leads, reverse mortgage leads generation will place you in front of your desired prospect. We will qualify them and set an appointment based off your desired schedule. Sales Associate® specializes in lead generation for Medicare supplement, Reverse Mortgage, Home Health Care and Final Expense Leads. No more cold-calling and spending hours and hours on the phone finding prospects. Our highly skilled appointment setters can schedule appointments for you to meet with the prospects within the time frame you would want to schedule your meetings. You don’t have to call them just show up for the appointment. Many other telemarketing companies will not offer our level of service without hiking up the expense to the client. With all the great benefits of our services, we still manage to maintain a very competitive pricing compared to other telemarketing companies. We do all the leg work and charge a fraction of the cost for a qualified appointment. Telemarketing is an important function for all your marketing needs and it plays a huge role in expanding the business and ensuring good publicity and targeting your potential client. For over 10 years Sales Associate® has been consistently providing top senior marketers with excellent life insurance leads, Medicare supplement leads, reverse mortgage telemarketing leads and real estate leads in the form of solid appointments and phone leads. Our motto is in creating an atmosphere with the customer using the combined experience to maintain an excellent relationship with the customer. Official Company Web page
Source: us-leads.com

Health Insurance Leads, Exclusive Health Insurance Leads from ASAP Quotes

ASAP Quotes offers high quality, exclusive health insurance leads generated 100% via search. We specialize in generating the best health insurance leads in the industry. The company was founded by insurance agents to develop a great source of health insurance leads for other agents in the industry. We know what it’s like to work with low quality health insurance leads that are a waste of time. Our focus is to generate the highest quality, exclusive health insurance leads in the industry.
Source: asapquotes.com

Medicare Supplement & Advantage Leads

Looking to grow your business during the Annual Enrollment Period? Precise Leads is the number one provider for the top Medicare carriers during the AEP. Our quality and lead volume can result in a huge lift in your revenue during this special time of year. Whether you sell Medicare Supplement, Medicare Advantage or both, the increased volume during the AEP will be reflected in your sales reports.
Source: preciseleads.com

Prescription Drug Coverage

Posted by:  :  Category: Medicare

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Source: cms.gov

Medicare Part B Drug ASP Transmittals List

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Source: cms.gov

Best Medicare /Medigap Rates

Posted by:  :  Category: Medicare

There is a rule requiring that for you to be able to obtain the anthem Medicare supplement plan, you must have a Medicare Parts A and B discusses elsewhere here.Medigap has polices that enable you to continue enjoying Medicare benefits provided the Medicare Part B on premiums is fulfilled. In other words, subject to your payment of supplements to Medigap, you will enjoy the Medicare benefits that come with the plan. Once you fill in the form for a pricing plan, you will get a quote that will matches your health plans, has best coverage and pricing plans and also saves you on time.
Source: medicaresupplement.services

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

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Source: medicare.gov

How to compare Medigap policies

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Source: medicare.gov