Does Medicare Cover Transportation?

Posted by:  :  Category: Medicare

Not Medicare Part A, which covers inpatient hospital or nursing facility care. But there’s a small chance that Medicare Part B, which covers outpatient care, might cover wheelchair van transportation. Normally, Medicare Part B only covers ambulance transportation, and only in an emergency when any other form of transportation would endanger your health. It does not usually cover non-emergency transportation between home and a doctor’s office or treatment facility. In a few cases, however, if a doctor prescribes special transportation in order to protect a patient’s health, Medicare Part B might consider paying for it. Discuss the possibility with the doctor who is overseeing the dialysis, and see if the doctor is willing to prescribe such transportation. If so, you would then have to find a van company that participates in Medicare, and the van company would have to submit the doctor’s prescription to Medicare Part B for approval. All in all, the odds are against it.
Source: caring.com

Medicare Coverage for Air Ambulance

If Medicare doesn’t cover your ambulance trip, you have a right to appeal. An appeal is a special kind of complaint you make if you disagree with decisions made by Medicare. To file an appeal, carefully review your MSN. It will tell you why your bill wasn’t paid, how long you have to file an appeal, and what appeal steps you can take. If you decide to file an appeal, ask your doctor or provider for any information that might help your case. You should keep a copy of everything you send to Medicare as part of your appeal. If you need help filing an appeal, call 1-800-MEDICARE (1-800-633-4227) to get the number for the State Health Insurance Assistance Program in your state.
Source: usairambulance.net

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

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Source: medicare.gov

Compare Medicare Part D Prescription Drug Plans

Keep in mind that just as costs can vary by plan, Medicare plans that include prescription drug coverage may also vary when it comes to the specific prescription drugs they cover. An easy way to make sure that your current medications are covered is to check the plan’s formulary (list of covered medications) before enrolling in a Medicare plan that includes prescription drug coverage. Keep in mind that formularies are subject to change. Your Medicare Prescription Drug Plan or Medicare Advantage Prescription Drug plan will notify you if necessary.
Source: ehealthinsurance.com

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

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Source: medicare.gov

Prescription Drug Coverage

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Source: cms.gov

Prescription Drug Assistance Programs

The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) and subsequent regulations require coordination between CMS, State programs, insurers, employers, and all other payers of prescription drug benefits to ensure that the prescription drug benefits provided to Medicare beneficiaries enrolled in Medicare Part D are maximized and the integrity of the Medicare program is assured. CMS has implemented data exchanges with Prescription Drug Assistance Programs including State Pharmaceutical Assistance Programs (SPAPs), AIDS Drug Assistance Programs (ADAPs), and Patient Assistance Programs (PAPs) to coordinate Medicare Part D prescription drug benefits with other coverage a Medicare beneficiary may have. This allows CMS to facilitate accurate claims payment and the calculation of the Medicare Part D True Out of Pocket (TrOOP) expenses incurred by Medicare beneficiaries.
Source: cms.gov

Check Medicare Eligibility at www.CheckMedicare.com.

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1. 24 hour availability is not a guarantee of service uptime. It is merely hours of service operation under normal operating conditions.   2. Works Best with Internet Explorer 7 with a resolution of 1024×768 or higher. Firefox is also supported.   3. Average response time is 3-6 seconds, but may be up to 1 minute during peak times. This response time is affected by various factors including, but not limited to, network congestion, CheckMedicare.com server load, and the status of the CMS Medicare HETS system. If you experience consistent response times over 6 seconds please feel free to contact CheckMedicare.com support for system status or assistance.   © 2009-2014 ICS Software, Ltd. All rights reserved. All other copyrights and trademarks are copyrights and trademarks of their respective owners. This disclaimer relates and applies to all pages and content served by ICS Software, Ltd.
Source: checkmedicare.com

Rhode Island Division of Elderly Affairs: Programs

Posted by:  :  Category: Medicare

Medicare is the nation’s health insurance program for people 65 and older, and younger people who are disabled or who have end stage renal disease. Medicare consists of four parts–Part A (Hospital Insurance), Part B (Medical Insurance), Part C (Medicare Advantage Insurance Plans) and MedicarePart D (Medicare Prescription Drug Plans). Almost all persons over age 65 are automatically entitled to Medicare Part A if they or their spouse are eligible for Social Security or Railroad Retirement.
Source: ri.gov

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

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Source: medicare.gov

Medicare Choices Made Simple & Affordable

OneExchange helps you choose the Medicare plan that best fits your medical needs and budget. Working with us will help you make informed and confident enrollment decisions. We apologize that our site is not fully accessible to customers using screen readers at this time. We are currently building a new site with accessibility in mind that will be launched in late 2016. Until then, we encourage you to call Towers Watson’s at 1-866-322-2824 (#711) to speak to one of our expert benefit advisors.
Source: oneexchange.com

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

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Source: medicare.gov

Medicare & Medicaid Cost Report l Owner Administrator Forum Seminar

Medicare Training & Consulting, Inc., was founded by Jim Plonsey in the Chicago area. After training Medicare auditors for Blue Cross Association, Jim established a business training Medicare auditors. This lead to doing cost reimbursement seminars for providers, most notably, home health agencies. Medicare Training & Consulting, Inc. has become a leader in providing Owners and Administrators with the reimbursement strategies.
Source: medicareconsulting.net

Search Results, Medicare.gov

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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

Difference between the Medicare Provider Numbers

Applicable FARSDFARS Restrictions Apply to Government Use. This product includes CPT which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60654. U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer data bases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(2) (November 1995) and/or subject to the restrictions of DFARS 227.7202-1(a) (June 1995) and DFARS 227.7202-3(a) (June 1995), as applicable for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14 (June 1987) and/or subject to the restricted rights provisions of FAR 52.227-14 (June 1987) and FAR 52.227-19 (June 1987), as applicable, and any applicable agency FAR Supplements, for non-Department of Defense Federal procurements.
Source: wpsmedicare.com

Centers for Medicare & Medicaid Services

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Source: cms.gov

Locating an Individual Provider Transaction Access Number (PTAN)

“The contractor shall not send an individual’s provider transaction access numbers (PTAN) to a group or organization (including the group’s authorized or delegated official). If a group/organization needs to know an individual provider’s PTAN, it must contact the provider directly for this information or have the individual provider request this information in writing from the contractor. If the individual provider requests his/her PTAN number, the contractor can mail it to the provider’s practice location. The contractor should never give this information over the phone.”
Source: custhelp.com

Mandatory Insurer Reporting (NGHP)

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Reporting is accomplished by either the submission of an electronic file of liability, no-fault, and workers’ compensation claim information, where the injured party is a Medicare beneficiary, or by entry of this claim information directly into a secure Web portal, depending on the volume of data to be submitted. Upon receipt of this information, CMS checks whether the injured party associated with the claim report is a Medicare beneficiary, and determines if the other insurance is primary to Medicare. CMS then uses this information in the Medicare claims payment process and, if Medicare paid first when it should not have, uses it to seek repayment from the other insurer or the Medicare beneficiary.
Source: cms.gov

Mandatory Insurer Reporting for Group Health Plans (GHP)

The purpose of Section 111 reporting is to enable Medicare to correctly pay for the health insurance benefits of Medicare beneficiaries by determining primary versus secondary payer responsibility. Section 111 authorizes CMS and GHP RREs to electronically exchange health insurance benefit entitlement information. On a quarterly basis, an RRE must submit a file of information about employees and dependents who are Medicare beneficiaries with employer GHP coverage that may be primary to Medicare. In exchange, CMS provides the RRE with Medicare entitlement and enrollment information for those individuals in the GHP that can be identified as Medicare beneficiaries. This mutual data exchange helps to ensure that claims will be paid by the appropriate organization at first billing. The Section 111 GHP reporting process also includes an option to exchange prescription drug coverage information to coordinate benefits related to Medicare Part D.
Source: cms.gov

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

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Source: medicare.gov

California Medicaid: eligibility, enrollment and benefits

Medicaid expansion has raised concerns about overburdening the health care system with a flood of new patients and challenging the financial viability of the program. An Oregon study released in early 2014 reinforced those fears. The study showed more use of primary care and about a 40 percent increase in emergency room visits among the newly insured. However, a recent study by the UCLA Center for Health Policy Research found that the spike in emergency room use was temporary — dropping by two-thirds after two years. The study also found that primary care use did not climb in response to the drop off of emergency room use — meaning overall utilization tapered off. Lead author Jerry Kominski summarized the study this way: “What our findings say to the country is (that) concerns about Medicaid expansion being financially unsustainable into the future are unfounded.”
Source: healthinsurance.org

Blue Medicare PPO and Blue Medicare HMO Providers

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Blue Cross and Blue Shield of North Carolina is an HMO, PPO, and PDP plan with a Medicare contract. Enrollment in Blue Cross and Blue Shield of North Carolina depends on contract renewal. Blue Cross and Blue Shield of North Carolina does not discriminate based on race, ethnicity, national origin, religion, gender, age, mental or physical disability, health status, claims experience, medical history, genetic information, evidence of insurability or geographic location within the service area. All Blue Cross and Blue Shield of North Carolina items and services are available to all eligible beneficiaries in the service area.
Source: bcbsnc.com

Medicare Advantage Plans in Michigan

Medicare Advantage plans are a lot like the health insurance you may have had before becoming eligible for Medicare. You can choose a complete insurance package with the convenience of one ID card for all services.
Source: bcbsm.com

2016 Florida Blue Medicare Regional PPO & HMO

A Medicare Advantage organization with a Medicare contract and a Medicare-approved Part D sponsor. These contracts are renewed annually, and the availability of coverage beyond the end of the current contract year is not guaranteed. Exclusions, limitations, copayments, coinsurance and deductibles may apply. The benefit information provided herin is a brief summary, not a comprehensive description of benefits. For more information, contact the plan. Medicare beneficiaries may enroll in BlueMedicare Regional PPO through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov.
Source: securehealthoptions.com