Direct Access at the Federal Level

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Currently, 50 states and the District of Columbia (DC) allow physical therapists to evaluate patients without a prior physician’s referral and 48 states and DC improve accessibility further by allowing physical therapists to evaluate and treat, under certain conditions, patients without a referral from a physician. Since 2005, important gains have been made under Medicare for patients to see their physical therapist without a referral. This page will be updated with information and resources on additional federal efforts relating to direct access in the 113th Congress. If you’d like additional updates on this and other legislative issues, join PTeam today!
Source: apta.org

Medicare Direct Data Entry (DDE)

Say good-bye to modems, password re-sets, and disconnects. Manage your own MAC credentials, get support for multiple submitter IDs, and benefit from complete visibility to Medicare claim submissions and eligibility verification, with built-in EDI tracking capability.
Source: abilitynetwork.com

Direct Graduate Medical Education (DGME)

Prior to July 1, 2010, under section 1886(h)(4)(E) of the Act, a hospital could count residents training in nonprovider settings for direct GME purposes (and under section 1886(d)(5)(B)(iv) of the Act, for IME purposes), if the residents spent their time in patient care activities and if “. . . the hospital incurs all, or substantially all, of the costs for the training program in that setting.” The implementing regulations, first at §413.86(f)(3), effective July 1, 1987, and later at §413.86(f)(4) (redesignated as §413.78(d)) , effective January 1, 1999, required that, in addition to incurring all or substantially all of the costs of the program at the nonprovider setting, there must have been a written agreement between the hospital and the nonprovider site (in place prior to the time the hospital began to count the residents training in the non-provider site) stating that the hospital would incur all or substantially all of the costs of training in the nonprovider setting. The regulations further specified that the written agreement must have indicated the amount of compensation provided by the hospital to the nonprovider site for supervisory teaching activities. Effective October 1, 2004, the hospital must have either had a written agreement with the nonprovider setting, or, as described in the regulations at §413.78(e), paid for all or substantially all of the costs, concurrent with the training in the nonprovider setting. Effective for cost reporting periods beginning on or after July 1, 2007 and before July 1, 2010, “all or substantially all of the costs for the training program” in the nonprovider setting is defined as at least 90 percent of the total of the costs of the residents’ salaries and fringe benefits (including travel and lodging where applicable) and the portion of the cost of teaching physician’s salaries attributable to nonpatient care direct GME activities.
Source: cms.gov

Medicare Health Benefits MHB Insurance Services

Posted by:  :  Category: Medicare

We work as facilitators, listening to the voices of many, both prominent and under served. Ultimately our decisions are made possible by considering ideas brought to light by those voices. We provide the opportunity for people to prosper and connect within their communities.
Source: medicarehealthbenefits.com

Learn What to do If you Already Have Medicare Health Coverage

Yes. Coverage from an employer through the SHOP Marketplace is treated the same as coverage from any job-based health plan. If you’re getting health coverage from an employer through the SHOP Marketplace based on your or your spouse’s current job, Medicare Secondary Payer rules apply.
Source: healthcare.gov

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

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

Comparing Medicare Supplement Plans

If you need help finding a Medigap or other Medicare plan that fits your needs, I’m here to help. Take a look at my profile below to learn about my Medicare experience. To schedule a time to speak one-on-one or have me email you more information, use the links below. If you’re ready to find plans now, you can use the Compare Plans buttons on this page to browse plans now. To speak with someone more quickly, call us using the information below.
Source: medicare.com

Medicare Supplement Chart

Note: A Medicare Supplemental Insurance plan covers coninsurance only after you have paid the deductible, unless the Medicare Supplement plan also covers the deductible. For more information, call to speak with a Medicare Supplement Insurance specialist at 610-399-8700. They are available to answer your questions and help you find the right Medicare supplement plan. The supplement comparison chart above outlines plans purchased after June 1, 2010. For supplement plan comparison for new or plans purchased before June 1, 2010, please contact one of our advisors.
Source: mysenioradvisorsgroup.com

Comparison Chart of All 10 Medicare Supplement Plans & Policies

To view a more detailed description of benefits for a specific plan, select an option below: Medicare Supplement Plan A Medicare Supplement Plan B Medicare Supplement Plan C Medicare Supplement Plan D Medicare Supplement Plan E (no longer offered) Medicare Supplement Plan F Medicare Supplement Plan G Medicare Supplement Plan H (no longer offered) Medicare Supplement Plan I (no longer offered) Medicare Supplement Plan J (no longer ofered) Medicare Supplement Plan K Medicare Supplement Plan L Medicare Supplement Plan M Medicare Supplement Plan N
Source: medicaresupplementsolutions.com

Medicare Part A and B Chart

If you have a question, please contact us. Our trained Medicare Instructors will be happy to answer your questions about Medicare coverages and help you find a Medicare Supplement Plan to fit your personal needs.
Source: medicareinstructors.com

Medicare Advantage vs. Medicare Supplement

10 types of Medigap plans are standardized in 47 states; each plan is labeled with a letter (such as Plan B). Once you decide which plan you want, you can compare different companies offering the same plan. For example, if you choose Plan B, you can look at the prices and any extra options that different companies might have for Plan B. You may also want to choose a health insurer you’re already comfortable with, or you can shop around for your best price — it’s up to you. You can use the plan comparison form on this page, or visit Medicare.gov.
Source: ehealthmedicare.com

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

Posted by:  :  Category: Medicare

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Source: medicare.gov

Medicare Information, Help, and Plan Enrollment

Humana is a Medicare Advantage [HMO, PPO and PFFS] organization with a Medicare contract. Enrollment in any Humana plan depends on contract renewal. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments and restrictions may apply. Benefits, premiums and/or member cost-share may change on January 1 of each year.
Source: medicare.com

How to compare Medigap policies

Posted by:  :  Category: Medicare

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Source: medicare.gov

Supplements & other insurance

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Source: medicare.gov

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

Compare Medicare Supplement Plans Side by Side

Last but not least is the coverage you desire from your Medigap plan.  There are ten plans to choose from that are labeled Plan A – Plan N (plans E, H, I, and J are no longer offered).  Plan F is the most popular Medicare Supplement, because it offers the most comprehensive coverage on the market.  Plan G is a great plan because it also has extensive coverage, with lower premiums and rate increases than Plan F.  Another popular plan is Plan N, which has more cost sharing but lower premiums than the other Medigap policies. 
Source: medicareinsurancefinders.com

Medicare Supplement Plans & Quotes

Turning 65 is stressful, and the amount of information people receive leading up to their birthday is astounding. From the stacks of mail piling up on your desk, to the seemingly endless phone calls and quotes from insurance companies and agents, the task of gathering honest, unbiased information can feel impossible. Our goal is to offer what nobody else will, which is why we provide medicare supplement quotes, financial ratings, benefit information, application fee data, price history, and pricing methodology for all supplemental insurance companies in one clean, concise report. Our free, no obligation service is designed to give you the information you need regarding Part D and Medicare Supplement Plans in order to make an educated purchasing decision. In addition, we offer continued support for all of our customers to ensure they have no claims or billing issues. On an annual basis we review all medicare supplement insurance quotes and plan options in an effort to notify our customers of any new or better plans that may be available.
Source: medicaresupplementshop.com

Medicare.gov Physician Compare Home Page

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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

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

Posted by:  :  Category: Medicare

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Source: medicare.gov

Getting and Replacing Your Medicare Card

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, and 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 Card, Replacement, Blog, Social Security Help, Information, Medicaid, Retirement Benefits, Dental Insurance, dental health care plans

For all others, the standard Medicare Part B monthly premium will be $110.50 in 2016, which is a 15% increase over the 2009 premium.  The Medicare Part B premium is increasing in 2016 due to possible increases in Part B costs.  If your income is above $85,000 (single) or $170,000 (married couple), then your Medicare Part B premium may be higher than $110.50 per month.  For additional details, see the FAQ titled: "2016 Part B Premium Amounts for Persons with Higher Income Levels".
Source: medicarecard.com

Medicare Advantage 2016 Spotlight: Enrollment Market Update

Posted by:  :  Category: Medicare

Medicare Advantage enrollees are responsible for paying the Part B premium, in addition to any premium charged by the plan. The Medicare Advantage premium paid by enrollees reflects the difference between the plan’s costs of providing Part A and B benefits and any supplemental benefits offered, and the federal payment to the plan for Part A and B benefits. Plans receive a percentage of the difference between their bid and the maximum federal payment (known as a rebate) and are required to use this amount to offer extra benefits, reduce cost sharing, or reduce the Part B premium. If the plan includes the Medicare Part D prescription drug benefit, as most plans do, the plan may also use the rebate to reduce the Part D premium. This brief analyzes premiums for Medicare Advantage plans that offer prescription drug benefits (MA-PDs) because the vast majority (89%) of Medicare Advantage enrollees is in MA-PDs and Medicare Advantage enrollees who seek Part D prescription drug benefits are, for the most part, required to get them through their plan if the plan offers prescription drugs.
Source: kff.org

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

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Source: medicare.gov

Medicare Advantage/Part D Contract and Enrollment Data

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 Information, Help, and Plan Enrollment

Humana is a Medicare Advantage [HMO, PPO and PFFS] organization with a Medicare contract. Enrollment in any Humana plan depends on contract renewal. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments and restrictions may apply. Benefits, premiums and/or member cost-share may change on January 1 of each year.
Source: medicare.com

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

HCPCS Codes in Billing and Coding

Posted by:  :  Category: Medicare

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.gov Supplier Directory

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Source: medicare.gov

Medicare Supplement Insurance Plans

Posted by:  :  Category: Medicare

*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