Fidelis Care > Products > Medicare Advantage and Dual Advantage > Overview

Posted by:  :  Category: Medicare

A: Medicare Advantage, also referred to as “Part C” coverage, is a different way to get your Medicare coverage. You still have Medicare Part A (Hospital) and Part B (Medical) coverage, but most of your Medicare-covered services will be paid by Medicare Advantage. You or someone on your behalf must continue to pay your monthly Part B premium, as well as any Medicare Advantage premium.
Source: fideliscare.org

New York Medicare Advantage Plans with Part D (Prescription Drug) Coverage

The plans below offer Medicare Advantage and Part D coverage to New York residents. Medicare Advantage plans, also known as Medicare Part C, are alternatives to original Medicare. These plans help cover the costs of services provided by hospitals, doctors, lab tests and some preventive screenings. These plans’ Part D component helps cover prescription drugs. Even if a plan’s monthly premium is $0, you would still pay the equivalent of the original Medicare premium. Not all plans shown here will be available to you; enter your zip code to see plans in your area. You can read about whether Medicare Advantage is right for you. If you only want plans with drug coverage, browse Prescription Drug (Part D) Plans.
Source: usnews.com

McGuffey Home Health Care, LLC

health care team is composed of Physical Therapists, Occupational Therapists, Skilled Nurses, Home Health Assistants, Cardiac Nurse, Wound Care Nurses, Clinicians and Medical Social Workers who are licensed, registered and certified by the state of Michigan.
Source: mcghhc.com

Physicians for a National Health Program

Posted by:  :  Category: Medicare

Business owner Richard Master knows firsthand how the dysfunctional U.S. health care system punishes not only patients, but also employers who are forced to spend more and more to insure their workers. His documentary, “Fix It,” makes a strong business case for addressing this festering problem, and includes interviews with many PNHP members. A trailer for the film can be accessed above, or you can view the full version for free by visiting the “Fix It” website.
Source: pnhp.org

Saint Francis Hospital and Medical Center

Carrots—and More—for Healthy Eyes Here’s a possible eye-opener: Carrots aren’t the only sight-saving veggies. In fact, many foods can give you the nutrients you need to keep your eyes healthy.
Source: stfranciscare.org

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

Posted by:  :  Category: Medicare

"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

Medicare Supplemental Insurance

The first step is to understand Original Medicare and how Medicare supplemental insurance can protect you from the “gaps” in coverage. You need to learn how Medicare supplemental insurance is designed to protect you from expensive doctor and hospital bills. You can learn all about Original Medicare and Medigap policies in the About Medicare section of our web site. Second, you should request quotes from top quality insurers who offer Medicare supplement insurance coverage. After receiving no obligation quotes from at least three trusted insurance companies you should compare the plans using the plan guide in the Plans section of our site or have a professional help you. When you are ready to find a Medicare supplemental health insurance plan that is right for you and compare no obligation quotes for Medigap enter your zip code at the top of the page and we will quickly assist you. Finally, you can apply with online forms and receive priority processing and personalized care or speak to one of our Medicare specialists who can help you.
Source: mymedicaresupplementinsurance.com

Best Medicare Supplement Insurance Quotes

Every Medicare supplemental insurance plan must follow federal and state laws designed to protect you. Medicare supplement plan insurance companies can only sell you a “modernized” Medicare supplemental insurance plan identified by letters A through N. Each modernized Medicare supplemental insurance plan must offer the same basic benefits, no matter which insurance company sells it.
Source: medicaresupplementplans.com

Medicare Supplement Insurance Plans in Florida

What’s The best part of having a supplemental Medicare insurance plan? Well, it may that as long as a provider accepts Medicare, you can choose any doctor or any hospital in the United States to provide your health care. Alternately, most Medicare Select and Medicare Advantage plans have network restrictions. Under those plans, your choices are limited to plan providers within an approved network. Even more surprisingly, many Medigap policies have very low or even zero out-of-pocket costs! SummitMedigap.com, is a insurance agency specializing in Medicare supplemental health insurance that delivers Web-based insurance plan information and quotes to seniors, individuals and families. Our highly trained licensed agents know all about Medicare supplement health insurance. They can help you through the confusing jungle of Medigap insurance plan information. With the help of our experienced agents, you make the important and vital decisions about choosing a Medicare supplemental plan that’s right for you. We’ve already helped many Medicare recipients just like you. Utilize our online services or simply give us a call. We can help!
Source: summitmedigap.com

Compare Medicare Supplement Insurance Plans

Every Medicare supplemental plan must follow federal and state laws designed to protect you. Medicare supplement plan insurance companies can only sell you a “modernized” Medicare supplemental plan identified by letters A through N. Each modernized Medicare supplemental plan must offer the same basic benefits, no matter which insurance company sells it.
Source: medicaresupplementplans.com

Compare Medicare Supplement Rate for Best Medigap Insurance Plan

And what’s better is that since Medicare Supplement Insurance is standardized from one Medicare Supplement insurance company to the next, you can get the exact same or even better coverage for lower Medigap rates. But who has time to shop dozens of Medigap (Medicare Supplement) insurance companies?  Even more, why would you want to deal with the loads of information that they send you (that is more confusing than it is helpful) or with salespeople that want to come to your home and pressure you to buy what their Medigap insurance company is paying them to sell (not what’s necessarily best for you.)  Well the good news is that you no longer have to.  With one simple phone call to Medigap 360 you will talk to a licensed Medicare Supplement Insurance Specialist.  He or she will be able to help you choose the right Medicare Supplement Plan and ensure that you are saving money and paying fair and lower Medigap Insurance rates.
Source: medigap360.com

Social Security (United States)

Posted by:  :  Category: Medicare

Due to changing needs or personal preferences, a person may go back to work after retiring. In this case, it is possible to get Social Security retirement or survivors benefits and work at the same time. A worker who is of full retirement age or older may (with spouse) keep all benefits, after taxes, regardless of earnings. But, if this worker or the worker’s spouse are younger than full retirement age and receiving benefits and earn “too much”, the benefits will be reduced. If working under full retirement age for the entire year and receiving benefits, Social Security deducts $1 from the worker’s benefit payments for every $2 earned above the annual limit of $15,120 (2013). Deductions cease when the benefits have been reduced to zero and the worker will get one more year of income and age credit, slightly increasing future benefits at retirement. For example, if you were receiving benefits of $1,230/month (the average benefit paid) or $14,760 a year and have an income of $29,520/year above the $15,120 limit ($44,640/year) you would lose all ($14,760) of your benefits. If you made $1,000 more than $15,200/year you would “only lose” $500 in benefits. You would get no benefits for the months you work until the $1 deduction for $2 income “squeeze” is satisfied. Your first social security check will be delayed for several months—the first check may only be a fraction of the “full” amount. The benefit deductions change in the year you reach full retirement age and are still working—Social Security only deducts $1 in benefits for every $3 you earn above $40,080 in 2013 for that year and has no deduction thereafter. The income limits change (presumably for inflation) year by year.
Source: wikipedia.org

Benefits for People with Disabilities

The Social Security and Supplemental Security Income disability programs are the largest of several Federal programs that provide assistance to people with disabilities. While these two programs are different in many ways, both are administered by the Social Security Administration and only individuals who have a disability and meet medical criteria may qualify for benefits under either program.
Source: ssa.gov

What Is Social Security Disability Insurance? An SSDI Primer

Social Security Disability Insurance (SSDI) is the federal social insurance program that provides monthly cash benefits to disabled workers and their families. In 2014, the Social Security Administration provided these benefits to nearly 11 million people, including spouses and children. Disabled workers receive an average of about $1,150 per month from SSDI; for many, it is their main livelihood. The program is in dire need of change: Without congressional action, SSDI’s trust fund will run dry by 2016, threatening its beneficiaries with a nearly 20 percent indiscriminate benefit cut. Understanding the program is a necessary first step to instituting reforms that can put SSDI on a fiscally sustainable path. This Heritage Foundation “primer” provides an account of the application process, benefit formulas, work incentives, and financial structures of SSDI in order to assist policymakers in identifying areas ripe for reform.
Source: heritage.org

Social Security Disability Insurance (SSDI)

Social Security Disability Insurance (SSDI) provides payments to workers with disabilities who have paid into the Social Security trust fund through FICA taxes over the years. When you and your employer pay into the Social Security program, you are essentially buying long-term disability insurance coverage. Once you have paid into the program for a specified period, you are eligible for benefits, should you become unable to earn a living. (SSDI payments are usually higher than payments from SSI (Supplemental Security Income), a need-based program for low-income elderly, disabled, and blind people.)
Source: nolo.com

Social Security Disability Insurance (SSDI)

It is important to make your intent to file a claim known to the Social Security Administration (SSA) if you even suspect that you might be permanently disabled. This is because your protective filing date will be determined by when you first notified the SSA of your intent to file. There is nothing lost if you file an intent to claim Social Security Disability but then don’t need to actually file for SSDI because your condition improves, but you could lose out on a considerable amount of back pay if you don’t make your intent to file known when you are first injured or otherwise disabled.
Source: disabilitybenefitscenter.org

Medicare Supplemental Insurance

Posted by:  :  Category: Medicare

The first step is to understand Original Medicare and how Medicare supplemental insurance can protect you from the “gaps” in coverage. You need to learn how Medicare supplemental insurance is designed to protect you from expensive doctor and hospital bills. You can learn all about Original Medicare and Medigap policies in the About Medicare section of our web site. Second, you should request quotes from top quality insurers who offer Medicare supplement insurance coverage. After receiving no obligation quotes from at least three trusted insurance companies you should compare the plans using the plan guide in the Plans section of our site or have a professional help you. When you are ready to find a Medicare supplemental health insurance plan that is right for you and compare no obligation quotes for Medigap enter your zip code at the top of the page and we will quickly assist you. Finally, you can apply with online forms and receive priority processing and personalized care or speak to one of our Medicare specialists who can help you.
Source: mymedicaresupplementinsurance.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

Medicare Supplemental Insurance by 1

 A Medicare Supplement Plan, or Medigap, is a type of medicare health insurance that is sold by private insurance companies and is specifically designed to help you by filling in the “gaps” of Original Medicare. In order to purchase a Medigap plan you must be enrolled in Medicare Part A and B, and you will continue to pay your monthly Part B premium. You would then pay your Medigap premium and as long as your premium gets paid you will have the benefit of guaranteed renewable coverage. What this means is that the insurance company cannot cancel your policy.   There are several different plan types available to consider, but it is important to note that Medigap policies are “standardized.” This means that they are required to abide by the Federal and State laws that are put in place to protect you. The standardized policies must provide you with the same benefits no matter what company sells them and generally the only difference from company to company, if it is the same plan type, is the cost. Many couples would like to be covered under the same policy, but you and your spouse must each purchase your own individual policies. In some instances you might be allowed to purchase a Medicare Supplement plan that is guaranteed issue without any medical underwriting! This means that you cannot be denied coverage. 
Source: youandmedicare.com

Best Medicare Supplement Insurance Quotes

Every Medicare supplemental insurance plan must follow federal and state laws designed to protect you. Medicare supplement plan insurance companies can only sell you a “modernized” Medicare supplemental insurance plan identified by letters A through N. Each modernized Medicare supplemental insurance plan must offer the same basic benefits, no matter which insurance company sells it.
Source: medicaresupplementplans.com

Medicare Supplemental Insurance Plans

Medicare Supplement Insurance Plans, insured by UnitedHealthcare Insurance Company. If you’re considering a Medicare supplement plan, talking to an agent/producer may offer the direct assistance you’re looking for.
Source: aarpmedicaresupplement.com

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

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

Report Fraud, Waste or Abuse

I wish to remain Confidential. You may contact me for additional information, but please keep my name confidential and do not share it outside of the Office of the Inspector General. Our policy is to honor requests for confidentiality and not to release any data that would identify such individuals unless required to do so by order of law (e.g., court order/subpoena). Please fill out the contact form below.
Source: ssa.gov

Medicare Fraud – Report Medicare Fraud – Medical Billing Fraud

And finally just when you think that it cannot get any worse, let’s take a look at Medical billing fraud. Between the years of 2001 and 2006 Medicare paid out more than $1 billion in highly questionable claims for medical supplies that upon investigation, patients didn’t really need. These included walkers for patients with reported sinus infections or shoulder injuries. Also hundreds of thousands of claims were made for glucose test strips that are meant to test for diabetes levels; however it was found that the people claiming for them had everything from breathing problems to migraines and even sexual dysfunction.
Source: discriminationattorney.com

How to Apply for Medicaid in Texas

Posted by:  :  Category: Medicare

Medicaid is a state and federally funded program that provides medical insurance to low-income individuals, including senior citizens and single parents, free of charge. Without this assistance, many people would have to go without medical coverage for services such as emergency care, prescription drug assistance, vision and dental. As with all Government funded programs, there are strict qualification and income requirements, but the benefits make it worth the effort, if you are in genuine need. Each state has different rules and guidelines for participation in the program.
Source: ehow.com

TEXAS MEDICAID APPLICATION

In order to participate in Medicaid, federal law requires states to cover certain population groups (mandatory eligibility groups) and gives them the flexibility to cover other population groups (optional eligibility groups). States set individual eligibility criteria within federal minimum standards. States can apply to the Centers for Medicare & Medicaid Services (CMS) for a waiver of federal law to expand health coverage beyond these groups. Medicaid is an entitlement program, which means the federal government does not, and a state cannot, limit the number of eligible people who can enroll, and Medicaid must pay for any services covered under the program. In December 2011, about one in seven Texans (3.7 million of the 25.9 million) relied on
Source: texasmedicaidapplications.com

Texas Title 19 Medicaid Application

You can have the power of years of Medicaid experience on your side for less than you might think. The Shea Law Firm offers Medicaid Application preparation beginning at a one-time fee of $1,999 for cases where the Medicaid Applicant is not married and is already below the asset eligibility limit, the income eligibility limit, and does not have any gifts or transfers in the last five years that could result in a Medicaid penalty. For cases that do not meet all of those requirements, fees are based on the unique factors of your case including the asset protection opportunities available.
Source: texastitle19.com

Houston Medicaid Attorney

One of the best steps you can take to help your parent achieve their nursing home Medicaid asset protection goals is to start protecting assets early. The reason is simple. Once you let another month go by without creating Medicaid eligibility you create another month’s worth of nursing home bills. That extra month’s bill is […]
Source: texastitle19.com

Asset Protection Specialists Massachusetts

Posted by:  :  Category: Medicare

We specialize in MA nursing home medicaid spend down planning helping elders to preserve their home, their life savings and other assets. We have appeared with Jordan Rich of WBZ News Radio 1030 in variety of seminars on the topic of Senior Asset Protection.
Source: commadvisory.com

Tackling Medicaid In Massachusetts

In Massachusetts, we did not begin our health insurance (not health care) reform efforts in 2006; they began in 1985. We passed more than a half dozen major and minor sometimes conflicting healthcare insurance law changes since that time. To lead this article with the single and not particularly significant and now effectively repealed law passed in 2006 (which did not really go into effect until 2008) is superficial beyond belief. Add to that statements such as Medicaid “is a provider of health care,” an alphabet soup of useless acronyms to keep legislators’ nieces and nephews employed, and the claim that any of these programs are “early experiences” 30 years into a totally failed attempt at government control of a market says all anyone needs to know about how bad the payment system is in Massachusetts. Luckily Massachusetts is not the leading light for the rest of the country that both of the two most recent presidential nominees said it was.
Source: healthaffairs.org

Massachusetts Medicaid Trust Law

Posted: January 26, 2016 in Approval at Fair Hearing, Chelsea, issue: can invest in annuities, issue: distributions to pay tax liabilities, issue: draftsperson testified about settlor’s intentions, issue: language ignored if it defeats Medicaid eligibility standards, issue: power of appointment, issue: power of appointment to charity, issue: presumption in federal law of countability of trusts, issue: retained control over trust, issue: trustee ability to allocate between principal and income, issue: usage of home renders it available, Radha Tilva, Subpoena available
Source: irrevocabletrust.info

2016 Medicaid Nursing Home Care Numbers for Massachusetts

You can download and read the 2016 Medicaid Nursing Home Care Coverage Figures which include definitions of the Community Spouse Asset Allowance, the Minimum Monthly Maintenance Needs Allowance (Minimum MMNA), and the principal residence equity allowance. These regulations help to protect the spouse living at home. State and federal laws come into play, along with thousands of Medicaid regulations: regulations that determine whether you are financially eligible regulations that say who can be an authorized representative who signs a MassHealth application regulations on who can file an appeal if your application gets denied. In addition to the regulations, MaasHealth has Eligibility Operations Memos that talk about whether you must privately pay for nursing home care from your own funds.
Source: masshealthhelp.com

Massachusetts MassHealth (Medicaid)

The Special Milk Program (SMP) provides milk to children in schools and childcare institutions that do not participate in other Federal child nutrition meal service programs. The program reimburses schools for the milk they serve. Schools in the National School Lunch or School Breakfast Programs may also participate in the SMP to provide milk to children in half-day pre-kindergarten and kindergarten programs where children do not have access to the school meal programs. The Special Milk Program began in 1955 and is administered at the Federal level by the U.S. Department of Agriculture through its…
Source: benefits.gov

MassHealth: Medicaid in Massachusetts

Other than these four exceptions in 42 USC 1396p(d)(2)(C), all Massachusetts trust law applies to an Irrevocable Trust in a MassHealth application.  The United States Court of Appeals for the Third Circuit has already examined Congressional intent in this context, and concluded:  “Congress rigorously dictates what assets shall count and what assets shall not count toward Medicaid eligibility.  State law obviously plays a role in determining ownership, property rights, and similar matters.” Lewis v. Alexander, 685 F.3d 325, 334 (3d Cir. 2012) “[T]here is no reason to believe [Congress] abrogated States’ general laws of trusts.  … After all, Congress did not pass a federal body of trust law, estate law, or property law when enacting Medicaid.  It relied and continues to rely on state laws governing such issues.” Lewis at 343.
Source: masshealth.info

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

Medicare Plans for Different Needs

Posted by:  :  Category: Medicare

UnitedHealthcare is dedicated to helping people nationwide live healthier lives. Our goal is to simplify the health care experience, help you meet your health and wellness needs and carry on trusted relationships with care providers. We offer a wide range of Medicare Advantage, Medicare prescription drug and Medicare Special Needs Plans that might be a good fit for you.
Source: uhcmedicaresolutions.com

GPCI Medicare GPCI and RVU Lookup

The following table shows the GPCI values, by Medicare Carrier and Locality, CPT® Conversion Factor and Anesthesia Conversion Factor by Locality for 2016. eMDs Bill uses these in conjunction with the RVU values for each CPT® fee to automatically calculate your Medicare fee schedule. This fee schedule can also be copied and adjusted for other contracts based on Medicare. We advise that you check this page at the start of each quarter to see if there have been changes to the conversion factor or GPCIs. You should also check the for updated RVU conversion files.
Source: e-mds.com

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