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 Enrollment Archives

There are numerous Medicare election periods, each of them serving a different purpose when it comes to signing up for benefits. This article illustrates the difference between the two periods that sound incredibly similar. The Initial Enrollment Period (IEP)… Read more
Source: medicare.com

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

Medicare Coverage Database – Centers for Medicare & Medicaid Services

Contextual Help & Page Help – Contextual Help is a new feature that provides users with the ability to receive onscreen help for specific elements on the page. To use the feature, click the "Contextual Help" link and move the mouse to the onscreen location of the associated page element. The user can turn the feature off when help is no longer required. Users who are unable to use this feature, or who prefer to have a link to a single page of help for the entire page, may continue to use the "Page Help" link to get assistance.
Source: cms.gov

Your Medicare coverage choices

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 Information, Help, and Plan Enrollment

Humana is a Medicare Advantage HMO, PPO and PFFS organization and a stand-alone prescription drug plan 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. Plan Formulary may change at any time. You will receive notice when necessary. Benefits, premiums, and/or co-payments and/ or co-insurance may change on January 1 of each year.
Source: medicare.com

Medicare Plans & Coverage: Part A, Part B, Part C, Part D

Medicare is a federal insurance program that generally covers hospitalization expenses as well as doctor and medical expenses. To be eligible for Medicare, One must be a legal permanent resident for the past five years or a U.S. citizen 65 years or older, or younger with a qualifying disability.
Source: medicareconsumerguide.com

Medicare Part D Prescription Drug Plans Coverage and Comparison

Medicare Part D Prescription Drug Plans, also known as “PDPs,” are stand-alone prescription drug plans that are sold by private insurance companies with a Medicare contract. Medicare beneficiaries can sign up for a PDP if they would like to add Part D drug coverage to their Original Medicare coverage. Certain Medicare Advantage plans, such as Cost Plans, Private Fee-for-Service (PFFS) plans, and Medical Saving Account (MSA) plans might allow you to add a stand-alone PDP to this coverage, although these situations may vary. Anyone enrolled in Medicare Part A and/or Medicare Part B is eligible to enroll in a Medicare Part D plan.
Source: planprescriber.com

How Original Medicare works

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

What is Original Medicare?

Unless you choose otherwise, you will have Original Medicare. You can instead decide to get your Medicare benefits from a Medicare Advantage Plan, also called a Medicare private health plan. Remember, you still have Medicare if you enroll in a Medicare Advantage Plan. This means that you must still pay your monthly Part B premium (and your Part A premium, if you have one). Each Medicare Advantage Plan must provide all Part A and Part B services offered by Original Medicare, but can do so with different rules, costs, and restrictions that can affect how and when you receive care.
Source: medicareinteractive.org

Original Medicare, Part A and Part B

Each year, you generally must pay a set amount (a deductible) for your health care before Medicare pays its share. Then, Medicare pays its share, and you pay your share (coinsurance) for covered services and supplies. If you have Medicare Part A, you can generally get the covered services listed in Part A Benefits. If you have Medicare Part B, you can generally get the covered services listed in Part B Benefits. You usually pay a monthly premium for Medicare Part B. You generally don’t need to file Medicare claims. Providers (like doctors, hospitals, skilled nursing facilities, and home health agencies) and suppliers are required by law to file Medicare claims for the covered services and supplies you get.
Source: ehealthmedicare.com

What’s Medicare Supplement Insurance (Medigap)?

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

Are Dermatology Services Covered by Original Medicare?

Medicare Part B generally covers doctor services when they are medically necessary to evaluate, diagnose, or treat a medical condition. So if you’re going to a dermatologist to treat a medical skin condition, your visit will probably be covered. For most doctor visits, you pay 20% of the Medicare-approved amount if your health-care provider accepts assignment.
Source: medicare.com

Original Medicare (Part A and B) Eligibility and Enrollment

To be eligible for premium-free Part A, an individual must be entitled to receive Medicare based on their own earnings or those of a spouse, parent, or child. To receive premium-free Part A, the worker must have a specified number of quarters of coverage (QCs) and file an application for Social Security or Railroad Retirement Board (RRB) benefits. The exact number of QCs required is dependent on whether the person is filing for Part A on the basis of age, disability, or End Stage Renal Disease (ESRD). QCs are earned through payment of payroll taxes under the Federal Insurance Contributions Act (FICA) during the person’s working years. Most individuals pay the full FICA tax so the QCs they earn can be used to meet the requirements for both monthly Social Security benefits and premium-free Part A.
Source: cms.gov

Original Medicare vs. Medicare Advantage

Medicare Advantage (MA, also known as Part C) plans are sold by private insurance companies. In order to be eligible to join one, you must already have Original Medicare. MA plan enrollment occurs either through your Initial Enrollment Period (when you first sign up for Part A and Part B) or during the Annual Election Period, which runs from October 15 to December 7 each year. If you are diagnosed with ESRD, you can only join a MA plan in certain situations and may be able to join Medicare Special Needs Plan (SNP) if one is available in your area. Remember, even if you are enrolled in an MA plan, you will still need to keep paying your Part B monthly premium.
Source: planprescriber.com

Medicare Information, Help, and Plan Enrollment

Humana is a Medicare Advantage HMO, PPO and PFFS organization and a stand-alone prescription drug plan 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. Plan Formulary may change at any time. You will receive notice when necessary. Benefits, premiums, and/or co-payments and/ or co-insurance may change on January 1 of each year.
Source: medicare.com

Medicare Unmasked: Behind the Numbers

Posted by:  :  Category: Medicare

This project uses data made public by the Centers for Medicare and Medicaid Services. It shows the dollar amounts that doctors and other medical providers received in Medicare reimbursements by calendar year, along with other data including their specialties. Only procedures which providers performed on more than 10 Medicare patients were included in the data released. There is some information CMS hasn’t provided. The data doesn’t include information on patients nor does it show doctors’ billings related to durable medical equipment.
Source: wsj.com

Social Security Tax / Medicare Tax and Self

The United States has entered into social security agreements with foreign countries to coordinate social security coverage and taxation of workers employed for part or all of their working careers in one of the countries. These agreements are commonly referred to as Totalization Agreements. Under these agreements, dual coverage and dual contributions (taxes) for the same work are eliminated. The agreements generally make sure that social security taxes (including self-employment tax) are paid only to one country. You can get more information on the Social Security Administration’s Web site.
Source: irs.gov

Australian Psychological Society : Medicare rebates for mental health services provided by psychologists: Information for clients

Posted by:  :  Category: Medicare

Psychologists study the way people feel, think, act and interact. Through a range of strategies and therapies they aim to reduce distress and to enhance and promote emotional wellbeing. Psychologists are experts in human behaviour, and have studied the brain, memory, learning and human development. Psychologists can assist people who are having difficulty controlling their emotions, thinking and behaviour, including those with mental health problems such as anxiety and depression, serious and enduring mental illness, addictive behaviours and childhood behaviour disorders.
Source: org.au

Australian Psychological Society : Medicare and psychology

Medicare benefits are available for a range of specified psychology services for people with certain conditions, as summarised below. To receive psychological services under Medicare, a person must be referred by his/her GP or in some instances by a psychiatrist or a paediatrician. The full requirements for provision of psychological services in the following areas must be understood before services are provided. Select from the options below or browse the A-Z topic list. 
Source: org.au

Physiotherapy Medicare Rebates

Clients can either choose to claim the rebate onsite after their treatment or by going into Medicare. For clients who choose to claim onsite we require an eftpos card (linked to a savings or cheque account) and your Medicare card. We will charge $62.25 to your account, then swipe your Medicare card to attain the rebate then reswipe your eftpos card to place the $52.95 back into your account. If clients to choose to go into Medicare we can print them a receipt with all the necessary details to claim the rebate.
Source: com.au

Shorten government would end freeze on Medicare rebates

They said doctors had confirmed that “the extension of the GP tax by stealth in Mr Turnbull’s budget will be the tipping point to make bulk billing unviable for many practices”. Existing co-payments would be increased, they said. “Everyone will pay more and the sickest, the poorest and those in rural areas will be hit hardest.”
Source: theconversation.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

California Health Advocates

We provide accurate, unbiased information about Medicare benefits and long-term care for Californians. Learn how Medicare works, ways to supplement your coverage, about low-income programs, prescription drugs and your long-term care options.
Source: cahealthadvocates.org

CHAMPVA SUPPLEMENTAL INSURANCE

Posted by:  :  Category: Medicare

An eligible CHAMPVA sponsor may be entitled to receive medical care through the VA health care system based on his or her own veteran status. Additionally, as the result of a recent policy change, if the eligible CHAMPVA sponsor is the spouse of another eligible CHAMPVA sponsor, both may now be eligible for CHAMPVA benefits. In each instance where the eligible spouse requires medical attention, he or she may choose the VA health care system or coverage under CHAMPVA for his/her health care needs. If you have been previously denied CHAMPVA benefits and you believe you would now be qualified, please submit an application following the guidelines as listed on the “How to apply” section.
Source: champva.us

Health Administration Center and Non

You may be landing on this page as a result of trying to access information on the former Health Administration Center or the Non-VA Medical Care websites. We have moved the content from both information portals to a new website under the Chief Business Office Purchased Care (CBOPC) which administers both programs. The new CBOPC website offers a more organized and informative approach. Please update your bookmarks to reflect the new address of www.va.gov/purchasedcare.
Source: va.gov

Health Care Benefits for Dependents (CHAMPVA)

The Civilian Health and Medical Program of the Department of Veteran’s Affairs (VA) (CHAMPVA) is a comprehensive health care benefits program in which the VA shares the cost of covered health care services and supplies with eligible beneficiaries. The program is administered by the Chief Business Office Purchased Care located in Denver, Colorado. Due to the similarity between CHAMPVA and the TRICARE program (sometimes referred to by its old name, CHAMPUS) the two are often mistaken for each other. CHAMPVA is a VA program, whereas TRICARE is a DoD regionally-managed health care program for active duty and retired members of the uniformed services, their families, and survivors. In some cases a person may appear eligible for either program. However, anyone eligible for TRICARE is not eligible for CHAMPVA.
Source: benefits.gov

CHAMPVA Supplement Insurance Health at Low Premium

Most 100% disabled veterans are unaware their families may be eligible for a no cost health plan. CHAMPVA pays approxmately 75% of your family health care expenses for doctor office visits, hospitalization and prescriptions. You can go to most any doctors office or hospital. Our CHAMPVA Supplement pays the remaining 25%, giving your family 100% coverage; We make it complete. Cost ranges from $25.00-$76.00 a month.
Source: champvaus.com

CHAMPVA Supplemental Insurance

Yes, if you live or travel overseas (excluding Iraq, North Korea and Cuba), the supplement provides the same benefits as if you were in the U.S. Reimbursement for health care claims in foreign countries is based on reasonable and customary billed amounts. Your deductible and cost share will be the same as if you were in the U.S. Medicare does not provide benefits for services provided overseas. However, if you are 65 or over, you must enroll in Medicare Part B. CHAMPVA will continue as your primary benefit option for the period of time you are overseas. As a result, the CHAMPVA Supplement Plan will also continue. You will receive the same level of benefits provided to those under age 65.
Source: champva.us

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

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

Medicare.gov Nursing Home Compare

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

California Health Advocates

We provide accurate, unbiased information about Medicare benefits and long-term care for Californians. Learn how Medicare works, ways to supplement your coverage, about low-income programs, prescription drugs and your long-term care options.
Source: cahealthadvocates.org

Learn What to do If you Already Have Medicare Health Coverage

Posted by:  :  Category: Medicare

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 Information, Help, and Plan Enrollment

Humana is a Medicare Advantage HMO, PPO and PFFS organization and a stand-alone prescription drug plan 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. Plan Formulary may change at any time. You will receive notice when necessary. Benefits, premiums, and/or co-payments and/ or co-insurance may change on January 1 of each year.
Source: medicare.com

Original Medicare (Part A and B) Eligibility and Enrollment

To be eligible for premium-free Part A, an individual must be entitled to receive Medicare based on their own earnings or those of a spouse, parent, or child. To receive premium-free Part A, the worker must have a specified number of quarters of coverage (QCs) and file an application for Social Security or Railroad Retirement Board (RRB) benefits. The exact number of QCs required is dependent on whether the person is filing for Part A on the basis of age, disability, or End Stage Renal Disease (ESRD). QCs are earned through payment of payroll taxes under the Federal Insurance Contributions Act (FICA) during the person’s working years. Most individuals pay the full FICA tax so the QCs they earn can be used to meet the requirements for both monthly Social Security benefits and premium-free Part A.
Source: cms.gov

2016 individual health plans and rates

Posted by:  :  Category: Medicare

Important: The 2016 annual open enrollment period to buy an individual health plan closed on Jan. 31, 2016. The next open enrollment period will start Nov. 1, 2016, unless you qualify for Apple Health (www.hca.wa.gov) or a special enrollment period.
Source: wa.gov

Washington Apple Health (Medicaid)

Because of the Affordable Care Act (sometimes referred to as "Obamacare"), more people are able to get preventive care, like cancer screenings, treatment for diabetes and high blood pressure, and many other health care services they need to stay healthy.
Source: wa.gov

Washington health insurance: find affordable coverage

In 2014, America’s Health Rankings rated Washington 13th among the 50 states. The state earns high marks for having a low rate of uninsured, a high presence of primary care physicians, an active population, infrequent incidence of preventable hospitalizations and a low prevalence of low birthweight. Despite being among the healthiest in the nation, at least according to this ranking, the state struggles with a large disparity in health status by educational attainment, as well as a high rate of drug deaths and pertussis.
Source: healthinsurance.org