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

Coverage options in Medicare Advantage Plans

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Source: medicare.gov

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

Georgia Medicare Supplements

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Georgia Medicare Supplements provides an added bonus as well as competitive rates: a staff that is dedicated to helping you complete your application and answer any questions you may have before or after you receive coverage. This includes discussing health conditions, the six-month waiting period, rate guarantees, and premium changes that might matter to you while getting your coverage. Finding an agent that specializes in this area is important so that no mistakes are made.
Source: georgiamedicaresupplements.com

Medicare Information for Retirees

Annuitants and certain individuals on subsidized extended coverage age 65 or older who wish to pay subsidized rates for health insurance premiums must enroll in the Medicare Advantage (MA) PPO Standard or Premium option offered by Blue Cross Blue Shield of Georgia (BCBSGa).  See Plan Documents for rate resolutions and annuitant subsidy policies.
Source: georgia.gov

Medicare Advantage Plans in Georgia

Medicare Advantage plans in Georgia, as in other states, often expand their coverage beyond the benefits they’re required to provide. Medicare Advantage plans are offered by private, Medicare-approved insurance companies, and must include Original Medicare Part A and Part B benefits (except for hospice care, covered by Part A). But many Medicare Advantage plans include prescription drug coverage and/or other benefits, like vision services.
Source: ehealthmedicare.com

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

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"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 Supplement Insurance Quote Engine

In addition to Medicare supplement insurance, we are pleased to be participating in the Medicare Advantage market. The Medicare Advantage policy is a low cost alternative to a Medicare supplement policy and is especially advantageous for those less than 65 years old. The Private Fee For Service (PFFS) is a type of Advantage plan that allows Medicare recipient to visit any doctor, any hospital, anywhere. Therefore, many Medicare recipients are well served by the lower cost Private Fee For Service plan.
Source: bestmedicaresupplement.com

Medicare Supplement Plans

Medicare supplement insurance companies can only sell you a standardized Medicare supplement policy identified by letters A through N. Each standardized Medicare supplement insurance policy must offer the same basic benefits, no matter which insurance company sells it. Cost and customer service are usually the only difference between Medicare supplement policies sold by different insurance companies.
Source: mutualofomaha.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

How to compare Medigap policies

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Source: medicare.gov

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

Raising the Age of Eligibility for Medicare to 67: An Updated Estimate of the Budgetary Effects

Posted by:  :  Category: Medicare

Outlays for Medicare would be lower under this option because fewer people would be eligible for the program than the number projected under current law. In addition, outlays for Social Security retirement benefits would decline slightly because raising the eligibility age for Medicare would induce some people to delay applying for retirement benefits. One reason is that some people apply for Social Security at the same time that they apply for Medicare; another reason is that this option would encourage some people to postpone retirement to maintain their employment-based health insurance coverage until they became eligible for Medicare. CBO expects that latter effect would be fairly small, however, because of two considerations: First, the proportion of people who currently leave the labor force at age 65 is only slightly larger than the proportion who leave at slightly younger or older ages, which suggests that maintaining employment-based coverage until the eligibility age for Medicare is not the determining factor in most people’s retirement decisions. Second, with the opening of the health insurance exchanges, workers who give up employment-based insurance by retiring will have access to an alternative source of coverage (and may qualify for subsidies if they are not eligible for Medicare). This option could also prompt more people to apply for Social Security disability benefits so they could qualify for Medicare before reaching the usual age of eligibility. However, in CBO’s view, that effect would be quite small, and it is not included in this estimate.
Source: cbo.gov

Medicare Age In Information

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

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

Raising the Ages of Eligibility for Medicare and Social Security

Raising the ages at which people can collect Medicare and Social Security would reduce federal spending and increase federal revenues by inducing some people to work longer. However, raising the eligibility ages for those programs also would reduce people’s lifetime Social Security benefits and cause many of the people who would otherwise have enrolled in Medicare to face higher premiums for health insurance, higher out-of-pocket costs for health care, or both. This issue brief reviews how ages of eligibility affect beneficiaries under current law and how delaying eligibility would affect beneficiaries, the federal budget, and the economy.
Source: cbo.gov

Compare Medicare Supplement Insurance Plans & Medigap Plans and Rates for 2011. See Plan Chart for AL, AR, AZ, CO, FL, GA, IA, ID, KS, KY, LA, MD, MI, MO, MN, MS, NC, NE, NM, OH, OK, SC, TN, TX, VA & WV. Medigap Insurance Plans including the Popular Plan F & G

Posted by:  :  Category: Medicare

Year after year we have found Medicare Supplement Plan F or Medicare Supplement Plan G to be the best value for the dollar. The new Plan N is a great alternative to a Medicare Advantage plan.  Plan N might be recommended depending on which state you live in and how much the supplement cost in relation to available Medicare Advantage plans. A plan N will provide more coverage and a very reasonable premium. In Florida we have the lowest rate for plan F & plan N. See the Medicare Supplement Plan chart below. In general, the higher you go up in the plan chart the more Gaps the plan fills. Medicare Supplement Plan F is the most comprehensive supplement plan and there is not a better plan than F. Most people will select a Plan F. However, depending on your personal situation there may be a more cost efficient choice.
Source: themedicarechannel.com

Contact Information and Websites of Organizations for Medicare

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Source: medicare.gov

Medicare Plans for Different Needs

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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

Healthcare Clearinghouse, Revenue Cycle Solutions

“Availity helped us avoid common mistakes and stay focused on detailed integration points and workflows for submission of claims, electronic attachments, converting paper claims, eligibility, remittances, and payment auto-posting,” says Morgan. “Because we already used the company for claims, eligibility, and remittances, we were confident our vendor could help make the transition and integration as smooth and seamless as possible.”
Source: availity.com

Health Net: Login to the site

Posted by:  :  Category: Medicare

Health Net currently offers Medicare Advantage (MA) Plans and Medicare Advantage Plan with prescription drug coverage (MA-PD) to eligible individuals who want more coverage than what Original Medicare covers. Health Net in conjunction with AHIP’s Insurance Education Department is requiring an on-line certification and annual recertification course, Marketing Medicare Advantage and Part D Prescription Drug Plans: Understanding Medicare Basics, Plan Types, Marketing and Enrollment Requirements to new and already contracted producers. This on-line certification and annual recertification program provides the information needed to:
Source: cmpsystem.com

Health Net Medicare Supplement Rates & Plans in California 2016

You will also need to enroll in a separate Medicare part D Rx plan, which will help you pay for your prescription costs.  A good place to start you search is right here.  Simply email a list of your current medications along with the dosage and frequency.  I’ll enter the information into the Medicare system, to come up with the top 3 plans for your prescription list.  The results will show the best three plans for coverage and cost for your medications.  I will then email the results to you. 
Source: johnconner.com

Health Net Medicare Advantage Plans

Health Net Ruby provides cost-effective medical and prescription drug coverage in our plans. Our Ruby plans offer premium and copayment options depending on your needs. Whether you see your primary care physician or specialist often, need prescription drug coverage, or are enjoying good health and rarely need care, there is a Ruby option for you.
Source: medicareadvantagecalifornia.com

Health Net Medicare Supplement Rates & Plans in California 2016

You will also need to enroll in a separate Medicare part D Rx plan, which will help you pay for your prescription costs.  A good place to start you search is right here.  Simply email a list of your current medications along with the dosage and frequency.  I’ll enter the information into the Medicare system, to come up with the top 3 plans for your prescription list.  The results will show the best three plans for coverage and cost for your medications.  I will then email the results to you. 
Source: johnconner.com

Medicare Plus Blue℠ Preferred Provider Organization plan

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The Centers for Medicare and Medicaid Services requires annual training to detect, prevent, and correct fraud, waste and abuse. All providers and their employees, contractors, governing bodies and downstream entities who partner with Medicare Advantage organizations and prescription drug plans are required to take the training. New hires need to complete the training within 90 days of being hired and then annually.
Source: bcbsm.com

Blue Shield $0 Premium 65 Plus Medicare Advantage Plans

This is not a complete listing of plans available in your service area. For additional plan options contact us. This website may display a subset of available plans based on your preferences and the plans we are contracted with. This is not a complete listing of plans available in your service area. For a complete listing please contact 1-800-MEDICARE or consult www.medicare.gov.
Source: medicareoptions4u.com

Blue Medicare Advantage 2016 Plus (HMO) Plan

Medicare Advantage plans like BCBSAZ Advantage help fill in the gaps Medicare doesn’t cover. You get all of the health and medical benefits of Original Medicare plus additional benefits and services Medicare doesn’t cover — like lower cost-sharing for health care services and coverage for prescription drugs — all in one convenient, easy-to-use plan.
Source: azbluemedicare.com

C Plus Medicare Select Plans

C Plus is a Medicare Select (or Supplement) Plan that helps protect and helps cover you from the costs — or gaps — that Original Medicare doesn’t pay for, including inpatient hospital deductibles and copays, Part B deductible, and coinsurance costs depending upon the C Plus plan you choose. C Plus works along with your Original Medicare, help fill in the “gaps” that Medicare alone does not cover. These “gaps” or costs, can add up to thousands of dollars, dollars that come out of your pocket — or your savings.
Source: bcbsalmedicare.com

National and Regional Trends in Heart Failure Hospitalization and Mortality Rates for Medicare Beneficiaries, 1998

Posted by:  :  Category: Medicare

a phenomenon that makes the observed decline in HF hospitalization rates in the fee-for-service population even more dramatic, considering the latter group would be expected to be composed of sicker patients. Although the decline in risk-adjusted 1-year mortality rate of an absolute 2.1 percentage points between 1999 and 2008 was statistically significant, we must be cautious in its interpretation. First, risk-adjusted 1-year mortality appeared to have a nadir in 2006, and thus more recent mortality trends may not be as favorable. In addition, we note that the absolute number of lives saved over time was modest. If the 2008 Medicare fee-for-service HF population had the 1-year mortality rate of 1998, this represents only an additional 8378 HF patients alive at 1 year. Although any improvements in HF survival are to be welcomed, reductions in 1-year mortality over the past decade were modest on an absolute scale. Lastly, not all states had equal decreases in 1-year mortality; in fact, 5 states had significant increases in 1-year mortality over the study period, indicating a need for better treatment strategies in these areas.
Source: jamanetwork.com

New Data Shows Affordable Care Act Reforms Are Leading to Lower Hospital Readmission Rates for Medicare Beneficiaries

In addition, this trend is widespread across the country. To see how rates are changing at the local level, we compared readmission rates over the first eight months of 2013 to the average rates for 2007-2011 in local health care markets. We found that this year’s readmission rates were at least a half a percentage point lower in 76 percent of local markets (232 of the 306). Fewer than 10 percent of local markets had higher rates. Using the same comparison, readmission rates also went down in 49 states and the District of Columbia. The only state that did not see a decrease – Utah – already had one of the lowest readmission rates in the country.
Source: cms.gov

Michigan health insurance plans

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From the young to the young at heart, we have award-winning health insurance plans for Michigan individuals & families, small & large employers, Medicare and Medicaid members.
Source: priorityhealth.com