Dental Coverage Under Medicare

Posted by:  :  Category: Medicare

For complete dental coverage, you can shop online at www.ehealthinsurance.com to learn about and buy an individual dental insurance plan that fits your personal needs. You may also have group dental insurance available, if either you or your spouse is employed. Be sure to read the plans carefully. Some dental plans require you to stay within a network of dental care providers. The premiums may be a bit higher for this type of plan, but the costs are offset by lower out-of-pocket fees, like copayments, coinsurance, and deductibles, mainly because network dentists usually agree to charge discounted rates to members of the dental plan. Other plans let you go to any licensed dental professional, but you may have to pay more at the time of service.
Source: ehealthmedicare.com

How to Get Dental and Vision Care Coverage When You Have Medicare

Some companies offer their Medicare supplement insurance plan members special coverage options for dental and vision care. Some may also offer insured members a discount program to help save money on dental and vision care. These offerings are not included in Medicare supplement insurance plan benefits. Rather, they are additional options that may be offered to insured members by some insurance companies.
Source: medicaremadeclear.com

Does Medicare ever cover dental services?

will not cover dental care that you need primarily for the health of your teeth. For example, Medicare will not cover routine checkups, cleanings, or pay for you to get fillings. Medicare will never pay for dentures. Even if Medicare has paid for you to have teeth pulled (extracted) as preparation for a medical procedure, Medicare will not cover the cost of implants or dentures (complete or partial/bridge); you will be responsible for the full cost.
Source: medicareinteractive.org

Medicare Dental Insurance

Dental insurance coverage is one of the most common questions for seniors after they settle their Medicare Supplemental Insurance and Medicare Part D coverage. "How about dental" almost always follows the Medicare Supplement Insurance, and drug plan enrollment. Unfortunately Medicare has no dental insurance coverage. Discount Dental plans, Dental, Vision, and Hearing combinations, or Dental only plans are available in most areas. We believe the first and second choice provide the best value. The following information will help you compare these two options.
Source: medicaredentalcenter.com

Colorado Medicare Vision Coverage and Dental Plans

This information is available for free in other languages. Please call our Customer Service number at 888-282-1420 (TTY dial 711). Hours are 8am – 8pm, 7 days/week, Oct. 1–Feb.14, and 8am – 8pm, M-F, Feb.15–Sept.30. Esta información está disponible gratuitamente en otros idiomas. Por favor llame a la línea de Atención a Clientes, al 888-282-1420 (TTY marque 711). Horario  de 8am – 8pm, 7 días a la semana, del 1 de octubre al 14 de febrero; y de 8am – 8pm, de lunes a viernes, del 15 de febrero al 30 de septiembre. This page was last updated: 1/4/2016.  Please call to confirm you have the most up to date information about our Medicare Cost plans. Medicare Disclaimers RMHP is a Medicare-approved Cost plan. Enrollment in RMHP depends on contract renewal. H0602_MS_MC400WEB_RMHP2 Pending.
Source: rmhp.org

Welcome to Medicare GenerationRx (Employer PDP)

Posted by:  :  Category: Medicare

Medicare GenerationRx™ (Employer PDP) is offered nationally in all 50 states, the District of Columbia, and the U.S. Territories. This prescription drug plan is a group plan underwritten by Transamerica Life Insurance Company (Rutland, VT).
Source: medicaregenerationrx.com

Medicare Part D Formulary, List of PDP Drugs

Medicare Part B covered drugs include a limited number of prescription drugs such as those you get in a hospital outpatient department under certain circumstances, injected drugs you get in a doctor’s office, certain oral cancer drugs, and drugs used with some types of durable medical equipment (like a nebulizer or infusion pump). Certain diabetic supplies, such as: monitors, test strips and lancets are covered under Part B.  Medicare Part B drugs include, but are not limited to, the following types of drugs:
Source: coventryhealthcare.com

Medicare Part D Plans, Prescription Drug Plan (PDP)

Aetna Medicare is a PDP, HMO, PPO plan with a Medicare contract. Our SNPs also have contracts with State Medicaid programs. Enrollment in our plans depends on contract renewal. See Evidence of Coverage for a complete description of benefits, exclusions, limitations and conditions of coverage. Plan features and availability may vary by service area. ©2016 Aetna Inc. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, formulary, pharmacy network, provider network, premium and/or copayments/coinsurance may change on January 1 of each year. Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next. Our dual-eligible Special Needs Plan is available to anyone who has both Medical Assistance from the state and Medicare. Premiums, copays, coinsurance and deductibles may vary based on the level of Extra Help that you receive. Please contact the plan for further details. You must continue to pay your Medicare Part B premium. The Part B premium is covered for full-dual members. This information is available for free in other languages. Please call our customer service number at 1-844-233-1938 (TTY: 711) OR Coventry Health Care at 1-877-988-3589 (TTY: 711), 8 a.m. to 8 p.m., seven days, from October 1 – February 14; 8 a.m. to 8 p.m. Monday – Friday, from February 15 – September 30. Esta información está disponible en otros idiomas de manera gratuita. Comuníquese con Servicios al Cliente al 1-844-233-1938 (TTY: 711), de 8 am a 8 pm, siete días a la semana, desde el 1 de octubre hasta el 14 de febrero, y de 8 am a 8 pm, de lunes a viernes, desde el 15 de febrero hasta el 30 de septiembre. Medicare beneficiaries may also enroll in Coventry plans through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov. For mail-order, you can get prescription drugs shipped to your home through the network mail-order delivery program. Typically, mail-order drugs arrive within 7 to 14 days. You can call First Health Part D at 1-844-233-1938 (TTY: 711), 8 a.m. to 8 p.m., local time, seven days, from October 1 – February 14; 8 a.m. to 8 p.m. Monday – Friday, from February 15 – September 30, if you do not receive your mail-order drugs within this timeframe. Members may have the option to sign-up for automated mail-order delivery. Cost sharing for members who get “Extra Help” is the same at preferred and network pharmacies. The formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary. Participating physicians, hospitals and other health care providers are independent contractors and are neither agents nor employees of Aetna. The availability of any particular provider cannot be guaranteed, and provider network composition is subject to change. This material is for informational purposes only and is not medical advice. Health information programs provide general health information and are not a substitute for diagnosis or treatment by a physician or other health care professional. Contact a health care professional with any questions or concerns about specific health care needs. Providers are independent contractors and are not agents of Aetna. Provider participation may change without notice. Aetna is not a provider of health care services and, therefore, cannot guarantee any results or outcomes. The availability of any particular provider cannot be guaranteed and is subject to change. Information is believed to be accurate as of the production date; however, it is subject to change. For more information about Aetna plans, refer to www.aetnamedicare.com
Source: coventryhealthcare.com

Medicare Advantage California

*All information submitted is private and not shared with third parties. We have a no spam or solicitation policy. All data is used expressly by medicareadvantagecalifornia.com and qualified associated medicare brokers to provide consumers with requested California Medicare Advantage information and assistance. By clicking on ‘Submit’, you consent to receiving a phone call and/or email from a licensed insurance representative regarding Medicare Advantage, Medicare Supplement and / or Medicare Drug Plans. When calling our toll free number you will be connected to a qualified licensed agent to assist you.
Source: medicareadvantagecalifornia.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

What Is Medicaid Spend Down?

Posted by:  :  Category: Medicare

A Medicaid spend down is a portion of health coverage that an individual must pay for before Medicaid coverage begins. The exact amount of the spend down varies depending on the state in which you live, medical bills you have each month and other factors. Individuals who receive any portion of their income from Supplemental Security Income through Social Security are not required to pay a spend down for Medicaid.
Source: ehow.com

Safe Ways to Spend Down Your Assets to Qualify for Medicaid

When you spend a lump sum of money on an annuity for your spouse, your spouse is guaranteed a fixed income for a certain number of years. (Your spouse’s income is not counted toward Medicaid eligibility.) This is a great way to spend down assets if you’re married. But in order for an annuity to work as a way to spend down resources, it must meet certain requirements; for example, the annuity must be nontransferable and your state’s Medicaid agency must be listed as the primary beneficiary after the death of your spouse. For more information, see our article on using annuities for Medicaid long-term care planning.
Source: nolo.com

Arizona Medicare Supplement: Arizona Medigap

Posted by:  :  Category: Medicare

There are plenty of companies out there advertising supplemental insurance in Arizona, but how do you know you are picking the right one? First and foremost, you have to make sure that they have competitive prices, as well as a knowledgeable and respectable staff. Arizona Medicare Supplements provides both of those things, as we serve seniors with Arizona Medigap Coverage or Arizona Medicare Supplement policies. We strive to provide affordable rates as well as complete customer service both before and after the sale.
Source: arizonamedicaresupplements.com

Affordable Medicare Plans

Medicare can be quite overwhelming as you sort through your options and try to figure out what healthcare you need. For many of us, it’s the first time we really have to read the fine print, compare plans and understand the different options. But don’t worry, we’ve done the hard work for you and summarized Medicare in simple terms to help you find your best options. Once you have a level of comprehension under your belt, shop and compare Medicare plans to make sure you’re getting the best prices and coverage.
Source: medicare-plans.org

Medicare Rehab in Arizona

Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington, DC West Virginia Wisconsin Wyoming
Source: sober-solutions.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

2016 PriorityMedicare Select Michigan Medicare Advantage plan

Vision: Exam: $0 copay for one exam every year Eyewear: $100 allowance per year Dental: In addition to the basic dental services above included with this plan, you receive: Exams & cleanings: $0 copay for a second oral exam & a second cleaning, per year Bitewing X-rays: 50% of the cost for one set of bitewing X-rays, per year (so the cost to you will be $0) Basic coverage: 50% of the cost for fillings, crown repairs and root canals, up to a $1,000 yearly limit Hearing: Exam: $25 for one exam, every 2 years Hearing aids: $500 per ear, every 5 years ($1,000 limit every 5 years)
Source: priorityhealth.com

Medicare Supplement State Select

This material is for information only. Plans may be subject to medical underwriting or other restrictions. Rates and benefits vary by location. Plans not available in all states. Pre-existing condition limitations may apply. This policy does not pay benefits for any service and supply of a type not covered by Medicare, including but not limited to dental care or treatment, eyeglasses and hearing aids. See plan documents for a complete description of benefits, exclusions, limitations and conditions of coverage.
Source: aetnamedicare.com

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: 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.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

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

Australian Government Department of Human Services

This information was printed Sunday 14 August 2016 from humanservices.gov.au/ It may not include all of the relevant information on this topic. Please consider any relevant site notices at humanservices.gov.au/siteinformation when using this material.
Source: gov.au

Medicare Fee Schedule, Payment and Reimbursement Benefit Guideline, CPT Code Billing: September 2010

Medicare Payment and Reimbursement .com provides Medicare Payments, Billing Guidelines, Fees Schedules , Medicare Eligibility, Medicare Deductibles, Allowable, CPT Codes for Medicare, Phone Number, Denial, Address, Medicare Appeal, PQRI, EOB, Medicare and Medicaid Services.
Source: medicarepaymentandreimbursement.com

Medicare’s Future: Letting the Affordable Care Act Work, While Learning From the Past 

4 Id. at 5–6. We are fortunate, nonetheless, that the Medicare program continues to add to its array of preventive services, many of which are offered without copayments. See e.g. Balanced Budget Act of 1997 (hereinafter BBA), Pub. L. No. 105-33, §§ 4101(a)–(b), 4103(a), 4104(a), 4105(a), 4106(a), 111 Stat. 251 (1997); Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000 (BIPA), Pub. L. No. 106-554, § 4107, 114 Stat. 2764 (2000), amending §§ 1834, 1861, of the Social Security Act; Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA), Pub. L. No. 108-173, § 612, 117 Stat. 2066 (2003), amending §§ 1861(s)(2), 1862(a)(1), and adding § 1861(xx)(1) to the Social Security Act, 42 U.S.C. §§ 1395x(s)(2), 1395l(a)(1), 1395w-4(j); Medicare Improvements for Patients and Providers Act of 2008 (MIPPA), Pub. L. No. 110-275, § 101, 122 Stat. 2494 (2008). The Secretary has the authority to add preventive services that he or she determines are reasonable and necessary for the prevention or early detection of an illness or a disability, where such preventive services are recommended with a grade of A or B by the U.S. Preventive Services Task Force and appropriate for individuals entitled to benefits under Medicare Part A or enrolled under Part B. In the case of additional preventive services, the Medicare agency will pay 80 percent of the lesser of the actual charge for the service or the amount determined under a fee schedule established by the Secretary; see Patient Protection and Affordable Care Act (hereinafter ACA), Pub. L. No. 111-148, § 4103, 124 Stat. 119 (2010), amending 42 U.S.C. § 1395x(s)(2) of the Social Security Act. The constitutionality of the ACA was upheld by the United States Supreme Court in the case, National Federation of Independent Businesses, et al. v. Sebelius, No. 11-393, 567 U.S. __ (2012), 132 S. Ct. 2566, (decided June 28, 2012).
Source: medicareadvocacy.org

Georgia Medicare Supplements

Posted by:  :  Category: Medicare

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

Georgia Medicare Advantage Plans with Part D (Prescription Drug) Coverage

The plans below offer Medicare Advantage and Part D coverage to Georgia 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

Georgia Medicare Supplement Plans

- A – Cities in Georgia that begin with the letter “A”. Abbeville, GA Acworth, GA Adairsville, GA Adel, GA Adrian, GA Ailey, GA Alamo, GA Alapaha, GA Albany, GA Allenhurst, GA Allentown, GA Alma, GA Alpharetta, GA Alston, GA Alto, GA Ambrose, GA Americus, GA Andersonville, GA Appling, GA Arabi, GA Aragon, GA Argyle, GA Arlington, GA Armuchee, GA Arnoldsville, GA Ashburn, GA Athens, GA Atlanta, GA Attapulgus, GA Auburn, GA Augusta, GA Austell, GA Avera, GA Avondale Estates, GA Axson, GA – B – Cities in Georgia that begin with the letter “B”. Baconton, GA Bainbridge, GA Baldwin, GA Ball Ground, GA Barnesville, GA Barney, GA Bartow, GA Barwick, GA Baxley, GA Bellville, GA Berlin, GA Bethlehem, GA Bishop, GA Blackshear, GA Blairsville, GA Blakely, GA Bloomingdale, GA Blue Ridge, GA Bluffton, GA Blythe, GA Bogart, GA Bolingbroke, GA Bonaire, GA Boneville, GA Boston, GA Bostwick, GA Bowdon, GA Bowdon Junction, GA Bowersville, GA Bowman, GA Box Springs, GA Braselton, GA Bremen, GA Brinson, GA Bristol, GA Bronwood, GA Brookfield, GA Brooklet, GA Brooks, GA Broxton, GA Brunswick, GA Buchanan, GA Buckhead, GA Buena Vista, GA Buford, GA Butler, GA Byromville, GA Byron, GA – C – Cities in Georgia that begin with the letter “C”. Cadwell, GA Cairo, GA Calhoun, GA Calvary, GA Camak, GA Camilla, GA Canon, GA Canton, GA Carlton, GA Carnesville, GA Carrollton, GA Cartersville, GA Cassville, GA Cataula, GA Cave Spring, GA Cecil, GA Cedar Springs, GA Cedartown, GA Centerville, GA Chatsworth, GA Chauncey, GA Cherrylog, GA Chester, GA Chestnut Mountain, GA Chickamauga, GA Chula, GA Cisco, GA Clarkdale, GA Clarkesville, GA Clarkston, GA Claxton, GA Clayton, GA Clermont, GA Cleveland, GA Climax, GA Clinchfield, GA Clyo, GA Cobb, GA Cobbtown, GA Cochran, GA Cohutta, GA Colbert, GA Coleman, GA Collins, GA Colquitt, GA Columbus, GA Comer, GA Commerce, GA Concord, GA Conley, GA Conyers, GA Coolidge, GA Coosa, GA Cordele, GA Cornelia, GA Cotton, GA Covington, GA Crandall, GA Crawford, GA Crawfordville, GA Crescent, GA Culloden, GA Cumming, GA Cusseta, GA Cuthbert, GA – D – Cities in Georgia that begin with the letter “D”. Dacula, GA Dahlonega, GA Daisy, GA Dallas, GA Dalton, GA Damascus, GA Danielsville, GA Danville, GA Darien, GA Davisboro, GA Dawson, GA Dawsonville, GA De Soto, GA Dearing, GA Decatur, GA Demorest, GA Denton, GA Dewy Rose, GA Dexter, GA Dillard, GA Dixie, GA Doerun, GA Donalsonville, GA Douglas, GA Douglasville, GA Dover, GA Dry Branch, GA Du Pont, GA Dublin, GA Dudley, GA Duluth, GA – E – Cities in Georgia that begin with the letter “E”. East Ellijay, GA East Point, GA Eastanollee, GA Eastman, GA Eatonton, GA Eden, GA Edison, GA Elberton, GA Elko, GA Ellabell, GA Ellaville, GA Ellenton, GA Ellenwood, GA Ellerslie, GA Ellijay, GA Emerson, GA Enigma, GA Epworth, GA Esom Hill, GA Eton, GA Evans, GA Experiment, GA – F – Cities in Georgia that begin with the letter “F”. Fairburn, GA Fairmount, GA Fargo, GA Farmington, GA Fayetteville, GA Felton, GA Fitzgerald, GA Fleming, GA Flintstone, GA Flovilla, GA Flowery Branch, GA Folkston, GA Forest Park, GA Forsyth, GA Fort Benning, GA Fort Gaines, GA Fort Oglethorpe, GA Fort Stewart, GA Fort Valley, GA Fortson, GA Fowlstown, GA Franklin, GA Franklin Springs, GA Funston, GA – G – Cities in Georgia that begin with the letter “G”. Gainesville, GA Garfield, GA Gay, GA Geneva, GA Georgetown, GA Gibson, GA Gillsville, GA Girard, GA Glenn, GA Glennville, GA Glenwood, GA Good Hope, GA Gordon, GA Gough, GA Gracewood, GA Grantville, GA Gray, GA Grayson, GA Graysville, GA Greensboro, GA Greenville, GA Griffin, GA Grovetown, GA Guyton, GA – H – Cities in Georgia that begin with the letter “H”. Haddock, GA Hagan, GA Hahira, GA Hamilton, GA Hampton, GA Haralson, GA Hardwick, GA Harlem, GA Harrison, GA Hartsfield, GA Hartwell, GA Hawkinsville, GA Hazlehurst, GA Helen, GA Helena, GA Hephzibah, GA Hiawassee, GA High Shoals, GA Hillsboro, GA Hinesville, GA Hiram, GA Hoboken, GA Hogansville, GA Holly Springs, GA Homer, GA Homerville, GA Hortense, GA Hoschton, GA Howard, GA Hull, GA – I – Cities in Georgia that begin with the letter “I”. Ideal, GA Ila, GA Inman, GA Iron City, GA Irwinton, GA Irwinville, GA – J – Cities in Georgia that begin with the letter “J”. Jackson, GA Jacksonville, GA Jakin, GA Jasper, GA Jefferson, GA Jeffersonville, GA Jekyll Island, GA Jenkinsburg, GA Jersey, GA Jesup, GA Jewell, GA Jonesboro, GA Juliette, GA Junction City, GA – K – Cities in Georgia that begin with the letter “K”. Kathleen, GA Kennesaw, GA Keysville, GA Kings Bay, GA Kingsland, GA Kingston, GA Kite, GA Knoxville, GA – L – Cities in Georgia that begin with the letter “L”. La Fayette, GA Lagrange, GA Lake Park, GA Lakeland, GA Lakemont, GA Lavonia, GA Lawrenceville, GA Leary, GA Lebanon, GA Leesburg, GA Lenox, GA Leslie, GA Lexington, GA Lilburn, GA Lilly, GA Lincolnton, GA Lindale, GA Lithia Springs, GA Lithonia, GA Lizella, GA Locust Grove, GA Loganville, GA Lookout Mountain, GA Louisville, GA Louvale, GA Lovejoy, GA Ludowici, GA Lula, GA Lumber City, GA Lumpkin, GA Luthersville, GA Lyerly, GA Lyons, GA – M – Cities in Georgia that begin with the letter “M”. Mableton, GA Macon, GA Madison, GA Manassas, GA Manchester, GA Manor, GA Mansfield, GA Marble Hill, GA Marietta, GA Marshallville, GA Martin, GA Matthews, GA Mauk, GA Maxeys, GA Maysville, GA McCaysville, GA Mcdonough, GA McIntyre, GA McRae, GA Meansville, GA Meigs, GA Meldrim, GA Menlo, GA Meridian, GA Mershon, GA Mesena, GA Metter, GA Midland, GA Midville, GA Midway, GA Milan, GA Milledgeville, GA Millen, GA Millwood, GA Milner, GA Mineral Bluff, GA Mitchell, GA Molena, GA Monroe, GA Montezuma, GA Monticello, GA Montrose, GA Moreland, GA Morgan, GA Morganton, GA Morris, GA Morrow, GA Morven, GA Moultrie, GA Mount Airy, GA Mount Berry, GA Mount Vernon, GA Mount Zion, GA Mountain City, GA Murrayville, GA Musella, GA Mystic, GA – N – Cities in Georgia that begin with the letter “N”. Nahunta, GA Nashville, GA Naylor, GA Nelson, GA Newborn, GA Newington, GA Newnan, GA Newton, GA Nicholls, GA Nicholson, GA Norcross, GA Norman Park, GA Norristown, GA Norwood, GA Nunez, GA – O – Cities in Georgia that begin with the letter “O”. Oakfield, GA Oakman, GA Oakwood, GA Ochlocknee, GA Ocilla, GA Oconee, GA Odum, GA Offerman, GA Oglethorpe, GA Oliver, GA Omaha, GA Omega, GA Orchard Hill, GA Oxford, GA – P – Cities in Georgia that begin with the letter “P”. Palmetto, GA Parrott, GA Patterson, GA Pavo, GA Peachtree City, GA Pearson, GA Pelham, GA Pembroke, GA Pendergrass, GA Perkins, GA Perry, GA Pine Lake, GA Pine Mountain, GA Pine Mountain Valley, GA Pinehurst, GA Pineview, GA Pitts, GA Plainfield, GA Plains, GA Plainville, GA Pooler, GA Portal, GA Porterdale, GA Poulan, GA Powder Springs, GA Preston, GA Pulaski, GA Putney, GA – Q – Cities in Georgia that begin with the letter “Q”. Quitman, GA – R – Cities in Georgia that begin with the letter “R”. Rabun Gap, GA Ranger, GA Ray City, GA Rayle, GA Rebecca, GA Red Oak, GA Redan, GA Register, GA Reidsville, GA Rentz, GA Resaca, GA Rex, GA Reynolds, GA Rhine, GA Riceboro, GA Richland, GA Richmond Hill, GA Rincon, GA Ringgold, GA Rising Fawn, GA Riverdale, GA Roberta, GA Rochelle, GA Rock Spring, GA Rockledge, GA Rockmart, GA Rocky Face, GA Rocky Ford, GA Rome, GA Roopville, GA Rossville, GA Roswell, GA Royston, GA Rupert, GA Rutledge, GA Rydal, GA – S – Cities in Georgia that begin with the letter “S”. Saint George, GA Saint Marys, GA Saint Simons Island, GA Sale City, GA Sandersville, GA Sapelo Island, GA Sardis, GA Sargent, GA Sasser, GA Sautee Nacoochee, GA Savannah, GA Scotland, GA Scottdale, GA Screven, GA Sea Island, GA Senoia, GA Seville, GA Shady Dale, GA Shannon, GA Sharon, GA Sharpsburg, GA Shellman, GA Shiloh, GA Siloam, GA Silver Creek, GA Smarr, GA Smithville, GA Smyrna, GA Snellville, GA Social Circle, GA Soperton, GA Sparks, GA Sparta, GA Springfield, GA Stapleton, GA Statenville, GA Statesboro, GA Statham, GA Stephens, GA Stillmore, GA Stockbridge, GA Stockton, GA Stone Mountain, GA Suches, GA Sugar Valley, GA Summertown, GA Summerville, GA Sumner, GA Sunny Side, GA Surrency, GA Suwanee, GA Swainsboro, GA Sycamore, GA Sylvania, GA Sylvester, GA – T – Cities in Georgia that begin with the letter “T”. Talbotton, GA Talking Rock, GA Tallapoosa, GA Tallulah Falls, GA Talmo, GA Tarrytown, GA Tate, GA Taylorsville, GA Temple, GA Tennga, GA Tennille, GA The Rock, GA Thomaston, GA Thomasville, GA Thomson, GA Tifton, GA Tiger, GA Tignall, GA Toccoa, GA Toomsboro, GA Townsend, GA Trenton, GA Trion, GA Tucker, GA Tunnel Hill, GA Turin, GA Turnerville, GA Twin City, GA Ty Ty, GA Tybee Island, GA Tyrone, GA – U – Cities in Georgia that begin with the letter “U”. Unadilla, GA Union City, GA Union Point, GA Upatoi, GA Uvalda, GA – V – Cities in Georgia that begin with the letter “V”. Valdosta, GA Valona, GA Varnell, GA Vidalia, GA Vienna, GA Villa Rica, GA – W – Cities in Georgia that begin with the letter “W”. Waco, GA Wadley, GA Waleska, GA Walthourville, GA Waresboro, GA Warm Springs, GA Warner Robins, GA Warrenton, GA Warthen, GA Warwick, GA Washington, GA Watkinsville, GA Waverly, GA Waverly Hall, GA Waycross, GA Waynesboro, GA Waynesville, GA West Green, GA West Point, GA Weston, GA Whigham, GA White, GA White Oak, GA White Plains, GA Whitesburg, GA Wildwood, GA Wiley, GA Willacoochee, GA Williamson, GA Winder, GA Winston, GA Winterville, GA Woodbine, GA Woodbury, GA Woodland, GA Woodstock, GA Wray, GA Wrens, GA Wrightsville, GA – Y – Cities in Georgia that begin with the letter “Y”. Yatesville, GA Young Harris, GA – Z – Cities in Georgia that begin with the letter “Z”. Zebulon, GA
Source: medicaresupplementsolutions.com

2011 MLN Matters Articles

Posted by:  :  Category: Medicare

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

Annual Statistical Supplement, 2011

Beginning January 1, 2006, upon voluntary enrollment in either a stand-alone PDP or an integrated Medicare Advantage plan that offers Part D coverage in its benefit, subsidized prescription drug coverage. Most FDA-approved drugs and biologicals are covered. However, plans may set up formularies for their drug coverage, subject to certain statutory standards. (Drugs currently covered in Parts A and B remain covered there.) Part D coverage can consist of either standard coverage or an alternative design that provides the same actuarial value. (For an additional premium, plans may also offer supplemental coverage exceeding the value of basic coverage.) Standard Part D coverage is defined for 2006 as having a $250 deductible, with 25 percent coinsurance (or other actuarially equivalent amounts) for drug costs above the deductible and below the initial coverage limit of $2,250. The beneficiary is then responsible for all costs until the $3,600 out-of-pocket limit (which is equivalent to total drug costs of $5,100) is reached. For higher costs, there is catastrophic coverage; it requires enrollees to pay the greater of 5 percent coinsurance or a small copay ($2 for generic or preferred multisource brand and $5 for other drugs). After 2006, these benefit parameters are indexed to the growth in per capita Part D spending (see Table 2.C1). In determining out-of-pocket costs, only those amounts actually paid by the enrollee or another individual (and not reimbursed through insurance) are counted; the exception is cost-sharing assistance from Medicare’s low-income subsidies (certain beneficiaries with low incomes and modest assets will be eligible for certain subsidies that eliminate or reduce their Part D premiums, cost-sharing, or both) and from State Pharmacy Assistance Programs. A beneficiary premium, representing 25.5 percent of the cost of basic coverage on average, is required (except for certain low-income beneficiaries, as previously mentioned, who may pay a reduced or no premium). For PDPs and the drug portion of Medicare Advantage plans, the premium will be determined by a bid process; each plan’s premium will be 25.5 percent of the national weighted average plus or minus the difference between the plan’s bid and the average. To help them gain experience with the Medicare population, plans will be protected by a system of risk corridors, which allow Part D to assist with unexpected costs and to share in unexpected savings; after 2007, the risk corridors became less protective. To encourage employer and union plans to continue prescription drug coverage to Medicare retirees, subsidies to these plans are authorized; the plan must meet or exceed the value of standard Part D coverage, and the subsidy pays 28 percent of the allowable costs associated with enrollee prescription drug costs between a specified cost threshold ($250 in 2006, indexed thereafter) and a specified cost limit ($5,000 in 2006, indexed thereafter).
Source: ssa.gov

Association of the 2011 ACGME Resident Duty Hour Reforms With Mortality and Readmissions Among Hospitalized Medicare Patients

measurements of other outcomes such as patient safety indicators or complications may better elucidate the relative effects of decreased continuity of care compared with decreased resident fatigue. Nonetheless, we chose to report 2 outcomes that are most accurately observed with claims data to minimize the likelihood of underreporting or overreporting. Second, any observational study is susceptible to unmeasured confounding. We used administrative data, so risk adjustment is more limited than with clinical data; however, by comparing outcomes over time within each hospital in more intensive relative to less intensive teaching hospitals, potential bias from unmeasured confounders is diminished. Third, survival bias associated with admissions resulting in death being differentially more likely after reform than before reform in more intensive relative to less intensive teaching hospitals could still have affected the study results. Fourth, the study population was limited to Medicare beneficiaries and, therefore, our sample may not be representative of the general US population. Fifth, we are unable to disentangle other major policy initiatives directed at this population concurrent with implementation of duty hour reforms. Sixth, this study evaluated outcomes in only the first year after the reforms, and these findings should be considered to be representative only of this time period. Further analysis of changes in patient outcomes several years after the reforms will be important to evaluate changes in associations over time.
Source: jamanetwork.com

Visiting Nurse Service, Inc. > VNS Services > Home Health Care

Posted by:  :  Category: Medicare

VNS is a full-service home health care organization, providing nursing, physical therapists, speech and occupational therapists, home care aides, social workers, and dieticians all providing care under your doctor’s guidance.  We also arrange for home medical equipment and serve twenty-three Indiana Counties: Boone, Brown, Carroll, Cass, Clinton, Clay, Grant, Hamilton, Hancock, Hendricks, Howard, Johnson, Madison, Marion, Miami, Monroe, Montgomery, Morgan, Owen, Putnam, Shelby, Tipton, and Wabash.
Source: vnsi.org

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.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

Consumer Information and Insurance Oversight

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