Child Dental Benefits Schedule

Posted by:  :  Category: Medicare

Benefits for basic dental services are capped at $1,000 per child over 2 consecutive calendar years. If you do not use all of the $1,000 benefit in the first year of eligibility, it can be used in the second year if you remain eligible. You cannot access any remaining benefit after the end of the second year.
Source: gov.au

What’s Medicare Supplement Insurance (Medigap)?

Posted by:  :  Category: Medicare

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

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

Supplements & other insurance

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

AARP Medicare Supplement Plans insured by United Healthcare

You are leaving AARP Member Advantages and going to the website of a trusted provider. The provider’s terms, conditions and policies apply. Please return to AARP Member Advantages to learn more about other products, services and discounts.
Source: aarp.org

How to Reform Medicare: First Stage to Fix the Current Program

Posted by:  :  Category: Medicare

[5]The significant differences in official long-term projections, including projections of the program’s unfunded liability, reflect the differences in agency assumptions, particularly about the likelihood of the continuation of current law. The Medicare Trustees and the Congressional Budget Office (CBO) are required to make projections under current law, which assumes, for example, that the large Medicare Part A payment reductions are sustainable and that the projected 29.4 percent reduction in Medicare physician payment will be implemented in 2012. The Office of the Actuary in the Centers for Medicare and Medicaid Services (CMS) makes projections based on the premise that key elements of current law are simply “unworkable.” See John D. Shatto and M. Kent Clemens, “Projected Medicare Expenditures Under an Illustrative Scenario with Alternative Payment Updates to Medicare Providers,” Centers for Medicare and Medicaid Services, Office of the Actuary, May 13, 2011, at https://www.cms.gov/ReportsTrustFunds/downloads/2010TRAlternativeScenario.pdf (September 19, 2011).
Source: heritage.org

Medicare Advantage 2015 Data Spotlight: Overview of Plan Changes

When SNPs were authorized, there were few requirements beyond those otherwise required of other Medicare Advantage plans. The Medicare Improvements for Patients and Providers Act (MIPPA) of 2008 established additional requirements for SNPs, including requiring all SNPs to provide a care management plan to document how care would be provided for enrollees and requiring C-SNPs to limit enrollment to beneficiaries with specific diagnoses or conditions. As a result of the new MIPPA requirements, the number of SNPs declined in 2010. The ACA required D-SNPs to have a contract with the Medicaid agency for every state in which the plan operates, beginning in 2013. Additionally, in 2013, joint federal-state financial alignment demonstrations to improve the coordination of Medicare and Medicaid for dually eligible beneficiaries began to enroll beneficiaries. Today, financial alignment demonstrations are underway in 12 states: California, Colorado, Illinois, Massachusetts, Michigan, Minnesota, New York, Ohio, South Carolina, Texas, Virginia, and Washington. The financial alignment demonstrations could influence the availability of D-SNPs in these states, either increasing or decreasing the availability of SNPs, depending on the design of the demonstration.
Source: kff.org

Financial Security of Elderly Americans at Risk: Proposed changes to Social Security and Medicare could make a majority of seniors ‘economically vulnerable’

To better measure the economic vulnerability of older adults, they suggest using the Elder Economic Security Standard Index (Elder Index) developed by Wider Opportunities for Women (WOW). The Elder Index estimates how much it costs seniors to live in different communities across the country, accounting for an elder household’s housing type, transportation type, health status, and geography-specific cost of living. The index is more comprehensive than the SPM in its appraisal of costs, including food, housing, healthcare, and transportation costs, as well as miscellaneous expenses such as telephone, clothing, and personal care costs and relevant sales taxes. At the time we began our analysis, the measure had only been produced for 17 states, and therefore could not be used to assess elderly vulnerability nationwide. However, when we compared the index’s state-level thresholds to SPM thresholds for those same areas, we found a measurable pattern: The Elder Economic Security Standard Index threshold (the line below which the elderly are considered economically insecure) is roughly 200 percent of, or twice, the SPM threshold, on average. (Note that WOW has since released Elder Index values for states, counties, and cities throughout the United States; the data are available at www.basiceconomicsecurity.org/EI)
Source: epi.org

SSI or SS Disability Application & Benefits

Posted by:  :  Category: Medicare

Experience really does matter. We have been doing Social Security application advocacy exclusively for over 15 years, and have learned a lot along the way. We have grown to one of the largest and most successful disability offices in the country. We handle all paperwork out of our offices in Utah, and have full-time advocate representatives all over the country to represent our clients at hearing when necessary. This process allows for great efficiency for our clients and quicker and more successful results. Because our representatives live locally, you get the service of a local rep, who knows the local judges, but the efficiency and knowledge base of a large nationwide office.
Source: ssdisabilityapplication.com

Does Medicare or Medicaid Come with Disability?

Do you get Medicare coverage if you were approved for SSI? Claimants who are approved for SSI only typically receive Medicaid coverage in most states. And like SSI, Medicaid is subject to income and asset limitations. Medicaid is a needs-based, state- and county-administered program that provides for a number of doctor visits and prescriptions each month, as well as nursing home care under certain conditions. Can you ever get Medicare if you get SSI? Medicare coverage for SSI recipients does not occur until an individual reaches the age of 65 if they were only entitled to receive monthly SSI disability benefits. At the age of 65, these individuals are able to file an uninsured Medicare claim, which saves the state they reside in the cost of Medicaid coverage. Basically, the state pays the medical premiums for an uninsured individual to be in Medicare so that their costs in health coverage provided through Medicaid goes down. 
Source: disabilitysecrets.com

What is the Difference between Medicare and Medicaid?

Unlike Medicare, which is federally-run, Medicaid is run at the state level with federal guidelines. There are also very different qualifying guidelines for Medicaid. Because Medicaid is a needs-based program, there are specific income and asset limits. The limits vary by state and by the number of dependents in a particular household. Having low-income, however, is not always enough to qualify for Medicaid in some states. Priority is usually given to pregnant women, families, children, the disabled and elderly. For example, a single male may make the same amount of money as a single, pregnant female, but the male may not qualify whereas the female will qualify due to the fact that she is with child and the child will also qualify once he or she is born.
Source: disability-benefits-help.org

How to Apply for Medicare With a Disability

You must qualify for and receive Social Security disability benefits before you can receive Medicare. If your disability does not qualify you for SSDI, it doesn’t qualify you for Medicare, either. You can apply for Social Security disability benefits online. It’s a good idea to go through the Social Security Administration’s checklist, which is also online, to make sure you have everything you will need to apply. If you are approved for Social Security disability benefits, your Medicare benefits will begin automatically when you are eligible for them. You won’t need to fill out a special application for them.
Source: ehow.com

Medicare and Social Security Disability

Medicare Part D is the part of your Social Security Disability benefits that covers your prescription drug costs. Like Medicare Part B, you will need to pay a premium for Medicare Part D. If you choose not to enroll in Medicare Part D now, but decide to later, you will have to pay a penalty and will continue to pay this penalty for as long as you keep your Medicare Part D coverage. When enrolling in Medicare Part D it is important to understand that not all of the cost of your medications will be covered. You will need to pay a co-pay and if you enter the “gap” period you will be responsible for all of your prescription costs until you are out of that gap. The Medicare Part D gap occurs when you have reached total prescription drug costs of $2,830 (for 2010). Once that happens, you will be responsible for all of your medication costs until you have reached a total out-of-pocket expense of $4,550. At that point you will be out of the gap and your prescription coverage will begin again.
Source: disability-benefits-help.org

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.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

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

Medicare.gov Nursing Home Compare

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Source: medicare.gov

Compare Medicare Advantage & Supplemental Plans

Posted by:  :  Category: Medicare

Medicare Advantage insurance is offered by private insurance companies with a Medicare contract, and replaces Original Medicare Part A and Part B. You must continue to pay your Part B premiums. Medicare Advantage plans typically offer additional benefit options and have less cost-sharing than Original Medicare, and you may have to pay a monthly premium in return for the extra benefits. Medicare Advantage plans come in a variety of formats, such as HMO, PPO and PFFS plans, as well as special needs plans. Medicare beneficiaries can enroll in Medicare Advantage plans if they have Medicare Part A and Part B, but only during designated enrollment periods. These enrollment periods change from time-to-time, so please call us to get the most-up-to-date information.
Source: medicaresolutions.com

Medicare Supplemental Insurance — Which policy is best?

Our recommendation: After picking the benefit combination (Plan A through L) that best suits your needs, buy the issue-age or community-rated Medigap policy with the lowest premium. Even though they are a bit more expensive at the start, your premiums won’t go up every year just because you get older. (AARP’s Medigap plans use a combination of issue-age and community-rated methods; their premiums don’t increase as you get older, but their younger retirees do receive a discount.)
Source: todaysseniors.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

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

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

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

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

MyMedicare.gov: Secure Sign In

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Source: mymedicare.gov

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

Cigna temporarily banned from new Medicare plans

Posted by:  :  Category: Medicare

“Cigna has had a longstanding history of non-compliance with CMS requirements,” the agency said. “Cigna has received numerous notices of non-compliance, warning letters, and corrective action plans from CMS over the past several years. A number of these notices were for the same violations discovered during the audit, demonstrating that Cigna has not corrected issues of non-compliance.”
Source: usatoday.com

CMS: Cigna banned from selling new Medicare Advantage plans

The CMS has banned Cigna from offering new Medicare Advantage plans after taking issue with the way the insurer handled appeals, grievances and its drug formulary, according to regulatory filings. The news comes as state and federal regulators scrutinize Cigna’s $48 billion sale to Anthem. The deal would create the nation’s largest insurer. The sanctions, which are not expected to affect current enrollees, took effect Thursday, according to a letter the CMS sent to Bloomfield-Conn.-based Cigna. The insurer said in a Securities and Exchange Commission filing that it is working to resolve the issues and is fully cooperating with the CMS. The company is expected to release a statement on the issue on Friday. Cigna held 3% of the MA market last year, according to the Kaiser Family Foundation. That represents about 502,000 enrollees. In a note to investors, healthcare investment bank Leerink Partners said it estimated about 10% to 12% of Cigna’s earnings come from MA plans. The private Medicare program has been a boon for insurers the past several years, offering sizable volumes and steady profit margins. Some companies have said the growth in MA, spurred in part by the aging baby boomer population, will be fundamentally important to earnings growth in 2015 and beyond. A JPMorgan investors’ note Friday said it does not believe the MA sanctions on Cigna will affect the pending acquisition. It also points out that the suspension, which again affects only new enrollment, fortunately came after Cigna had already experienced a bump in membership before the open-enrollment period ended on Dec. 7. The note also states that Aetna lost 10% of its MA membership during a similar ban from April 2010 to June 2011. Cigna’s shares fell about 1% to $138.74 in morning trading. Sterne Agee analyst Brian Wright said in a note to investors Friday that if the sanctions are lifted by the start of 2017, Cigna shareholders might see a drop of 2 cents a share. If the sanctions extend though next year’s open-enrollment period, shareholders could expect an impact of 33 cents a share on earnings, he said.
Source: modernhealthcare.com