Medicare Supplement and Advantage Health Plans

Posted by:  :  Category: Medicare

Medicare has neither reviewed nor endorsed this information. Blue Shield of California is an HMO and PDP plan with a Medicare contract. Enrollment in Blue Shield of California depends on contract renewal.
Source: blueshieldca.com

Medicare plans from Independence Blue Cross

To file an appeal or grievance for your medical benefit coverage or your prescription drug coverage, contact Keystone 65 Customer Service at 1-800-645-3965 or Personal Choice 65 Customer Service at 1-888-718-3333; TTY/TDD users should call 711, 7 days a week, 8 a.m. to 8 p.m.; or you can complete and submit online the Request for Medicare Prescription Drug Coverage Determination or the Request for Redetermination of Medicare Prescription Drug Denial.
Source: ibxmedicare.com

Horizon Blue Cross Blue Shield of New Jersey Horizon Medicare Blue Choice w/Rx (HMO) Benefits in New Jersey

Our plan covers many preventive services including: Abdominal aortic aneurysm screening Alcohol misuse counseling Bone mass measurement Breast cancer screening (mammogram) Cardiovascular disease (behavioral therapy) Cardiovascular screenings Cervical and vaginal cancer screening Colorectal cancer screenings (Colonoscopy Fecal occult blood test Flexible sigmoidoscopy) Depression screening Diabetes screenings HIV screening Medical nutrition therapy services Obesity screening and counseling Prostate cancer screenings (PSA) Sexually transmitted infections screening and counseling Tobacco use cessation counseling (counseling for people with no sign of tobacco-related disease) Vaccines including Flu shots Hepatitis B shots Pneumococcal shots “Welcome to Medicare” preventive visit (one-time) Yearly “Wellness” visit Any additional preventive services approved by Medicare during the contract year will be covered.
Source: usnews.com

Blue Cross and Blue Shield of Nebraska Medicare Supplement

Original Medicare helps, but it alone isn’t enough. Original Medicare doesn’t pay for deductible and coinsurance amounts that can add up fast. That’s why your choice of a Medicare Supplement plan is so important. SHOP AND APPLY »
Source: nebraskablue.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

Different Types of Medicare Advantage Plans

There are many types of Medicare Advantage (also known as Medicare Part C) plans. Medicare Advantage plans provide an alternative way to receive your Original Medicare, Part A and Part B, benefits. With Medicare Part C, you get the same coverage as Original Medicare provides (except for hospice benefits), but through a private Medicare-approved insurance company. Many Medicare Advantage plans offer benefits beyond Original Medicare, like prescription drug coverage or routine dental service benefits.
Source: medicare.com

Medicare Advantage 2014 Spotlight: Plan Availability and Premiums

While many organizations offer Medicare Advantage plans, a few – particularly Humana, United Healthcare, and the Blue Cross and Blue Shield (BCBS) affiliates – have particularly large geographic spread and these organizations historically account for a disproportionate share of enrollment. In 2014, 44 percent of available plans are being offered by one of these three firms or affiliates (Table A4).  Plans offered by these firms are available to most beneficiaries.  Nationwide, 83 percent of Medicare beneficiaries will have access to one or more Humana plans, 73 percent will have access to a BCBS affiliated plan (including BCBS plans offered by Wellpoint), and 68 percent will have access to a United Healthcare plan (Exhibit 5; Table A5).  The general availability of these firms’ products has not noticeably changed from 2013 to 2014.  However, the similarities in BCBS offerings from 2013 to 2014 obscure a decline in availability of BCBS branded Wellpoint plans (declining from 88 plans to 55 plans between 2013 and 2014), which is mostly offset by the growth in plans offered by other BCBS affiliates (growing from 205 plans to 233 plans between 2013 and 2014).
Source: kff.org

Medicare Plans are Confusing, We Make Medicare Less Frustrating.

Medicare Advantage insurance is a replacement to Original or Traditional Medicare Parts A and B – it is offered instead by private insurance companies. Medicare Advantage plans generally feature additional benefits and have less cost-sharing than Traditional Medicare, and you may be required to pay a monthly premium in exchange for the added benefits that the Medicare Advantage plan features. Medicare Advantage plans come in many different flavors and formats such as: HMO plans, PPO plans, PFFS plans, and special needs plans. Seniors may only enroll in Medicare Advantage plans if they already have both Medicare Part A and Medicare Part B and then only during specially designated enrollment periods. The Medicare enrollment periods change often, so please call us at: 1-(866)-866-7951 to find out when the next open enrollment period starts so you can enroll in this type of Medicare Plan.
Source: medicareplanstoday.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.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

Dean Clinic, Dean Health Plan, Dean Foundation

Online Member Guide Premium Payments Member Benefits Document Center Pharmacy Services & Programs State Employee Members Medicare Members BadgerCare Plus Members Living Healthy Program All Member Resources
Source: deancare.com

Proper Billing for Various Medicare Advantage HMO Claims

Posted by:  :  Category: Medicare

Applicable FARSDFARS Restrictions Apply to Government Use. This product includes CPT which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60654. U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer data bases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(2) (November 1995) and/or subject to the restrictions of DFARS 227.7202-1(a) (June 1995) and DFARS 227.7202-3(a) (June 1995), as applicable for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14 (June 1987) and/or subject to the restricted rights provisions of FAR 52.227-14 (June 1987) and FAR 52.227-19 (June 1987), as applicable, and any applicable agency FAR Supplements, for non-Department of Defense Federal procurements.
Source: wpsmedicare.com

Medicare Advantage Organization HIPPS Codes Update

Clarification is in order. Originally, when billing for all Medicare Advantage Organizations (MAO), PACE Organizations, Cost Plans, and certain demonstration projects, providers were originally told by CMS that they must provide Health Insurance Prospective Payment System (HIPPS) Codes for Skilled Nursing Facility (SNF) claims submitted effective July 1, 2014. This left Skilled Nursing Facility providers concerned that they would then be required to follow the traditional Medicare PPS schedule in order to accurately provide HIPPS codes for billing.  On May 23, 2014, CMS released a memo regarding Submission of Health Insurance Prospective Payment System (HIPPS) Codes to the Encounter Data System to all MAO providers clarifying the requirements.
Source: harmony-healthcare.com

Gerber Life Medicare Supplement

Posted by:  :  Category: Medicare

The Gerber Life Medicare Supplement (Medigap) product is here, contract online and offer this great product to your seniors. While no one can predict the future, it’s clear that Medicare can’t cover the entire expense of your clients’ necessary medical care. Fortunately, there is something you can do to make sure that your clients’ medical expenses are always covered. The Gerber Life Medicare Supplement Insurance (Medigap) product provides the stability your clients are looking for that only a company like Gerber can offer.
Source: psmbrokerage.com

Gerber Life Insurance Medicare Supplement Plans

Since 1967, Gerber Life Insurance Company has provided quality life insurance, especially for young families on a limited budget. Gerber has also become a serious contender in the Medicare Supplement Insurance Plans market place.  With the influx of baby boomers it only makes sense that Gerber provide competitive Medigap Plans to the generation that is most familiar with their name and purpose.  As an affiliate of the Gerber Products Company, “the baby food people,” the two companies share a common goal: to help parents raise happy, healthy children.
Source: medicaremall.com

Compare Gerber Life Medicare Supplements

Medigap Companies: Admiral Life Insurance Aetna Life Insurance American Continental Insurance American National Life Insurance Anthem Life American Pioneer Life Insurance American Republic Insurance Bankers Fidelity Life Insurance Blue Cross and Blue Shield Central Reserve Life Insurance Christian Fidelity Life Insurance Combined Insurance Company Conseco Insurance Company Continental General Insurance Continental Life Insurance Company Equitable Life and Casualty Insurance Family Life Insurance Company Forethought Insurance Company Genworth Life Insurance Company Gerber Life Insurance Company Globe Life and Accident Insurance Golden Rule Insurance Company Great American Life Insurance Guarantee Trust Life Insurance Humana Insurance Company Lincoln Heritage Life Insurance Loyal American Life Insurance Marquette National Life Insurance Mutual of Omaha Insurance Company National States Insurance Company New Era Life Insurance Company Old Surety Life Insurance Company Pacificare Life Assurance Company Pennsylvania Life Insurance Company Philadelphia American Life Insurance Physician’s Life Insurance Company Provident American Life & Health Reserve National Insurance Company Royal Neighbors of America Sierra Health and Life Insurance Southwest Service Life Insurance Standard Life and Accident Insurance State Mutual Insurance Company Sterling Investors Life Insurance Sterling Life Insurance Company Unicare United American Insurance Company United Commercial Travelers (UCT) United National Life Insurance United of Omaha Life Insurance United Teacher Associates United World World Corp Insurance Company
Source: medigap360.com

Gerber Life Medicare Supplement Plans

Gerber Life Medicare Supplement plans have been popular nationwide over the past few years. They are a very well-known company and Medicare recipients embraced the company as soon as their Medicare Supplement product was released. Popular states for Gerber Life include Virginia, West Virginia, Florida, and Texas.
Source: medicaresupplementshop.com

Medicare Supplement Insurance

“My experience with Russell Noga and Medisupps.com has been so wonderful I have to share it! My aunt and uncle needed new insurance with their move to a new state. My uncle is hearing impaired, and my aunt struggles with English. His patience and professionalism was beyond measure! He found them the very best coverage to fit their individual needs and at the best rate possible. Russell was so thorough, extremely kind, and made the entire process painless. I can’t express how grateful we feel to have found him to work through the insurance process. Thank you, Russell! Medisupps.com ROCKS!” ~ Norma Vally a.k.a Toolbelt Diva (Discovery Home Channel)
Source: medisupps.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.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

The Medicare Part D Prescription Drug Benefit

The Medicare Modernization Act of 2003 (MMA) established a voluntary outpatient prescription drug benefit for people on Medicare known as Part D, which went into effect in 2006. All 55 million people on Medicare, including those ages 65 and older and those under age 65 with permanent disabilities, have access to the Medicare drug benefit through private plans approved by the federal government. During the Medicare Part D open enrollment period, which runs from October 15 to December 7 each year, beneficiaries can choose to enroll in either stand-alone prescription drug plans (PDPs) to supplement traditional Medicare or Medicare Advantage prescription drug (MA-PD) plans (mainly HMOs and PPOs) that cover all Medicare benefits including drugs. Beneficiaries with low incomes and modest assets are eligible for assistance with Part D plan premiums and cost sharing. This fact sheet provides an overview of the Medicare Part D program and information about 2016 plan offerings, based on data from the Centers for Medicare & Medicaid Services (CMS) and other sources.
Source: kff.org

Medicare Part B and FEHB Update (Feedback

The information provided may not cover all aspect of unique or special circumstances, federal regulations, and financial information is subject to change. To ensure the accuracy of this information, contact your benefits coordinator and ask them to review your official personnel file and circumstances concerning this issue. Retirees can contact the OPM retirement center. Our article is not intended nor should it be considered investment advice and our articles and replies are time sensitive. Over time, various dynamic economic factors relied upon as a basis for this article may change. The advice and strategies contained herein may not be suitable for your situation and this service is not affiliated with OPM or any federal entity. You should consult with a financial or human resource professional where appropriate. Neither the publisher or author shall be liable for any loss or any other commercial damages, including but not limited to special, incidental, consequential, or other damages.
Source: fedretire.net

Extra Help with Medicare Prescription Drug Plan Costs

Medicare beneficiaries can qualify for Extra Help with their Medicare prescription drug plan costs. The Extra Help is estimated to be worth about $4,000 per year. To qualify for the Extra Help, a person must be receiving Medicare, have limited resources and income, and reside in one of the 50 States or the District of Columbia.
Source: ssa.gov

Medicare Hospital Compare Quality of Care

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: 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 Part B Monthly Premium 2016

Actually, these numbers are valid for most persons on Medicare. You will have to pay a higher premium if you filed an individual tax return last year and reported income over $85,000 or $170,000 for a joint return. Depending on the amount of your taxable income, you may have to pay between $170.50 up to the maximum Part B premium of $389.80 per person. Fortunately, income-related adjustments affect less than 5 percent of Medicare beneficiaries. If you have to pay a higher Part B premium because of your income, you should be notified by Social Security.
Source: medicareanswers.org

Medicare Part B Releases Official 2016 Premiums

The standard $121.80-a-month premium, though still a hefty increase, is much less than the $159.30 a month — an unprecedented 52 percent hike — that was projected in the Medicare Trustees’ report to Congress in July. That amount represented actuarial estimates of how much the Part B program, which covers doctors’ services and outpatient care, will cost next year. Part B premiums are required by law to cover 25 percent of those costs, with the federal government paying the rest out of general revenue.
Source: aarp.org

Medicare Part B Premiums in 2016

The premiums are not as high as they were expected to be. Because Medicare Part B premiums are designed to cover 25% of total Part B costs each year, the monthly premium would have been $120.70 across the board in 2016 if everyone were on the hook for the increase, according to the Medicare trustees’ report. But most Medicare beneficiaries are protected by the “hold-harmless provision,” a law that prohibits Social Security benefits from being reduced because of an increase in Medicare premiums. In most years, Medicare cost increases are covered by the Social Security cost-of-living adjustment. But there will be no Social Security COLA for 2016 because of low inflation, which means that the monthly premiums will be capped at $104.90 for Medicare beneficiaries who have their premiums withheld from their Social Security benefits.
Source: kiplinger.com

Some Retirees Pay Higher Medicare Premiums in 2016

New enrollees. Retirees who sign up for Medicare in 2016 will pay $121.80 for Medicare Part B, $16.90 more per month than existing Social Security recipients. This group includes people who will turn 65 in 2016 and employees who worked past age 65 at a job with group health insurance, but will switch to Medicare in 2016. The Bipartisan Budget Act of 2015 prevented a much higher premium increase to $159.30 for new beneficiaries. This law modified how Part B premiums are calculated for 2016. General tax revenue will be used to cover the costs of the premium reduction, but all Part B enrollees will repay this amount over time through small surcharges added to their premiums until the money is repaid.
Source: usnews.com

2016 Medicare Part B Premium Spike

As problematic as the uneven application of the premium increase is, the evidence suggests that perhaps Congress was trying to solve the wrong problem with the Hold Harmless provision. In recent years there has been a substantial shift in the way medical care is provided. An emphasis on early screenings and prevention has moved patients from Part A-covered emergency rooms to their doctors’ offices. New drugs and the rising industry of outpatient clinics have moved patients from hospital beds to home recovery. And when the time comes, a preference for home health care or hospice care has replaced expensive end of life inpatient treatment. These are all demonstrated shifts from premium-free Part A services, to Part B covered care. Though health care costs are undoubtedly rising for many reasons, including the graying of the boomer generation, much of the increase in Part B costs may be attributable to positive gains in the health care industry since 1988 and earlier. Rather than encouraging continued use of expensive and less efficient hospital services, Congress should incentivize, not punish, increased reliance on these Part B covered services.
Source: americanactionforum.org

Surprise! Your Medicare Part B premiums may increase by 50 percent in 2016

Medicare Advantage (MA) must cover at least everything covered by Original Medicare (Part A for hospital and Part B for doctors, outpatient services and medical equipment). Most Medicare Advantage plans offer more coverage, including dental, vision and built-in Part D drug plans (a Part D plan is a separate policy for people on Original Medicare). The reasons Medicare Advantage plans can offer more coverage is complicated, but one major reason is that most Medicare Advantage plans save money by requiring you to use doctors, hospitals and other providers who are in their local network. Original Medicare, which often is also called fee-for-service Medicare, lets you use participating doctors and other health care providers anywhere in the country.
Source: pbs.org

AHIP Medicare + Fraud, Waste & Abuse Training: Login to the site

Posted by:  :  Category: Medicare

Now there’s one single source for both Medicare and Fraud, Waste and Abuse (FWA) training. Our comprehensive online program gives you the background to make informed decisions on Medicare, including plan options, marketing, enrollment requirements, and FWA guidelines.
Source: ahipmedicaretraining.com

Coventry Medicare: Agents & Brokers

Welcome to the Coventry Health Care Broker Portal, designed to help successfully sell our Medicare products. Coventry is committed to working with our broker and agent partners to help your clients learn more about the Medicare products available through Coventry Health Care. Our Medicare Advantage and Part D Prescription Drug products offer flexible benefit designs and a variety of ways to ensure cost savings.
Source: coventryhealthcare.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

How to Get a Medicare Provider Number

Posted by:  :  Category: Medicare

A Medicare provider number is known as a “national provider identifier,” a ten-digit identification number for covered health care providers. The Centers for Medicare and Medicaid Services state that covered health care providers, health care plans and health care clearinghouses are required to have national provider identifiers for administrative and financial transactions under the Health Insurance Portability and Accountability Act (HIPAA). In order to obtain a national provider identifier, you will have to apply. You can download an application and mail it in or fill out the application and apply online.
Source: ehow.com

Application for an initial Medicare provider number for a medical practitioner form (HW019)

This information was printed Thursday 25 August 2016 from humanservices.gov.au/health-professionals/forms/hw019 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

Coventry Medicare: Locate A Provider

The best way to learn which providers are in a plan’s network is to use our online directory tools below. Members can also request a full printed copy of their directory using our online request form. Members will be asked to provide their full name and member ID.    
Source: coventryhealthcare.com

Medicare provider number for health professionals

This information was printed Thursday 25 August 2016 from humanservices.gov.au/health-professionals/services/medicare/medicare-provider-number-health-professionals 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

Difference between the Medicare Provider Numbers

Applicable FARSDFARS Restrictions Apply to Government Use. This product includes CPT which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60654. U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer data bases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(2) (November 1995) and/or subject to the restrictions of DFARS 227.7202-1(a) (June 1995) and DFARS 227.7202-3(a) (June 1995), as applicable for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14 (June 1987) and/or subject to the restricted rights provisions of FAR 52.227-14 (June 1987) and FAR 52.227-19 (June 1987), as applicable, and any applicable agency FAR Supplements, for non-Department of Defense Federal procurements.
Source: wpsmedicare.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 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 Nursing Home Profile

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

Australian Government Department of Human Services

This information was printed Thursday 25 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

Healthcare business news, research, data and events from Modern Healthcare

A list of the nation’s 44 largest healthcare management consulting firms, includes the full details from every question on Modern Healthcare’s 11th annual Management Consultant Firms Survey. Firms ranked by 2015 revenue from total healthcare consulting fees. Source: Published Aug. 22, 2016, p. 42.
Source: modernhealthcare.com