What Is a Health Insurance Premium?

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Once a patient’s deductibles, copayments, and coinsurance paid for a particular year add up to the out-of-pocket maximum, the patient’s cost-sharing requirements are then finished for that particular year. Following the fulfillment of the out-of-pocket maximum, the health plan then picks up all of the cost of covered in-network care for the remainder of the year.
Source: verywell.com

How Health Insurance Marketplace Plans Set Your Premiums

Plan category: There are five plan categories – Bronze, Silver, Gold, Platinum, and catastrophic. The categories are based on how you and the plan share costs. Bronze plans usually have lower monthly premiums and higher out-of-pocket costs when you get care. Platinum plans usually have the highest premiums and lowest out-of-pocket costs.
Source: healthcare.gov

Health Insurance, Medical Insurance, Free Online Insurance Quotes, Affordable Individual, Group, Family Plans

HealthInsurance.com offers a wide variety of health plans including individual and family health insurance, group health insurance, HMOs, PPOs, POS, Indemnity plans, short-term health insurance plans, dental health insurance, and international travel health insurance. Popular health insurance companies such as Blue Cross and Blue Shield, Anthem, Aetna, Humana, Golden Rule Insurance Company, HealthNet, Assurant, Celtic, Unicare, Kaiser and PacifiCare Life and Health Insurance Company offer the plans we feature.
Source: healthinsurance.com

Compare Medicare Supplement Quotes

Posted by:  :  Category: Medicare

When retirement is supposed to be a special time to enjoy the simple pleasures of life, the last thing you want to worry about is keeping up with your health care costs. Anyone who has been covered by Medicare knows that, by itself, it’s hardly an ideal plan for handling all the expenses you will face, even with good health, throughout your twilight years. Fortunately, there are good options available to you which can provide more comprehensive coverage than Medicare alone.
Source: compare-medicare-quotes.com

Free Medigap Quote & Compare Medigap Plans!

We are committed to helping Americans, such as yourself, confidently choose the best Medigap plan. Our licensed insurance agents are paid a flat commission rate on all insurance carriers so that we can deliver 100% unbiased recommendations on the best insurance solution based on your unique health needs.
Source: gomedigap.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

Medicare Experts Serving Bucks, Montgomery, Northampton & Lehigh County, PA

Option 1 is to use your original Medicare and purchase a Medicare Supplement or what is commonly referred to as Medigap. Some of the advantages of this option are that you do not need referrals to see specialists. There are no networks, and you can see any doctor or go to any hospital that accepts Medicare. You won’t have to worry about which doctors and hospitals accept your plan. Another advantage is that if you spend some of the time in another area of the country, your plan will work there just as well as it works in your hometown. In addition, you will need to purchase a Medicare Prescription Drug Plan. Medicare Prescription Drug Plans are relatively inexpensive. The medications you are currently using will determine which plan will best suit your needs. You can go to www.medicare.gov and enter your current medications into the Medicare drug plan comparator. This will tell you which plan is going to have the least annual out-of-pocket expense based on your medications, doses, frequency and area you live in. The downside of the Medigap/Medicare Drug Plan premiums is that they can be more than $130 per month based on where you live, and compared to Medicare Advantage this option is much more costly, but gives you much more coverage and freedom of choices. Some of the Medigap, or Medicare supplement choices in Bucks County, Pa, and the surrounding areas, include Plans A, B, C, D, G, K, L, M, and N. (Plan F will no longer be available in 2020.) Our experts can provide you with a free home consultation, which is convenient for those with a mobility-limiting disability, to further educate you about these options.
Source: mymedicarequotes.com

Medicare Insurance Plans, Medicare Advantage, Medicare Supplemental Insurance and Medigap Coverage

A Medicare Advantage organization with a Medicare contract. Enrollment in a plan depends on contract renewal. This is not a complete listing of plans available in your service area. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov.
Source: medicarequickquote.com

Medicare Sustainable Growth Rate

Posted by:  :  Category: Medicare

Section 101 of the Tax Relief and Health Care Act of 2006 (MIEA-TRHCA) provided a 1-year update of 0% for the conversion factor for CY 2007 and specified that the conversion factor for CY 2008 must be computed as if the 1-year update had never applied. Section 101 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (MMSEA) provided a 6-month increase of 0.5% in the CY 2008 conversion factor, from January 1, 2008, through June 30, 2008, and specified that the conversion factor for the remaining portion of 2008 and the conversion factors for CY 2009 and subsequent years must be computed as if the 6-month increase had never applied. Section 131 of the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA) extended the increase in the CY 2008 conversion factor that was applicable for the first half of the year to the entire year, provided for a 1.1% increase to the CY 2009 conversion factor, and specified that the conversion factors for CY 2010 and subsequent years must be computed as if the increases had never applied.
Source: wikipedia.org

Medicare ‘doc fix’ bill passes House

In a rare moment of bipartisanship bringing House Speaker John Boehner and House Minority Leader Nancy Pelosi together, the House passed the so called “doc fix.” The House passed it overwhelmingly, 392-37.
Source: cnn.com

Senate overwhelmingly approves ‘doc fix’

The bill will cost $214 billion over 10 years, with $73 billion of that cost offset with spending cuts or new revenue, according to the Congressional Budget Office (CBO). The bill includes reforms to transition Medicare’s payment system from incentivizing quantity to quality in care and is likely to produce small savings for the government over time, according to the CBO.
Source: thehill.com

Good Riddance To One Of Congress' Dumbest Rituals: The 'Doc Fix'

One of the more positive sounding admonitions from health care reform opponents was that the United States had “the best health care in the world,” so why would you mess with it? Well, it’s true that if you want the experience the pinnacle of medical care, you come to the United States. And if you want the pinnacle of haute cuisine, you go to Per Se. If you want the pinnacle of commercial air travel, you get a first class seat on British Airways. Now, naturally, you wouldn’t let just anyone mess with someone’s tasting menu or state-of-the-art air-beds. But like anything that’s “the best,” the best health care in the world isn’t for everybody. The costs are prohibitively high, the access is prohibitively exclusive, and the resources are prohibitively scarce. What do the people in America who “fly coach” in the health care system get? Well, at the time of the health care reform debate, they were participating in a system that was, by all objective measurements, overpriced and underperforming — if you were lucky enough to be participating in it. As anyone who’s fortunate enough to have employer based health care or unfortunate enough to have a pre-existing condition can tell you, health care for ordinary people already involved all of those things that we were told would be a feature of the Affordable Care Act — long waits, limited choice, and rationing. When the Commonwealth Fund rated health care systems by nation, the top marks in the surveyed categories went to the United Kingdom, New Zealand and the Netherlands. Ezra Klein examined the study, and observed: “The issue isn’t just that we don’t have universal health care. Our delivery system underperforms, too. ‘Even when access and equity measures are not considered, the U.S. ranks behind most of the other countries on most measures. With the inclusion of primary care physician survey data in the analysis, it is apparent that the U.S. is lagging in adoption of national policies that promote primary care, quality improvement, and information technology.'”
Source: huffingtonpost.com

Learn What to do If you Already Have Medicare Health Coverage

Posted by:  :  Category: Medicare

Yes. Coverage from an employer through the SHOP Marketplace is treated the same as coverage from any job-based health plan. If you’re getting health coverage from an employer through the SHOP Marketplace based on your or your spouse’s current job, Medicare Secondary Payer rules apply.
Source: healthcare.gov

Medicare 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

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 Medical Savings Account (MSA) Plans

Posted by:  :  Category: Medicare

Medicare works with private insurance companies to offer you ways to get your health care coverage. These companies can choose to offer a consumer-directed Medicare Advantage Plan, called a Medicare MSA Plan. These plans are similar to Health Savings Account Plans available outside of Medicare. You have flexibility in choosing your health care services and providers.
Source: medicare.gov

Medicare Advantage MSA Plans – Part C Medical Savings Account

Medicare beneficiaries have the option to enroll in a Medical Savings Account (MSA) plan. Medicare Advantage MSA plans (or Medicare Part C MSA plans) combine health care coverage with a medical savings account. Medicare gives the plan a dollar amount each year for your health care, and the plan then deposits a portion of this money into your bank account. The amount deposited is less than your deductible amount, which is generally quite high, so you will have to pay out-of-pocket before your coverage begins. Individuals enrolled in a Medicare Advantage MSA plan can receive health care from any doctor or hospital. However, some Medicare Advantage MSA plans may have preferred doctors and hospitals you could go to for a lower cost.
Source: ehealthmedicare.com

Medicare Advantage Applications

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Source: cms.gov

Medicare Medical Savings Account (MSA) plans

and B services once you have spent a certain amount out-of-pocket (reached your deductible). MSA plan deductibles tend to be very high, as much as $10,600 in 2015. Once you reach your deductible, the plan will generally cover all or most of the costs of Medicare-covered medical and hospital services (Part A and
Source: medicareinteractive.org

Symptom Checker from WebMD. Check Your Medical Symptoms.

Posted by:  :  Category: Medicare

This tool does not provide medical advice It is intended for informational purposes only. It is not a substitute for professional medical advice, diagnosis or treatment. Never ignore professional medical advice in seeking treatment because of something you have read on the WebMD Site. If you think you may have a medical emergency, immediately call your doctor or dial 911.
Source: webmd.com

Medical Encyclopedia: MedlinePlus

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only — they do not constitute endorsements of those other sites. Copyright 1997-2016 A.D.A.M., Inc. Duplication for commercial use must be authorized in writing by ADAM Health Solutions.
Source: medlineplus.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

When can I join a health or drug plan?

Posted by:  :  Category: Medicare

During the 7-month period that starts 3 months before your 25th month of getting Social Security or RRB disability benefits and ends 3 months after your 25th month of getting disability benefits. Your coverage will begin the first day of the month after you ask to join a plan. If you join during one of the 3 months before you first get Medicare, your coverage will begin the first day of your 25th month of entitlement to disability payments.
Source: medicare.gov

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

Six things to know about Fall Open Enrollment

Even if you are satisfied with your current Medicare coverage, take action and look at other Medicare options in your area that may better suit your individual needs in the upcoming year. For example, even if you are satisfied with your current Medicare Advantage or Part D plan, you should check to see if there is another plan in your area that will offer you better health and/or drug coverage at a more affordable price. Research shows that people with Medicare prescription drug coverage (Part D) could lower their costs by shopping among plans each year; there could be another Part D plan in your area that covers the drugs you take with fewer restrictions and/or lower prices.
Source: medicareinteractive.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

Understanding Your Medicare Card

You may have left some blanks in your application for enrollment or for extra help with costs, so they may call you to ask for the missing information. They will only ask you for the information that’s missing from the application. Do not give out any other information. If you are not sure the person who is calling you is actually with the Social Security Administration, call the Social Security Administration back at 1-800-772-1213 (TTY users call 1-800-325-0778), and they should be able to confirm the call was legitimate.
Source: mymedicarematters.org

Using Home Health Compare Data

Posted by:  :  Category: Medicare

Anyone can use the data on Home Health Compare. Some people may move, or download, the data to their own computers, organize the data in a way that suits their special interests, and print and post reports online. In doing so, they may have lost or misinterpreted the Home Health Compare data. You should use Home Health Compare data that comes directly from www.medicare.gov/HomeHealthCompare. If you use Home Health Compare data from another source, you should check with the individual home health agency to make sure the information is accurate.
Source: medicare.gov

Medicare Provider Utilization and Payment Data

As part of the Obama administration’s work to make our health care system more affordable and accountable, data are being released that summarize the utilization and payments for procedures, services, and prescription drugs provided to Medicare beneficiaries by specific inpatient and outpatient hospitals, physicians, and other suppliers. These data include information for common inpatient and outpatient services, all physician and other supplier procedures and services, and all Part D prescriptions. Providers determine what they will charge for items, services, and procedures provided to patients and these charges are the amount that providers bill for an item, service, or procedure.
Source: cms.gov

Research, Statistics, Data & Systems

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

Readmissions Complications and Deaths

Readmissions Complications and Deaths measures – national data. This data set includes national-level data for 30-day death and readmission measures, the hip/knee complication measure, and the Agency for Healthcare Research and Quality (AHRQ) measures of serious complications.
Source: data.gov