Medicare.gov: the official U.S. government site for Medicare

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Source: medicare.gov

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

Anxiety is rippling through the healthcare industry as the initial reporting period for Medicare’s new payment system for physicians fast approaches. Modern Healthcare’s latest CEO Power Panel survey reveals leaders are bracing for uncertainties and challenges generated by MACRA.
Source: modernhealthcare.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

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

Anxiety is rippling through the healthcare industry as the initial reporting period for Medicare’s new payment system for physicians fast approaches. Modern Healthcare’s latest CEO Power Panel survey reveals leaders are bracing for uncertainties and challenges generated by MACRA.
Source: modernhealthcare.com

Summary of the Affordable Care Act

Expand Medicaid to all non-Medicare eligible individuals under age 65 (children, pregnant women, parents, and adults without dependent children) with incomes up to 133% FPL based on modified adjusted gross income (as under current law undocumented immigrants are not eligible for Medicaid). All newly eligible adults will be guaranteed a benchmark benefit package that meets the essential health benefits available through the Exchanges. The Supreme Court ruling on the constitutionality of the ACA upheld the Medicaid expansion, but limited the ability of HHS to enforce it, thereby making the decision to expand Medicaid optional for states. To finance the coverage for the newly eligible (those who were not previously eligible for at least benchmark equivalent coverage, those who were eligible for a capped program but were not enrolled, or those who were enrolled in state-funded programs), states will receive 100% federal funding for 2014 through 2016, 95% federal financing in 2017, 94% federal financing in 2018, 93% federal financing in 2019, and 90% federal financing for 2020 and subsequent years. States that have already expanded eligibility to adults with incomes up to 100% FPL will receive a phased-in increase in the federal medical assistance percentage (FMAP) for non-pregnant childless adults so that by 2019 they receive the same federal financing as other states (93% in 2019 and 90% in 2020 and later). States have the option to expand Medicaid eligibility to childless adults beginning on April 1, 2010, but will receive their regular FMAP until 2014. In addition, increase Medicaid payments in fee-for-service and managed care for primary care services provided by primary care doctors (family medicine, general internal medicine or pediatric medicine) to 100% of the Medicare payment rates for 2013 and 2014. States will receive 100% federal financing for the increased payment rates. (Effective January 1, 2014)
Source: kff.org

2015 Employer Health Benefits Survey

Annual premiums for employer-sponsored family health coverage reached $17,545 this year, up 4 percent from last year, with workers on average paying $4,955 towards the cost of their coverage, according to the Kaiser Family Foundation/Health Research & Education Trust 2015 Employer Health Benefits Survey. The 2015 survey includes information on the use of incentive for employer wellness programs, plan cost-sharing as well as firm offer rate. Survey results are released here in a variety of ways, including a full report with downloadable tables on a variety of topics, summary of findings, and an article published in the journal Health Affairs.
Source: kff.org

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

Posted by:  :  Category: Medicare

Anxiety is rippling through the healthcare industry as the initial reporting period for Medicare’s new payment system for physicians fast approaches. Modern Healthcare’s latest CEO Power Panel survey reveals leaders are bracing for uncertainties and challenges generated by MACRA.
Source: modernhealthcare.com

Consumer Information and Insurance Oversight

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Source: cms.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

Part D Formulary Is Key To Choosing The Right Plan

Posted by:  :  Category: Medicare

My dad had to move from Ky to GA so my sister and I could take care of him. Humana (his Part D) just terminted him for the month of Dec because he moved out of his service area. They mailed us a letter on 11/25/10(Thanksgiving) and it stated as of 11/30/10 he would no longer have Part D coverage. I spent almost all day last Friday talking to Humana and got no where. They did deduct his payment from his SS??? Any suggestions? Is there a plan that would cover him in GA and KY should he decide to move back and stay with my other sister???
Source: affordablemedicareplan.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 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

Prescription Drug Coverage Contracting

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

Compare Medicare Advantage Plans

Posted by:  :  Category: Medicare

Every person is different, so you’ll want to carefully research Medicare Advantage plan options in light of your specific health needs and budget. Keep in mind that plan costs, benefits, service areas, and provider networks may all change from year to year, so it’s a good idea to review your coverage every year and make sure it’s still a good fit for your situation. Taking the time to shop around and compare Medicare Advantage plan options in your area could save you money on out-of-pocket costs.
Source: ehealthinsurance.com

Coverage options in Medicare Advantage Plans

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Source: medicare.gov

Medicare vs Medicare Advantage

Medicare members pay standard rates for services, regardless of where they live. While Medicare Part A (hospital insurance) is usually covered for free by the government, Part B (outpatient medical coverage) costs $104.90 per month — or more if the individual’s annual income is greater than $82,000. Benefits kick in after a deductible of $140 per year. In addition to the premium and deductible, there is coinsurance of 20%, i.e., members must pay 20% of medical costs for all services covered by Parts A and B, such as extended hospital stays. Home health care services and hospice care are covered for free. Part D, which covers prescription costs and is bought through a private insurer, varies in cost from plan to plan, but according to the federal government, the average cost in 2014 is just under $33 per month.
Source: diffen.com

What are the Medicare Premiums and Coinsurance Rates for 2010?

Posted by:  :  Category: Medicare

Medicare Part A will pay for care in a skilled nursing facility, inpatient hospital, and a bit of home health care. For every benefit duration, Medicare will pay all the covered prices except for the Medicare Part A deductible (in 2010, it equaled to $1,100) in the first 60 days and hospital stay coinsurance amounts which last over 60 days and not more than 150 days.
Source: mymedicare.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.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

About Medicare Supplement Plans F, G, and N

Medicare Supplement Insurance, also called Medigap, is comprised of 10 standardized plans that are available in every state (excluding Massachusetts, Minnesota, and Wisconsin, which all have their own versions). Each plan has a letter designation (Plan A, for example) and is sold by private insurance companies across the country. While the prices may vary across different insurers, the benefits of each Medigap plan are standardized and are the same across plans of the same letter. This means that coverage for Medigap Plan A, for example, will be the same regardless of the insurance provider.
Source: medicare.com

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

Aetna’s third-quarter net income jumped 7.8% compared with the year-ago period as membership growth in its Medicare and Medicaid businesses offset membership losses in its commercial segment. Aetna also stressed Thursday that it remains confident its multibillion-dollar merger with rival insurer…
Source: modernhealthcare.com

Medicare Supplement Plan G

It’s worth noting that Medigap Plan G covers Part B excess charges, which the majority of Medicare Supplement plans do not cover. Medigap Plan F is the only other Medicare Supplement plan that covers this benefit. Excess charges are additional expenses you may have to pay for health care beyond what Original Medicare covers; it’s the difference between what Medicare pays for a particular medical service and what your doctor or provider charges for it. Normally, the Medicare program has set up approved payment rates (known as the Medicare fee schedule) for covered medical services; this regulates what doctors and providers are allowed to charge you for Medicare-covered services.
Source: ehealthinsurance.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

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

Aetna’s third-quarter net income jumped 7.8% compared with the year-ago period as membership growth in its Medicare and Medicaid businesses offset membership losses in its commercial segment. Aetna also stressed Thursday that it remains confident its multibillion-dollar merger with rival insurer…
Source: modernhealthcare.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

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

Aetna’s third-quarter net income jumped 7.8% compared with the year-ago period as membership growth in its Medicare and Medicaid businesses offset membership losses in its commercial segment. Aetna also stressed Thursday that it remains confident its multibillion-dollar merger with rival insurer…
Source: modernhealthcare.com