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

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Source: medicare.gov

Rules for Medicare health plans

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Source: medicare.gov

EmblemHealth: Family & Individual Health Insurance Plans In New York

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If you need help determining the best place to seek care, call our toll-free Nurse Advice Line at 1-877-444-7988 to speak with a registered nurse without waiting for a call back. A registered nurse can guide you to the help you need now. This service is available 24 hours a day, seven days a week.
Source: ghi.com

EmblemHealth: Medicare Coverage

All Medicare Advantage Plans and Medicare Prescription Drug Plans agree to stay in the program for a full calendar year at a time. Each year, plans can decide whether to continue to participate with Medicare Advantage or Medicare Prescription Drug Plans. A plan may continue in their entire service area (geographic area where the plan accepts members) or choose to continue only in certain areas. Also, Medicare may decide to end a contract with a plan. Even if your Medicare Advantage Plan or Prescription Drug Plan leaves the program, you will not lose Medicare coverage. If a plan decides not to continue for an additional calendar year, it must send you a letter at least 90 days before your coverage will end. The letter will explain your options for Medicare coverage in your area.
Source: ghi.com

GHI Medicare Insurance Plans

The Medicare Advantage Plans it offers, known also as Part C, provide you with the Original Medicare insurance and additional benefits as well. These plans cover all of your Medicare Part A and Part B benefits, depending on the type of plan you choose. GHI has a wide range of Health Maintenance Organizations (HMOs), Preferred Provider Organizations (PPOs), and Special Needs Plans (SNPs) available to choose from. These are branded as EmblemHealth Preferred Provider Option (PPO) I, EmblemHealth Advantage (PPO), EmblemHealth Dual Eligible Special Needs Plan (PPO SNP), EmblemHealth VIP Health Maintenance Organization (HMO), EmblemHealth Essential (HMO), EmblemHealth VIP High Option (HMO), and EmblemHealth Dual Eligible (HMO SNP).
Source: medicaresolutions.com

EmblemHealth: Medicare Frequently Asked Questions

On January 1, 2006, new Medicare prescription drug coverage became available to everyone with Medicare. Everyone with Medicare should get this coverage, which may help lower prescription drug costs and protect against higher costs in the future. Medicare Prescription Drug Coverage is insurance and private companies provide the coverage. You choose the drug plan and pay a monthly premium. Some employer plans offer equivalent prescription drug coverage to the coverage offered under Medicare Part D. If you already have coverage through an employer, you should check with your employer to see if you can keep that coverage. If you decide not to enroll in a drug plan when you’re first eligible, you may pay a penalty if you decide to join later.
Source: emblemhealth.com

EmblemHealth Customer Service Contacts

Connect with EmblemHealth’s Customer Service team via Direct Message on Twitter Monday through Friday, 9 am to 5 pm. To protect your private health information, we may ask for your email address or phone number to continue the conversation offline. Please help us keep your information secure by reviewing EmblemHealth’s Social Media Terms of Use before contacting us.
Source: emblemhealth.com

EmblemHealth: Resources for Doctors, Hospitals and other Providers

To view this Web site, you need to have JavaScript enabled in your browser. Don’t worry — you can still sign in to the secure myEmblemHealth Web site or search for a doctor using the links below. If you need help registering for the secure site, please call Customer Service at the number on the back of your ID card.
Source: emblemhealth.com

EmblemHealth: Health Insurance Information & Resources For Our Members

To view this Web site, you need to have JavaScript enabled in your browser. Don’t worry — you can still sign in to the secure myEmblemHealth Web site or search for a doctor using the links below. If you need help registering for the secure site, please call Customer Service at the number on the back of your ID card.
Source: emblemhealth.com

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

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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

Contact Information and Websites of Organizations for Medicare

This application is not fully accessible to users whose browsers do not support or have Cascading Style Sheets (CSS) disabled. For a more optimal experience viewing this application, please enable CSS in your browser and refresh the page.
Source: medicare.gov

Location of Medicare Offices

If you are seeking office opening hours, the Department of Human Services Service Centre locator contains information updated weekly, a search function and maps. Please visit the Service Centre locator here: humanservices.findnearest.com.au
Source: gov.au

Social Security Disability Application Help, Online Application Forms

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By clicking the “I CONSENT” button, you give permission for GAR Disability Advocates, LLC and/or CBC Settlement Funding, LLC to call or email you regarding our services at the phone number that you have provided in the form above, even if that phone number is a wireless number and even if you have previously registered that phone number on a “do not call” list. You agree that GAR Disability Advocates, LLC may use an automatic telephone dialing system or artificial or prerecorded voice to contact you at the phone number you provided. You understand that giving permission to being contacted is not a condition of purchase or acceptance of property, goods or services of any kind.
Source: disabilityapplicationhelp.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

When & how to sign up for Part A & Part B

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Source: medicare.gov

How to Qualify For Medicaid and CHIP Health Care Coverage

If your state has not expanded Medicaid: You may qualify based on your state’s existing rules. These vary from state to state and may take into account income, household size, family status (like pregnancy or caring for young children), disability, age, and other factors. Because each state and each family situation is different, there’s no way to find out if you qualify without filling out an application.
Source: healthcare.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

Your Medicare coverage choices

There are 2 main ways to get your Medicare coverage— Original Medicare (Part A and Part B) or a Medicare Advantage Plan (Part C). Some people get additional coverage, like Medicare prescription drug coverage or Medicare Supplement Insurance (Medigap). Use these steps to help you decide what coverage you want:
Source: medicare.gov

Medicare Select Supplement Insurance

If you are 65 or older, have a Medicare SELECT policy and move out of the plan’s service area or network, you have the right to buy a new Medigap plan (a “guaranteed-issue” right). The plans you can choose from depend on where you live and which plans are sold in your area. Some states extend this guaranteed-issue right to people who are under 65.
Source: medicaresupplementspecialists.com

C Plus Medicare Select Plans

C Plus is a Medicare Select (or Supplement) Plan that helps protect and helps cover you from the costs — or gaps — that Original Medicare doesn’t pay for, including inpatient hospital deductibles and copays, Part B deductible, and coinsurance costs depending upon the C Plus plan you choose. C Plus works along with your Original Medicare, help fill in the “gaps” that Medicare alone does not cover. These “gaps” or costs, can add up to thousands of dollars, dollars that come out of your pocket — or your savings.
Source: bcbsalmedicare.com

What is Medicare SELECT? – Go Health Insurance

Medicare SELECT plans offer more affordable supplement coverage. How? SELECT plans negotiate with a provider network of doctors, hospitals, and specialists so they charge less for their medical services. These lower rates keep costs down for the SELECT plan provider, and plan members get lower premiums.
Source: gohealthinsurance.com

Medicare SELECT Insurance Policy Benefits

* Plan N requires up to a $20 copayment for an office visit and up to a $50 copayment for an emergency room visit ** There is also a high-deductible Plan F *** Your Medicare SELECT plan pays the Medicare Part A inpatient deductible when you use a network hospital (or if you use a non-network hospital for emergency care). Otherwise, you pay the inpatient deductible.
Source: mutualofomaha.com

NEBRASKA MEDICAID PROGRAM

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To apply for medical assistance, an application must be completed and given to the Nebraska Department of Health & Human Services. For more information, contact your nearest Department of Health and Human Services Office; Or, you may download an application form and mail it to the nearest Department of Health and Human Services Office.
Source: ne.gov

Nebraska Medicaid program

Welcome to the website for the Nebraska Medicaid Pharmacy Program – Point of Sale System (POS). The Nebraska Department of Health and Human Services, Medicaid and Long Term Care division has contracted with Magellan Medicaid Administration, Inc. as the Nebraska Pharmacy Benefits Administrator. Nebraska Medicaid provides for health care services to eligible elderly and disabled individuals and eligible low-income pregnant women, children and parents. Medicaid provides health care for more than one in every ten Nebraskans. Magellan Medicaid Administration, Inc. is responsible for:
Source: fhsc.com

What’s Medicare Supplement Insurance (Medigap)?

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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.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: What Are Medigap Plans?

If you are going to buy a Medigap plan, the open enrollment period is six months from the first day of the month of your 65th birthday — as long as you are also signed up for Medicare Part B — or within six months of signing up for Medicare Part B. During this time, you can buy any Medigap policy at the same price a person in good health pays. If you try to buy a Medigap policy outside this window, there is no guarantee that you’ll be able to get coverage. If you do get covered, your rates might be higher.
Source: webmd.com

Compare Medigap Insurance Plans

Enter your ZIP code to compare quotes from top insurance companies on Medigap.com. Prices vary from company to company, so shop around for the best prices. Medicare supplement insurance is available in up to 10 standardized insurance plans. Each plan is named with a letter of the alphabet. In Massachusetts, Minnesota and Wisconsin there are different standardized plan options available.
Source: medigap.com

Compare Medicare Supplement (Medigap) Plans and Rates in Your Area

"Times have changed since my mother had an AARP J plan and I was totally confused by the options available. Stan walked me through the process in a very educational, methodical, friendly way, and I feel secure now that we’re making the correct decision to provide the best possible coverage for my husband." – Pat K.
Source: medigap360.com

DMEPOS Competitive Bidding

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Under the program, a competition among suppliers who operate in a particular competitive bidding area is conducted. Suppliers are required to submit a bid for selected products. Not all products or items are subject to competitive bidding. Bids are submitted electronically through a web-based application process and required documents are mailed. Bids are evaluated based on the supplier’s eligibility, its financial stability and the bid price. Contracts are awarded to the Medicare suppliers who offer the best price and meet applicable quality and financial standards. Contract suppliers must agree to accept assignment on all claims for bid items and will be paid the bid price amount. The amount is derived from the median of all winning bids for an item.
Source: cms.gov

Competitive Bidding Program areas

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Source: medicare.gov

The competitive bidding demonstration

If you are already renting equipment when the competitive bidding program starts in your area, you can keep using your current supplier if it becomes a contract supplier or if it chooses to become a grandfathered supplier. Grandfathered suppliers are non-contract suppliers who agree to continue renting you equipment until your rental period ends. Like contract suppliers, they cannot charge you more than the 20 percent
Source: medicareinteractive.org

Medicare Competitive Bidding Program Under Fire

“As implemented, Medicare has used the Competitive Bidding Program to significantly reduce the cost of diabetes testing supplies by restricting access to improved technology devices and limiting choice for patients and healthcare professionals based primarily on cost,” George Grunberger, MD, president of the American Association of Clinical Endocrinologists, wrote in a letter to senators Orrin Hatch (R-Utah) and Ron Wyden (D-Ore.) leaders of the Senate Finance Committee. “The result has been an increase in patient adverse events, including higher mortality rates and hospitalizations, which ironically have led to overall higher Medicare costs.”
Source: medpagetoday.com

Cost Reports by Fiscal Year

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Source: cms.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

Cost Report Data provides hospital financial information from Medicare cost reports filed by hospitals and contained in the CMS HCRIS file

CostReportData.com provides online Medicare cost report data to healthcare financial and reimbursement professionals. Our database of more than 6,000 hospitals is built from Medicare cost report information obtained from the federal Centers for Medicare and Medicaid Services (CMS).
Source: costreportdata.com

L. Beardsley CPA Inc., Accounting Services for the Healthcare Industry

For more than 25 years, we have provided the necessary support to new and existing healthcare providers from startup to managing their budgets to producing Medicare Cost Reports, Medicaid Cost Reports, Medicare Billing and Tax Returns. We currently assist over 400 healthcare companies in 30 states with their financial management solutions.
Source: lbeardsleycpa.com