Medicare 2016 & 2017 costs at a glance

Posted by:  :  Category: Medicare

The standard Part B premium amount in 2017 will be $134 (or higher depending on your income). However, most people who get Social Security benefits will pay less than this amount. This is because the Part B premium increased more than the cost-of-living increase for 2017 Social Security benefits. If you pay your Part B premium through your monthly Social Security benefit, you’ll pay less ($109 on average). Social Security will tell you the exact amount you will pay for Part B in 2017. You’ll pay the standard premium amount if:
Source: medicare.gov

2011 Medicare Part D Program Compared to 2010, 2009, 2008 and 2007

Pharmaceutical manufacturers will be required to provide certain beneficiaries access to discount prices for certain brand drugs purchased under Medicare Part D. The manufacturer discount prices will be equal to 50% of the plan’s negotiated price defined (minus any applicable dispensing fees). These discount prices must be applied prior to any prescription drug coverage or financial assistance provided under other health benefit plans or programs and after any supplemental benefits provided under the Part D plan. The discounted prices will be charged at the pharmacy (point-of-sale). The beneficiary will not have to do additional paperwork, etc. to receive the benefit. These manufacturer discount prices will be made available to Part D enrollees who are in the coverage gap or donut hole (they have reached or exceeded the initial coverage limit and have incurred costs below the annual out-of-pocket threshold). Medicare beneficiaries will not be eligible to receive these discount prices if they are enrolled in a qualified retiree prescription drug plan or are eligible for the low-income subsidy. The costs paid by manufacturers towards the negotiated prices of drugs covered under this manufacturer discount program shall be considered incurred costs for eligible beneficiaries and applied towards their out-of-pocket threshold. This means that the total negotiated retail drug price will be applied to the TrOOP and will count toward getting out of the doughnut hole.
Source: q1medicare.com

MEDICARE Part A, B, C, & D PREMIUMS, DEDUCTIBLES FOR 2011

Part A premiums are decreasing because spending in 2010 was lower than expected and the Affordable Care Act implemented policies that lower Part A spending due to payment efficiencies and efforts related to waste, fraud and abuse.  Part B premiums are increasing because of growth in the use of services like outpatient hospital care, home health and physician-administered drugs.  In addition, the premium accounts for a likely Congressional action to avert a precipitous decrease in physician payments, which the Administration supports, and has occurred every year since 2003.  The Administration is committed to permanent reform of the physician payment formula. By law, the standard premium is set to cover one-fourth of the average cost of Part B services incurred by beneficiaries aged 65 and over, plus a contingency margin. The contingency margin is an amount appropriate to (i) cover incurred-but-unpaid claims costs, (ii) provide for possible variation between actual and projected costs, and (iii) amortize any surplus assets or unfunded liabilities.  The remaining Part B costs are financed by Federal general revenues.  (In 2011, $2.5 billion in Part B expenditures will be financed by the new fees on manufacturers and importers of brand-name prescription drugs under the Affordable Care Act.  The revenue from these fees reduces the standard Part B premium by $0.90.)
Source: q1medicare.com

Sterling Medicare Supplemental Insurance Reviews

Posted by:  :  Category: Medicare

Sterling Option #1 is the first Medicare Advantage plan that allows holders to combine Medicare Supplemental Services and traditional Medicare. This ultimately translates into seeing your physician and allowing the bill to be sent to Sterling. Sterling will pay the bill and Medicaid will be notified of their portion, which then pays Sterling. This subsequently saves lots of time and headaches with filing claims with Medicaid and Sterling. Sterling basically handles everything while making the process as simple as possible for you. Your only concern will be paying the premiums for your Sterling Medicare Supplemental Insurance plan as well as for the Medicare Part B plan.
Source: ihealthcoalition.org

Medicare Advantage Plans Offered by Sterling Life Insurance Company

We’ve noticed that you do not have JavaScript enabled on your browser. In order for many features to display or work properly on our website, you will need to enable JavaScript. A few of the features that will not work properly are the plan selection tools that allow you to sort and filter plan options, adding a plan to the cart or the online enrollment form and more.
Source: aon.com

2017 Medicare Advantage Plans Available to Residents of Texas

AK  AL  AR  AZ  CA  CO  CT  DC  DE  FL  GA  HI  IA  ID  IL  IN  KS  KY  LA  MA  MD  ME  MI  MN  MO  MS  MT  NC  ND  NE  NH  NJ  NM  NV  NY  OH  OK  OR  PA  RI  SC  SD  TN  TX  UT  VA  VT  WA  WI  WV  WY
Source: q1medicare.com

Medicare Insurance Plan Providers Search

Advantra Aetna American Continental AmeriChoice Amerigroup AmeriHealth Admiral Life Anthem AvMed Bankers Life and Casualty Blue Cross Blue Shield Bravo Health Insurance CareMore Cigna Clarian Clear One CommUnityCare ConnectiCare VIP Continental Life Coventry Elderplan Empire Excellus Family Life Foresters Forethought Freedom Health Geisinger Genworth Gerber Life GHI Government Personnel Mutual Life Guarantee Trust Life HAP Health Alliance Harvard Pilgrim Health Alliance Health Plus HealthPartners HealthSpring Highmark HIP Health Plan Humana Independence Blue Cross Kaiser Permanente Keystone Loyal American Supplement Mercy Mutual of Omaha New Era Oxford Optimum HealthCare PacifiCare Physicians United Plan Premera Blue Cross Presbyterian Health Plan Priority Health Scott and White Secure Horizons Complete Sentinel Standard Life Sterling SummaCare Summit Health TexanPlus Touchstone Unicare UnitedHealthCare Universal UPMC USAA Viva Health WellCare WellPoint Windsor
Source: medicaresolutions.com

How Medicare Advantage Plans work

Medicare Advantage Plans, sometimes called “Part C” or “MA Plans,” are offered by private companies approved by Medicare. If you join a Medicare Advantage Plan, you still have Medicare. You’ll get your Medicare Part A (Hospital Insurance) and Medicare Part B (Medical Insurance) coverage from the Medicare Advantage Plan and not Original Medicare.
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

A brief history of Medicare in America

On November 19, 1945, seven months into his presidency, Truman sent a message to Congress, calling for creation of a national health insurance fund, open to all Americans.The plan Truman envisioned would provide health coverage to individuals, paying for such typical expenses as doctor visits, hospital visits, laboratory services, dental care and nursing services. Although Truman fought to get a bill passed during his term, he was unsuccessful and it was another 20 years before some form of national health insurance – Medicare for Americans 65 and older, rather than earlier proposals to cover qualifying Americans of all ages – would become a reality.
Source: medicareresources.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

Medicare Diabetes Prevention Program

The Diabetes Prevention Program is a structured lifestyle intervention that includes dietary coaching, lifestyle intervention, and moderate physical activity, all with the goal of preventing the onset of diabetes in individuals who are pre-diabetic. The clinical intervention consists of 16 intensive “core” sessions of a curriculum in a group-based, classroom-style setting that provides practical training in long-term dietary change, increased physical activity, and behavior change strategies for weight control. After the 16 core sessions, less intensive monthly follow-up meetings help ensure that the participants maintain healthy behaviors. The primary goal of the intervention is at least 5 percent average weight loss among participants.
Source: cms.gov

Medicare’s Next 50 Years: Preserving the Program for Future Retirees

[154] This change in the income threshold would still be higher than the average annual earnings of working families and would slightly rebalance the scales between today’s workers and retirees. Today, the average earnings of a single worker are $47,800 (in 2015 dollars); the earnings of a married couple—two average earners—are $95,600 (in 2015 dollars). See C. Eugene Steuerle and Caleb Quakenbush, “Social Security and Medicare Lifetime Benefits and Taxes: 2015 Update,” Urban Institute, September 2015, http://www.urban.org/sites/default/files/alfresco/publication-pdfs/2000378-Social-Security-and-Medicare-Lifetime-Benefits-and-Taxes.pdf (accessed July 11, 2016). The Urban Institute’s analysis outlines the taxes paid into the program and the dollar amount of the benefits received, using hypothetical households and showing how the financing evolves over time. For a complementary analysis conducted by the Congressional Budget Office, see Xiaotong Niu, “Distribution of Medicare Taxes and Spending by Lifetime Household Earnings,” Congressional Budget Office, presentation before Conference of the American Society of Health Economists, June 15, 2016, https://www.cbo.gov/sites/default/files/114th-congress-2015-2016/presentation/51684-ashepresentation.pdf (accessed July 11, 2016).
Source: heritage.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

Medicare and You Handbook

Medicare should send you a printed copy of the Medicare & You Handbook in late September of each year, unless you have chosen to have the handbook delivered electronically. Your handbook should include information about the Medicare Part D and Medicare Advantage plans available in your service area. We have created this section of our website to provide information about Medicare in general based on the "Medicare and You Handbook – A Guide to Medicare". As reference, the following links can be used to download the national version of the Medicare & You Handbook — this version is not service area specific.
Source: q1medicare.com

Medicare and You 2016 Guide

This website is a private website and is not associated, endorsed or authorized by the Social Security Administration, the Department of Health and Human Services or the Centers for Medicare & Medicaid Services. This site contains basic information about Medicare, services related to Medicare and services for people with Medicare. If you would like to find more information about the Federal Government’s Medicare program, please visit the official U.S. Government’s Site for people with Medicare located at www.medicare.gov.
Source: medicareandyou.us

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 Changes: 2017 and Beyond

Posted by:  :  Category: Medicare

This webinar will focus on changes to the Medicare program in the upcoming year, including the Medicare Access and CHIP Reauthorization Act (MACRA), the 2017 Medicare physician fee schedule, annual updates and other changes. We will review existing programs, such as the Physician Quality Reporting System (PQRS) and the Value Based Modifier system, that may negatively impact payments through 2018, as well as provide tips on how to navigate and prepare for MACRA implementation, which begins in 2017. We will also provide you with education resources that will help you understand what the final rule for 2017 means for your practice.
Source: cmanet.org

California Medicare Solutions Insurance Services

Medicare Insurance can be very confusing and at times overwhelming. California Medicare Solutions Insurance Services helps consumers analyze and determine which plan fits their particular needs. California Medicare Insurance has a knack for making the complicated simple with over 7 years experience in the Medicare insurance industry. Not all Medicare products are available online. CALL NOW FOR A FREE CONSULTATION 877-728-7289.
Source: californiamedicaresolutions.com

Know Your Rights: Medicare Benefits For Terminally Ill

Depending on your illness and related conditions, the plan of care your hospice team creates can include doctor and nursing services; medical equipment (like wheelchairs and walkers); medical supplies (like bandages and catheters); prescription drugs; hospice aide and homemaker services; physical and occupational therapy; speech-language pathology services; social worker services; dietary counseling; grief and loss counseling for you and your family; short-term inpatient care (for pain and symptom management); and any other Medicare-covered services needed to manage your terminal illness and related conditions, as recommended by your hospice team.
Source: patch.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

Department of Human Services

For questions about New Jersey Medicaid, call 1-800-356-1561 or your County Welfare Agency For questions about NJ FamilyCare call 1-800-701-0710 You can also get information by visiting NJHelps.org, where you can self-screen for eligibility for NJ FamilyCare/Medicaid, as well as for many other social service programs.
Source: nj.us

Department of Human Services

In 2015, nearly 47,300 seniors and caregivers received information and assistance by calling 800-792-8820. Another 170,000 callers reached their county offices on aging, including an estimated 75,000 who used the ADRC toll-free number.
Source: nj.us

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

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 Supplemental Insurance by United Healthcare

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

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

Michigan Medicare Health Insurance Plans

Medicare is a health insurance program run by the government for people age 65 and older, and for people under 65 with certain disabilities. Understanding more about Medicare will make it easier to choose the right plan. Our Medicare 101 section has resources to help you do that.
Source: bcbsm.com