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

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Source: medicare.gov

Replacing your Medicare card if it is lost, stolen, or damaged

If your Medicare card has been lost or stolen, watch out for Medicare fraud. Check your Medicare Summary Notice (MSN) for services you did not receive and, if you spot any, call the Inspector General’s fraud hotline at 800-HHS-TIPS (800-447-8477) to report them. When it investigates the potential fraud, Medicare will not use your name if you do not want it to.
Source: medicareinteractive.org

Medicare Resources: Extra Help

The Centers for Medicare & Medicaid Services (CMS) requires that all plan sponsors accept evidence presented by a Medicare beneficiary that he or she is eligible for extra help/ Low Income Subsidy (LIS) even if Medicare records show otherwise. Once a beneficiary submits the Best Available Evidence to Cigna-HealthSpring, we will request that CMS update the beneficiary’s LIS status in the CMS system.
Source: cigna.com

Medicare Advantage/Part D Contract and Enrollment Data

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Source: cms.gov

Joining a health or drug plan

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

Monthly Enrollment by Contract/Plan/State/County

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Source: cms.gov

Medicare Advantage 2016 Spotlight: Enrollment Market Update

Medicare Advantage enrollees are responsible for paying the Part B premium, in addition to any premium charged by the plan. The Medicare Advantage premium paid by enrollees reflects the difference between the plan’s costs of providing Part A and B benefits and any supplemental benefits offered, and the federal payment to the plan for Part A and B benefits. Plans receive a percentage of the difference between their bid and the maximum federal payment (known as a rebate) and are required to use this amount to offer extra benefits, reduce cost sharing, or reduce the Part B premium. If the plan includes the Medicare Part D prescription drug benefit, as most plans do, the plan may also use the rebate to reduce the Part D premium. This brief analyzes premiums for Medicare Advantage plans that offer prescription drug benefits (MA-PDs) because the vast majority (89%) of Medicare Advantage enrollees is in MA-PDs and Medicare Advantage enrollees who seek Part D prescription drug benefits are, for the most part, required to get them through their plan if the plan offers prescription drugs.
Source: kff.org

Medicare Advantage Enrollment Forms

Forms and Documents Change Plan Forms Pharmacy Forms Payment Forms Enrollment Forms Claim Forms Appointment of Representative Form Drug Lists and Formularies Provider Directories Summary of Benefits Service Area Maps Low-Income Subsidy Premium Charts Evidence of Coverage Health Plan Ratings
Source: bcbsm.com

Health Insurance, Medicare Insurance and Dental Insurance

At Humana, we go beyond insurance. We help provide a roadmap to a healthier you. By taking a personalized look at your life and your health, we can help you find the perfect plan and achieve your goals. Start becoming your best you. Start with healthy.
Source: humana.com

Search and Lookup: ICD 10 Codes, CPT Codes, HCPCS Codes, ICD 9 Codes, Medicare Documents, and more!

Posted by:  :  Category: Medicare

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Source: findacode.com

HCPCS Codes: Convaid Manual Wheelchairs

Healthcare Common Procedure Coding System (HCPCS Codes), are numbers assigned to every task, service, and product a medical practitioner may provide to a Medicare / Medicaid patient. Wheelchair products are classified based on similarities in function and if the products exhibit significant therapeutic differences from other products. Since everyone uses the same HCPCS funding codes, it ensures uniformity throughout the medical community. For a detailed overview, please refer to
Source: convaid.com

Cigna Medicare Supplement Plans

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Cigna and its predecessor companies have been in business since 1792 when a group of citizens in Philadelphia formed the Insurance Company of North America. Today, Cigna is dedicated to growing within the Medicare market and has introduced Medicare Supplement Plans in many different states.
Source: medicaresupplementshop.com

Cigna Medicare Supplement Insurance

Although any of these Cigna Medicare supplement plans will provide great protection, Medicare Supplement Insurance Plan F covers the fullest range of coinsurance, deductibles, and excess charges that otherwise would have to be paid out of pocket. It covers the blood that basic Medicare does not cover, and provides a full extra year of hospitalization coverage. Plan F also covers skilled nursing service and approved health care costs you incur while traveling outside the United States. It even allows you to choose any doctor who accepts Medicare. With fixed premiums and generally no unexpected out-of-pocket costs, Plan F is the Medigap plan chosen by nearly half of Americans who purchase Medicare supplement insurance plans.
Source: medicaremall.com

Cigna Medicare Supplement Rates

Cigna is now introducing a Medicare Supplement product after the puchase of Great American Supplemental Benefits.  Cigna is expected to gain alot of ground in the Medicare market through the course of 2013 and 2014.  Cigna Medicare Supplement Rates are expected to be some of the most competitive Medigap rates in the market.  Since they are such a large insurance company they have a footprint that stretches across the United States and a financial rating that helps people feel secure in the company they are choosing.
Source: medicareinsurancefinders.com

Cigna Medicare Supplement Plans F, G & N Review

Plan F is the most popular Medicare supplement plan but it is not the best plan. I will explain why here shortly. Plan F is simple, it covers everything that Medicare does not pay in full. As you can see the chart below F covers 100% of what Medicare does not pay in full.  However, the F plan tends to have the most rate increases when compared to G and N plans. The reason is there are many more people on plan F and they use the plan more often, creating more claims for the carriers to pay. This results in more rate increases. On average plan F increases at about 7%-10% per year.  Rates for plan F with Cigna will vary by location and several other factors. Contact us for a free quote to compare.
Source: bluewaveinsurance.com

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

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Source: medicare.gov

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

Posted by:  :  Category: Medicare

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Source: medicare.gov

Medicare.gov Physician Compare Home Page

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Source: medicare.gov

Doctors and nurses busted for $712 million Medicare fraud

A Los Angeles doctor is charged for allegedly billing $23 million for 1,000 power wheelchairs and home health services that were not medically necessary and often not provided. And in a Florida case, a health care provider received $1.6 million from Medicare for prescription drugs that were never purchased and never dispensed, said Lynch.
Source: cnn.com

Covered by an Employer or Group Sponsor?

Some members may have access to an Extended Service Area (ESA), giving them the freedom to use providers in and out-of- network. If a provider is not part of the Aetna Medicare network, ESA members can continue to see them as long as they are licensed, eligible to receive Medicare payment and agree to accept the ESA plan. If ESA members do not live in an Aetna network service area, they can view general provider information for their area on Medicare’s website.
Source: aetnamedicare.com

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

Posted by:  :  Category: Medicare

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Source: medicare.gov

Tinkering With Hospice: The Medicare Care Choices Model 

In an effort to address this problem, The Affordable Care Act of 2010 directed the Secretary of Health and Human Services (Secretary) to establish a three-year Medicare Hospice Concurrent Care demonstration project which would allow patients otherwise eligible for hospice care to also receive all other Medicare covered services while receiving hospice care.  The hospice providers selected for the project are supposed to undergo an "independent evaluation" regarding patient care, quality of life, and spending in the Medicare program.  The Secretary is directed to ensure that the aggregate Medicare expenditures for the three-year period shall not exceed what should have been the aggregate expenditures if the demonstration project had not been implemented.[3]  According to Senate Finance Committee Chairman Ron Wyden (D-Ore), who wrote the provision into the Affordable Care Act, "Patients and their families should have every choice available to them when faced with a life-threatening illness.  Allowing Medicare coverage to continue while under hospice care means that patients no longer have to make a false choice between hospice and curative care."[4]
Source: medicareadvocacy.org

Medicare Insurance Plan Providers Search

Posted by:  :  Category: Medicare

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

Prescription Drug Coverage

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Source: cms.gov

2017 Medicare Part D Prescription Drug Plans: Overview by State

Choose your State from the list below for an overview of the Medicare Part D Prescription Drug Plans available in 2017. Select your state below or choose from one of these links to other tools available to review 2017 Medicare Part D Plans:
Source: q1medicare.com

Medicare Part D Prescription Drug Plans

Make sure the drugs you need are on the plan’s drug list, called its formulary. A drug plan won’t help pay for medicines that aren’t on its list. Check the details carefully. Even if a drug is on the formulary, look closely to make sure it’s covered at the dose and amount you need. Also, look to see if you must get your doctor’s approval before the plan will pay for the medicine.
Source: webmd.com

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

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Source: medicare.gov

Medicare Prescription Drug Coverage (Medicare Part D)

Medicare sets standard costs for the prescription drug benefit each year. Private companies approved by Medicare offer plans with different costs and selections of prescription drugs. You can select a plan based on the prescriptions you take and select a company that is most effective for you. To reduce your costs, enter your medications on Medicare’s secure online Find health and drug plans website. You will pay more if your prescriptions are not in the plan formulary or the plan restricts or limits their use.
Source: texas.gov

Find and compare Nursing Homes

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Source: medicare.gov

Nursing home care coverage in Part A

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Source: medicare.gov

Paying for nursing home care

The state can’t put a lien on your home if there’s a reasonable chance you’ll return home after getting nursing home care or if you have a spouse or dependents living there. This means they can’t take, sell, or hold your property to recover benefits that are correctly paid for nursing home care while you’re living in a nursing home in this circumstance.In most cases, after a person who gets Medicaid nursing home benefits passes away, the state must try to get whatever benefits it paid for that person back from their estate. 
Source: medicare.gov

Utah Skilled Nursing Home Facilities

Utah contains 100 certified Medicare and Medicaid nursing homes. These nursing homes have a total of 8,609 available beds for skilled nursing residents and at the time when we updated this data 64% of those beds were full. The overall average Medicare 5 Star Quality rating for Utah skilled nursing homes is 3.5 which ranks 14 nationally.
Source: skillednursingfacilities.org