Affordable Medicare Plans

Posted by:  :  Category: Medicare

Medicare can be quite overwhelming as you sort through your options and try to figure out what healthcare you need. For many of us, it’s the first time we really have to read the fine print, compare plans and understand the different options. But don’t worry, we’ve done the hard work for you and summarized Medicare in simple terms to help you find your best options. Once you have a level of comprehension under your belt, shop and compare Medicare plans to make sure you’re getting the best prices and coverage.
Source: medicare-plans.org

Electronic Health Records (EHR) Incentive Programs

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On November 14, 2016 we published the Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Organ Procurement Organization Reporting and Communication; Transplant Outcome Measures and Documentation Requirements; Electronic Health Record (EHR) Incentive Programs; Payment to Nonexcepted Off-Campus Provider-Based Department of a Hospital; Hospital Value-Based Purchasing (VBP) Program; Establishment of Payment Rates Under the Medicare Physician Fee Schedule for Nonexcepted Items and Services Furnished by an Off-Campus Provider-Based Department of a Hospital final rule with comment period which contains several changes that will directly affect the Medicare and Medicaid EHR Incentive Programs. To access the published rule, please click here.
Source: cms.gov

SilverSneakers Medicare Programs

So, what exactly is SilverSneakers?  SilverSneakers is essentially a gym membership or fitness club membership to participating centers across the country.  You can find participating gyms by going to www.silversneakers.com and typing in your zip code.  You can find out if your Medicare plan offers Silver Sneakers by calling 1-888-423-4632.  Here are some of the features offered by SilverSneakers.
Source: medicare-plans.net

Medicare Assistance Programs

If your loved one qualifies for health benefits from the Department of Veterans Affairs (VA), he or she can receive both Medicare and VA benefits, but they don’t work together. Medicare doesn’t pay for any care provided at a VA facility–the only place VA benefits are offered. Many veterans use their benefits to get services not covered by Medicare, such as prescription drugs. For more about eligibility and benefits, call the VA Health Administration Center at 1-800-733-8387 or 1-877-222-8387.
Source: agis.com

Medicare Savings Programs Can Help Pay Some of Your Medicare Costs

The QMB program offers most of the benefits of Medigap policies if you visit medical providers who accept both Medicare and Medicaid. Before you cancel your Medigap insurance, make sure your medical providers accept both Medicare and Medicaid. If your QMB coverage ends, you may be able to reinstate your former Medigap policy.
Source: ctlawhelp.org

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

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"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

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

Compare Medicare Advantage & Supplemental Plans

Medicare Advantage insurance is offered by private insurance companies with a Medicare contract, and replaces Original Medicare Part A and Part B. You must continue to pay your Part B premiums. Medicare Advantage plans typically offer additional benefit options and have less cost-sharing than Original Medicare, and you may have to pay a monthly premium in return for the extra benefits. Medicare Advantage plans come in a variety of formats, such as HMO, PPO and PFFS plans, as well as special needs plans. Medicare beneficiaries can enroll in Medicare Advantage plans if they have Medicare Part A and Part B, but only during designated enrollment periods. These enrollment periods change from time-to-time, so please call us to get the most-up-to-date information.
Source: medicaresolutions.com

Compare 2017 Medicare Supplement Plans

Although several factors affect plan pricing, one of the main variables is the provider. A difference in underwriting may save a consumer some money when shopping for plans. Location and age also affect final pricing. For example, 2017 Aetna Medigap plans may cost less than Humana Medigap plans for a person in a certain location, and United Healthcare Medigap plans for 2017 may be more affordable than both of those options in a different state or county. Plans can vary in pricing from one zip code to another as well as from one state to another.
Source: 2017medicaresupplementplans.com

Compare 2017 Medicare Supplement Plans

Each of these levels has somewhat different benefits. Of all of these choices, plans C and F are the most popular choices. They are the most robust and also the most expensive. This shows that people who purchase supplements are probably more concerned about having good benefits than they are about monthly premiums. Somewhat lower-priced are plans K through N since they require more cost-sharing. The right choice may depend upon your health needs, budget, and the way you prefer to access health services.
Source: 2016medicaresupplementplans.com

Medicare Supplemental Insurance Policies at Mutual of Omaha

Every Medigap policy must follow federal and state laws designed to protect you, and it must be clearly identified as Medicare supplement insurance. Medigap insurance companies can only sell you a standardized Medigap policy identified by letters A through N. Each standardized Medigap policy must offer the same basic benefits, no matter which insurance company sells it. Cost is usually the only difference between Medigap policies sold by different insurance companies
Source: mutualofomaha.com

Medicare.gov Physician Compare Home Page

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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

BPH in Pictures: Enlarged Prostrate Symptoms, Causes, Treatments, and More

American Academy of Family Physicians: “Benign Prostatic Hyperplasia.” American Urological Association: “Benign Prostatic Hyperplasia,” “Diagnosis of BPH,” “Management of BPH.” Harvard Healthbeat: “4 tips for Coping With an Enlarged Prostate.” Johns Hopkins Health Alert: “BPH and Sexual Dysfunction: What’s the Link?” National Cancer Institute: “What You Need To Know about Prostate Cancer: Symptoms,” “Prostate Changes That Are Not Cancer.” National Institute of Diabetes and Digestive and KidneyDiseases: “Prostate Enlargement: Benign Prostatic Hyperplasia,” “Urinary Retention.” The Prostate Institute: “BPH Symptoms.” University of Maryland Medical Center: “Benign prostatic hyperplasia –Lifestyle Changes,” “Saw Palmetto.”
Source: webmd.com

Dental Blue® Indemnity Plan

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Filing Claims Participating dentists send claims to Blue Cross Blue Shield of Massachusetts for you; just show them your Dental Blue ID card. We will send payment directly to your dentist, if we receive claims within one year of completed service.
Source: bluecrossma.com

NJIUA.ORG: Home of the New Jersey Insurance Underwriting Association.

The NJIUA is an Association created by the Legislature of New Jersey in 1968 to provide essential property insurance to any person unable to obtain insurance from a voluntary company. The original name, “FAIR Plan”, stands for Fair Access to Insurance Requirements. Today NJIUA is the Administrator of the Property FAIR Plan and the Crime Indemnity Plan.
Source: njiua.org

Accepted Medicare Advantage Plans

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Below is a list of the Medicare Advantage plans accepted by Advocate Health Care. Please be aware that not all Advocate physicians participate with each plan, so it is always important to confirm plan participation. For assistance comparing Medicare plans and verifying physician participation, contact our Horton Group Representative at 1-800-868-8642.
Source: advocatehealth.com

Medicare Supplement Plan J for AL, AR, AZ, CO, DC, FL, GA, KS, KY, LA, MD, MO, MS, NC, OH, OK, SC, TN, TX, VA & WV.

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* A benefit period begins on the first day you receive service as an inpatient in a hospital and ends after you have been out of the hospital and have not received skilled care in any other facility for 60 days in a row. ** We do not recommend The High Deductible plan J. Plan J without the high deductible is very recommended. This high deductible plan pays the same or offers the same benefits as Plan J after you have paid a calendar year $2000 deductible. Benefits from the high deductible Plan J will not begin until out-of-pocket expenses are $2000. Out-of-pocket expenses for this deductible are expenses that would ordinarily be paid by the policy. This includes the Medicare deductibles for Part A and Part B, but does not include the plan’s separate foreign travel emergency and prescription drug deductibles.
Source: themedicarechannel.com

Medicare Supplement Plan F for AL, AR, AZ, CO, FL, GA,
IA, ID, IL, KS, KY, LA, MD, MI, MO, MS, NC, NE, OH, NM, OK, PA, SC, TN, TX, VA & WV.

* A benefit period begins on the first day you receive service as an inpatient in a hospital and ends after you have been out of the hospital and have not received skilled care in any other facility for 60 days in a row. ** We do not recommend The High Deductible plan F. Plan F without the high deductible is very recommended. This high deductible plan pays the same or offers the same benefits as Plan F after you have paid a calendar year $2000 deductible. Benefits from the high deductible Plan F will not begin until out-of-pocket expenses are $2000. Out-of-pocket expenses for this deductible are expenses that would ordinarily be paid by the policy. This includes the Medicare deductibles for Part A and Part B, but does not include the plan’s separate foreign travel emergency deductible.
Source: themedicarechannel.com

Medicare Supplement Insurance

“My experience with Russell Noga and Medisupps.com has been so wonderful I have to share it! My aunt and uncle needed new insurance with their move to a new state. My uncle is hearing impaired, and my aunt struggles with English. His patience and professionalism was beyond measure! He found them the very best coverage to fit their individual needs and at the best rate possible. Russell was so thorough, extremely kind, and made the entire process painless. I can’t express how grateful we feel to have found him to work through the insurance process. Thank you, Russell! Medisupps.com ROCKS!” ~ Norma Vally a.k.a Toolbelt Diva (Discovery Home Channel)
Source: medisupps.com

Individuals & Families

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Distinctive Heathcare for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find. Our Blue Distinction® program recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. Learn more about Blue Distinction and find a doctor or hospital to meet your needs.
Source: bcbs.com

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

Medicare Supplement Insurance

*Plans K-N provide for different cost-sharing than plans A-G. Plans K and L pay 100% of hospitalization and preventive care Basic Benefits. All other Basic Benefits are paid at 50% (Plan K) and 75% (Plan L). Once you reach the annual limit, the plan pays 100% of the Medicare copayments, coinsurance and deductibles for the rest of the calendar year. The out-of-pocket annual limit does NOT include charges from your provider that exceed Medicare-approved amounts, called “excess charges.” You are responsible for paying excess charges. Plan N covers Basic Benefits after a $20 copay for office visits and a $50 copay for emergency room visits. **The out-of-pocket annual limit may increase each year for inflation. (2016 limits shown) † Network restrictions apply
Source: bcbsil.com

Medicare Plans for Different Needs

Posted by:  :  Category: Medicare

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

Australian Government Department of Human Services

This information was printed Monday 5 December 2016 from humanservices.gov.au/ It may not include all of the relevant information on this topic. Please consider any relevant site notices at humanservices.gov.au/siteinformation when using this material.
Source: gov.au

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

On the surface, it looks like every healthcare special interest and their 1,400 lobbyists won an early Christmas present courtesy of the 21st Century Cures Act, which passed the House of Representatives by a whopping 392-26 margin last week and appears headed for Senate passage and enactment.
Source: modernhealthcare.com

How To File A Medicare Claim

Posted by:  :  Category: Medicare

Medicare is a special form of health insurance for citizens aged 65 or older. People under the age of 65 who have certain disabilities may also qualify for Medicare. There are several different “parts” of Medicare, and depending on your situation, you may receive some coverage for free, while other parts you have to pay for. As such, there are several different health insurance companies out there that offer Medicare coverage. Part A is hospital insurance. Part B is medical insurance. Part C is Medicare Advantage plan that combines both parts A and B. Part D is prescription drug coverage. If you are not sure about the coverage you have or the coverage you need, speak to your insurance agent to learn more about how they can help you. Medicare has a certain enrollment period each year, which means you can only make changes to your coverage on an annual basis.
Source: myclaimsource.com

Help filing claims (98940, 98941, 98942) for chiropractic medicare from Dr. Gary Street

The purpose of this website is to bring to the Chiropractic Profession the correct and honest procedure in dealing and filing claims for Chiropractic Medicare. Every Doctor of Chiropractic who has any patient over the age of 65 is mandated, by federal law, to produce and bill Medicare for the chiropractic adjustment. (98940, 98941 or 98942) Doctors of Chiropractic and office staff carry heavy responsibility, by federal law, to know the rules and regulations that chiropractors must follow, especially in Medicare. There are NO set limits in Medicare for the chiropractic adjustment. The Doctor of Chiropractic must demonstrate two requirements to satisfy the Medicare guidelines so there are no limits for the number of adjustments you or your patients will be reimbursed.
Source: chiropracticmedicare.com

What are the timely filing guidelines FAQ

Per Section 6404 of the Patient Protection and Affordable Care Act (ACA), Medicare fee-for-service (FFS) claims for services furnished on or after January 1, 2010, must be filed within one calendar year from the date of service. Claims with dates of service January 1, 2010, and later, received more than one calendar year (12 months) from the date of service will be denied or rejected.
Source: fcso.com