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

Posted by:  :  Category: Medicare

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Source: medicare.gov

The Medicare Part D Prescription Drug Benefit

Medicare Part D is a voluntary outpatient prescription drug benefit for people on Medicare that went into effect in 2006. All 57 million people on Medicare, including those ages 65 and older and those under age 65 with permanent disabilities, have access to the Part D drug benefit through private plans approved by the federal government; in 2016, nearly 41 million Medicare beneficiaries are enrolled in Medicare Part D plans. During the Medicare Part D open enrollment period, which runs from October 15 to December 7 each year, beneficiaries can choose to enroll in either stand-alone prescription drug plans (PDPs) to supplement traditional Medicare or Medicare Advantage prescription drug (MA-PD) plans (mainly HMOs and PPOs) that cover all Medicare benefits including drugs. Beneficiaries with low incomes and modest assets are eligible for assistance with Part D plan premiums and cost sharing. This fact sheet provides an overview of the Medicare Part D program and information about 2017 plan offerings, based on data from the Centers for Medicare & Medicaid Services (CMS) and other sources.
Source: kff.org

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

Many CEOs responding to our post-election survey said they’re willing to consider Trump’s healthcare reform ideas. But 86% said an ACA repeal should not proceed without a replacement that provides affordable health insurance for all Americans who lack employer-based coverage.
Source: modernhealthcare.com

Highmark: Your Health Care Partner

Posted by:  :  Category: Medicare

Highmark Inc. is a national, diversified health care partner serving members through its businesses in health insurance, dental insurance, vision care and reinsurance. Our mission is to make high-quality health care readily available, easily understandable and truly affordable in the communities we serve.
Source: highmark.com

Highmark Direct :: Medicare Information

Highmark is a registered mark of Highmark Inc. Highmark Choice Company, Highmark Senior Health Company and Highmark Senior Solutions Company are Medicare Advantage plans with a Medicare contract. HM Health Insurance Company is a PDP plan with a Medicare contract. Enrollment in Highmark Choice Company, Highmark Senior Health Company, Highmark Senior Solutions Company and HM Health Insurance Company depends on contract renewal. Highmark Senior Health Company, Highmark Choice Company, Highmark Senior Solutions Company and HM Health Insurance Company are independent licensees of the Blue Cross and Blue Shield Association.
Source: highmarkdirect.com

Highmark Medicare Services is now Novitas Solutions

Physicians and medical billing companies should not face many disruptions as a result of this transition. According to Novitas Solutions, the current Highmark Medicare website will be fully transitioned to the new Novitas site by March 30, 2012. During the transition, visitors to the old website (https://www.highmarkmedicareservices.com) will be automatically re-directed to the new Novitas Solutions website (https://www.novitas-solutions.com), where a new header and page logo can be seen. Bookmarks that users may already have for the Highmark website will purportedly still work with the new page. The Electronic Payer ID has not appeared to change, so claims submission and processing should remain unaffected by the transition. For more information, see the Informational Alert here: https://www.novitas-solutions.com/partb/info-alerts.html.
Source: healthcarebiller.com

Medicare Coverage Database – Centers for Medicare & Medicaid Services

Contextual Help & Page Help – Contextual Help is a new feature that provides users with the ability to receive onscreen help for specific elements on the page. To use the feature, click the "Contextual Help" link and move the mouse to the onscreen location of the associated page element. The user can turn the feature off when help is no longer required. Users who are unable to use this feature, or who prefer to have a link to a single page of help for the entire page, may continue to use the "Page Help" link to get assistance.
Source: cms.gov

Highmark Blue Cross Blue Shield

Use this form to send a message to Customer Service. Do not include personal health information. Learn other ways to contact Highmark, or if you have a technical question about this website, please call 1-877-298-3918 between 8am – 6pm EST.
Source: highmarkbcbs.com

Health Insurance, Medicare Insurance and Dental Insurance

Posted by:  :  Category: Medicare

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

Health Insurance, Medical Insurance, Free Online Insurance Quotes, Affordable Individual, Group, Family Plans

HealthInsurance.com offers a wide variety of health plans including individual and family health insurance, group health insurance, HMOs, PPOs, POS, Indemnity plans, short-term health insurance plans, dental health insurance, and international travel health insurance. Popular health insurance companies such as Blue Cross and Blue Shield, Anthem, Aetna, Humana, Golden Rule Insurance Company, HealthNet, Assurant, Celtic, Unicare, Kaiser and PacifiCare Life and Health Insurance Company offer the plans we feature.
Source: healthinsurance.com

How Medicare Advantage Plans work

Posted by:  :  Category: Medicare

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

What is Medicare Advantage?

Rising plan availability. In 2016, there were about 3 percent more MA plans than there were in 2015. The number of plans will stay about the same for 2017. Americans living in metropolitan areas had access to an average of 19 plans last year, while people outside those areas had access to 11. The number of companies offering these plans has changed in recent years. An average of six companies offered coverage last year, but nationwide, just three or fewer companies offered plans. The top 25 percent offered eight or more plans. Health Maintenance Organizations (HMOs) grew last year, representing more than two-thirds of plans. Preferred Provider Organizations (PPOs) and other options continued to be stable in 2016.
Source: medicare.net

Medicare Advantage: Private Health Insurance Through Medicare

While you won’t need to pay a Part A premium, you will need to pay the “standard” Part B monthly premium, which is $134 in 2017. People with higher incomes (household income over $170,000) will pay higher premiums on a sliding scale, with adjustments ranging from about $53 to $295 more per month. The maximum premium will be $428.60. However, if you get Social Security benefits, your standard premium will be lower, because the Part B premium increased more than the cost-of-living increase for 2017 Social Security benefits. If this applies to you, your standard premium will be around $109. 
Source: webmd.com

Texas Medicaid Application

Posted by:  :  Category: Medicare

Pregnant women can qualify for Texas Medicaid program if their income is at or below 185% of Federal Poverty Level (FPL) despite the fact that federal guidelines require pregnant women to be at or below 133%. State of Texas has taken the initiative to extend Medicaid benefits to pregnant women with higher income by relaxing income eligibility.
Source: benefitsapplication.com

Health Insurance Plans for Individuals & Families, Employers, Medicare

Posted by:  :  Category: Medicare

UnitedHealthcare offers health insurance plans to meet the needs of individuals and employers. Plus we offer dental, vision and many other insurance plans to help keep you and your family healthy. 
Source: uhc.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

Insurance Quotes and Comparison

Finding the cheapest policy is easy when you know what all of your options are. That’s why we bring you multiple quotes with just a single form – to make shopping for car insurance as easy as it should be. We’ll even help you find hidden discounts and explore bundling options, so you can save even more.
Source: insurance.com

SSM Health Dean Medical Group, Dean Health Plan, Dean Foundation

This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments and restrictions may apply. Benefits, formulary, pharmacy network, provider network, premium and/or copayments/ coinsurance may change on January 1 of each year. You must continue to pay your Medicare Part B premium. Dean Advantage is an HMO/HMO-POS plan with a Medicare contract. Enrollment in Dean Advantage depends on contract renewal. H9096_WEB17v5 Pending
Source: deancare.com

How Health Insurance Marketplace Plans Set Your Premiums

Posted by:  :  Category: Medicare

Plan category: There are five plan categories – Bronze, Silver, Gold, Platinum, and catastrophic. The categories are based on how you and the plan share costs. Bronze plans usually have lower monthly premiums and higher out-of-pocket costs when you get care. Platinum plans usually have the highest premiums and lowest out-of-pocket costs.
Source: healthcare.gov

What Is a Health Insurance Premium?

Once a patient’s deductibles, copayments, and coinsurance paid for a particular year add up to the out-of-pocket maximum, the patient’s cost-sharing requirements are then finished for that particular year. Following the fulfillment of the out-of-pocket maximum, the health plan then picks up all of the cost of covered in-network care for the remainder of the year.
Source: verywell.com

Are health insurance premiums tax

Most taxpayers can only deduct allowable medical expenses that exceed 10 percent of “adjusted gross income” (AGI). That’s the amount you earn in a given year from wages, investments and other sources minus what you paid for alimony, student-loan interest and a few other things. So, if a married couple has $100,000 AGI and $10,500 of qualified medical expenses, they can deduct only $500–$10,500 minus $10,000 (10 percent of their $100,000 AGI). Seniors age 65 or older can deduct any medical expenses above 7.5 percent of AGI.
Source: insurance.com

Health Insurance Costs Like Premiums & Deductibles

In almost any area of your life, if you don’t have a clear idea of your expenses, you may feel like you’re not in control. But, when you get clear about all the costs, you feel in control, helping you make the right choices. To get a clear understanding of your health insurance costs, the first step is to look at all the key types of costs, not just obvious expenses. It’s a lot like adding up your automobile expenses – some of the clear costs include your car payment, insurance, gas, oil changes and repairs. Less obvious costs include the finance charge on your payment, windshield wiper fluid and parking tickets. Let’s take a look at obvious health insurance costs and some examples.
Source: medmutual.com

How Will 2015 Health Insurance Premiums Compare to 2014?

For the 2014 plan year, $10 billion will be used to reimburse plans for a portion of the spending for high-cost individuals. These payments generally have reduced projected 2014 net claims by about 10 to 14 percent. For the 2015 plan year, the amount collected for the reinsurance program will decline to $6 billion, and will likely reduce net claims by about 6 to 8 percent. This lower reduction in claims translates to about a 4 to 7 percent increase in projected claims for 2015 relative to 2014, due solely to the reduction in the reinsurance program and not factoring in any other factors such as medical trend. This increase could be offset to the extent that insurers expect a healthier risk pool profile in 2015, arising for instance from lower-cost individuals delaying enrollment until 2015 rather than enrolling in 2014.
Source: healthaffairs.org

Health Insurance Plans for Individuals & Families, Employers, Medicare

Posted by:  :  Category: Medicare

UnitedHealthcare offers health insurance plans to meet the needs of individuals and employers. Plus we offer dental, vision and many other insurance plans to help keep you and your family healthy. 
Source: uhc.com

Durable Medical Equipment (DME) Center

The Centers for Medicare and Medicaid Services (CMS) has released revised PUF formats for the CY 2016 DMEPOS and Parenteral and Enteral Nutrition (PEN) fee schedules.  Also released is a preliminary DMEPOS rural ZIP Code file containing Quarter 4 2015 rural ZIP codes.  Beginning January 1, 2016, fee schedule amounts for certain items will be adjusted based on information from the DMEPOS competitive bidding program, and for some items, the adjusted fee schedule amounts for items furnished in rural areas within the state will be different than the adjusted fee schedule amounts in other areas of the state.  The ZIP codes for areas defined as rural areas per regulations at 42 CFR 414.202 are based on current ZIP code boundaries.  Changes to the ZIP code public use file will be made, as needed, based on future changes to ZIP codes by the United States Postal Service.  The public use files for the DMEPOS and PEN fee schedules do not contain fee schedule amounts, but are being posted to show what changes are being planned for the file formats to accommodate the fee schedule amounts for rural areas, as well as statewide fee schedule amounts for enteral nutrition. Please be aware that effective October 21, 2015, revised 2016 DME and PEN TEXT file formats were made available as part of an updated DMEREADLAYOUTS16 document.  
Source: cms.gov

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

Australian Government Department of Human Services

This information was printed Thursday 8 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

Health Insurance, Medicare Insurance and Dental Insurance

Posted by:  :  Category: Medicare

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

How American Health Care Killed My Father

But even leaving aside the effects of price controls on innovation and customer service, today’s Medicare system should leave us skeptical about the long-term viability of that approach. From 2000 to 2007, despite its market power, Medicare’s hospital and physician reimbursements per enrollee rose by 5.4 percent and 8.5 percent, respectively, per year. As currently structured, Medicare is a Ponzi scheme. The Medicare tax rate has been raised seven times since its enactment, and almost certainly will need to be raised again in the next decade. The Medicare tax contributions and premiums that today’s beneficiaries have paid into the system don’t come close to fully funding their care, which today’s workers subsidize. The subsidy is getting larger even as it becomes more difficult to maintain: next year there will be 3.7 working people for each Medicare beneficiary; if you’re in your mid-40s today, there will be only 2.4 workers to subsidize your care when you hit retirement age. The experience of other rich nations should also make us skeptical. Whatever their histories, nearly all developed countries are now struggling with rapidly rising health-care costs, including those with single-payer systems. From 2000 to 2005, per capita health-care spending in Canada grew by 33 percent, in France by 37 percent, in the U.K. by 47 percent—all comparable to the 40 percent growth experienced by the U.S. in that period. Cost control by way of bureaucratic price controls has its limits.
Source: theatlantic.com

Saving the American Dream: The Heritage Plan

The Heritage plan achieves fiscal balance by ensuring that tax receipts will match government expenditures. If no action is taken, the deficit in the current law baseline is 3.2 percent of GDP in 2021 and 5 percent in 2035. The Heritage plan balances the federal budget by 2021, with spending and revenues each reaching 18.5 percent of GDP. The budget stays balanced without exceeding those levels through the entire time frame. This leads to a sharp reduction in debt as a percentage of GDP. In the extended baseline scenario, debt climbs to 91.5 percent of GDP by 2035. The Heritage plan reduces the debt by two-thirds to 30 percent of GDP. A smaller national debt results in savings to taxpayers as interest payments fall sharply from an annual share of 4.6 percent of GDP to 1.7 percent in the Heritage plan, a savings of more than $1 trillion each year. Reduced interest payments on the national debt account for almost one-third of the reduced government spending, which is a result of the strong budget reforms contained in the Heritage plan.
Source: heritage.org

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

Posted by:  :  Category: Medicare

Many CEOs responding to our post-election survey said they’re willing to consider Trump’s healthcare reform ideas. But 86% said an ACA repeal should not proceed without a replacement that provides affordable health insurance for all Americans who lack employer-based coverage.
Source: modernhealthcare.com

Health Insurance Plans for Individuals & Families, Employers, Medicare

UnitedHealthcare offers health insurance plans to meet the needs of individuals and employers. Plus we offer dental, vision and many other insurance plans to help keep you and your family healthy. 
Source: uhc.com

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

Healthcare – Just Facts

[Under Medicare Part C] Most beneficiaries have the option to enroll in private health insurance plans that contract with Medicare to provide Part A and Part B medical services. The share of Medicare beneficiaries in such plans has risen rapidly in recent years, reaching 25.0 percent in 2010 from 12.4 percent in 2004. Plan costs for the standard benefit package can be significantly lower or higher than the corresponding cost for beneficiaries in the “traditional” or “fee-for-service” Medicare program, but prior to the Affordable Care Act [ACA, a.k.a. Obamacare], private plans were generally paid a higher average amount, and the additional payments were used to reduce enrollee cost-sharing requirements, provide extra benefits, and/or reduce Part B and Part D premiums. These benefit enhancements were valuable to enrollees but also resulted in higher Medicare costs overall and higher premiums for all Part B beneficiaries, not just those who were enrolled in MA plans. Under the ACA, payments to plans will be based on “benchmarks” in a range of 95 to 115 percent of fee-for-service Medicare costs, with bonus amounts payable for plans meeting high quality-of-care standards. (Prior to the ACA, the benchmark range was generally 100 to 140 percent of fee-for-service costs.) As these changes phase in during 2012-2017, the overall participation rate for private health plans is expected to decline from 25 percent in 2010 to about 15 percent in 2020.
Source: justfacts.com

Online HealthCare Training Courses, OSHA Training, HIPAA Trainings

Audit&DataSecurity, PatientExperience, PatientSafety, OSHACompliance, MedicalCoding, HIPAA/HITECH, HealthcareIT, CosmeceuticalandHomeopathicOTCs, CorporateGovernance, Riskmanagement, HospitalManagement, Clinicalinformatics, Nursing, MedicalUpdate, Medicine
Source: mentorhealth.com