Most green card holders qualify for Obamacare, but not Medicare

Posted by:  :  Category: Medicare

You received a two-year conditional permanent resident card because you became a permanent resident within two years of your marriage. The reasons you can use to remove the condition without your wife’s signature, are that 1) you entered the marriage in good faith and the marriage was bona fide or “real” and it was terminated by divorce or annulment, or 2) you are the victim of spousal abuse or your child has suffered abuse from your wife or, 3) that leaving the United States would result in your suffering extreme hardship. You can self-petition to remove the condition also if your spouse has died. The easiest path to the permanent card for you may be proving that you are divorced and that you entered the marriage in good faith. You may benefit from help from an immigration law expert.
Source: nydailynews.com

Medicare Home Medical Equipment Qualifications

The elements that are addressed will depend on the diagnoses that are responsible for the mobility deficit.  For example, for patients with COPD, heart failure, or arthritis, the major emphasis will be on symptoms and history of the progression of their condition rather than on the physical examination.  Functional assessment is important for all patients. Physicians shall also provide reports of pertinent laboratory tests, x-rays, and/or other diagnostic tests (e.g., pulmonary function tests, cardiac stress test, electromyogram, etc.) performed in the course of management of the patient. Physicians shall document the evaluation in a detailed narrative note in their charts in the format that they use for other entries.  The note must clearly indicate that a major reason for the visit was a mobility evaluation.  Physician Fee for Face-To-Face evaluation Due to the MMA requirement that the physician or treating practitioner create a written prescription and a regulatory requirement that the physician or treating practitioner prepare pertinent parts of the medical record for submission to the durable medical equipment supplier, the Centers for Medicare & Medicaid Services (CMS) has established the new G Code (G0372) to recognize additional physician services and resources required to establish and document the need for a PMD. CMS believes that the typical amount of additional physician services and resources involved is equivalent to the physician fee schedule relative values established for a level 1 office visit for an established patient (Current Procedural Terminology (CPT) code 99211). The payment amount for such a visit is $21.60 Code G0372 indicates that: – All of the information necessary to document the PMD prescription is included in the medical record. – The prescription, along with the supporting documentation, has been received by the PMD supplier within 45 days after the face-to-face examination. Effective October 25, 2005, G0372, will be used to recognize additional physician services and resources required to establish and document the need for the PMD, and are  added to the Medicare physician fee schedule.
Source: viennamedical.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

Medical Services Plan of B.C.

If you have already completed an application and are currently receiving Regular Premium Assistance, you do not need to apply again for January 2017. Applications for Regular Premium Assistance include a declaration of consent for Health Insurance BC to verify annual income with the Canada Revenue Agency. If you submitted a signed and completed application form and are currently receiving Regular Premium Assistance, you do not need to re-apply. We will assess your eligibility and adjust your premium rate accordingly as of Jan. 1, 2017.
Source: bc.ca

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

Online Member Guide Premium Payments Member Benefits Document Center Pharmacy Services & Programs State Employee Members Medicare Members BadgerCare Plus Members Living Healthy Program All Member Resources
Source: deancare.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

Fidelis Care > Products > Medicare Advantage and Dual Advantage > Overview

Posted by:  :  Category: Medicare

or those that reside in the following counties: Albany, Allegany, Bronx, Broome, Cattaraugus, Cayuga,  Chemung, Chenango, Clinton, Columbia, Cortland, Delaware, Erie, Essex, Franklin, Fulton, Greene, Hamilton, Herkimer, Kings, Lewis,  Montgomery, Nassau,  New York, Niagara, Oneida, Onondaga, Orleans, Otsego, Oswego, Queens, Rensselaer, Richmond, St. Lawrence, Saratoga, Schenectady, Schoharie, Schuyler, Seneca, Steuben, Suffolk, Tioga, Warren, Washington, Wyoming, and Yates Counties.
Source: fideliscare.org

Quality Laboratory Services

QLS recently invested in the future of clinical testing by purchasing cutting-edge instrumentation from leading diagnostic manufacturers. With a substantial daily volume ordered by more than 5,000 physicians, clinics, and nursing homes, Quality Laboratory Services remains steadfastly vigilant in providing the most precise and accurate results possible due to its state-of-the-art methodologies.
Source: qualitylaboratory.com

Physicians for a National Health Program

Posted by:  :  Category: Medicare

Business owner Richard Master knows firsthand how the dysfunctional U.S. health care system punishes not only patients, but also employers who are forced to spend more and more to insure their workers. His documentary, “Fix It,” makes a strong business case for addressing this festering problem, and includes interviews with many PNHP members. A trailer for the film can be accessed above, or you can view the full version for free by visiting the “Fix It” website.
Source: pnhp.org

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

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

Posted by:  :  Category: Medicare

"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

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

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

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

Idaho Department of Insurance

Plans and premium rates listed in the charts were filed by the company and accepted by the Idaho Department of Insurance (DOI). The DOI cannot certify the accuracy of the information and recommends consumers contact the company for the exact rates and plans offered in their area. Due to frequent changes always check with the company for the latest availability and premiums. The appearance of a company on the list does not constitute an endorsement of a company or its policies by the DOI, SHIBA, or its volunteers. Please check company websites for contact information. There may be variance in rates based on purchase date. Membership in associated organizations may be required to be eligible to purchase some plans. Application fees may apply. Please contact companies for plan details.
Source: idaho.gov

Social Security (United States)

Posted by:  :  Category: Medicare

Due to changing needs or personal preferences, a person may go back to work after retiring. In this case, it is possible to get Social Security retirement or survivors benefits and work at the same time. A worker who is of full retirement age or older may (with spouse) keep all benefits, after taxes, regardless of earnings. But, if this worker or the worker’s spouse are younger than full retirement age and receiving benefits and earn “too much”, the benefits will be reduced. If working under full retirement age for the entire year and receiving benefits, Social Security deducts $1 from the worker’s benefit payments for every $2 earned above the annual limit of $15,120 (2013). Deductions cease when the benefits have been reduced to zero and the worker will get one more year of income and age credit, slightly increasing future benefits at retirement. For example, if you were receiving benefits of $1,230/month (the average benefit paid) or $14,760 a year and have an income of $29,520/year above the $15,120 limit ($44,640/year) you would lose all ($14,760) of your benefits. If you made $1,000 more than $15,200/year you would “only lose” $500 in benefits. You would get no benefits for the months you work until the $1 deduction for $2 income “squeeze” is satisfied. Your first social security check will be delayed for several months—the first check may only be a fraction of the “full” amount. The benefit deductions change in the year you reach full retirement age and are still working—Social Security only deducts $1 in benefits for every $3 you earn above $40,080 in 2013 for that year and has no deduction thereafter. The income limits change (presumably for inflation) year by year.
Source: wikipedia.org

The United States Social Security Administration

As we celebrate LGBTQ Enrollment Week of Action, millions of Americans – including many LGBTQ people – are already covered by health insurance thanks to the Affordable Care Act. And millions more can get covered before January 31, 2017…
Source: ssa.gov

Benefits for People with Disabilities

The Social Security and Supplemental Security Income disability programs are the largest of several Federal programs that provide assistance to people with disabilities. While these two programs are different in many ways, both are administered by the Social Security Administration and only individuals who have a disability and meet medical criteria may qualify for benefits under either program.
Source: ssa.gov

Policy Basics: Top Ten Facts about Social Security

Social Security benefits are much more modest than many people realize; the average Social Security retirement benefit in June 2016 was about $1,350 a month, or a bit over $16,000 a year.  (The average disabled worker and aged widow received slightly less.)  For someone who worked all of his or her adult life at average earnings and retires at age 65 in 2016, Social Security benefits replace about 39 percent of past earnings.  This “replacement rate” will slip to about 36 percent for a medium earner retiring at 65 in the future, chiefly because the full retirement age, which has already risen to 66, will climb to 67 over the 2017-2022 period.
Source: cbpp.org

Social Business Technologies News & Analysis

Patents aren’t typically the first thing on your mind when you’re developing an application for your enterprise. Yet, there’s a great deal of creative development work going on at organizations of all types and sizes. Attorney Lincoln Essig provides five steps IT professionals and enterprise app developers can take to make sure your company’s intellectual property is protected.
Source: informationweek.com

Social Security Disability. Secrets & Advice To Win Benefits. Apply & Appeal SSDI & SSI

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Source: disabilitysecrets.com

Social Security – Just Facts

[215] Result of an independent study performed by Just Facts. All data used in the study was obtained from the United States Social Security Administration. Our actual calculations show that the program would have become insolvent in 1977, but because approximations were used in the study, we added an extra 3 years as a margin of safety. The original Social Security Act of 1935 specified different tax rates that were supposed to become effective at certain points in time. Over the course of time, the law was changed. Between 1940 and 1962, the tax rates were lower than the Social Security Act of 1935 originally specified. Since 1963, the tax rates have been higher than originally specified. This study accounts for both of these situations. If the study reflected only the extra taxes paid by the younger generations, the insolvency date would have occurred years earlier. This study did not account for the extra taxes and expenses that have resulted from the government adding disability benefits to the Social Security program. If these numbers were added into the calculation, the insolvency date would have occurred years earlier. This study did not account for extra taxes that have resulted from the government increasing the wage threshold. If these numbers were added into the calculation, the insolvency date would have occurred years earlier.
Source: justfacts.com

Social engineering (security)

Phishing is a technique of fraudulently obtaining private information. Typically, the phisher sends an e-mail that appears to come from a legitimate business—a bank, or credit card company—requesting “verification” of information and warning of some dire consequence if it is not provided. The e-mail usually contains a link to a fraudulent web page that seems legitimate—with company logos and content—and has a form requesting everything from a home address to an ATM card’s PIN or a credit card number. For example, in 2003, there was a phishing scam in which users received e-mails supposedly from eBay claiming that the user’s account was about to be suspended unless a link provided was clicked to update a credit card (information that the genuine eBay already had). Because it is relatively simple to make a Web site resemble a legitimate organization’s site by mimicking the HTML code and logos the scam counted on people being tricked into thinking they were being contacted by eBay and subsequently, were going to eBay’s site to update their account information. By spamming large groups of people, the “phisher” counted on the e-mail being read by a percentage of people who already had listed credit card numbers with eBay legitimately, who might respond.
Source: wikipedia.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

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

Consumer Information and Insurance Oversight

The page could not be loaded. The CMS.gov Web site currently does not fully support browsers with “JavaScript” disabled. Please enable “JavaScript” and revisit this page or proceed with browsing CMS.gov with “JavaScript” disabled. Instructions for enabling “JavaScript” can be found here. Please note that if you choose to continue without enabling “JavaScript” certain functionalities on this website may not be available.
Source: cms.gov

Readmissions Reduction Program (HRRP)

Aggregate payments for excess readmissions = [sum of base operating DRG payments for AMI x (excess readmission ratio for AMI-1)] + [sum of base operating DRG payments for HF x (excess readmission ratio for HF-1)] + [sum of base operating DRG payments for PN x (excess readmission ratio for PN-1)] + [sum of base operating DRG payments for COPD x (excess readmission ratio for COPD-1)] + [sum of base operating payments for THA/TKA x (excess readmission ratio for THA/TKA -1)]
Source: cms.gov

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

Find the *** BEST CHEAP HEALTH INSURANCE PLANS *** all in one place!

One secret to getting cheap health insurance involves figuring out precisely what coverage you need. Many people overpay for policies full additional coverage they could do without. Be sure to carefully read any insurance policy before you buy. While you shouldn’t skimp on coverage, you’re sure to find that some cheaper policies still can offer what you need. Shopping around using online insurance quotes is a great way to compare coverage and costs.
Source: findyourinsurer.com

How to Report Fraud and Suspected Fraud

Posted by:  :  Category: Medicare

The page could not be loaded. The CMS.gov Web site currently does not fully support browsers with “JavaScript” disabled. Please enable “JavaScript” and revisit this page or proceed with browsing CMS.gov with “JavaScript” disabled. Instructions for enabling “JavaScript” can be found here. Please note that if you choose to continue without enabling “JavaScript” certain functionalities on this website may not be available.
Source: cms.gov

Medicare Fraud Reporting Center

Medicare Whistleblowers are typically healthcare professionals who are aware of hospitals, clinics, pharmacies, Nursing Homes, Hospices, long term care and other health care facilities that routinely overcharge or seek reimbursement from government programs for medical services not rendered, drugs not used, beds not slept in and ambulance rides not taken. If you have information about a person or a company that is cheating the Medicare program (or any other government run healthcare program), you may be able to collect a large financial reward for reporting it here.
Source: medicarefraudcenter.org

Texas Department of Assistive and Rehabilitative Services

Posted by:  :  Category: Medicare

06/01/2016: The Department of Assistive and Rehabilitative Services (DARS) has created a new Transition webpage. This resource will provide the latest information on activities and news related to the transfer of DARS programs and services to the Texas Workforce Commission and Texas Health and Human Services Commission.
Source: tx.us