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

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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

Health professionals contact information

This information was printed Monday 26 December 2016 from humanservices.gov.au/health-professionals/contact-us 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 professionals forms

This information was printed Monday 26 December 2016 from humanservices.gov.au/health-professionals/forms 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

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 Advantage Plan: PPO Blue ValueRx

Posted by:  :  Category: Medicare

Medicare PPO Blue ValueRx offers a Visitor/Travel Program that includes in-network benefits and cost-sharing when you receive treatment for covered services from participating Blue Medicare Advantage PPO network providers outside of Massachusetts in the following states: Alabama, Arkansas, California, Colorado, Connecticut, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Kentucky, Maine, Michigan, Missouri, Montana, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, South Carolina, Tennessee, Texas, Utah, Virginia, Washington, Wisconsin, and West Virginia.
Source: bluecrossma.com

Medicare PPO Blue SaverRx (PPO)

You do not currently have end-stage renal disease (ESRD). If you initiated dialysis treatments for ESRD but have recovered your normal kidney function and no longer require a regular course of dialysis to maintain life, or have had a successful kidney transplant, or are currently a member of Blue Cross Blue Shield of Massachusetts, you may still join the plan. In addition, if you were a member of a Medicare Advantage plan that terminated its services after December 31, 1998, and you currently have ESRD, you may still join the plan. There may be additional requirements, please contact the plan for more information.
Source: bluecrossma.com

Blue Medicare PPO and Blue Medicare HMO Providers

Blue Cross and Blue Shield of North Carolina is an HMO, PPO, and PDP plan with a Medicare contract. Enrollment in Blue Cross and Blue Shield of North Carolina depends on contract renewal. Blue Cross and Blue Shield of North Carolina does not discriminate based on race, ethnicity, national origin, religion, gender, age, mental or physical disability, health status, claims experience, medical history, genetic information, evidence of insurability or geographic location within the service area. All Blue Cross and Blue Shield of North Carolina items and services are available to all eligible beneficiaries in the service area.
Source: bcbsnc.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

Medicare Supplement of Texas

Like any other insurance program, Medicare was never designed to cover ALL medical expenses for its beneficiaries. There are costly co-payments and deductibles on everything from office visits and hospitalizations to home health care and much more.
Source: medsupoftexas.com

Medicare Supplement Plan F

*A benefit period begins on the first day you receive services 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. ** NOTICE: When your Medicare Part A hospital benefits are exhausted, the insurer stands in the place of Medicare and will pay whatever amount Medicare would have paid for up to an additional 365 days as provided in the policy’s “Core Benefits.” During this time the hospital is prohibited from billing you for the balance based on any difference between its billed charges and the amount Medicare would have paid.
Source: bcbstx.com

Medicare Supplement Plans TX

Texas Medicare premiums are set by each individual company even though the plans offer exactly the same insurance benefits vs other identically lettered plans. The factors that affect premiums are each companies overhead cost, claims experience, you age, gender, zip code and tobacco use along with other factors. These affect only premiums and won&slquo;t affect your coverage once the policy is in place. Since you coverage is not impacted at all it is generally recommended to choose the plan that fits your budget and shop for companies with the best premiums for that plan. Fortunately we have plans from every major Medicare Supplement insurance provider in Texas so this will save you all the legwork. Simply fill out the quote request form to get find the lowest premiums in your area.
Source: medicaresupplementplantexas.com

Texas Medicare Supplements

Enrollment in Medicare is handled in two ways: either you are automatically enrolled or you must apply. If you are getting Social Security or Railroad Retirement Board benefits before you turn 65, you are automatically enrolled and your Medicare card will be mailed to you about three months before your 65th birthday. If you are not receiving retirement benefits, you must apply by contacting a Social Security Administration office or, if appropriate, the Railroad Retirement Board. You should apply three months before your 65th birthday to avoid a possible delay in the start of your coverage. If you have been a disabled beneficiary under Social Security or Railroad Retirement for 24 months, you will automatically get a Medicare card in the mail.
Source: medicare-texas.net

Provider Resources Medicare Risk Adjustment

Posted by:  :  Category: Medicare

HPSM encourages physician providers to document patient health information accurately for appropriate Medicare reimbursement. The Centers for Medicare and Medicaid Services (CMS) uses risk adjustment diagnosis codes and demographic data reported for one year to determine payment for the next year. Calculations for payment are based on patient risk scores. For more information about CMS risk adjustment, view our FAQs.
Source: hpsm.org

694592 Medicare Risk Adjustment and Coding Consultant Telecommute Pennslyvania Only

The Medicare Risk Adjustment and Coding Consultant is a field-based position responsible for providing expertise in the area of quality and risk adjustment coding for provider clients. A Medicare Risk Adjustment and Coding Consultant will interface with operational and clinical leadership to assist in identification of operational and clinical best practices in maximizing recapture rates, understanding clinical suspects and monitoring of appropriate clinical documentation and quality coding. He / She will also coordinate implementation of programs designed to ensure all diagnoses are coded according to CMS and risk adjustment coding guidelines and conditions are properly supported by appropriate documentation in the patient chart. The Medicare Risk Adjustment Coding Consultant will also ensure the providers understand the STARS CPT2 coding requirements. This position will function in a matrix organization taking direction about job function from UHC and M&R but reporting directly to Optum Insight.
Source: unitedhealthgroup.com

Home Health Risk Adjustment of Outcome of Care Measures

For OASIS-based quality measures, prediction models use patient case mix information taken from OASIS-C SOC/ROC assessments to establish a relationship between these characteristics and the likelihood of a quality outcome. Each improvement and utilization outcome has its own unique prediction model. Virtually every item on OASIS-C, with the exception of a few demographic/patient tracking items and clinical record items, are potential risk factors that can be used to create this prediction equation.
Source: medicare.gov

What is a “Medicare Risk Adjustment Factor (RAF)?”

The purpose for the Centers for Medicare and Medicaid Services (CMS) to conduct Risk Adjustment Factors is to pay plans for the risk of the beneficiaries they enroll, instead of calculating an average amount of Medicare/Medicare Advantage beneficiaries.  By doing so, CMS is able to make appropriate and accurate payments for enrollees with differences in expected costs. Lastly, the risk adjustment allows CMS to use standardized bids as base payments to plans.
Source: clinicservice.com

The Consequences of Risk Adjustment in the Medicare Advantage Program

In How Does Risk Selection Respond to Risk Adjustment? Evidence for the Medicare Advantage Program (NBER Working Paper No. 16977), Jason Brown, Mark Duggan, Ilyana Kuziemko, and William Woolston study individual-level data for 55,000 people in the Medicare Current Beneficiary Survey (MCBS) from the period 1994 to 2006. Prior to risk adjustment, insurers simply had an incentive to enroll individuals with low costs. After risk adjustment, insurers instead had an incentive to enroll individuals with low costs conditional on their medical conditions. The main reason for this is that the risk adjustment formula pays the plans the average cost of the average person in a particular risk category. The authors demonstrate that, because individuals with less costly cases of diabetes and other health conditions enrolled in MA plans after the move to risk adjustment, overpayments to these plans actually increased.
Source: nber.org

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

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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

Unicare Medicare Insurance Plans

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Medicare Supplement Insurance policies are also known also as Medigap plans, and they provide you with a supplement to your basic Medicare health insurance coverage under Part A (hospital insurance) and Part B (doctors fees and services). UniCares Medigap plans are available under five distinct plan benefit types (Plan A, B, C, D, and F). Its plans provide basic benefits, assistance with the payment of copayment and coinsurance requirements pursuant to Parts A and B, and even coverage for medical expenses incurred during foreign travel under Plan option F.
Source: medicaresolutions.com

UniCare State Indemnity Plan

Benefits Information Find a Doctor Check Your Claims Compare Your Costs Avoid Balance Billing Health and Wellness Health Care Quality Initiatives Member Discounts Notification Requirements Request Plan Materials Forms and Documents Contact Us Email Us
Source: unicarestateplan.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

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

Medica Medicare Enrollment

If you have questions or need enrollment information in another language or a format (like Braille), please call a Medicare consultant at 952-992-2345 or toll free at 1-800-906-5432 (TTY: 711), 8 a.m. to 8 p.m. Central, seven days a week. Access to representatives may be limited at times.
Source: medica.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

Medigap (Medicare Supplement Health Insurance)

A Medigap policy is health insurance sold by private insurance companies to fill the “gaps” in Original Medicare Plan coverage. Medigap policies help pay some of the health care costs that the Original Medicare Plan doesn’t cover. If you are in the Original Medicare Plan and have a Medigap policy, then Medicare and your Medigap policy will each pay its share of covered health care costs. Generally, when you buy a Medigap policy you must have Medicare Part A and Part B. You will have to pay the monthly Medicare Part B premium ($96.40 in 2011 for most beneficiaries). In addition, you will have to pay a premium to the Medigap insurance company. As long as you pay your premium, your Medigap policy is guaranteed renewable. This means it is automatically renewed each year. Your coverage will continue year after year as long as you pay your premium. In some states, insurance companies may refuse to renew a Medigap policy bought before 1992. Insurance companies can only sell you a “standardized” Medigap policy. Medigap policies must follow Federal and state laws. These laws protect you. The front of a Medigap policy must clearly identify it as “Medicare Supplement Insurance.” It’s important to compare Medigap policies, because costs can vary. The standardized Medigap policies that insurance companies offer must provide the same benefits. Generally, the only difference between Medigap policies sold by different insurance companies is the cost. You and your spouse must buy separate Medigap policies.Your Medigap policy won’t cover any health care costs for your spouse. Some Medigap policies also cover other extra benefits that aren’t covered by Medicare. You are guaranteed the right to buy a Medigap policy under certain circumstances. For more information on Medigap policies, you may call 1-800-633-4227 and ask for a free copy of the publication “Choosing a Medigap Policy: A Guide to Health Insurance for People With Medicare.” You may also call your State Health Insurance Assistance Program (SHIP) and your State Insurance Department. Phone numbers for these Departments and Programs in each State can be found in that publication.
Source: cms.gov

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

"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

Medicare Supplement Quote

By pressing the “View Quotes” button above, I consent to receive phone calls from this site, or our partners, regarding insurance products, at the phone number above, including my wireless number if provided. I understand these calls may be generated using an automated technology. You are not required to provide consent as a condition of purchasing any good/services. Not all companies are available in all areas and not all pricing is available online.
Source: gomedigap.com

Significant 2011 Changes for Medicare Advantage

In 2011, Medicare Advantage beneficiaries may experience any or all of these changes, but there are some major program-wide changes to consider. Taking the time to learn and understand the changes will give you the information you need to make a sound decision about your 2011 Medicare Advantage policy. These changes do not apply to Medicare supplement policies.
Source: emedicaresupplements.com

Annual Enrollment Period Changes in 2011

There are also special circumstances that allow you to make changes outside the annual enrollment period. If you qualify for and receive low-income assistance, you may enroll in a Medicare Advantage plan with drug coverage at any time. Also, if you hold a Medicare Advantage policy that does not have a five-star rating but a plan with a five-star rating is available in your area, you may switch to that plan at any time.
Source: emedicaresupplements.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