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

Medicare Enrollment Application Information

Providers who are enrolled in Medicare but have not yet established a record in PECOS may be required to submit an Initial Enrollment application to establish a record in PECOS. If the reason for the application submittal is to change the information on the existing Medicare enrollment, and is not for the purpose of adding a practice location, then the Provider is not required to pay the application fee.
Source: hhs.gov

Doctor, provider, & hospitals in Medicare Advantage Plans

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Source: medicare.gov

Things to know about Medicare Advantage Plans

Medicare Advantage Plans have a yearly limit on your out-of-pocket costs for medical services. Once you reach this limit, you’ll pay nothing for covered services. This limit may be different between Medicare Advantage Plans and can change each year. You should consider this when choosing a plan.
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

What is a Medicare Advantage Plan?

If you have health coverage from your union or current or former employer when you become eligible for Medicare, you may automatically be enrolled in a Medicare Advantage Plan that they sponsor. You have the choice to stay with this plan, switch to Original Medicare, or enroll in a different Medicare Advantage Plan. Be aware that if you switch to Original Medicare or enroll in a different Medicare Advantage Plan, your employer or union could terminate or reduce your health benefits, the health benefits of your dependents, and any other benefits you get from your company. Talk to your employer/union and your plan before making changes to find out how your health benefits and other benefits may be affected.
Source: medicareinteractive.org

Medicare 2016 & 2017 costs at a glance

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The standard Part B premium amount in 2017 will be $134 (or higher depending on your income). However, most people who get Social Security benefits will pay less than this amount. This is because the Part B premium increased more than the cost-of-living increase for 2017 Social Security benefits. If you pay your Part B premium through your monthly Social Security benefit, you’ll pay less ($109 on average). Social Security will tell you the exact amount you will pay for Part B in 2017. You’ll pay the standard premium amount if:
Source: medicare.gov

Medicare Information, Help, and Plan Enrollment

Humana is a Medicare Advantage [HMO, PPO and PFFS] organization and a stand-alone prescription drug plan with a Medicare contract. Enrollment in any Humana plan depends on contract renewal. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments and restrictions may apply. [Benefits, premiums and/or member cost-share] may change on January 1 of each year. The [Formulary, pharmacy network, and/or provider network] may change at any time. You will receive notice when necessary.
Source: medicare.com

Medicare 2017 Costs at a Glance

Medigap coverage: also known as Medicare Supplement plans, may cover all of your Medicare out of pockets costs and foreign travel (coverage varies by plan letter), and all add an additional 365 days of hospitalization
Source: senior65.com

2016 Medicare Premiums and Deductibles

You may be able to avoid paying this late enrollment penalty if you delayed Medicare Part B because you had other health coverage, such as through an employer-sponsored group plan (either through your own or your spouse’s work). In this case, you can enroll through a Special Enrollment Period when you or your spouse stop working or that other health coverage ends, whichever comes first. If you have to pay a monthly premium for Medicare Part A, you may decide to delay enrollment in Part A as well and sign up during your Special Enrollment Period. If you enroll in Medicare with a Special Enrollment Period, you generally won’t have to pay a late enrollment penalty.
Source: medicare.com

Medicare Fraud Reporting Center

Posted by:  :  Category: Medicare

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

Help fight Medicare fraud

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Source: medicare.gov

Medicare Fraud Reporting Center

Recent changes to US whistleblower laws allow healthcare professionals to collect a significant financial reward (often millions of dollars) for reporting fraud against the government in the healthcare industry. US laws now allow individuals reporting Medicare fraud to receive full protection from retaliation and collect up to 30% of the fines that the government collects. The US government has paid out hundreds of millions of dollars to whistleblowers that come forward with information about healthcare fraud, with some individual whistleblowers receiving a reward worth tens of millions of dollars.
Source: medicarefraudcenter.org

Medicare Fraud Whistleblowers

In one Medicare whistleblower lawsuit, two former lab employees split a $3.7 million reward for exposing fraudulent Medicare billing practices at Diagnostic Laboratories and Radiology, a California-based mobile lab and x-ray provider. The company agreed to pay a total of $17.5 million to settle allegations that it violated federal and state laws by paying kickbacks for referrals of mobile lab and radiology services that were billed to Medicare and Medicaid. Diagnostic Labs allegedly took advantage of Medicare’s different reimbursement system for inpatient and outpatient services by charging Skilled Nursing Facilities (SNFs) discounted rates for inpatient services paid by Medicare in exchange for the facilities’ referral of outpatient business to Diagnostic Labs.
Source: whistleblowerattorneys.com

CarePlus: Northern New Jersey Mental Health Care, Therapy Services

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“We’re looking beyond the case-by-case treatment model that is employed today,” said Care Plus NJ President/CEO, Joseph Masciandaro. “Our goal is to create a new, coordinated model of care that works within the community to provide prevention, intervention, treatment and, most importantly, aftercare—all with the goals of promoting longstanding health and recovery, and reducing repeated hospitalizations.”
Source: careplusnj.org

CarePlus Health Plans (Florida Medicare) Doctors: Book Online By Insurance, Reviews & ZIP

“Dr. Chakote is exactly what the reviews say he is. He doesn’t care at all about the patient. All he asked is what i was there for…. listened to my heart beat then sent me on my way. I had to do a follow up and booked an appt at his other location and when I showed up he wasn’t even the doctor in office. He gave no advanced notice that he would be having me see someone else. His nurse practitioner is amazing though. Her name was Norma and she was very professional and knowledgeable.”
Source: zocdoc.com

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

Your Medicare Number May Not Be Your Social Security Number by Tom Margenau

Posted by:  :  Category: Medicare

This issue exists because the Health Care Financing Administration, the agency that runs the Medicare program, chose a long time ago to simply use the Social Security claim number as the Medicare number. This really was never much of a problem until recently when retiring baby boomers started employing various Social Security "maximizing" strategies that allow them to switch from benefits on one account to benefits on another account. And that means that those retirees will go through a series of Social Security claim numbers up until the age of 70.
Source: creators.com

Submit a Medicare claim online

This information was printed Tuesday 27 December 2016 from humanservices.gov.au/customer/enablers/submit-medicare-claim-online 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

Claim Status Request and Response

The electronic 276/277 process is recommended since many providers are able to automatically generate and submit 276 queries as needed, eliminating the need for manual entry of individual queries or calls to a contractor to obtain this information. Submission of 276 queries and issuance of 276 responses should be less expensive for both providers and for Medicare. In addition, the 277 response is designed to enable automatic posting of the status information to patient accounts, again eliminating the need for manual data entry by provider staff members. If unsure whether your software is able to automatically generate 276 queries or to automatically post 277 responses, you should contact your software vendor or billing service.
Source: cms.gov

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

Pennsylvania Medicare Supplement Plans

The best time to enroll is during the six-month Medigap Open Enrollment Period (OEP). The OEP begins on the first day of the month that a beneficiary is age 65 or older and enrolled in Medicare Part B. During the OEP, a beneficiary has the guaranteed issue right to enroll in a plan of their choosing without undergoing medical underwriting, and insurers cannot charge more, or deny coverage completely during this period. Note: Even during this six-month period, insurers may have the ability to impose a waiting period for pre-existing conditions.
Source: ehealthmedicare.com

Pennsylvania Consumer Assistance

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Source: cms.gov

Medicare Office in , Pennsylvania with Reviews

- helps you find the right local businesses to meet your specific needs. Search results are sorted by a combination of factors to give you a set of choices in response to your search criteria. These factors are similar to those you might use to determine which business to select from a local Yellow Pages directory, including proximity to where you are searching, expertise in the specific services or products you need, and the amount of useful content in the listing, such as consumer reviews, detailed descriptions and photos, to help you evaluate a business’s suitability for you. In addition, YP advertisers receive higher placement in the default ordering of search results on our sites and apps, and they may appear in sponsored listings on the top or side of the search results page.
Source: yellowpages.com

Medicare News and Updates

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People who have diabetes are usually at greater risk of developing foot problems than people who don’t have it.  Even a seemingly minor problem on the foot of person with diabetes should be dealt with because it can quickly turn into a serious infection. It is important that you see your doctor right away if you notice something on the foot that doesn’t seem quite right. There are several causes of foot problems in people with diabetes.
Source: medicaremadeclear.com

Medicare Made Clear: Medicare Information

Keep in mind that Original Medicare (Parts A and B) doesn’t cover everything and could leave many people with gaps in coverage. It’s important to understand the plan choices you have and how those choices may affect your health and budget.
Source: uhc.com

Health Maintenance Organization (HMO)

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Source: medicare.gov

Medicare Plans for Different Needs

When it comes to Medicare, one size definitely does not fit all. What works for your neighbor may not be the best bet for you. Which is why it’s great to have choices. To find plans that may be a good fit for you, enter your ZIP code in the field below and click the "Find plans" button.
Source: uhcmedicaresolutions.com

Medicare Health Plans, Coverage And Online Enrollment

*Plan performance summary star ratings are assessed each year and may change from one year to the next. (Centers for Medicare & Medicaid Services Health Plan Management System, Plan Ratings 2012. Kaiser Permanente contract #H0524, #H0630, #H1170, #H1230, #H2150, #H6360, #H9003). This page was last updated: October 1, 2012 at 12 a.m. PT
Source: kaiserpermanente.org

Compare Medicare HMO Plans

Different markets in the United States have varying reimbursement rates from the federal government. The reimbursement rate is the amount of money that the government pays the Medicare HMO company on a monthly basis for each member on the company’s membership rolls. A Medicare HMO member is generally confined to receiving medical care to the network of doctors and hospitals on the Medicare HMO network. In addition, the member will be assigned a primary care physician (PCP) who will manage the patient’s benefits and refer the member to a specialist if needed. In very competitive and well reimbursed Medicare markets, such as South Florida Medicare, there are numerous Medicare HMO’s competing to entice the Medicare recipient to join their plan and numerous additional benefits are offered. If a low cost alternative to Medicare supplement is desired, it is a good idea to analyze the various Medicare HMO Benefits in the local market to choose the company that is most beneficial to you.
Source: bestmedicaresupplement.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