Medicare Exclusion Database

Posted by:  :  Category: Medicare

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Source: cms.gov

Georgia OIG Exclusions List

Any provider participating or applying to participate in the Georgia Medicaid program, including managed care entities, must search the Georgia Medicaid Exclusion List, in addition to the List of Excluded Individuals and Entities (LEIE) and the System for Award Management (SAM) on a monthly basis to determine if any existing employee or contractor has been excluded from participation in the Georgia Medicaid program and/or has been excluded, on a national level, from the Medicare and/or Medicaid program. Furthermore, any provider participating or applying to participate in the Georgia Medicaid program must search all above-referenced lists prior to hiring staff to ensure that any potential employees or contractors have not been excluded from participating in the Medicare and/or Medicaid program.
Source: georgia.gov

Health First Health Plans Medicare

Posted by:  :  Category: Medicare

The Medicare Program rates all health and prescription drug plans each year, based on a plan’s quality and performance. Medicare Plan Ratings help you to know how good a job our plan is doing. You can use this Plan Rating to compare our plan’s performance to other plans. View our Star Ratings in English or Español. Plan performance summary star ratings are assessed each year and may change from one year to the next.
Source: health-first.org

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

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Source: medicare.gov

Does Medicare ever cover dental services?

Posted by:  :  Category: Medicare

will not cover dental care that you need primarily for the health of your teeth. For example, Medicare will not cover routine checkups, cleanings, or pay for you to get fillings. Medicare will never pay for dentures. Even if Medicare has paid for you to have teeth pulled (extracted) as preparation for a medical procedure, Medicare will not cover the cost of implants or dentures (complete or partial/bridge); you will be responsible for the full cost.
Source: medicareinteractive.org

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

Your Medicare coverage choices

Posted by:  :  Category: Medicare

There are 2 main ways to get your Medicare coverage— Original Medicare (Part A and Part B) or a Medicare Advantage Plan (Part C). Some people get additional coverage, like Medicare prescription drug coverage or Medicare Supplement Insurance (Medigap). Use these steps to help you decide what coverage you want:
Source: medicare.gov

What is Medicare+ Choice?

Most of the Medicare Advantage plans include some prescription drug coverage in addition to the other benefits. Some Medicare Advantage plans pay for extra days in the hospital if the individual is hospitalized beyond the 90 day limit per occurrence that Medicare Part A pays. Is Medicare Advantage (Medicare+ Choice) Available In My Area?
Source: todaysseniors.com

Medicare Plans for Different Needs

Posted by:  :  Category: Medicare

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

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

UnitedHealthcare Medicare Insurance Plans

Medicare Advantage Plans from UnitedHealthcare not only replace your Original Medicare benefits but also provide prescription drug benefits. The company offers four different types of Medicare Advantage Plans, which are Health Maintenance Organization (HMO), Point-of-Service (POS), Preferred Provider Organization (PPO), and Private Fee-for-Service (PFFS) Plans. The brand names for its plans vary and depend on where you live and the options that are available to you.
Source: medicaresolutions.com

Medicare Plan Definitions

A Medicare Advantage Plan (Part C) is a type of Medicare health plan offered by a private insurance company that contracts with Medicare to provide Original Medicare (Parts A and B) benefits. Medicare Advantage Plans can combine hospital, doctor and drug coverage in one plan, and may include extra benefits not offered by Original Medicare.
Source: uhc.com

What’s Medicare Supplement Insurance (Medigap)?

Posted by:  :  Category: Medicare

Some Medigap policies also offer coverage for services that Original Medicare doesn’t cover, like medical care when you travel outside the U.S. If you have Original Medicare and you buy a Medigap policy, Medicare will pay its share of the Medicare-approved amount for covered health care costs. Then your Medigap policy pays its share.
Source: medicare.gov

Medicare Supplemental Newyork

To make it easy on you, we have arrangements with all the big Medigap Policy Carriers to allow you to enroll in their policies right on your phone in a matter of minutes. You will receive the least expensive Medigap available, coverage for as long as you keep up with your premiums and, if you choose Medigap Plan F, you will not ever pay a penny again for Medicare-eligible. Get Rates Today
Source: medicaresupplementalnewyork.org

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

Medicare Supplemental Policies: Do You Need One?

We’ll start with what they cover. Supplemental insurance is sold to cover “what Medicare doesn’t.” Remember I said that wasn’t quite true. Unless a supplemental policy specifically states otherwise, the most it will cover are the Medicare deductibles ($147 outpatient and $1,187 hospitalization) and the 20 percent co-insurance. Supplemental policies do not usually cover any medical services Medicare won’t cover. What’s more, Medicare supplemental insurance will only pay health care providers what you would pay if you didn’t have the supplemental policy. Providers aren’t paid any more for taking care of you if you have one of these policies.
Source: huffingtonpost.com

Medicare Supplemental Insurance Rate Comparisons

The content contained within this website is intended to be used in general information purposes. There is nothing throughout the website that will need an application for a particular insurer or plan. If and when one requests the help of an authorized agent, we intend to help locate Medicare supplement coverage under direction. The rates that are shown online are based on the most up-to-date information supplied by insurance carriers. The rates are to be used for information purposes and therefore are not to be regarded as an offer for insurance. The final rates quoted are only allowed to be confirmed by speaking with an authorized representative. Approval from the appropriate insurer is also necessary. Full policy details can be read in “Outline of Coverage,” published by the insuring company. Copyright © 2006-2016, www.medigap360.org. All Rights Reserved. We are not linked with or endorsed by the United States Government or the federal Medicare Program.
Source: medigap360.org

Medicare Supplement Plans

To be eligible to enroll in a Medicare Supplement plan, you must be enrolled in both Medicare Part A and Part B. A good time to enroll in a plan is generally during the Medigap Open Enrollment Period, which begins on the first day of the month that you are both age 65 or older and enrolled in Part B, and lasts for six months. During this period, you have the guaranteed-issue right to join any Medicare Supplement plan available where you live. You may not be denied coverage based on any pre-existing conditions during this enrollment period (although a waiting period may apply). If you miss this enrollment period and attempt to enroll in the future, you may be denied coverage or charged a higher premium based on your medical history.
Source: ehealthinsurance.com

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

Posted by:  :  Category: Medicare

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Source: medicare.gov

Welcome to Maine Medicare Options!

The benefit to you is that I am a “One-Stop Shop.”   When you sit down with me we will review your specific needs and match you up with the plans that best meet those needs.  I will help you narrow down those choices to one plan by answering all your questions so you can make the best choice for you and feel confident knowing that you have chosen the right plan.  I will also help you enroll in the plan and as your agent, I will be there with you during the entire process of enrollment.  I am also available to you during the year any time you have questions or need direction.  Medicare is very complex and it is a great relief to know you have someone in your corner every step of the way.   Every year Medicare Advantage and Part D Prescription Drug plans can change and as your agent, I will talk with you or meet with you before your plan changes.  We will review all changes and if necessary help you to find a new plan that suits your needs best.  I will never pressure you or suggest you change plans.  That decision is always yours to make.   I am simply here as a guide to help you make an informed decision.  I am well respected among my peers and maintain a good reputation. I build meaningful relationships with the people I meet and offer exceptional customer service.
Source: mainemedicareoptions.com

Medicare Age In Information

Do I need to maintain Medicare B coverage to keep my State of Maine health insurance policy? Yes.  If Medicare cancels your Medicare B coverage due to non-payment of premiums, you will automatically lose health insurance coverage with the State of Maine.  You would not be eligible to re-enroll after cancellation unless you satisfy your Medicare B premiums and Medicare reinstates your Medicare B coverage without a break in coverage.  If you are dis-enrolled due to non-payment of Medicare B premiums on four (4) separate occasions, you will permanently lose your eligiblity and cannot re-enroll in the State of Maine health plan.
Source: maine.gov

Medicare Supplement Plans in Maine

When you sign up for Original Medicare and choose a Medicare Supplement plan to help cover your costs, you’ll want to add a separate Part D plan at the same time. Part D is Medicare’s Prescription Drug Coverage. Like Medicare Supplement, you can get Part D directly from us. We offer several prescription drug plans to meet everyone’s needs. So add one to your shopping cart or take a closer look at Medicare Part D plans in Maine.
Source: anthem.com

Medicare Advantage Plans in Maine

Medicare Part C is also called Medicare Advantage (MA). Maine Medicare Advantage Plans include all the benefits of Parts A and B, which cover hospital and medical costs, plus extra benefits that Original Medicare doesn’t cover. Most MA plans also include Medicare Part D (prescription drug coverage). Anthem plans in Maine offer $0 monthly premiums and $0 copays for dental and vision benefits. You’ll have access to a doctor 24/7 with LiveHealth® Online and our popular SilverSneakers® program. Maine Medicare Advantage Plans are great for your wallet and your peace of mind.
Source: anthem.com

Minnesota Medicare Advantage Plans

Posted by:  :  Category: Medicare

If you are a Minnesota beneficiary and considering enrollment in a Medicare Advantage plan, it is important to compare and evaluate the Medicare plan options available to you. While similar Medicare Advantage plans may be offered throughout the state, the cost for premiums may vary depending on your county of residence. You should also take note that some Medicare Advantage plans in Minnesota may offer monthly premiums as low as $0. If your service area offers a Medicare Advantage plan with a $0 premium, keep in mind that the plan may still include other costs besides the premium, such as copayments, coinsurance, and deductibles. In addition, you must still pay your Medicare Part B premium.
Source: ehealthmedicare.com

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

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Source: medicare.gov

Medicare Supplement Plans (Medigap) in Minnesota

Medigap plans sold in Minnesota have different standardized benefits than plans offered in other states. In the rest of the country, each state offers a selection of 10 Medigap plans, with each plan type designated by a letter (for example, Plan F). Benefits are the same across each plan letter, regardless of location or insurance company. Minnesota, Massachusetts, and Wisconsin are the exceptions, with each state offering its own standardized Medigap benefits. However, modified versions of Medigap Plans K, L, M, N, and high-deductible F are offered in Minnesota.
Source: planprescriber.com

Medicare Supplement Leads, Senior Health Insurance Leads and Medicare Leads

Posted by:  :  Category: Medicare

All Web Leads simplifies the process when your agency wishes to buy senior health or Medicare leads. Our easy to use system is fully automated and highly customizable so you can target your search results by location, age, or coverage needs. There has never been an easier solution to your need for Medicare supplement insurance leads or other senior health insurance types. Every lead you receive will adhere to the filters you have selected, which also increases your chances of improving sales for your agency. As soon as we have identified a fresh lead that meets the needs of your agency, All Web Leads will contact you via email or your mobile device so you have fast access to the information you need to make a sale.
Source: allwebleads.com

Medicare Advantage Leads, Medicare Supplement Leads, Turning 65 Leads

Medicare advantage leads (Medicare insurance leads) generating service with Sales Associate®, Texas based telemarketing firm is the right choice. We are producing Medicare leads prospects in the form of scheduled appointments and telemarketing leads. Company offers a streamline of Marketing services such as: Medicare Advantage leads, Medicare Supplement Leads, Special Need, Dual Eligible leads, Turning 65 Leads (Seniors 64 and 65 with Medicare Part A and Medicare Part B), Medicare leads list and other types of senior prospects.
Source: medicareadvantageleads.com

Get Medicare Leads, Exclusive Medicare Supplement Insurance Leads › Benepath

I absolutely love the Benepath exclusive leads. This program consistently brings me high quality leads who not only know that I am calling, they are typically eager to speak with me! Not only this, but Benepath truly stands behind what their system and acts as a real partner. Since starting on the Benepath program my business has really picked up and I spend less time prospecting and more time selling. I would highly recommend the Benepath exclusive leads program to any agent.
Source: benepath.net

Life Insurance Leads for Agents

Our marketing approach can play a huge role in increasing your sales. By using our life insurance leads and other types of leads will keep you and your team of sales agents doing exactly what you should be doing…selling! We have the experience and the expertise with years of service. Our cost effective method of life insurance leads, Medicare supplement leads, reverse mortgage leads generation will place you in front of your desired prospect. We will qualify them and set an appointment based off your desired schedule. Sales Associate® specializes in lead generation for Medicare supplement, Reverse Mortgage, Home Health Care and Final Expense Leads. No more cold-calling and spending hours and hours on the phone finding prospects. Our highly skilled appointment setters can schedule appointments for you to meet with the prospects within the time frame you would want to schedule your meetings. You don’t have to call them just show up for the appointment. Many other telemarketing companies will not offer our level of service without hiking up the expense to the client. With all the great benefits of our services, we still manage to maintain a very competitive pricing compared to other telemarketing companies. We do all the leg work and charge a fraction of the cost for a qualified appointment. Telemarketing is an important function for all your marketing needs and it plays a huge role in expanding the business and ensuring good publicity and targeting your potential client. For over 10 years Sales Associate® has been consistently providing top senior marketers with excellent life insurance leads for agents, Medicare supplement leads, HECM telemarketing leads and real estate leads in the form of solid appointments and phone leads. Our motto is in creating an atmosphere with the customer using the combined experience to maintain an excellent relationship with the customer.
Source: us-leads.com

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

Prescription Drug Coverage

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Source: cms.gov

Which Prescription Drugs are Covered under the Medicare Part D plans?

The list of prescription drugs covered by the Medicare Part D plans (or a Plan’s Formulary) can vary plan to plan. However, every therapeutic category of prescription drugs will be covered under the Medicare Part D prescription drug plans. Medicare Part D plans must cover all or substantially all drugs in six categories: antidepressants, antipsychotics, anticonvulsants, antiretrovirals (AIDS treatment), immunosuppressants and anticancer. Naturally, not every plan will cover each drug and Medicare beneficiaries must therefore choose a plan that best accommodates all of their personal prescription drug needs and financial situation. More specifically, some plans will provide coverage for generic drugs, while other plans will focus on providing a wide range of name-brand prescription drugs. As noted, plan premiums will reflect the plan’s coverage.
Source: q1medicare.com

Medicare Part B Drug ASP Transmittals List

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Source: cms.gov

Medicare Part D Formulary List and Drug Costs

SilverScript covers both brand name drugs and generic drugs. Generic drugs have the same active-ingredient formula as their brand-name equivalents. Generic drugs usually cost less than brand-name drugs and are rated by the U.S. Food and Drug Administration (FDA) to be as safe and effective as brand name drugs. We may remove drugs from the SilverScript Medicare Part D formulary, add prior authorization, quantity limits and/or step therapy restrictions on a drug, and/or move a drug to a higher cost-sharing tier during the plan year. If the change affects a drug you take, we will notify you at least 60 days before the change is effective. However, if the U.S. Food and Drug Administration (FDA) deems a drug on our formulary to be unsafe, or if the drug’s manufacturer removes the drug from the market, we may immediately remove the drug from the SilverScript Medicare Part D formulary and notify all affected members as soon as possible.
Source: silverscript.com