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

Extra Help with Medicare Prescription Drug Plan Costs

Medicare beneficiaries can qualify for Extra Help with their Medicare prescription drug plan costs. The Extra Help is estimated to be worth about $4,000 per year. To qualify for the Extra Help, a person must be receiving Medicare, have limited resources and income, and reside in one of the 50 States or the District of Columbia.
Source: ssa.gov

Get Medicare Part D Plan Quotes

Medicare Part D prescription drug coverage, often referred to as Part D, is provided and coordinated by Medicare-approved private insurance companies. Any beneficiary who is eligible for Original Medicare, Part A and/or Part B, and permanently resides in the service area of a Medicare Prescription Drug Plan, can sign-up for Medicare Part D. Medicare Part D coverage is optional, but if you don’t enroll in Part D as soon as you’re eligible, you might pay a late-enrollment penalty if you enroll later.
Source: ehealthmedicare.com

Department of Human Services

SHIP produces and regularly updates charts detailing the various Medigap, Medicare Advantage and Part D drug plans offered in New Jersey. These charts have been posted here to help you compare plans and make an informed decision about which plan best fits your needs and budget. Please note, however, that since Medigap options and pricing can change at anytime during the year, it is recommended you call the company you are interested in to confirm the information/premiums provided on these charts prior to enrolling or making a coverage change. If you are receiving your Medicare coverage through
Source: nj.us

Check Medicare Eligibility at www.CheckMedicare.com.

Posted by:  :  Category: Medicare

1. 24 hour availability is not a guarantee of service uptime. It is merely hours of service operation under normal operating conditions.   2. Works Best with Internet Explorer 10 with a resolution of 1024×768 or higher. The newest versions of Chrome & Firefox are also supported.   3. Average response time is 3-6 seconds, but may be up to 1 minute during peak times. This response time is affected by various factors including, but not limited to, network congestion, CheckMedicare.com server load, and the status of the CMS Medicare HETS system. If you experience consistent response times over 6 seconds please feel free to contact CheckMedicare.com support for system status or assistance.   © 2009-2016 ICS Software, Ltd. All rights reserved. All other copyrights and trademarks are copyrights and trademarks of their respective owners. This disclaimer relates and applies to all pages and content served by ICS Software, Ltd.
Source: checkmedicare.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

NaviNet Medicare Eligibility

With NaviNet Medicare Access, unnecessary phone calls to Medicare IVR and tedious data reentry are issues of the past. Now you can link directly to the Centers for Medicare & Medicaid Services (CMS) to get all the answers you need. A premium low-cost, easy-to-use online solution, NaviNet Medicare Access delivers robust, detailed real-time benefits information for Medicare Parts A, B, C, and D coverage, as well as the current amount of annual deductible already met. NaviNet Medicare Access enables you to perform fast real-time transactions and searches, eliminating frustrating phone calls and unproductive wait times.
Source: navinet.net

Health Plan > (Medicaid) For Providers > Verify Eligibility

Since March 1, 2012, most Medicaid clients began receiving their medical and dental services through managed care. The Health and Human Services Commission (HHSC) issues Your Texas Benefits Medicaid cards to all Medicaid clients, containing information about each person’s medical and dental managed care plans.
Source: swhp.org

Rhode Island Division of Elderly Affairs: Programs

Posted by:  :  Category: Medicare

Medicare is the nation’s health insurance program for people 65 and older, and younger people who are disabled or who have end stage renal disease. Medicare consists of four parts–Part A (Hospital Insurance), Part B (Medical Insurance), Part C (Medicare Advantage Insurance Plans) and MedicarePart D (Medicare Prescription Drug Plans). Almost all persons over age 65 are automatically entitled to Medicare Part A if they or their spouse are eligible for Social Security or Railroad Retirement.
Source: ri.gov

Medicare Choices Made Simple & Affordable

OneExchange helps you choose the Medicare plan that best fits your medical needs and budget. Working with us will help you make informed and confident enrollment decisions. We apologize that our site is not fully accessible to customers using screen readers at this time. We are currently building a new site with accessibility in mind that will be launched in late 2017. Until then, we encourage you to call Willis Towers Watson at 1-866-322-2824 (#711) to speak to one of our expert benefit advisors.
Source: oneexchange.com

Get the Most out of Medicare

OneExchange helps you choose the Medicare plan that best fits your medical needs and budget. Working with us will help you make informed and confident enrollment decisions. We apologize that our site is not fully accessible to customers using screen readers at this time. We are currently building a new site with accessibility in mind that will be launched in late 2017. Until then, we encourage you to call Willis Towers Watson at 1-866-322-2824 (#711) to speak to one of our expert benefit advisors.
Source: oneexchange.com

Contact Information and Websites of Organizations for Medicare

This application is not fully accessible to users whose browsers do not support or have Cascading Style Sheets (CSS) disabled. For a more optimal experience viewing this application, please enable CSS in your browser and refresh the page.
Source: medicare.gov

Providence Medicare Advantage Plans

Providence Health Assurance is a part of Providence Health & Services, so our members will continue to benefit from 160 years of health care experience and innovation. With our expansive resources, our members can enjoy modern convenience, like video visits with a nurse practitioner or doctor, and integrated systems that make it simpler for those we serve to get the very best care possible.
Source: providence.org

Consumer Guide to Health Care

Posted by:  :  Category: Medicare

Medicare is the main insurance for people 65 and older and also provides coverage for some people with disabilities. It is the nation’s largest health insurance program – covering 49 million Americans in 2012. The federal Centers for Medicare and Medicaid Services (CMS), which runs the program, provides lots of information on its  Medicare website. Here is additional information about the program.
Source: wisconsin.gov

Search Results, Medicare.gov

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

Locating an Individual Provider Transaction Access Number (PTAN)

“The contractor shall not send an individual’s provider transaction access numbers (PTAN) to a group or organization (including the group’s authorized or delegated official). If a group/organization needs to know an individual provider’s PTAN, it must contact the provider directly for this information or have the individual provider request this information in writing from the contractor. If the individual provider requests his/her PTAN number, the contractor can mail it to the provider’s practice location. The contractor should never give this information over the phone.”
Source: custhelp.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

Centers for Medicare & Medicaid Services

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

Obtain a previously issued PTAN

First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.
Source: fcso.com

Mandatory Insurer Reporting (NGHP)

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Reporting is accomplished by either the submission of an electronic file of liability, no-fault, and workers’ compensation claim information, where the injured party is a Medicare beneficiary, or by entry of this claim information directly into a secure Web portal, depending on the volume of data to be submitted. Upon receipt of this information, CMS checks whether the injured party associated with the claim report is a Medicare beneficiary, and determines if the other insurance is primary to Medicare. CMS then uses this information in the Medicare claims payment process and, if Medicare paid first when it should not have, uses it to seek repayment from the other insurer or the Medicare beneficiary.
Source: cms.gov

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

California Medicaid: eligibility, enrollment and benefits

Medicaid expansion has raised concerns about overburdening the health care system with a flood of new patients and challenging the financial viability of the program. An Oregon study released in early 2014 reinforced those fears. The study showed more use of primary care and about a 40 percent increase in emergency room visits among the newly insured. However, a recent study by the UCLA Center for Health Policy Research found that the spike in emergency room use was temporary — dropping by two-thirds after two years. The study also found that primary care use did not climb in response to the drop off of emergency room use — meaning overall utilization tapered off. Lead author Jerry Kominski summarized the study this way: “What our findings say to the country is (that) concerns about Medicaid expansion being financially unsustainable into the future are unfounded.”
Source: healthinsurance.org

Understanding Medicare Eligibility in California

Original Medicare includes Part A, which is hospital insurance that covers any inpatient stays in a hospital and Part B medical insurance that covers doctor’s visits and outpatient services. These are included in original Medicare, but many who are eligible for Medicare opt for Medicare Advantage to get the most out of Medicare eligibility. California Medicare Advantage plans often include Part D insurance as well, which is coverage for prescription drugs. Original Medicare does not include this coverage, although there are separate Part D drug plans available for purchase. There are a number of reasons that Medicare Advantage is often opted for with Medicare eligibility. California Medicare Advantage plans can include:
Source: healthmarkets.com

Blue Medicare PPO and Blue Medicare HMO Providers

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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

2017 Florida Blue Medicare Regional PPO & HMO

A Medicare Advantage organization with a Medicare contract and a Medicare-approved Part D sponsor. These contracts are renewed annually, and the availability of coverage beyond the end of the current contract year is not guaranteed. Exclusions, limitations, copayments, coinsurance and deductibles may apply. The benefit information provided herin is a brief summary, not a comprehensive description of benefits. For more information, contact the plan. Medicare beneficiaries may enroll in BlueMedicare Regional PPO through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov.
Source: securehealthoptions.com

Medicare Advantage Plan: PPO Blue ValueRx

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.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 and Direct Access

Recently, we’ve received questions about what it really means to satisfy PQRS requirements. Specifically, there’s some confusion regarding what it takes to actually fulfill the requirements for satisfactory reporting of measures. So, let’s break it down. The purpose of PQRS is to measure quality, and that’s based on four factors: Measure eligibility Performance criteria or quality action Reporting rate Performance rate Measure Eligibility Every measure has specifications that eligible professionals (EPs) reference to determine whether they can …
Source: webpt.com

Medicare Direct Graduate Medical Education (DGME) Payments

In general, Medicare pays each teaching hospital a portion of the hospital’s “per resident amount” (PRA). As further described below, the PRA represents the DGME costs incurred by a teaching hospital in a base period (generally1984 or 1985) divided by the number of full-time equivalent (FTE) residents during that base year. The PRA is updated annually by an inflation factor and then multiplied by the hospital’s resident count, subject to its cap (see below). Medicare pays its portion of this amount based on the ratio of the number of total inpatient days Medicare patients spend in the hospital divided by the hospital’s total inpatient days for all patients. In general, each hospital has two separate PRAs because in Fiscal Years (FYs) 1994 and 1995 the PRAs for non-primary care residents were not updated for inflation, while the primary care PRAs were updated. Thus, each teaching hospital receives slightly higher payments for residents training in primary care specialties and slightly lower amounts for residents in other specialties. Primary care specialties include family medicine, general internal medicine, general pediatrics, preventive medicine, geriatric medicine, osteopathic general practice, and obstetrics/gynecology.
Source: aamc.org

Medicare Supplement Plans

There are no fees associated with requesting Medicare Supplement Insurance comparisons, and you are under no obligation. If you have questions, and/or need advice you can contact one of our Licensed Medicare Supplement Insurance Specialists at 1-855-593-0069.
Source: directmedsup.com

Electronic Billing & EDI Transactions

The information in this section is intended for the use of health care providers, clearinghouses and billing services that submit transactions to or receive transactions from Medicare fee-for-service contractors. EDI is the automated transfer of data in a specific format following specific data content rules between a health care provider and Medicare, or between Medicare and another health care plan. In some cases, that transfer may take place with the assistance of a clearinghouse or billing service that represents a provider of health care or another payer. EDI transactions are transferred via computer either to or from Medicare. Through use of EDI, both Medicare and health care providers can process transactions faster and at a lower cost. Please see pages on specific types of EDI conducted by Medicare for related links and downloads as applicable.
Source: cms.gov

Medicare Health Benefits MHB Insurance Services

Posted by:  :  Category: Medicare

We work as facilitators, listening to the voices of many, both prominent and under served. Ultimately our decisions are made possible by considering ideas brought to light by those voices. We provide the opportunity for people to prosper and connect within their communities.
Source: medicarehealthbenefits.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

Everything You Need to Know About Medicare

Part A: Monthly premiums for Part A are free for people who have worked more than 40 quarters (10 years) of Medicare-taxed employment. Their spouses, and sometimes their former spouses and widows, are also eligible for free premiums. Those who have worked less than that will pay hundreds of dollars every month. For 2016, that is as much as $226 per month for 30-39 quarters to $411 per month for less than 30 quarters of work. Additional Part A costs include a $1,288 deductible in 2016 for each hospital stay, copayments for hospital stays longer than 60 days, and copayments for skilled nursing facility stays longer than 20 days.
Source: verywell.com

Learn What to do If you Already Have Medicare Health Coverage

Yes. Coverage from an employer through the SHOP Marketplace is treated the same as coverage from any job-based health plan. If you’re getting health coverage from an employer through the SHOP Marketplace based on your or your spouse’s current job, Medicare Secondary Payer rules apply.
Source: healthcare.gov