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

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Source: medicare.gov

Contact Information and Websites of Organizations for Medicare

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Source: medicare.gov

Medicare Advantage plans (Part C)

Medicare Part C is an alternative to Medicare Parts A (hospital insurance) and B (medical insurance). Medicare pays a private insurance company to manage Parts A and B. After you enroll, the provider bills the insurance company instead of Original Medicare.
Source: wa.gov

Medicare Health Plans, Coverage And Online Enrollment

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*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

Custom care & coverage just for you

* Kaiser Foundation Health Plans, Inc., received the highest numerical score among commercial health plans in California, Colorado, and the South Atlantic, Mid-Atlantic, and Northwest regions in the J.D. Power 2016 Member Health Plan Study. Study based on 31,867 responses measuring experiences and perceptions of members surveyed October-December 2015. Your experiences may vary. Visit jdpower.com
Source: kaiserpermanente.org

Kaiser Permanente Medicare Insurance Plans

One important feature that is unique to Kaiser Permanente Medicare Insurance plans is that you must use Kaiser doctors and Kaiser facilities as a Kaiser member. This is similar to but has some important differences when compared to an HMO Plan. In most traditional HMO Plans, there is a network of physicians and hospitals from which you must choose in order to get coverage for health care services. Typically, those doctors are not affiliated with one single insurance provider but participate with several providers. With Kaiser Permanente, Kaiser doctors and facilities only participate with Kaiser plans, and you must use those doctors and hospitals in order to receive treatment. This innovative approach means all your doctors, no matter the specialty are connected to the same information system, and health records and information are shared seamlessly between doctors through the Kaiser network. This style of Medicare plan may not be for everyone; unless you are already a Kaiser member, choosing a Kaiser Medicare plan will likely mean switching your doctor and pharmacy.
Source: medicaresolutions.com

Kaiser Permanente Colorado Announces 2011 Plans for Medicare

About Kaiser Permanente ColoradoThe Colorado Permanente Medical Group has an exclusive contract with Kaiser Foundation Health Plan of Colorado to form Kaiser Permanente Colorado, the state’s largest private, non-profit health care provider in the state. CPMG is Colorado’s largest medical group practice within a health care organization, and employs 800 regular status physicians representing all medical specialties and major sub-specialties. More than 483,000 members in the Denver/Boulder and Colorado Springs areas have access to Kaiser Permanente care through an expanded suite of health care products. Kaiser Permanente physicians and care teams focus on prevention as well as managing disease, all in an effort to help patients live well and thrive. Visit us online at kp.org or get the latest in health news at our News Center.
Source: kaiserpermanente.org

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

Posted by:  :  Category: Medicare

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Source: medicare.gov

How to compare Medigap policies

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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

Compare Medicare Plans to find the coverage you need at a cost you can afford

Your information is governed by our Privacy Policy. By entering your name and information above and clicking this button, you are consenting to receive calls or emails regarding your Medicare Advantage, Medicare Supplement, and Prescription Drug Plan options (at any phone number or email address you provide) from an eHealth representative or one of our licensed insurance agent business partners, and you agree such calls may use an automatic telephone dialing system or an artificial or prerecorded voice to deliver messages. This agreement is not a condition of purchase.
Source: medicare.com

Medicare Information and Plan Comparisons

While health care was not central to the 2016 Presidential campaign, the election’s outcome will be a major determining factor in the country’s future health care policy. A number of issues have garnered media attention, including the future of the Affordable Care Act (ACA), rising prescription drug costs, and the opioid epidemic.
Source: medicare.org

Does Medicare Cover Children?

Posted by:  :  Category: Medicare

Medicaid, however, is a different federal health insurance program which can cover children if their families have low income and few assets other than their home. If a family qualifies for Medicaid coverage, almost all of a child’s health care needs can be paid for, with only very small copayments by the family. To find out more about eligibility for Medicaid for children, and to find out about specific programs that expand coverage to children beyond standard Medicaid coverage, go to the Medicaid page of the web site of the Centers for Medicare and Medicaid Services.
Source: caring.com

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

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Source: medicare.gov

Children’s Health Insurance Program (CHIP)

The Children’s Health Insurance Program (CHIP) provides health coverage to eligible children, through both Medicaid and separate CHIP programs. CHIP is administered by states, according to federal requirements. The program is funded jointly by states and the federal government.
Source: medicaid.gov

Medicare 2017 costs at a glance

Posted by:  :  Category: Medicare

The standard Part B premium amount in 2017 is $134 (or higher depending on your income). However, most people who get Social Security benefits 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’ll pay for Part B in 2017. You’ll pay the standard premium amount if:
Source: medicare.gov

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

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Source: medicare.gov

ISDH: 2011 Hospital Medicare Cost Reports

On an annual basis, the Indiana State Department of Health (ISDH) requires acute care hospitals to provide a copy of their Medicare Cost Report as provided to CMS. This information is then converted to an electronic Adobe PDF format, displayed on this site, and is updated annually.
Source: in.gov

Medicare Premiums for 2011 Frozen or Hiked for Beneficiaries, Boomers

There will be three "standard" Part B premium levels next year, a situation brought about by the freezing of Social Security cost-of-living adjustments in 2010 and 2011. Under existing law, when COLAs do not rise, standard Part B premiums must be frozen too — but only for people whose premiums are deducted from their Social Security checks. This means that in 2011 many people will pay the same premiums as they did in 2009 or 2010, but others will pay the new higher standard amount for 2011.
Source: aarp.org

2011 Medicare Cost Sharing Details 

Standard Part B Premium: In addition to the two "hold harmless" Part B premium amounts, there will be a standard Part B premium amount of $115.40 for 2011. Individuals who are new to Medicare in 2011 or who did not have Medicare premiums withheld from their Social Security or their Railroad Retirement checks in 2010 will pay $115.40. Individuals who currently have their Part B premiums paid for by the Qualified Individual (QI) program[3] are in jeopardy of having to pay the $115.40 Part B premium in 2011 if Congress does not extend the QI program beyond the end of the year. That is because their Part B premiums were not withheld from their Social Security checks during the requisite time periods to be eligible for the hold harmless protection. Their premiums were paid for by their state under the QI program. People who lose eligibility for one of the other Medicare Savings Programs, Qualified Medicare Beneficiary (QMB) and Specified Low-Income Medicare Beneficiary (SLMB), will also have to pay the $115.40 Part B premium.
Source: medicareadvocacy.org

2011 Medicare Hospital Cost Reports

All hospitals in Illinois, those hospitals in contiguous states providing 100 or more paid acute inpatient days of care to Illinois Medicaid Program participants, and all hospitals located in states contiguous to Illinois that elect to be reimbursed under the methodology described in 89 Ill. Adm. Code 149 (the Diagnosis Related Grouping (DRG) Prospective Payment System (PPS)), shall be required to file Medicaid and Medicare cost reports within 150 days after the close of that provider’s fiscal year.
Source: illinois.gov

2017 Regence BlueCross BlueShield Medicare Advantage Plans in Oregon

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If you get Medicare due to a disability, you can join during the 7-month period that begins 3 months before your 25th month of entitlement to disability payments, includes your 25th month, and ends 3 months after your 25th month of entitlement to disability payments. Your coverage will begin the first day of the month after you ask to join a plan. If you join during one of the 3 months before you first get Medicare, your coverage will begin the first day of your 25th month of entitlement to disability payments.
Source: oregonhealth-insurance.com

2017 Regence BlueShield Medicare Advantage Plans in Washington

If you get Medicare due to a disability, you can join during the 7-month period that begins 3 months before your 25th month of entitlement to disability payments, includes your 25th month, and ends 3 months after your 25th month of entitlement to disability payments. Your coverage will begin the first day of the month after you ask to join a plan. If you join during one of the 3 months before you first get Medicare, your coverage will begin the first day of your 25th month of entitlement to disability payments.
Source: healthinsurancewashington.com

Regence Medicare Advantage HMO & PPO plans earn strong CMS Star Ratings for 2017

About Regence Regence serves more than 2.4 million members through Regence BlueShield of Idaho, Regence BlueCross BlueShield of Oregon, Regence BlueCross BlueShield of Utah and Regence BlueShield (select counties in Washington). Each health plan is a nonprofit independent licensee of the Blue Cross and Blue Shield Association. Regence is part of a family of companies dedicated to transforming health care by delivering innovative products and services that change the way consumers nationwide experience health care. For more information, please visit regence.com.
Source: regence.com

Regence Medicare Advantage Medical Policy and Review Process

Medicare Advantage Medical Policies are the property of our Plans and their affiliated or subsidiary companies, but may be used for purposes related to the health care of a Medicare Advantage Plan member.  You are strictly prohibited from using Medicare Advantage Medical Policies for purposes not related to the health care of a Plan member, including but not limited to commercial use.
Source: regence.com

Regence Medicare Advantage Medical Policy and Review Process

Medicare Advantage Medical Policies identify the clinical criteria for determining when medical services are considered ‘reasonable and necessary’ (medically necessary).  Medicare Advantage plans are required by CMS to provide the same medical benefits to Medicare Advantage members as Original Medicare.  As such, whenever possible, Medicare Advantage Medical Policies are based on Medicare coverage manuals, National Coverage Determinations (NCDs), and Local Coverage Determinations (LCDs) when available.  If there is no applicable NCD or LCD for the service under review, then other evidence-based criteria may be applied.  In addition, each member’s unique, clinical situation is considered in conjunction with current CMS guidelines.
Source: regence.com

What’s Medicare Supplement Insurance (Medigap)?

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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

How to compare Medigap policies

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Source: medicare.gov

Medicare Supplement Plan F

Medicare Supplement Plan F is generally regarded as the most comprehensive plan out of the 10 Medicare Supplement (Medigap) policies available in most states. Its extensive coverage makes this a popular plan for beneficiaries who want broader assistance with out-of-pocket costs in Original Medicare; however, this also means that premiums may be more expensive. Because Plan F covers most remaining hospital and doctor costs after Original Medicare (Part A and Part B) has paid its share, it’s possible for beneficiaries with this plan to not have any or minimal other hospital and medical expenses.
Source: ehealthinsurance.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: bcbsil.com

AARP® Medicare Supplemental Insurance by United Healthcare

Medicare Supplement Insurance Plans, insured by UnitedHealthcare Insurance Company. If you’re considering a Medicare supplement plan, talking to an agent/producer may offer the direct assistance you’re looking for.
Source: aarpmedicaresupplement.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

CMS National Training Program

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Source: cms.gov

Medicare Coding & Billing

New Physical Therapy Evaluation and Reevaluation CPT Codes PTs must begin using 3 new evaluation codes and a new reevaluation code beginning January 1, 2017. Now is the time to become familiar with them.
Source: apta.org

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

Overview of Medicaid and Medicare Billing Courses

Students discuss the process of medical billing and how it is based on a standard set of coding and symbols used by health care providers and insurers. Lessons begin with how the reimbursement process begins after a patient provides documentation of health insurance. They then detail how this insurance information is turned into codes and submitted to the insurance company for payment. The class also reviews the various types of coding fields and how to reference them. It discusses the federal and industry regulations regarding abuse and fraud in medical billing.
Source: study.com

Medicare Billing Seminar l ZPIC Audits l Outiler Billing

This seminar offers education and strategy to provide agency owners, administrators, business managers and billing staffs with practical information to equip your agency to collect the reimbursements due for payer sources. Home health payments continue to take a hit and episodic payments will be reduced in 2016. The 2% Sequestration is legislated through 2023. CMS is moving toward implementing Home Health Value Based Purchasing in 2016 which will di- rectly affect some agencies revenue next year
Source: medicareconsulting.net

2017 Hospice Billing Seminar l Medicare Training & Consulting

Medicare has finalized the New Cost Report forms. All Providers must use for the 2015 Cost Reporting Year. Providers must track costs by type of service (Routine, Continuous,  etc.) throughout the year. CMS will implement new changes to approved software, which require on-going changes to payroll and financial tracking systems.  
Source: medicareconsulting.net

Medicare, Medicaid and Medical Billing

When a Part A claim is processed by Medicare, Medicare pays the provider directly for the service rendered by the provider. On the other hand, in a Part B claim, who pays depends on who has accepted the assignment of the claim. If the provider accepts the assignment of the claim, Medicare pays the provider 80% of the cost of the procedure, and the remaining 20% of the cost is passed on to the patient. You should recognized that 80-20 breakdown: it’s a classic example of coinsurance.
Source: medicalbillingandcoding.org

Medicare Billing Training and Education Program Summaries

Ranging from eight weeks to approximately two years, certificate and associate’s degree programs in medical billing and coding offer coursework in Medicare billing, alongside training in general medical billing methods. Both types of programs cover basic medical terminology and explain the infrastructure of insurance systems and only require a high school education to take part in. Some of these programs feature online study options. Medical billing and coding education programs often prepare students to sit for national certification exams like the one offered by the American Academy of Professional Coders.
Source: study.com

ConnectiCare VIP Medicare Plan, Medicare Plans for Connecticut Residents

Posted by:  :  Category: Medicare

Starting Jan. 7, 2017, the website you access through this page will only be available to members who were enrolled in 2016 Medicare Advantage plans. This website will only contain historical information on claims and billing prior to 2017.
Source: connecticarevip.com