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

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Source: medicare.gov

Medicare in Massachusetts

Medicare Advantage plans and Prescription Drug Plan sponsors must have a contract with Medicare in order to sell Medicare insurance plans (such as a Medicare HMO or a Medicare Part D Prescription Drug Plan). Depending on the terms of the contract between the plan and Medicare, not every plan is available statewide or in all service areas. Each year, the plan must renew their contract with Medicare, so the availability of a plan in a specific service area is subject to change as a result of the annual contract renewal.
Source: ehealthmedicare.com

Help fight Medicare fraud

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Source: medicare.gov

How to Report Fraud and Suspected Fraud

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Source: cms.gov

Medicare Fraud Reporting Center

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

Medicare and You Handbook

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Medicare should send you a printed copy of the Medicare & You Handbook in late September of each year, unless you have chosen to have the handbook delivered electronically. Your handbook should include information about the Medicare Part D and Medicare Advantage plans available in your service area. We have created this section of our website to provide information about Medicare in general based on the "Medicare and You Handbook – A Guide to Medicare". As reference, the following links can be used to download the national version of the Medicare & You Handbook — this version is not service area specific.
Source: q1medicare.com

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

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Source: medicare.gov

Oklahoma Insurance Department

The Senior Health Insurance Counseling Program (SHIP) is a non-profit organization helping to inform the public about Medicare and other senior health insurance issues. This division provides accurate and objective counseling, assistance, and advocacy relating to Medicare, Medicaid, Medicare supplements, Medicare Advantage, long-term care, and other related health coverage plans for Medicare beneficiaries, their representatives, or persons soon to be eligible for Medicare.
Source: ok.gov

Medicare Advantage Oklahoma

The highest-rated plans for Medicare Advantage in Oklahoma are those from Coventry. These plans earned 4.5/5 stars in U.S. News & World Report’s annual list. Consumers can select from such plan types as: HMOs, PPOs and PFFS (Private Fee-for-Service) plans. MSA (Medical Savings Account) plans are also available, paying out-of-pocket healthcare costs. You can also purchase Special Needs Plans (SNPs) if eligible.
Source: medicare.net

Welcome To The Oklahoma Health Care Authority

Due to inclement weather, the Governor has authorized state agencies to reduce non-essential services as of 3:00PM CST on Tuesday, April 26th. As a result, OHCA will be closing at that time. Thank you for your patience and be safe.
Source: okhca.org

Oklahoma Insurance Department

Medicare is made up of Parts A, B, C & D. Most people over age 65 get Medicare Part A premium free but most must pay a monthly premium for Medicare Part B ($121.80 in 2016). A choice of how you take your Medicare is given with Medicare Part C (Medicare Advantage), and Part D gives the opportunity to purchase a prescription drug plan.
Source: ok.gov

Medicare Part D Plans in Oklahoma (2017)

You can enroll in Medicare Part D Plans in the following counties: Caddo, Grady, Oklahoma, Mcclain, Canadian, Kingfisher, Cleveland, Washita, Logan, Murray, Blaine, Kiowa, Garvin, Stephens, Noble, Custer, Carter, Love, Johnston, Marshall, Bryan, Jefferson, Comanche, Jackson, Tillman, Cotton, Harmon, Greer, Beckham, Roger Mills, Dewey, Garfield, Alfalfa, Woods, Major, Grant, Woodward, Ellis, Harper, Beaver, Texas, Cimarron, Osage, Washington, Tulsa, Creek, Wagoner, Rogers, Pawnee, Payne, Lincoln, Nowata, Craig, Mayes, Ottawa, Delaware, Muskogee, Okmulgee, Pittsburg, Mcintosh, Cherokee, Sequoyah, Haskell, Adair, Pushmataha, Atoka, Hughes, Coal, Latimer, Le Flore, Kay, Mccurtain, Choctaw, Pottawatomie, Seminole, Pontotoc, Okfuskee, and all other areas of Oklahoma.
Source: allmedicare.com

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

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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

What Does Medicare Plan F Cover?

Not always.  You will get ONE open enrollment window to choose your first Medicare supplement without health underwriting. This window starts on Part B effective date and lasts for only 6 months.  In most states, after that one-time window expires, you can only change to another insurance company if you can pass the medical questions. This comes as a surprise to many people who mistakenly believe that the Annual Election Period in the fall is also a time when you can change your Medigap plan. It is not. The fall Annual Election Period only pertains to changing your Part D drug plan or Medicare Advantage plan.
Source: boomerbenefits.com

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

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Source: medicare.gov

Medicare Eligibility Requirements

By law, you’re allowed to sign up for any Medigap policy in your state as long as you enroll during the initial window, even if you have medical issues that would otherwise prevent you from getting covered. An insurer has to charge you the same premium rate as a healthy person, too, so enrolling during this initial period is essential if you need the extra coverage. Your guarantees under the initial enrollment window expire once that 6-month eligibility period ends. Outside of the initial eligibility window, you may not find Medigap coverage at all. And if you do, it will probably cost a lot more.
Source: medicare.net

Medicare Eligibility, Age, Qualifications And Requirements

You can also qualify for premium-free Part A benefits on your spouse’s work record if he or she is at least age 62 and you are at least age 65. You also may qualify on the work record of a divorced or deceased spouse. Following the Supreme Court’s 2015 ruling, people in same-sex marriages can qualify for Medicare on their spouse’s work record, regardless of where they live or where they were married.
Source: aarp.org

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

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Source: medicare.gov

Medicare Part D Plans in Iowa (2017)

You can enroll in Medicare Part D Plans in the following counties: Warren, Adair, Dallas, Marshall, Hardin, Polk, Wayne, Story, Cass, Audubon, Guthrie, Mahaska, Jasper, Boone, Madison, Hamilton, Franklin, Marion, Lucas, Greene, Carroll, Decatur, Wright, Ringgold, Keokuk, Poweshiek, Union, Monroe, Tama, Clarke, Cerro Gordo, Hancock, Winnebago, Mitchell, Worth, Floyd, Kossuth, Howard, Webster, Buena Vista, Emmet, Palo Alto, Humboldt, Sac, Calhoun, Pocahontas, Butler, Chickasaw, Fayette, Buchanan, Grundy, Black Hawk, Bremer, Delaware, Taylor, Adams, Montgomery, Plymouth, Sioux, Woodbury, Cherokee, Ida, Obrien, Monona, Clay, Lyon, Osceola, Dickinson, Crawford, Shelby, Pottawattamie, Harrison, Mills, Page, Fremont, Dubuque, Jackson, Clinton, Clayton, Winneshiek, Allamakee, Washington, Linn, Iowa, Jones, Benton, Cedar, Johnson, Wapello, Jefferson, Van Buren, Davis, Appanoose, Des Moines, Lee, Henry, Louisa, Muscatine, Scott, and all other areas of Iowa.
Source: allmedicare.com

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

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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

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

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Source: medicare.gov

Disability Planner: Medicare Coverage If You’re Disabled

Everyone with Medicare also has access to prescription drug coverage (Part D) that helps pay for medications doctors prescribe for treatment. For more information on the enrollment periods for Part D, we recommend you read Medicare’s "How to get drug coverage" page.
Source: ssa.gov

Benefits for People with Disabilities

The Social Security and Supplemental Security Income disability programs are the largest of several Federal programs that provide assistance to people with disabilities. While these two programs are different in many ways, both are administered by the Social Security Administration and only individuals who have a disability and meet medical criteria may qualify for benefits under either program.
Source: ssa.gov

Health coverage options for people who get Social Security Disability Insurance (SSDI)

One exception: If you enrolled in a Marketplace plan before getting Medicare, you can keep your Marketplace plan as supplemental insurance when you enroll in Medicare. But if you do this, you’ll lose any premium tax credits and other savings for your Marketplace plan.
Source: healthcare.gov

Medicare Coverage if You’re Disabled

If you have amyotrophic lateral sclerosis (ALS or Lou Gehrig’s disease), you will automatically be enrolled in Medicare Part A (hospital insurance) in the first month that you begin receiving Social Security disability benefits. You will automatically be enrolled in Medicare Part B (medical insurance) if you live within the 50 United States or District of Columbia. You will have the option to refuse the automatic enrollment in Medicare Part B if you already have medical insurance. If you need prescription drug insurance, you will have to enroll in a Medicare Part D prescription drug plan separately.
Source: ehealthmedicare.com

Original Medicare (Part A and B) Eligibility and Enrollment

To be eligible for premium-free Part A, an individual must be entitled to receive Medicare based on their own earnings or those of a spouse, parent, or child. To receive premium-free Part A, the worker must have a specified number of quarters of coverage (QCs) and file an application for Social Security or Railroad Retirement Board (RRB) benefits. The exact number of QCs required is dependent on whether the person is filing for Part A on the basis of age, disability, or End Stage Renal Disease (ESRD). QCs are earned through payment of payroll taxes under the Federal Insurance Contributions Act (FICA) during the person’s working years. Most individuals pay the full FICA tax so the QCs they earn can be used to meet the requirements for both monthly Social Security benefits and premium-free Part A.
Source: cms.gov

Medscape: Medscape Access

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Source: medscape.com

Congress Approves, Passes, Freeze, Fix, on Medicare Doctors Payments, …

“Seniors and the doctors who care for them deserve the stability of a Medicare system that does not require Band-Aid fixes each year,” said A. Barry Rand, AARP’s chief executive officer. “We look forward to working with the new Congress next year to put an end to the annual patches and give seniors the peace of mind they deserve.” More than than 100,000 AARP members had contacted Congress asking lawmakers to prevent the payment cut, he added. The new one-year freeze follows a series of short-term fixes that have blocked the threatened cuts repeatedly over the past eight years. The cuts are required because of legislation passed in 1997 that tied Medicare funding to a formula based on economic growth. Typically when the deadline for the cuts looms, Congress votes to block them. Then several months later the process repeats without lawmakers addressing the underlying problem of the formula. So far, the cuts have been blocked 10 times in the past eight years, including four times this year. For the 46 million Americans in Medicare, the threatened pay cuts had raised the possibility that more doctors would turn away Medicare patients. “Recent AARP surveys show that more than 80 percent of our members are concerned that if this pay cut goes into effect they could lose their doctors," Rand wrote in an earlier letter to Congress urging passage of a yearlong fix. "Our research also shows that our members believe Congress has a responsibility to keep doctors in the Medicare program by providing doctors with a stable payment system." The legislation also extends for one year a Medicare program that pays Part B premiums for low-income beneficiaries who can’t otherwise afford them. The program was due to expire Dec. 31, said Joe Baker, president of the Medicare Rights Center. “At a time when the financial security of an increasing number of Medicare consumers is uncertain, programs [like this] have become essential,” he said.
Source: aarp.org

ObamaCare Medicare: ObamaCare and Medicare

ObamaCare now requires that Advantage plans cannot charge enrollees more than traditional Medicare for chemotherapy administration, skilled nursing home care and other specialized services. Starting in 2014, Medicare Advantage plans cannot spend more than 15 % of their Medicare payment on administrative costs, insurance company profits and non-healthcare related items. These cost cutting measures are estimated to bring in $1,000 in savings to CMS per Advantage Plan member without reducing any benefits. This is expected to help decrease Medicare part B payments, especially for low income seniors. Remember: Medicare Advantage Plans must provide at a minimum what Original Medicare covers.
Source: obamacarefacts.com