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 Advantage Georgia

Seniors in Georgia have around 40 different carrier options for Medicare Advantage and Medicare Part D plans including Aetna, Anthem, Highmark, Humana and United Healthcare; however, Kaiser Permanente is considered the best Medicare Advantage plan with 4.5/5 stars.
Source: medicare.net

Georgia Department of Community Health

On Friday, February 24, 2017, DCH is hosting a Public Forum for all Medicaid and PeachCare for Kids® members, Planning for Healthy Babies® recipients, providers, provider associations, and all other interested parties to learn about the upcoming CMO Op
Source: georgia.gov

Medicare Plans & Coverage in Georgia

Medicare Supplement plans in Georgia pay for things that your Original Medicare doesn’t cover, like copays, coinsurance, or deductibles. You can see any Medicare-approved doctor without referral, and you’ll have a monthly bill that’s predictable and budget-friendly. You can even buy dental and vision insurance to make your coverage complete.
Source: bcbsga.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

Annual Statistical Supplement, 2011

Beginning January 1, 2006, upon voluntary enrollment in either a stand-alone PDP or an integrated Medicare Advantage plan that offers Part D coverage in its benefit, subsidized prescription drug coverage. Most FDA-approved drugs and biologicals are covered. However, plans may set up formularies for their drug coverage, subject to certain statutory standards. (Drugs currently covered in Parts A and B remain covered there.) Part D coverage can consist of either standard coverage or an alternative design that provides the same actuarial value. (For an additional premium, plans may also offer supplemental coverage exceeding the value of basic coverage.) Standard Part D coverage is defined for 2006 as having a $250 deductible, with 25 percent coinsurance (or other actuarially equivalent amounts) for drug costs above the deductible and below the initial coverage limit of $2,250. The beneficiary is then responsible for all costs until the $3,600 out-of-pocket limit (which is equivalent to total drug costs of $5,100) is reached. For higher costs, there is catastrophic coverage; it requires enrollees to pay the greater of 5 percent coinsurance or a small copay ($2 for generic or preferred multisource brand and $5 for other drugs). After 2006, these benefit parameters are indexed to the growth in per capita Part D spending (see Table 2.C1). In determining out-of-pocket costs, only those amounts actually paid by the enrollee or another individual (and not reimbursed through insurance) are counted; the exception is cost-sharing assistance from Medicare’s low-income subsidies (certain beneficiaries with low incomes and modest assets will be eligible for certain subsidies that eliminate or reduce their Part D premiums, cost-sharing, or both) and from State Pharmacy Assistance Programs. A beneficiary premium, representing 25.5 percent of the cost of basic coverage on average, is required (except for certain low-income beneficiaries, as previously mentioned, who may pay a reduced or no premium). For PDPs and the drug portion of Medicare Advantage plans, the premium will be determined by a bid process; each plan’s premium will be 25.5 percent of the national weighted average plus or minus the difference between the plan’s bid and the average. To help them gain experience with the Medicare population, plans will be protected by a system of risk corridors, which allow Part D to assist with unexpected costs and to share in unexpected savings; after 2007, the risk corridors became less protective. To encourage employer and union plans to continue prescription drug coverage to Medicare retirees, subsidies to these plans are authorized; the plan must meet or exceed the value of standard Part D coverage, and the subsidy pays 28 percent of the allowable costs associated with enrollee prescription drug costs between a specified cost threshold ($250 in 2006, indexed thereafter) and a specified cost limit ($5,000 in 2006, indexed thereafter).
Source: ssa.gov

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

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 Part D Program Compared to 2010, 2009, 2008 and 2007

Pharmaceutical manufacturers will be required to provide certain beneficiaries access to discount prices for certain brand drugs purchased under Medicare Part D. The manufacturer discount prices will be equal to 50% of the plan’s negotiated price defined (minus any applicable dispensing fees). These discount prices must be applied prior to any prescription drug coverage or financial assistance provided under other health benefit plans or programs and after any supplemental benefits provided under the Part D plan. The discounted prices will be charged at the pharmacy (point-of-sale). The beneficiary will not have to do additional paperwork, etc. to receive the benefit. These manufacturer discount prices will be made available to Part D enrollees who are in the coverage gap or donut hole (they have reached or exceeded the initial coverage limit and have incurred costs below the annual out-of-pocket threshold). Medicare beneficiaries will not be eligible to receive these discount prices if they are enrolled in a qualified retiree prescription drug plan or are eligible for the low-income subsidy. The costs paid by manufacturers towards the negotiated prices of drugs covered under this manufacturer discount program shall be considered incurred costs for eligible beneficiaries and applied towards their out-of-pocket threshold. This means that the total negotiated retail drug price will be applied to the TrOOP and will count toward getting out of the doughnut hole.
Source: q1medicare.com

VNSNY CHOICE Medicare OTC Health Benefit Store

Posted by:  :  Category: Medicare

VNSNY CHOICE Medicare is an HMO plan with a Medicare contract. Enrollment in VNSNY CHOICE Medicare 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 may change on January 1 of each year.
Source: drugsourceinc.com

VNSNY CHOICE Medicare Classic

VNSNY CHOICE Medicare Classic is available in Southampton, Kings Park, Port Jefferson Station, Lindenhurst, Cold Spring Harbor, Ridge, Coram, Manorville, Amityville, Central Islip, Farmingville, Center Moriches, Lake Grove, Cutchogue, Medford, Holbrook, Sag Harbor, Copiague, Bellport, Moriches, Melville, West Sayville, Port Jefferson, Jamesport, West Islip, Huntington, Brentwood, Selden, Upton, East Hampton, Blue Point, Mattituck, New Suffolk, Babylon, Islip, Wyandanch, Amagansett, West Babylon, Westhampton Beach, Shirley, Huntington Station, Peconic, Stony Brook, Water Mill, Sayville, Rocky Point, Riverhead, Hauppauge, Montauk, Middle Island, Nesconset, Shelter Island Heights, Eastport, East Setauket, Westhampton, Ocean Beach, East Marion, Remsenburg, Centerport, Islip Terrace, Mastic, Shoreham, Bayport, Laurel, Quogue, East Northport, Centereach, Speonk, Smithtown, Commack, Great River, Patchogue, Saint James, Bohemia, Northport, Wainscott, Oakdale, Brightwaters, Shelter Island, Yaphank, East Quogue, South Jamesport, Calverton, Sound Beach, Mount Sinai, Brookhaven, East Moriches, Greenport, Mastic Beach, Aquebogue, Bay Shore, Greenlawn, East Islip, Holtsville, Deer Park, Islandia, Southold, Miller Place, Hampton Bays, Fishers Island, Ronkonkoma, Sagaponack, North Babylon, Orient, Bridgehampton, Wading River, and all other areas of Suffolk County.
Source: allmedicare.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

Find and compare Home Health Agencies

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Source: medicare.gov

Compare Medicare Supplement & Medicare plan details

Original Medicare (Parts A & B) is the main building block of health care for American seniors. In 2014, 54.1 million people were enrolled in Medicare, according to the Centers for Medicare & Medicaid Services. You can enroll in just Original Medicare, enroll in a Medicare Advantage plan which provides at least same benefits as Original Medicare, or you can increase your coverage by buying a Medicare Supplement policy.
Source: medicaresupplement.com

Medicare Supplement Plans

Your first chance to enroll is during your open enrollment period. The period begins on the first of the month you turn 65—as long as you enroll in Part B. During open enrollment, insurance companies cannot delay your coverage start date, charge you higher premiums, or deny you a policy due to your health. These protections are called “guaranteed issue rights,” and in situations where these rights apply, federal law allows you to buy any Medigap plan that is sold in your state.
Source: medicarehealthplans.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.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

SENIORS TO RECEIVE MEDICARE REBATE CHECKS

“Seniors don’t fall victim to scams,” says Congresswoman Johnson. “Some people are calling seniors asking them for their social security numbers and other information in order to receive their rebate checks, this is simply untrue. Seniors have earned their benefits and Congress has a responsibility to deliver them.”                                                                                                                                    ### U.S. Representative Eddie Bernice Johnson is the highest-ranking Texan on the House Committee on Transportation & Infrastructure and a senior member of the Science Committee. She represents the 30th Congressional District of Texas, which, includes Downtown Dallas, Fair Park, Oak Lawn, Turtle Creek, Old East Dallas, Pleasant Grove, & South Oak Cliff; all of Balch Springs, DeSoto, Hutchins, Lancaster & Wilmer and parts of Cedar Hill, Duncanville, Ferris, Glenn Heights and Ovilla.  
Source: house.gov

Australian Government rebate on Private Health Insurance

This information was printed Friday 3 March 2017 from humanservices.gov.au/customer/services/medicare/australian-government-rebate-private-health-insurance 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

Medicare Donut Hole Rebate Checks

Washington, D.C. – Congressman G. K. Butterfield reminds seniors who fall into the Medicare Part D “donut hole” that the one-time, tax-free $250 rebate checks start going out to this week.   “This is an important first step toward closing the Medicare donut hole,” Butterfield said.   Under the Affordable Care Act passed by Congress and signed by President Obama, Medicare will automatically send a $250 check to seniors who reach the coverage gap in 2010. Checks will be mailed monthly staring June 10th throughout the year as beneficiaries enter the coverage gap.   Butterfield said that once a Medicare beneficiary reaches the donut hole, they should expect to automatically receive a check within 45 days. Individuals receiving Medicare Extra Help will not receive a rebate check.   Butterfield warned seniors to be aware of scams seeking personal information.   “Medicare sends check automatically and there are no forms to fill out,” Butterfield said. “Don’t give any personal information – Medicare, Social Security or bank account numbers – to anyone who calls about the rebate check.”   Anyone who does receive calls seeking personal information is encouraged to call 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048.   Butterfield explained that most Medicare prescription drug plans have a coverage gap, which means that once beneficiaries have spent a certain amount, all drug costs must be paid for out of pocket up to a limit. Medicare drug coverage resumes once the limit is exceeded.   Butterfield said that under the health insurance reforms, the donut hole will eventually be closed completely. Beginning in 2011, beneficiaries in the donut hole will receive a 50 percent discount on brand-name drugs. Additional discounts for brand-name and generic drugs will be phased in to close the donut hole completely by 2020.   A typical senior who hits the donut hole is expected to save over $700 in 2011, and over $3,000 annually by 2020.   Butterfield said that the health insurance reform provided a number of additional improvements to make health care more affordable for seniors. In addition to closing the donut hole, out-of-pocket expenses for preventive services in Medicare have been eliminated, and cost sharing for many individuals dually eligible for Medicare and Medicaid will also be eliminated.
Source: house.gov

Scam Alert: Doughnut Hole Rebate Checks, Medicare Recipients

Days before the first batch of checks was mailed—on June 10, to about 80,000 people—federal officials including Health and Human Services Secretary Kathleen Sebelius and U.S. Attorney General Eric Holder urged every state attorney general to “mount a substantial outreach campaign” to educate older Americans about scams pegged to the rebate checks and other Medicare programs. Many AGs have already complied.
Source: aarp.org

Medicare Rebate Checks Closing Prescription Drug Doughnut Hole Mailed

Government officials said Thursday that $250 checks have just been mailed to about 300,000 people with Medicare to help them pay for prescription drugs in Part D’s infamous coverage gap—the “doughnut hole.”  This is the second wave of tax-free payments to be sent out, going to those who fell into the gap in April, May or June this year. About 80,000 people who hit the gap during the first quarter of the year received their checks last month. By the end of the year, about 4 million people are expected to receive the one-time rebate.   The $250 rebate program is the first benefit of the new health care law to take effect. It’s an early effort by the Obama administration to convince consumers, especially Medicare beneficiaries, that help is on the way, though the main provisions of the law won’t begin until 2014. The amount is small compared with most people’s actual expenses in the gap, when they must currently pay full price after the total cost of their drugs since the beginning of the year reaches $2,830. But the rebate is intended to signal that the doughnut hole—the most unpopular aspect of the Part D drug benefit—will eventually be closed. Next year, people in the gap will see a 50 percent discount on brand-name and biologic drugs and a 7 percent discount on generics. After 2011 the discounts will grow larger until, by 2020, nobody will pay more than 25 percent of the cost of any drugs in what is now the doughnut hole—that is, between reaching the initial coverage limit and qualifying for low-cost catastrophic coverage. “Seniors and other Medicare recipients in the Medicare donut hole are struggling to afford the medications they need and their basic living expenses,” said Kathleen Sebelius, secretary of Health and Human Resources in a statement yesterday. “Seventy percent of our first round of these $250 rebate checks were cashed within a week of eligible Medicare recipients receiving them; so, we know that folks really need some help.” If you’re enrolled in the Part D drug program and expect to fall into the doughnut hole this year, Medicare officials say that this is how the program will work for you:
Source: aarp.org

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

Health professionals forms

This information was printed Friday 3 March 2017 from humanservices.gov.au/health-professionals/forms 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

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

Posted by:  :  Category: Medicare

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Source: medicare.gov

Medicare PPO Blue ValueRx (PPO)

Posted by:  :  Category: Medicare

You do not currently have end-stage renal disease (ESRD). If you initiated dialysis treatments for ESRD but have recovered your normal kidney function and no longer require a regular course of dialysis to maintain life, or have had a successful kidney transplant, or are currently a member of Blue Cross Blue Shield of Massachusetts, you may still join the plan. In addition, if you were a member of a Medicare Advantage plan that terminated its services after December 31, 1998, and you currently have ESRD, you may still join the plan. There may be additional requirements, please contact the plan for more information.
Source: bluecrossma.com

Medicare Advantage Plans in Michigan

Medicare Advantage plans are a lot like the health insurance you may have had before becoming eligible for Medicare. You can choose a complete insurance package with the convenience of one ID card for all services.
Source: bcbsm.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

What’s Medicare Supplement Insurance (Medigap)?

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

Texas Medicare Supplement Plans

A Medicare Supplement plan covers costs associated with Original Medicare, including copayments, deductibles, and other out-of-pocket expenses. These plans are designed to work in combination with Original Medicare and cannot be used as stand-alone health coverage. Medicare Supplement plans do not include prescription drug coverage, but beneficiaries can choose to have prescription drug coverage by enrolling in a Medicare Part D prescription drug plan.
Source: ehealthmedicare.com

Medicare Supplement of Texas

Like any other insurance program, Medicare was never designed to cover ALL medical expenses for its beneficiaries. There are costly co-payments and deductibles on everything from office visits and hospitalizations to home health care and much more.
Source: medsupoftexas.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: bcbstx.com

Medicare Supplement Options

* Network restrictions apply. ** Policy forms UWMSP(A)-2010, UWMSP(F)-2010, UWMSP(F-HD)-2010, UWMSP(G)-2010, UWMSP(K)-2010, UWMSP(L)-2010, UWMSP(N)-2010, UWMSP-SEL(F)-2010, UWMSP-SEL(G)-2010, UWMSP-SEL(K)-2010, UWMSP-SEL(L)-2010, UWMSP-SEL(N)-2010.
Source: bcbstx.com