Medicare Supplement, Life, Dental & Critical Condition Insurance

Posted by:  :  Category: Medicare

Sterling recognizes the vital role providers play as the critical link between patients and their health. Sterling treats providers with the respect they deserve with Medicare Supplement expertise, top-notch customer service, quick and accurate claims processing, and comprehensive tools to manage the administrative process.
Source: cigna.com

Sterling Life Insurance � Compare Medicare Supplement Insurance

To compare Sterling Life Medicare Supplemental Insurance Plans with those of multiple other companies, simply call (877) 812-7571 today. Qualified Medicare Supplemental Insurance Specialists are ready to help you. Or you can fill out the form at the top right of this page to compare rates of multiple companies and apply online.
Source: medicaresupplement360.com

The comprehensive solution for Medicare Administration

Posted by:  :  Category: Medicare

RAM Technologies, Inc. is pleased to offer a comprehensive solution focused on your Medicare requirements.  This offering provides the performance you need at a fraction of the operating costs traditionally incurred for this population.  Switch to HEALTHsuite Mercato and stop worrying about administration and compliance and focus on the care of your members.
Source: ramtechnologiesinc.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 Remit Easy Print

Providers/suppliers who use the MREP software package have the ability to print paper documentation that can be used to reconcile accounts receivable, as well as create document(s) that can be included with claim submission to secondary/tertiary payers. The output of MREP is similar to the current Standard Paper Remittance (SPR) format. The availability to print out an ERA in the Standard Paper Remittance (SPR) advice format is cost effective. EDI Support Services (EDISS) encourages providers to use MREP or other software to read, view, and print an ERA to eliminate any need for the SPR.
Source: edissweb.com

Coventry Medicare Services Overview

Posted by:  :  Category: Medicare

Coventry’s acquisition by Aetna seems to have benefited both carriers, especially for the valuable Medicare audience. “It’s a deal that almost had to happen,” stated analyst Thomas Carroll. “For Aetna to really compete effectively amongst the other large, national managed-care companies, they have to do more in terms of gaining market share in the commercial business, as well as getting a bigger foothold in Medicare and Medicaid, which are the growth areas in managed care over the next decade.” Aetna gained 5 million Coventry members, including: 250,000 Medicare enrollees, 1.5 million Part D enrollees and 930,000 Medicaid enrollees. They were also able to grow two valuable audiences: smaller employers and beneficiaries who purchased individual coverage.
Source: medicare.net

Advantra Silver (HMO) for Allegheny County, PA

Advantra Silver is available to beneficiaries living in Bairdford, Bakerstown, Brackenridge, Bradfordwoods, Bridgeville, Buena Vista, Bunola, Cheswick, Clairton, Coulters, Creighton, Cuddy, Curtisville, Dravosburg, East Mc Keesport, Elizabeth, Gibsonia, Glassport, Crescent, Greenock, Harwick, Indianola, Leetsdale, Morgan, Natrona Heights, Oakdale, Rural Ridge, Russellton, Sturgeon, Tarentum, Warrendale, West Elizabeth, Wexford, Wildwood, Allison Park, Bethel Park, Braddock, Carnegie, Coraopolis, Duquesne, East Pittsburgh, Glenshaw, Homestead, West Mifflin, Imperial, Ingomar, South Park, Mckeesport, Mc Kees Rocks, North Versailles, Oakmont, Pitcairn, Presto, Sewickley, Springdale, Turtle Creek, Monroeville, Verona, Wilmerding, Pittsburgh, and all other areas of Allegheny County, Pennsylvania.
Source: medicarewire.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

How to Get the Most out of Medicare

Your first big decision after enrolling in Medicare will be whether to stick with original Medicare plus a Medigap supplemental plan—or get your Medicare benefits through a private Medicare Advantage plan. We lay out the advantages and disadvantages of both options so you can choose the right one for you.
Source: consumerreports.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

Medicare Advantage Illinois

For Medicare Advantage in Illinois, there are approximately 47 carriers, including those for Medicare Advantage alone and Part D prescription drug coverage. While two companies, Aetna and Humana, are currently the state’s second- and third-largest carriers, if a proposed merger is approved, this new company would provide coverage to 37 percent of the state. Nevertheless, other insurers offer Medicare Advantage in Illinois, including Anthem, Health Alliance, Meridian and United Healthcare.
Source: medicare.net

Check the status of a claim

Posted by:  :  Category: Medicare

Check your Medicare Summary Notice (MSN). The MSN is a notice that people with Original Medicare get in the mail every 3 months. It shows all your Part A and Part B-covered services or supplies that providers and suppliers billed to Medicare during a 3-month period, what Medicare paid, and the maximum amount you may owe the provider. Learn more about the MSN, and view a sample.
Source: medicare.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

Claim Status Request and Response

The electronic 276/277 process is recommended since many providers are able to automatically generate and submit 276 queries as needed, eliminating the need for manual entry of individual queries or calls to a contractor to obtain this information. Submission of 276 queries and issuance of 276 responses should be less expensive for both providers and for Medicare. In addition, the 277 response is designed to enable automatic posting of the status information to patient accounts, again eliminating the need for manual data entry by provider staff members. If unsure whether your software is able to automatically generate 276 queries or to automatically post 277 responses, you should contact your software vendor or billing service.
Source: cms.gov

Submit a Medicare claim online

This information was printed Monday 6 March 2017 from humanservices.gov.au/customer/enablers/submit-medicare-claim-online 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

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

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

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 Eligibility and Enrollment

good as Medicare’s or better, you shouldn’t be charged a late penalty as long as you sign up within the deadlines. After insurance from an employer ends, you must sign up for Part B within 8 months and for Part D within 63 days. Keep in mind that an insurance policy from an employer with fewer than 20 employees works differently with Medicare. If you work for a company of that size, you should sign up for Medicare when you are first eligible. You will not incur penalties if you don’t, but without Medicare Part B coverage, you could be without coverage for outpatient services.
Source: webmd.com

Medicare Eligibility Requirements

Medicare Part B: Medicare Part B provides coverage for some of the other medical expenses.  These include other expenses that your medical needs may require that are not covered by Medicare Part A. This can include necessary doctor services, and outpatient care (medical service that does not require overnight stay in the hospital or may not even include a hospital visit). Medicare Part B is a good choice for those with diabetes or at risk for diabetes because it covers many costs associated with diabetes including but not limited to, glucose test strips, insulin and blood sugar testing monitors. Find more details on what Medicare Part B covers regarding diabetes here. Also, Medicare Part B usually covers many necessary preventative shots (such as the flu shot or hepatitis B). However, unlike Medicare Part A, Medicare Part B requires a monthly premium. The standard monthly premium in 2017 is $134.00 a month (or higher depending on your income). However, most people who received benefits from Social Security pay less. If you qualify for Medicare Part A, you will likely qualify for Medicare Part B.
Source: medicaresolutions.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 Savings Programs

Posted by:  :  Category: Medicare

To make sure your provider knows you have QMB, show both your Medicare and Medicaid or QMB card each time you get care. If you get a bill for medical care Medicare covers, call your provider or plan about the charges. Tell them that you have QMB and can’t be charged for Medicare deductibles, coinsurance and copayments. If this doesn’t resolve the billing problem, call 1-800-MEDICARE (1-800-633-4227). 
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

Extra Help: Assistance paying for the Medicare drug benefit

*If you have Medicaid and have certain kinds of employer, retiree or union prescription drug coverage, you will not be automatically enrolled in a Part D plan. If you will lose your retiree or union health coverage by enrolling in a Medicare private drug plan, you may not want to take Medicare drug coverage. You will need to contact your state Medicaid office to find out what steps you should take to decline Part D coverage and still keep your Medicaid.
Source: medicareinteractive.org

Medicare Assistance: Support in the Community: Office of Aging And Disability Services

The OADS Aging Services and their partners are committed to providing consumers with assistance with navigating the Medicare. Whether a consumer needs assistance finding a Medicare Part D plan, a Medicare Supplement plan, money saving tips, legal assistance or reporting Medicare Fraud and Abuse, we can help! As part of the OADS Aging Services, Community Programs there are several programs that can help.
Source: maine.gov

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

Prescription Drug Assistance Programs

The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) and subsequent regulations require coordination between CMS, State programs, insurers, employers, and all other payers of prescription drug benefits to ensure that the prescription drug benefits provided to Medicare beneficiaries enrolled in Medicare Part D are maximized and the integrity of the Medicare program is assured. CMS has implemented data exchanges with Prescription Drug Assistance Programs including State Pharmaceutical Assistance Programs (SPAPs), AIDS Drug Assistance Programs (ADAPs), and Patient Assistance Programs (PAPs) to coordinate Medicare Part D prescription drug benefits with other coverage a Medicare beneficiary may have. This allows CMS to facilitate accurate claims payment and the calculation of the Medicare Part D True Out of Pocket (TrOOP) expenses incurred by Medicare beneficiaries.
Source: cms.gov

Medicare Assistance Programs

If your loved one qualifies for health benefits from the Department of Veterans Affairs (VA), he or she can receive both Medicare and VA benefits, but they don’t work together. Medicare doesn’t pay for any care provided at a VA facility–the only place VA benefits are offered. Many veterans use their benefits to get services not covered by Medicare, such as prescription drugs. For more about eligibility and benefits, call the VA Health Administration Center at 1-800-733-8387 or 1-877-222-8387.
Source: agis.com