What is a Medicare Advantage Plan?

Posted by:  :  Category: Medicare

If you have health coverage from your union or current or former employer when you become eligible for Medicare, you may automatically be enrolled in a Medicare Advantage Plan that they sponsor. You have the choice to stay with this plan, switch to Original Medicare, or enroll in a different Medicare Advantage Plan. Be aware that if you switch to Original Medicare or enroll in a different Medicare Advantage Plan, your employer or union could terminate or reduce your health benefits, the health benefits of your dependents, and any other benefits you get from your company. Talk to your employer/union and your plan before making changes to find out how your health benefits and other benefits may be affected.
Source: medicareinteractive.org

Compare Medicare Advantage & Supplemental Plans

Medicare supplement plans offer benefits in addition to the benefits offered by Original Medicare Parts A and B, and they are offered by private insurance companies. There are several different types of Medicare supplement plans available, including Plan A, Plan C, Plan F, Plan M and Plan N. Medicare supplement plans and Medicare Advantage plans are not complementary, so it is important to understand which type of policy makes the most sense for you. Our licensed sales agents are standing by to walk you through a comparison of the costs and benefits of each type of plan, and to help you choose a Medicare supplement plan that best meets your needs.
Source: medicaresolutions.com

Texas Medicaid Application

Posted by:  :  Category: Medicare

Pregnant women can qualify for Texas Medicaid program if their income is at or below 185% of Federal Poverty Level (FPL) despite the fact that federal guidelines require pregnant women to be at or below 133%. State of Texas has taken the initiative to extend Medicaid benefits to pregnant women with higher income by relaxing income eligibility.
Source: benefitsapplication.com

Questions About Your Benefits

If you need a ride to the doctor or dentist’s office, hospital, drug store or any place you get Medicaid services, call us toll-free: Live in the Houston / Beaumont area? Call 1-855-687-4786. Live in the Dallas area? Call 1-855-687-3255. Everyone else can call 1-877-633-8747 (1-877-MED-TRIP). To get a ride, you or your child must be on Medicaid or be in the Children with Special Health Care Needs program. You also must not have any other way to get to the doctor or drug store. Before you call for a ride you must have already set up a time to see a doctor. To get a ride:
Source: texas.gov

Health Insurance Costs Like Premiums & Deductibles

Posted by:  :  Category: Medicare

In almost any area of your life, if you don’t have a clear idea of your expenses, you may feel like you’re not in control. But, when you get clear about all the costs, you feel in control, helping you make the right choices. To get a clear understanding of your health insurance costs, the first step is to look at all the key types of costs, not just obvious expenses. It’s a lot like adding up your automobile expenses – some of the clear costs include your car payment, insurance, gas, oil changes and repairs. Less obvious costs include the finance charge on your payment, windshield wiper fluid and parking tickets. Let’s take a look at obvious health insurance costs and some examples.
Source: medmutual.com

Compare Medicare Advantage & Supplemental Plans

Posted by:  :  Category: Medicare

Medicare supplement plans offer benefits in addition to the benefits offered by Original Medicare Parts A and B, and they are offered by private insurance companies. There are several different types of Medicare supplement plans available, including Plan A, Plan C, Plan F, Plan M and Plan N. Medicare supplement plans and Medicare Advantage plans are not complementary, so it is important to understand which type of policy makes the most sense for you. Our licensed sales agents are standing by to walk you through a comparison of the costs and benefits of each type of plan, and to help you choose a Medicare supplement plan that best meets your needs.
Source: medicaresolutions.com

Compare Medicare Supplement (Medigap) Plans and Rates in Your Area

"Times have changed since my mother had an AARP J plan and I was totally confused by the options available. Stan walked me through the process in a very educational, methodical, friendly way, and I feel secure now that we’re making the correct decision to provide the best possible coverage for my husband." – Pat K.
Source: medigap360.com

Compare Medicare Supplement Plans

The most important thing to understand about Medigap plans is that they are Federally-standardized. This means that the plans are the same from company to company. For example, a Plan F with one company is the exact same as a Plan F with another company. You can easily compare Medicare Supplement plans based on price because of this. Plan F is the most comprehensive plan – it pays everything that Medicare A & B do not cover, including the Medicare deductibles, co-pays and coinsurance. With Plan F, you have NO out of pocket costs. Lower-tier plans include G and N. Plan G is, in many cases, the best value among the plans. It is the exact same as ‘F’ except that it does not cover the Medicare Part B deductible (only $140/year in 2012). Plan N is one tier below that. It doesn’t cover that Medicare Part B deductible. Also, it has co-pays ($20 at the doctor’s office and $50 at the ER) and does not cover Part B Excess charges ( What Are Part B Excess Charges?). To see the coverage chart showing what the various plans cover, see Medicare’s “Choosing a Medigap” booklet or view the coverage chart online.
Source: medicare-supplement.us

Medicare Supplement Insurance & Medicare Advantage Personal Service

Medicare Supplement Insurance, also known as MediGap Insurance, is designed to help cover some of the medical costs that are not covered by Medicare. These Medigap coverage plans are available to anyone enrolled in Part A and B of Medicare. There is an open MediGap Insurance enrollment period for the first six months after you turn age 65, in which you do not need to qualify or answer any questions about your prior medical history.
Source: medigapadvisors.com

Medicare Supplement Insurance / Medigap Plans

Cigna, Aetna, Mutual of Omaha, United American, AARP (or any other)…. the only diferrence is the color of your card and the monthly premium that you pay. The federal government mtandates the benefits that are offered – so they are all the same. It makes a great deal of sense to shop each and every year. While your premiums may be going up – there are carriers that have reduced premiums.This is where I can help you. I will continually shop all carriers in YOUR area to make sure you do not pay any more than you should. Don’t you pay enough already?There is NO cost to you for using Med Sup Savings….
Source: medsupsavings.com

Get Medicare Supplemental Insurance Plan Quotes

As long as you enroll during this six-month Medigap Open Enrollment Period, the insurance company cannot refuse to sell you a Medigap policy, charge you more because you have health problems, or make you wait for coverage to begin. However, you may have to wait up to six months for coverage of a pre-existing condition. Original Medicare will still cover that health problem even if your Medicare Supplement plan doesn’t cover your out-of-pocket costs.
Source: ehealthmedicare.com

Congress Passes “Doc Fix” – Senate Unable to Improve the Bill for Medicare Beneficiaries 

Posted by:  :  Category: Medicare

Whenever a temporary “Doc Fix” has been negotiated in the past, beneficiary advocates have largely focused on a number of critical “extenders” – extensions of other temporary Medicare fixes – that have traditionally been part of a larger SGR bill.  These extenders include future funding for the Qualified Individual (QI) program that pays Part B premiums for certain low-income individuals, an exceptions process to Medicare’s annual caps on coverage of outpatient therapy services, and funding for outreach and education surrounding low-income programs. Unfortunately, while H.R. 2 “permanently” fixes the SGR formula, it only makes certain of the extenders permanent, and temporarily extends the rest.  Absent the larger legislative SGR vehicle, further extension of these programs is less likely.
Source: medicareadvocacy.org

May The Era Of Medicare’s Doc Fix (1997

After a few years, however, it became clear that was never going to happen. And enacting doc fixes in that manner was expensive; it required Congress to pay for a portion of cuts anticipated in future years, not just the next one. So, in 2006, they took the SGR train completely off the rails. That year, in the Tax Relief and Health Care Act (TRHCA – which some dexterously refer to as “Trisha”), Congress enacted a doc fix that froze out-year SGR cuts in place, creating a “cliff” when that patch expired. If the cut in 2007 was going to be five percent, then the cut coming up in 2008 would be ten percent, and so on.
Source: healthaffairs.org

Explaining the Medicare Sustainable Growth Rate

Medicare sets the fee schedule for physicians through a payment formula developed in 1988 by a team of Harvard researchers based on a relative value of physician work, a geographic modifier, and a monetary conversion factor that translates the formula into dollars.[2] The monetary conversion factor is a powerful and controversial policy tool that allows lawmakers to easily raise or lower the rates at which Medicare pays physicians. In 1997, Congress decided to put the conversion factor in the hands of the SGR algorithm. Contrary to popular belief, the SGR does not directly decide the annual adjustment to the conversion factor; rather, it sets a growth rate for target Medicare expenditures based on changes in enrollment, economic growth, and a measure of provider efficiency. Each year, a formula predicts whether actual spending will or will not exceed the SGR target, and adjusts the conversion factor accordingly. The SGR predicts both annual and cumulative spending targets to account for both annual fluctuations and long term spending goals.
Source: americanactionforum.org

New Medicare Rules Will Change it Up for Doctors

While the concept of paying for quality has broad support, the details have been a source of trepidation for some clinicians, who worry that the new system will force small practices and old-fashioned solo doctors to join big groups. Patients may soon start hearing about the changes from their physicians, but it’s still too early to discern the impacts.
Source: nbcnews.com

Better Medicine * Better Lives

Why was COPIC formed and how do we work with the Colorado Medical Society to contribute to improvements in health care? Find out through a series of video interviews that highlight the 30th anniversary of this partnership and the positive impact it has had. Visit www.copicpearls.com to watch these interviews.
Source: callcopic.com

Healthcare Leaders for Accountable Innovation in Medicare

Posted by:  :  Category: Medicare

Leading voices from across the healthcare spectrum have a shared belief that Medicare should be more quality-driven, cost-efficient, and patient-focused. The Center for Medicare and Medicaid Innovation (CMMI) is a key partner in this goal and should be reformed to ensure limited, targeted testing of new payment and delivery ideas, collaboration and transparency with healthcare stakeholders, and vigilant monitoring and quality evaluation to protect Medicare beneficiaries.
Source: protectingmedicareaccess.com

Medicare Reimbursement Software

With superior technology and dedicated experience we have created partnerships with over 500 hospitals across the country and delivered over $1.3 billion in additional Medicare reimbursement. All four STINGRAY product modules have received the prestigious Peer Reviewed designation from the Healthcare Financial Management Association (HFMA).
Source: healthcarepayment.com

Importance of Medicare and Impacts on Healthcare & the Federal Budget

Medicare is the poster child of the ills created by America’s underlying dysfunctional healthcare system, reflecting the country’s unsuccessful attempts to meld a combination of diverse, often competitive suppliers of medical services, products, and practices into a coherent, effective system of care. The task is geometrically complicated by the divergent interests of the medical care recipients and multiple payers with conflicting interests. Since inception, Medicare costs have always exceeded projections, rapidly becoming the fastest growing segment of the federal budget and significantly exceeding the payroll taxes established to fund the program. Efforts to significantly control Medicare costs have been historically unsuccessful and, lacking fundamental change in the healthcare system generally, are likely to remain so.
Source: moneycrashers.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

What is a Medicare Advantage Plan?

Posted by:  :  Category: Medicare

If you have health coverage from your union or current or former employer when you become eligible for Medicare, you may automatically be enrolled in a Medicare Advantage Plan that they sponsor. You have the choice to stay with this plan, switch to Original Medicare, or enroll in a different Medicare Advantage Plan. Be aware that if you switch to Original Medicare or enroll in a different Medicare Advantage Plan, your employer or union could terminate or reduce your health benefits, the health benefits of your dependents, and any other benefits you get from your company. Talk to your employer/union and your plan before making changes to find out how your health benefits and other benefits may be affected.
Source: medicareinteractive.org

Costs for Medicare Advantage Plans

If you’re in a Medicare plan, review the “Evidence of Coverage” (EOC) and “Annual Notice of Change” (ANOC) your plan sends you each fall. The EOC gives you details about what the plan covers, how much you pay, and more. The ANOC includes any changes in coverage, costs, or service area that will be effective in January.
Source: medicare.gov

Medicare Advantage (Medicare Part C)

Medicare Advantage isn’t as complicated as it sounds. Before you decide on the type of Medicare insurance plan that may work for you, we recommend that you understand the coverage and costs, such as premiums, coinsurance, copayments, and deductibles. This isn’t guesswork; don’t be afraid to ask questions. A licensed eHealth insurance agent can help you find the answers. For help finding a plan to suit you, feel free to contact eHealth using the information below.
Source: medicareconsumerguide.com

Medicare Advantage Applications

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

Health Information and Medical Information

Posted by:  :  Category: Medicare

If you subscribe to any of our print newsletters and have never activated your online account, please activate your account below for online access. By activating your account, you will create a login and password. You only need to activate your account once.
Source: harvard.edu

Health News and Information

Two application areas seeing a major surge for the Multisizer are in environmental research and for optimization of recombinant protein expression in the lab. An example of the former is work published last year by researchers at the University of Aalborg in Denmark. They used the Multisizer 4e instrument to count and size pathogenic E. coli and to study the ability of another environmental organism D. magna to reduce this pathogenic E. coli strain in the environment.
Source: news-medical.net

Medical Records and Health Information Technicians : Occupational Outlook Handbook: : U.S. Bureau of Labor Statistics

Medical records and health information technicians, commonly referred to as health information technicians, organize and manage health information data. They ensure that the information maintains its quality, accuracy, accessibility, and security in both paper files and electronic systems. They use various classification systems to code and categorize patient information for insurance reimbursement purposes, for databases and registries, and to maintain patients’ medical and treatment histories.
Source: bls.gov

Medical Marijuana ProCon.org

Notices Archive Glossary Source Biographies Site Map Addictiveness of Marijuana 90 Physicians’ Views on Medical Marijuana Average Marijuana Potency by Year, 1975-2003 Major Court Cases (and Related Docs) California Attorney General Issues State Guidelines for Medical Marijuana Top 17 Hospitals’ Positions on Medical Marijuana Drug Tests – Methods of Detecting Cannabis Use Medical Marijuana Infographic DEA Judge Rules That Botanist’s Bid to Grow Marijuana Is “in the Public Interest” 2016 Presidential Candidates’ Positions on Medical Marijuana Drug Rescheduling Criteria FDA Statement on Smoked Medical Marijuana US Government Reports on Medical Marijuana Govt. Tests for Toxic Paraquat on US Marijuana Supply According to ProCon.org FOIA Request Marijuana vs. Marinol – A Side by Side Comparison 2012 Presidential Candidates’ Positions on Medical Marijuana Potency of US Govt. Grown Marijuana 2008 Presidential Candidates on Medical Marijuana 2008 Presidential Candidates on Marijuana Raids 2004 Presidential Candidates on Medical Marijuana Obama on Medical Marijuana Raids Hinchey Bill – 2004 Hinchey Bill – 2005 Hinchey Bill – 2006 Hinchey Bill – 2007 Raich, v. Ashcroft – U.S. Supreme Court Timeline Raich v. Gonzalez – 9th Circuit Court Summary US Attorney General Says Raids on Medical Marijuana Clinics Will Not Continue US Department of Justice Advises Federal Prosecutors Not to Prosecute Medical Marijuana Patients in Legal States US Government Seeks Applications to Grow Marijuana for Federal Research Votes and Polls, 1995-1999 Votes and Polls, 2000-Present Votes and Polls, National Votes and Polls, States Alaska – Montana Votes and Polls, States Nebraska-Wyoming
Source: procon.org

Medicare Home Health Profile

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

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

Home Health Agency (HHA) Center

The Centers for Medicare & Medicaid Services (CMS) released a final rule (CMS-3819-F) that modernizes the Home Health Agency Conditions of Participation (CoPs). The final rule, effective July 13, 2017, will improve the quality of health care services for all home health patients and strengthen patients’ rights. The regulation reflects the most current home health agency practices by focusing on the care provided to patients and the impact of that care on patient outcomes. This regulation focuses on assuring the protection and promotion of patient rights; enhances the process for care planning, delivery, and coordination of services; and builds a foundation for ongoing, data-driven, agency-wide quality improvement. These changes are an integral part of CMS’ overall effort to improve the quality of care furnished through the Medicare and Medicaid programs, while streamlining requirements for providers. HHA (CoP) Final Rule (CMS-3819-F) at Federal Register through 1/12/2017
Source: cms.gov

Insurance Agency in Louisville, KY, Auto, Home, Medicare, Health, LTC

We can help answer all your questions concerning Original Medicare (Part A & Part B), Medicare Advantage (Part C), Medicare Part D (prescription drug coverage), Medicare Supplement (Medigap), and more so you can make an informed decision and get the right coverage for YOU.
Source: bradeninsurance.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

Joining a health or drug plan

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

Six things to know about Fall Open Enrollment

Even if you are satisfied with your current Medicare coverage, take action and look at other Medicare options in your area that may better suit your individual needs in the upcoming year. For example, even if you are satisfied with your current Medicare Advantage or Part D plan, you should check to see if there is another plan in your area that will offer you better health and/or drug coverage at a more affordable price. Research shows that people with Medicare prescription drug coverage (Part D) could lower their costs by shopping among plans each year; there could be another Part D plan in your area that covers the drugs you take with fewer restrictions and/or lower prices.
Source: medicareinteractive.org